Pecan Tree Rehab and Healthcare Center: Staffing, Turnover, and Inspection Record
Pecan Tree Rehab and Healthcare Center is a 122-bed government-run nursing home in Gainesville, Texas, part of Creative Solutions in Healthcare. In the CMS August 2026 release it reported 1.31 nurse aide hours per resident per day, 34% below the Texas average of 2.00.
Pecan Tree Rehab and Healthcare Center
1900 E California StGainesville, TX 76240
Cooke 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 Pecan Tree Rehab and Healthcare Center, nurse aides logged 1.31 hours per resident per day, 34% below the Texas average. With about 85 residents a day, that works out to roughly 111 aide hours a day, or about 14 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 23% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.31 | 2.00 | 2.32 |
| Licensed practical nurses | 0.97 | 0.95 | 0.86 |
| Registered nurses | 0.29 | 0.43 | 0.69 |
| All nursing staff | 2.57 | 3.39 | 3.86 |
| All nursing staff, weekends | 1.99 | 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
CMS publishes no nursing staff turnover figure for Pecan Tree Rehab and Healthcare Center in this release. 1 administrator left over the same period.
CMS note: Staffing data not submitted or not valid for calculating turnover.
Inspections and penalties
State inspectors last completed a standard health inspection on Feb 18, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 11 health deficiencies (Texas average 9.3). CMS lists 1 fine totaling $16,595 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Oct 18, 2025 | Fine | $16,595 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Pecan Tree Rehab and Healthcare Center holds 1 of 5 overall; the Texas average is 2.6.
About Pecan Tree Rehab and Healthcare Center
- Ownership: Government - Hospital district
- Chain: Creative Solutions in Healthcare, 149 homes
- Legal name: Decatur Hospital Authority
- Medicare and Medicaid certified since: Nov 7, 1995
- Councils: resident council
- Area: rural
Nursing homes near Pecan Tree Rehab and Healthcare Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Renaissance Care Center Gainesville | 0.2 | 91 | 1.57 | 3.04 | 49.1% | 3 | None |
| Avir at Gainesville Gainesville | 0.8 | 112 | 1.83 | 3.08 | 73.8% | 1 | $99,075 |
| Avir at River Valley Gainesville · many days without an RN | 2.1 | 116 | 1.42 | 3.08 | 76.0% | 3 | None |
| Whitesboro Health and Rehabilitation Center Whitesboro | 13.4 | 95 | 1.78 | 2.86 | 90.9% | 2 | $30,253 |
| Cedar Ridge Rehabilitation and Healthcare Center Pilot Point | 18.0 | 108 | 2.24 | 3.57 | 49.5% | 3 | None |
| Avir at Pilot Point Pilot Point | 18.3 | 63 | 1.34 | 2.82 | 40.9% | 4 | None |
| Denton Village by PureHealth Denton · abuse citation | 26.8 | 88 | 1.77 | 3.55 | 41.3% | 3 | $55,112 |
| Cottonwood Nursing & Rehabilitation Denton | 27.0 | 60 | 1.70 | 3.24 | 98.0% | 1 | 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.