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Pecan Tree Rehab And Healthcare Center

1900 E California St, Gainesville, TX 76240 · Cooke County · (940) 668-6263

★☆☆☆☆ (1/5)Overall CMS rating
★☆☆☆☆ (1/5)Health inspection
★☆☆☆☆ (1/5)Staffing
★★☆☆☆ (2/5)Quality measures

Fewer inspection deficiencies (11) than 29% of nursing homes in Texas. Rated #3 of 4 nursing homes in Gainesville by overall CMS stars. Nursing hours per resident day: 2.6 — below the Texas average of 3.39.

Quality details (CMS data, Oct 2026 release)

Certified beds122
Average residents per day84.6
OwnershipGovernment
ParticipationMedicare and Medicaid
Provider chainCREATIVE SOLUTIONS IN HEALTHCARE
Nursing hours per resident per day2.57 (Texas average: 3.39)
— of which RN hours0.29
— of which nurse aide hours1.31
Staff turnover—
RN turnover—
Most recent health inspectionFeb 18, 2026
Deficiencies cited (latest cycle)11 (Texas average: 9.4)
Weighted inspection score (lower is better)213
Federal fines in past 3 years1 fine(s) totaling $16,879
Payment denials / penalties1

Compare homes before you choose

Ratings change with every inspection cycle. Compare Pecan Tree Rehab And Healthcare Center side by side with other homes in Gainesville and check the latest red flags:

See all nursing homes in Gainesville →

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Plan the cost of care in Texas

What does care cost in Texas? A semi-private nursing home room runs a median of $5,627 per month — see Texas senior care cost medians and check Texas Medicaid eligibility limits.

Source: U.S. Centers for Medicare & Medicaid Services (CMS), Provider Information dataset, Oct 2026 release (processing date Sep 1, 2026). Ratings reflect inspection cycles and reported staffing; visit any facility in person before deciding.