Pecan Tree Rehab and Healthcare Center
1900 E California St, Gainesville, TX 76240 · (940) 668-6263
Government - Hospital district · 122 certified beds
Pecan Tree Rehab and Healthcare Center has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in February 2026, found 3 citations (the Texas average is 9.4). It was fined 1 time in the last three years, $16,879 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 2 out of 5 stars · Below average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 1 out of 5 stars · Much below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on February 18, 2026 found 3 citations. What an inspection citation means
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.February 18, 2026 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.February 18, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.February 18, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Complaint inspections, last three years
Inspections after complaints found 10 citations.
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.May 12, 2026 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.October 18, 2025 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.October 18, 2025 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.October 18, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.October 18, 2025 · F0684 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.October 18, 2025 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.October 18, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that residents are free from significant medication errors.October 18, 2025 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.November 13, 2024 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.November 13, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Fines and payment denials
- Fine of $16,879October 18, 2025
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Texas average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 2.57 | 3.39 | 3.86 |
| Registered nurses (RN) | 0.29 | 0.43 | 0.69 |
| Licensed practical nurses (LPN) | 0.97 | 0.95 | 0.86 |
| Nurse aides | 1.31 | 2.01 | 2.32 |
| Total nursing staff turnover | Not available | 55.3% | 45.8% |
About this home
| Ownership | Government - Hospital district |
| Certified beds | 122 |
| Average residents per day | 84.6 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Avir at River Valley Gainesville · ★★★★★ 3 out of 5 stars
- Renaissance Care Center Gainesville · ★★★★★ 3 out of 5 stars
- Avir at Gainesville Gainesville · ★★★★★ 1 out of 5 stars
Compare every nursing home in Gainesville, TX · Nursing homes in Texas · Home health agencies in Gainesville, TX
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Data from Medicare (CMS), updated October 2026, from Pecan Tree Rehab and Healthcare Center on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.