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Fairfield Nursing & Rehabilitation Center
420 Moody St, Fairfield, TX 75840
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 101 beds, Fairfield Nursing & Rehabilitation Center serves Fairfield in Freestone County, Texas and has taken Medicare and Medicaid residents since 2006.
CMS gives it 4 of 5 stars overall, above the Texas median of 3; the health inspection rating is 5, staffing 1 and quality measures 3.
Inspectors recorded 10 health deficiencies across the three most recent survey cycles (2, 6, 2 by cycle, most recent first), none at the actual-harm level. That is 9.9 per 100 beds, fewer than the state median of 22.5.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.1 hours per resident per day (0.4 RN), close to the Texas median of 3.3; nursing staff turnover is 96.7%.
Compared with county, state and nation
| Measure | This facility | Freestone Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 10 | 10 | 25 | 28.7 |
| Citations per 100 beds | 9.9 | 10.5 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.1 | 3.1 | 3.3 | 3.9 |
| RN hours per resident day | 0.4 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | 96.7% | 46.7% | 52.1% | 45.8% |
| Fines listed | $0 | $0 | $16,801 | — |
County and state figures are medians across facilities (3 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 18 Dec 2025, 26 Sep 2024.
Severity mix: D ×6 E ×4
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 18 Dec 2025 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 19 Dec 2025 |
| 18 Dec 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 19 Dec 2025 |
| 28 Jul 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Complaint investigation | 29 Jul 2025 |
| 28 Jul 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 29 Jul 2025 |
| 26 Sep 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 21 Aug 2024 |
| 26 Sep 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 27 Sep 2024 |
| 14 Aug 2024 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Complaint investigation | 15 Aug 2024 |
| 14 Aug 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 15 Aug 2024 |
| 26 Jul 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 15 Aug 2023 |
| 26 Jul 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 15 Aug 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 96.7%, RNs 100.0%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 18.9% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 7.3% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.7% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 13.8% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.2% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 15.2% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: government, hospital district. Legal business name: Liberty County Hospital District No 1. Chain: Creative Solutions In Healthcare (149 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Liberty County Hospital District No 1 | 5% or greater direct ownership interest | 100% | 05/01/2022 |
| Fairfield I Enterprises, LLC | Operational/managerial control | NOT APPLICABLE | 05/01/2022 |
| Fairfield I Enterprises, LLC | Adp of the snf | NOT APPLICABLE | 05/01/2022 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Freestone County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Teague Nursing and Rehabilitation | Teague | 76 | 5 | 5 | 2 | 8 | 10.5 | — | 26 Feb 2026 |
| Fairview Healthcare Residence | Fairfield | 84 | 4 | 4 | 3 | 11 | 13.1 | $19K | 7 Aug 2025 |
All 3 facilities in Freestone County
Questions and answers
How many deficiencies has Fairfield Nursing & Rehabilitation Center been cited for?
10 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Fairfield Nursing & Rehabilitation Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Fairfield Nursing & Rehabilitation Center compare?
Reported total nurse staffing is 3.1 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Fairfield Nursing & Rehabilitation Center?
It is part of the Creative Solutions In Healthcare chain. Ownership type is government, hospital district. Organisations in the CMS ownership record include Liberty County Hospital District No 1 and Fairfield I Enterprises, LLC. Individual owners and managers are not listed on this site.
When was Fairfield Nursing & Rehabilitation Center last inspected?
The most recent survey or investigation in the CMS record is dated 18 Dec 2025; the most recent standard health survey was 18 Dec 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.