Trucare Living Centers: Staffing, Turnover, and Inspection Record
Trucare Living Centers is a 120-bed government-run nursing home in Palestine, Texas. In the CMS August 2026 release it reported 2.51 nurse aide hours per resident per day, 26% above the Texas average of 2.00, and 25.0% nursing staff turnover (Texas average 55.3%).
Trucare Living Centers
2265 S Sycamore StPalestine, TX 75801
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 Trucare Living Centers, nurse aides logged 2.51 hours per resident per day, 26% above the Texas average. With about 81 residents a day, that works out to roughly 203 aide hours a day, or about 25 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 11% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.51 | 2.00 | 2.32 |
| Licensed practical nurses | 0.80 | 0.95 | 0.86 |
| Registered nurses | 0.28 | 0.43 | 0.69 |
| All nursing staff | 3.59 | 3.39 | 3.86 |
| All nursing staff, weekends | 3.20 | 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
25.0% of nursing staff at Trucare Living Centers left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Dec 17, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 3 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. Trucare Living Centers holds 5 of 5 overall; the Texas average is 2.6.
About Trucare Living Centers
- Ownership: Government - Hospital district
- Legal name: Fannin County Hospital Authority
- Medicare and Medicaid certified since: Jul 22, 2010
- Councils: resident council
- Area: rural
Nursing homes near Trucare Living Centers
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Legacy at Town Creek Palestine | 1.7 | 199 | 2.00 | 3.37 | 53.8% | 1 | $294,608 |
| Avir at Town Creek Palestine | 2.9 | 102 | 2.01 | 3.76 | 47.1% | 3 | $49,065 |
| Greenbrier Nursing & Rehabilitation Center of Pale Palestine | 4.0 | 120 | 1.66 | 3.18 | 97.9% | 4 | None |
| Avir at Elkhart Elkhart | 8.1 | 98 | 2.34 | 3.38 | 54.3% | 3 | $65,397 |
| Avir at Jacksonville Jacksonville | 25.6 | 53 | 2.02 | 3.40 | 23.3% | 5 | None |
| Twin Oaks Health & Rehabilitation Center Jacksonville | 26.8 | 116 | 1.83 | 2.97 | 98.0% | 2 | $174,431 |
| The Arbors Healthcare and Rehabilitation Center Rusk | 27.8 | 110 | 1.69 | 3.11 | — | 2 | None |
| Legacy at Jacksonville Jacksonville | 28.6 | 101 | 1.76 | 3.17 | — | 3 | $27,345 |
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.