Greenbrier Nursing & Rehabilitation Center of Pale: Staffing, Turnover, and Inspection Record
Greenbrier Nursing & Rehabilitation Center of Pale is a 120-bed for-profit nursing home in Palestine, Texas, part of Creative Solutions in Healthcare. In the CMS August 2026 release it reported 1.66 nurse aide hours per resident per day, 17% below the Texas average of 2.00, and 97.9% nursing staff turnover (Texas average 55.3%).
Greenbrier Nursing & Rehabilitation Center of Pale
2404 State Highway 155Palestine, TX 75803
Anderson County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Greenbrier Nursing & Rehabilitation Center of Pale, nurse aides logged 1.66 hours per resident per day, 17% below the Texas average. With about 47 residents a day, that works out to roughly 77 aide hours a day, or about 10 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 16% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.66 | 2.00 | 2.32 |
| Licensed practical nurses | 1.14 | 0.95 | 0.86 |
| Registered nurses | 0.38 | 0.43 | 0.69 |
| All nursing staff | 3.18 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.67 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
97.9% of nursing staff at Greenbrier Nursing & Rehabilitation Center of Pale left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 80.0%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jan 29, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 6 health deficiencies (Texas average 9.3). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Greenbrier Nursing & Rehabilitation Center of Pale holds 4 of 5 overall; the Texas average is 2.6.
About Greenbrier Nursing & Rehabilitation Center of Pale
- Ownership: For profit - Corporation
- Chain: Creative Solutions in Healthcare, 149 homes
- Legal name: Fannin County Hospital Authority
- Medicare and Medicaid certified since: Dec 21, 1999
- Councils: resident council
- Area: rural
Nursing homes near Greenbrier Nursing & Rehabilitation Center of Pale
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Legacy at Town Creek Palestine | 3.6 | 199 | 2.00 | 3.37 | 53.8% | 1 | $294,608 |
| Trucare Living Centers Palestine | 4.0 | 120 | 2.51 | 3.59 | 25.0% | 5 | None |
| Avir at Town Creek Palestine | 5.1 | 102 | 2.01 | 3.76 | 47.1% | 3 | $49,065 |
| Avir at Elkhart Elkhart | 11.9 | 98 | 2.34 | 3.38 | 54.3% | 3 | $65,397 |
| Avir at Jacksonville Jacksonville | 23.1 | 53 | 2.02 | 3.40 | 23.3% | 5 | None |
| Twin Oaks Health & Rehabilitation Center Jacksonville | 24.1 | 116 | 1.83 | 2.97 | 98.0% | 2 | $174,431 |
| Legacy at Jacksonville Jacksonville | 26.2 | 101 | 1.76 | 3.17 | — | 3 | $27,345 |
| The Arbors Healthcare and Rehabilitation Center Rusk | 27.2 | 110 | 1.69 | 3.11 | — | 2 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.