Texas › Anderson County › Palestine
Trucare Living Centers
2265 S Sycamore St, Palestine, TX 75801
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 120 beds, Trucare Living Centers serves Palestine in Anderson County, Texas and has taken Medicare and Medicaid residents since 2010.
CMS gives it 5 of 5 stars overall, above the Texas median of 3; the health inspection rating is 5, staffing 3 and quality measures 4.
Inspectors recorded 10 health deficiencies across the three most recent survey cycles (3, 6, 1 by cycle, most recent first), none at the actual-harm level. That is 8.3 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 3.6 hours per resident per day (0.3 RN), close to the Texas median of 3.3; nursing staff turnover is 25.0%.
Compared with county, state and nation
| Measure | This facility | Anderson Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 10 | 23 | 25 | 28.7 |
| Citations per 100 beds | 8.3 | 19.1 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.6 | 3.6 | 3.3 | 3.9 |
| RN hours per resident day | 0.3 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 25.0% | 53.8% | 52.1% | 45.8% |
| Fines listed | $0 | $49,065 | $16,801 | — |
County and state figures are medians across facilities (6 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: 17 Dec 2025, 18 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 |
|---|---|---|---|---|---|
| 17 Dec 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 6 Jan 2026 |
| 17 Dec 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 6 Jan 2026 |
| 17 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 6 Jan 2026 |
| 18 Sep 2024 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 2 Oct 2024 |
| 18 Sep 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 2 Oct 2024 |
| 18 Sep 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 2 Oct 2024 |
| 18 Sep 2024 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E | Standard survey | 2 Oct 2024 |
| 18 Sep 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 2 Oct 2024 |
| 18 Sep 2024 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Standard survey | 2 Oct 2024 |
| 16 Aug 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 21 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 25.0%, RNs —; 0 administrators 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 | 10.5% | 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 | 1.1% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 10.6% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 4.2% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.8% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 4.5% | 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: Fannin County Hospital Authority.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Fannin County Hospital Authority | 5% or greater direct ownership interest | 100% | 05/01/2026 |
| Sandstone Crest Healthcare LLC | Operational/managerial control | NOT APPLICABLE | 05/01/2026 |
| Ensign Services Inc | Adp of the snf | NOT APPLICABLE | 02/13/2026 |
| Sandstone Crest Healthcare LLC | Adp of the snf | NOT APPLICABLE | 04/15/2026 |
| Standard Bearer Healthcare Op, LP | Adp of the snf | NOT APPLICABLE | 05/01/2026 |
| Sycamore Street Health Holdings LLC | Adp of the snf | NOT APPLICABLE | 05/01/2026 |
| The Ensign Group Inc | Adp of the snf | NOT APPLICABLE | 05/01/2026 |
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 Anderson County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| The Legacy Midtown Park | Dallas | 54 | 5 | 5 | 5 | 7 | 13.0 | $28K | 16 Jun 2026 |
| Greenbrier Nursing & Rehabilitation Center of Pale | Palestine | 120 | 4 | 5 | 1 | 12 | 10.0 | — | 30 Apr 2026 |
| Avir At Elkhart | Elkhart | 98 | 3 | 3 | 2 | 26 | 26.5 | $65K | 21 Jan 2026 |
| Avir At Town Creek | Palestine | 102 | 3 | 3 | 3 | 23 | 22.5 | $49K | 18 Feb 2026 |
| Legacy At Town Creek | Palestine | 199 | 1 | 2 | 1 | 38 | 19.1 | $295K | 7 Jan 2026 |
All 6 facilities in Anderson County
Questions and answers
How many deficiencies has Trucare Living Centers 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 Trucare Living Centers been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Trucare Living Centers compare?
Reported total nurse staffing is 3.6 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Trucare Living Centers?
Ownership type is government, hospital district. Organisations in the CMS ownership record include Fannin County Hospital Authority and Sandstone Crest Healthcare LLC. Individual owners and managers are not listed on this site.
When was Trucare Living Centers last inspected?
The most recent survey or investigation in the CMS record is dated 17 Dec 2025; the most recent standard health survey was 17 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.