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Gainesville and Cooke County

Pecan Tree Rehab and Healthcare Center

1900 E CALIFORNIA ST, Gainesville, TX, 76240 | 9406686263

All nursing homes

Chapter 1 of 4

Ratings

  • Overall1 of 5
  • Health inspections1 of 5
  • Staffing1 of 5
  • Quality of care2 of 5
122 bedsGovernment - Hospital districtCREATIVE SOLUTIONS IN HEALTHCARE

Last state inspection: Feb 18, 2026

Chapter 2 of 4

Staffing

Nursing hours per resident per day.

  • All nurses and aides2.8 hrs
  • Registered nurses0.3 hrs
  • Licensed practical nurses1.0 hrs
  • Nurse aides1.5 hrs
  • Weekend, all nurses2.2 hrs
  • Nurse turnoverNot reported
  • Registered nurse turnoverNot reported

Administrators who left in the past year: 1

Chapter 3 of 4

Fines timeline

1Fines, last 3 years
$16,879Total fined
0Payment denials
  1. $16,879 Fine

Chapter 4 of 4

Citations, last 3 years

18Citations
2Serious
2Immediate jeopardy
May 12, 20261 citation
  • F0600potential for more than minimal harmComplaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Deficient, Provider has date of correction, May 14, 2026

Feb 18, 20263 citations
  • F0686potential for more than minimal harm

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Deficient, Provider has date of correction, Feb 19, 2026

  • F0812potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Deficient, Provider has date of correction, Feb 19, 2026

  • F0880potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Deficient, Provider has date of correction, Feb 19, 2026

Oct 18, 20257 citations, 2 serious
  • F0580potential for more than minimal harmComplaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Deficient, Provider has date of correction, Oct 19, 2025

  • F0585potential for more than minimal harmComplaint

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Deficient, Provider has date of correction, Oct 19, 2025

  • F0656potential for more than minimal harmComplaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Deficient, Provider has date of correction, Oct 19, 2025

  • F0684immediate jeopardyComplaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Deficient, Provider has date of correction, Oct 19, 2025

  • F0689immediate jeopardyComplaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Deficient, Provider has date of correction, Oct 19, 2025

  • F0755potential for more than minimal harmComplaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Deficient, Provider has date of correction, Oct 19, 2025

  • F0760potential for more than minimal harmComplaint

    Ensure that residents are free from significant medication errors.

    Deficient, Provider has date of correction, Oct 19, 2025

Nov 13, 20247 citations
  • F0558potential for more than minimal harm

    Reasonably accommodate the needs and preferences of each resident.

    Deficient, Provider has date of correction, Dec 9, 2024

  • F0584potential for more than minimal harmComplaint

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Deficient, Provider has date of correction, Dec 9, 2024

  • F0644potential for more than minimal harm

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Deficient, Provider has date of correction, Dec 11, 2024

  • F0690potential for more than minimal harm

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Deficient, Provider has date of correction, Dec 9, 2024

  • F0755potential for more than minimal harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Deficient, Provider has date of correction, Dec 9, 2024

  • F0812potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Deficient, Provider has date of correction, Dec 9, 2024

  • F0880potential for more than minimal harmComplaint

    Provide and implement an infection prevention and control program.

    Deficient, Provider has date of correction, Dec 9, 2024

Data from Medicare's Care Compare, updated October 2026

Pecan Tree Rehab and Healthcare Center Ratings, Fines and Citations | GvilleTX