Pecan Tree Rehab and Healthcare Center
Nursing Home Facility
1900 E California St, Gainesville, TX 76240
Pecan Tree Rehab and Healthcare Center is a senior care community located in Gainesville, TX. It provides nursing home care and senior living for older adults in the Gainesville area. To learn more or schedule a tour, call (940) 668-6263.
Operated by Creative Solutions in Healthcare, which runs 121 communities in our directory.
Pecan Tree Rehab and Healthcare Center is licensed for 122 beds, about typical for the area, where senior care communities in Gainesville average about 98 beds.
Federal reporting puts occupancy at about 69% of its licensed beds. That is above the Gainesville average of roughly 57%.
Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Gainesville average about 2.0 stars. Its most recent standard health inspection was in February 2026 and recorded 11 deficiencies.
Residents receive about 2.6 hours of nursing care per day on average, including 0.3 hours from a registered nurse.
The community is located in Cooke County, TX.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 30 problems at Pecan Tree Rehab and Healthcare Center. 2 findings involved harm to a resident, including 2 that put residents in immediate danger. 13 came from investigating complaints by residents or families.
In the last three years Medicare fined this home once, a total of $16,595.
Findings from the most recent inspection cycle
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Put residents in immediate danger, a pattern
Quality of Life and Care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Put residents in immediate danger, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Could cause more than minimal harm, a pattern
Quality of Life and Care
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Could cause more than minimal harm, a pattern
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, a pattern
Resident Rights
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Could cause more than minimal harm, a pattern
Resident Rights
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.
Show 3 more
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Could cause more than minimal harm, a pattern
Pharmacy Service
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Could cause more than minimal harm, a pattern
Pharmacy Service
Ensure that residents are free from significant medication errors.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Pecan Tree Rehab and Healthcare Center offers nursing home care and senior living.
Facility details
- Organization type For profit - Partnership
- Beds / units 122
- Occupancy 69%
- Nursing hours per resident/day 2.6
- Last health inspection February 2026
Resident & family reviews
No one has shared a review of Pecan Tree Rehab and Healthcare Center yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.