Fairfield Nursing & Rehabilitation Center
420 Moody St, Fairfield, TX 75840 · Freestone County · 101 certified beds · avg 69 residents/day · certified since Dec 14, 2006
Part of chain: CREATIVE SOLUTIONS IN HEALTHCARE (149 facilities, chain avg rating 2.1★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (10)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Dec 18, 2025 | E · Potential for harm, repeated | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. |
| Dec 18, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jul 28, 2025 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · from a complaint |
| Jul 28, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Sep 26, 2024 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Sep 26, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Aug 14, 2024 | D · Potential for harm, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · from a complaint |
| Aug 14, 2024 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Jul 26, 2023 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Jul 26, 2023 | E · Potential for harm, repeated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | E |
| 2024 | 4 | 0 | D |
| 2025 | 4 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.31 | 3.46 | 3.95 | bottom 50% in Texas; bottom 27% in the U.S. |
| Registered Nurse hours | 0.42 | 0.44 | 0.69 | top 42% in Texas; bottom 25% in the U.S. |
| Weekend total nurse staffing | 2.97 | 3.04 | 3.50 | top 43% in Texas; bottom 29% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.27 | 0.34 | 0.48 | bottom 44% in Texas; bottom 26% in the U.S. |
| Total nursing staff turnover (%) | 96.7 | 55.3 | 45.8 | bottom 3% in Texas; bottom 1% in the U.S. |
| RN turnover (%) | 100.0 | 54.6 | 42.9 | bottom 8% in Texas; bottom 1% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.09, RN 0.39, weekend 2.78. Staffing rating: 1/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 2/5 · short-stay residents: 3/5
Who owns this facility
Government - Hospital district
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Liberty County Hospital District No 1 | Organization | 5% or Greater Direct Ownership Interest | 100% | 05/01/2022 |
| Blake, Gary | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2022 |
| Blake, Gary | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2022 |
| Blake, Malisa | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2022 |
| Fairfield I Enterprises, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 05/01/2022 |
| Fairfield I Enterprises, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2022 |
| Fregia, Milton | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/07/2022 |
| Gardner, Shannon | Individual | Managing Control - Governing Body | NOT APPLICABLE | 08/22/2022 |
| Gardzina, Margaret | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/26/2024 |
| Henry, Paul | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/09/2009 |
| Huggins, Linda | Individual | Corporate Officer | NOT APPLICABLE | 05/01/2022 |
| Lewis, Betty | Individual | ADP of the SNF | NOT APPLICABLE | 04/11/2025 |
| Stratton, Charles | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/01/2005 |
| Stratton, Charles | Individual | Corporate Officer | NOT APPLICABLE | 05/01/2005 |
| White, Darryl | Individual | ADP of the SNF | NOT APPLICABLE | 04/11/2025 |
| Willig, Zachary | Individual | Corporate Director | NOT APPLICABLE | 01/01/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Does your facility have an active resident council, and how does management respond to its concerns?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you explain health changes and treatment options to residents and their families?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your policy on physical restraints, and what alternatives do you try first?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Fairview Healthcare Residence | 1.1 mi | Fairfield, TX | ★★★★☆ | 4/5 | |
| Teague Nursing and Rehabilitation | 9.8 mi | Teague, TX | ★★★★★ | 5/5 | |
| Skilled Care of Mexia | 18.8 mi | Mexia, TX | ★★★☆☆ | 4/5 | |
| The Manor Healthcare Residence | 19.5 mi | Mexia, TX | ★★★★★ | 5/5 | |
| Mexia LTC Nursing and Rehabilitation | 19.6 mi | Mexia, TX | ★★☆☆☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 676123.