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Greenbrier Nursing & Rehabilitation Center of Pale
2404 State Highway 155, Palestine, TX 75803 (opens Google Maps) · Anderson County · (903) 729-6024· 120 certified beds · avg 47 residents/day · certified since Dec 21, 1999 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: CREATIVE SOLUTIONS IN HEALTHCARE (149 facilities, chain avg rating 2.1★)
5/5
Health inspection rating (on-site)
inspected Jan 29, 2026
0
Serious findings on record
$0
Fines, last 3 years
2.74
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★★5/5 · CMS overall rating: 4/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 12 inspection findings. Open the full record below to read every finding.
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint F-0684
The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint F-0550
The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint F-0677
View all 12 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 30, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684 |
| Mar 4, 2026 | D · Potential for more than minimal harm, isolated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint · F-0550 |
| Mar 4, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint · F-0677 |
| Jan 29, 2026 | E · Potential for more than minimal harm, pattern | 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. · F-0880 |
| Sep 10, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint · F-0690 |
| Sep 10, 2025 | D · Potential for more than minimal harm, isolated | 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. · from a complaint · F-0880 |
| Jun 10, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint · F-0690 |
| Mar 12, 2025 | D · Potential for more than minimal harm, isolated | 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. · from a complaint · F-0880 |
| Sep 20, 2023 | F · Potential for more than minimal harm, widespread | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · F-0908 |
| Sep 20, 2023 | D · Potential for more than minimal harm, isolated | 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 · F-0609 |
| Sep 20, 2023 | D · Potential for more than minimal harm, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656 |
| Sep 20, 2023 | D · Potential for more than minimal harm, isolated | 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. · from a complaint · F-0880 |
Inspection trend by year
All citationsSerious citations (G–L)
2023
All citations: 4
Serious citations (G–L): 0
2025
All citations: 4
Serious citations (G–L): 0
2026
All citations: 4
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 0 | F |
| 2025 | 4 | 0 | D |
| 2026 | 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityTexas averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 2.74
Texas average: 3.46
U.S. average: 3.95
Registered Nurse hours
This facility: 0.33
Texas average: 0.44
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.30
Texas average: 3.04
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.74 | 3.46 | 3.95 | bottom 9% in Texas; bottom 7% in the U.S. |
| Registered Nurse hours | 0.33 | 0.44 | 0.69 | bottom 35% in Texas; bottom 12% in the U.S. |
| Weekend total nurse staffing | 2.30 | 3.04 | 3.50 | bottom 7% in Texas; bottom 5% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.24 | 0.34 | 0.48 | bottom 35% in Texas; bottom 20% in the U.S. |
| Total nursing staff turnover (%) | 97.9 | 55.3 | 45.8 | bottom 2% in Texas; bottom 1% in the U.S. |
| RN turnover (%) | 80.0 | 54.6 | 42.9 | bottom 21% in Texas; bottom 6% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 3.18, RN 0.38, weekend 2.67.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.18 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Greenbrier Nursing & Rehabilitation Center of Pale. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Fannin County Hospital Authority | Organization | 5% or Greater Direct Ownership Interest | 100% | 10/01/2024 |
| Honor X Enterprises, LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 10/01/2024 |
| Blake, Gary | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2024 |
| Blake, Gary | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Blake, Malisa | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2024 |
| Blake, Malisa | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Hekimian, Khoren | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2025 |
| Holt, Erin | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/01/2024 |
| Holt, Erin | Individual | Corporate Director | NOT APPLICABLE | 10/01/2024 |
| Honor X Enterprises, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2025 |
| Huggins, Linda | Individual | Corporate Director | NOT APPLICABLE | 10/01/2024 |
| Huggins, Linda | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/04/2024 |
| Huggins, Linda | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Johnson, Juanita | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2024 |
| Johnson, Juanita | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Keeton, Wendy | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/01/2024 |
| Keeton, Wendy | Individual | Corporate Director | NOT APPLICABLE | 10/01/2024 |
| Kissling, Monica | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/01/2024 |
| Kissling, Monica | Individual | Corporate Director | NOT APPLICABLE | 10/01/2024 |
| McBean, Patricia | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/01/2024 |
Showing 20 of 29 parties CMS has on file for this facility; 9 are not displayed. The full list is in the CMS Ownership dataset.
Other facilities in the same chain
CMS lists this facility under the chain Creative Solutions in Healthcare — 149 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Greenbrier Nursing & Rehabilitation Center of Tyle — Tyler, TX · overall 2/5
- Greenhill Villas — Mount Pleasant, TX · overall 1/5
- Groveton Nursing Home — Groveton, TX · overall 3/5
- Heritage at Longview Healthcare Center — Longview, TX · overall 1/5
- Heritage at Turner Park Health & Rehab — Grand Prairie, TX · overall 2/5
- Heritage House Nursing and Rehabilitation — Rosebud, TX · overall 4/5
- Heritage Place of Decatur — Decatur, TX · overall 3/5
- Honey Grove Nursing Center — Honey Grove, TX · overall 2/5
Listed by state, then facility name — not a ranking. Showing 8 of the 148 others, continuing from this facility's own place in that list.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Texas midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 98% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 29 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Legacy at Town Creek | 3.6 mi | Palestine, TX | ★☆☆☆☆ | 2/5 | |
| Trucare Living Centers | 4.0 mi | Palestine, TX | ★★★★★ | 5/5 | |
| Avir at Town Creek | 5.1 mi | Palestine, TX | ★★★☆☆ | 3/5 | |
| Avir at Elkhart | 11.9 mi | Elkhart, TX | ★★★☆☆ | 3/5 |
Compare this facility with the 3 closest →
Other facilities in the same county
CMS records place this facility in Anderson, TX — 6 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- The Legacy Midtown Park — Dallas, TX · overall 5/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 675816.
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