Pecan Tree Rehab and Healthcare Center
Nursing home in Gainesville, Texas, CMS certification number 675550
1900 E California St, Gainesville, TX 76240 · Cooke County
- CMS overall rating
- 1 of 5 stars
- Certified beds
- 122
- Certified for
- Medicare and Medicaid
- Last standard inspection
- February 18, 2026
- Deficiencies at that inspection
- 11
- Fines in 3 years
- $16,879 (1)
Does Pecan Tree Rehab and Healthcare Center take Medicare and Medicaid?
Yes to both. Pecan Tree Rehab and Healthcare Center is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 1 of 5 |
| Quality of resident care | 2 of 5 |
| Long-stay quality | 3 of 5 |
| Short-stay quality | 1 of 5 |
Nurse staffing hours and turnover
These are the hours Pecan Tree Rehab and Healthcare Center reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 2.84
- Registered nurse hours
- 0.32
- Licensed practical nurse hours
- 1.01
- Nurse aide hours
- 1.51
- Weekend total hours
- 2.25
- Administrators who left
- 1
Health inspections and complaints
Inspectors last made a standard visit on February 18, 2026 and cited 11 deficiencies, plus 8 from complaint visits.
The visit before, on November 13, 2024, found 7.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Pecan Tree Rehab and Healthcare Center 1 time in the past 3 years, for $16,879 in total.
Beds and residents
On an average day 85.2 residents live here, about 70% of its 122 certified beds.
- Certified beds
- 122
- Average residents per day
- 85.2
- Certified since
- November 7, 1995
- Resident or family council
- Resident
Who owns Pecan Tree Rehab and Healthcare Center
- Legal business name
- Decatur Hospital Authority
- Ownership type
- Government - Hospital district
- Chain
- 150 homes nationally under Creative Solutions in Healthcare, 2.3-star chain average
Other nursing homes near Pecan Tree Rehab and Healthcare Center
- Renaissance Care Center1400 Blackshill Dr, Gainesville 76240
- Avir at Gainesville1900 O'Neal St., Gainesville 76240
- Avir at River Valley1907 Refinery Rd, Gainesville 76240
- Whitesboro Health and Rehabilitation Center1204 Sherman Dr, Whitesboro 76273
- Cedar Ridge Rehabilitation and Healthcare Center1700 N Washington St, Pilot Point 76258
Who inspects nursing homes in Texas
Texas's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Texas, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Pecan Tree Rehab and Healthcare Center, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Pecan Tree Rehab and Healthcare Center
What is the CMS star rating of Pecan Tree Rehab and Healthcare Center?
1 out of 5 stars overall.
Does Pecan Tree Rehab and Healthcare Center accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Pecan Tree Rehab and Healthcare Center?
11 cited at the last standard visit.
Who owns Pecan Tree Rehab and Healthcare Center?
Decatur Hospital Authority, government - hospital district.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.