Texas ›Palestine

Trucare Living Centers

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2265 S Sycamore St, Palestine, TX 75801 (opens Google Maps) · Anderson County · (903) 723-2592· 120 certified beds · avg 81 residents/day · certified since Jul 22, 2010 · 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 →

5/5
Health inspection rating (on-site)
inspected Dec 17, 2025
0
Serious findings on record
$0
Fines, last 3 years
3.88
Nurse hours/resident/day (adjusted)

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: 5/5 · 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 10 inspection findings. Open the full record below to read every finding.

  1. 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

  2. D · Potential for more than minimal harm, isolated

    The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. F-0755

  3. 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. F-0880

View all 10 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.

DateSeverityWhat the facility was cited for
Dec 17, 2025D · Potential for more than minimal harm, isolatedThe 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
Dec 17, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Dec 17, 2025D · Potential for more than minimal harm, isolatedThe 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 18, 2024E · Potential for more than minimal harm, patternThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Sep 18, 2024E · Potential for more than minimal harm, patternThe 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 18, 2024E · Potential for more than minimal harm, patternThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Sep 18, 2024E · Potential for more than minimal harm, patternThe facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. · F-0700
Sep 18, 2024D · Potential for more than minimal harm, isolatedThe facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · F-0644
Sep 18, 2024D · Potential for more than minimal harm, isolatedThe facility did not have a policy covering how food brought in by family and visitors is used and stored safely. · F-0813
Aug 16, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (6 → 3).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 1
Serious citations (G–L): 0
2024
All citations: 6
Serious citations (G–L): 0
2025
All citations: 3
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202310D
202460E
202530D

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)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityTexas averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.88
Texas average: 3.46
U.S. average: 3.95
Registered Nurse hours
This facility: 0.30
Texas average: 0.44
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.46
Texas average: 3.04
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityTexas avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.883.463.95top 18% in Texas; top 45% in the U.S.
Registered Nurse hours0.300.440.69bottom 28% in Texas; bottom 9% in the U.S.
Weekend total nurse staffing3.463.043.50top 18% in Texas; top 44% in the U.S.
Weekend RN hours (not acuity-adjusted)0.220.340.48bottom 31% in Texas; bottom 17% in the U.S.
Total nursing staff turnover (%)25.055.345.8top 2% in Texas; top 7% in the U.S.
RN turnover (%)—54.642.9—

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 3.59, RN 0.28, weekend 3.20.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.59 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.

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: 4/5 · long-stay residents: 4/5 · short-stay residents: 3/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Trucare Living Centers. 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 →

Government - Hospital district

Owner / managerTypeRoleStakeSince
Fannin County Hospital AuthorityOrganization5% or Greater Direct Ownership Interest100%05/01/2026
Burnam, SoonIndividualOperational/Managerial ControlNOT APPLICABLE05/01/2026
Byrum, JoeIndividualManaging Control - Governing BodyNOT APPLICABLE05/01/2026
Byrum, JoeIndividualOperational/Managerial ControlNOT APPLICABLE05/01/2026
Byrum, JoeIndividualADP of the SNFNOT APPLICABLE05/01/2026
Ensign Services INCOrganizationADP of the SNFNOT APPLICABLE02/13/2026
Keetch, ChadIndividualCorporate OfficerNOT APPLICABLE03/01/2011
Peterson, MarcoIndividualManaging Control - Governing BodyNOT APPLICABLE05/01/2026
Peterson, MarcoIndividualOperational/Managerial ControlNOT APPLICABLE05/01/2026
Peterson, MarcoIndividualADP of the SNFNOT APPLICABLE04/01/2018
Sanderson, ClarkIndividualCorporate OfficerNOT APPLICABLE05/01/2026
Sandstone Crest Healthcare LLCOrganizationOperational/Managerial ControlNOT APPLICABLE05/01/2026
Sandstone Crest Healthcare LLCOrganizationADP of the SNFNOT APPLICABLE04/15/2026
Standard Bearer Healthcare Op, LPOrganizationADP of the SNFNOT APPLICABLE05/01/2026
Sycamore Street Health Holdings LLCOrganizationADP of the SNFNOT APPLICABLE05/01/2026
The Ensign Group INCOrganizationADP of the SNFNOT APPLICABLE05/01/2026

All 16 owning or managing parties CMS has on file are shown — none excluded.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "Can you show me an example care plan, and how are families included when it's created and updated?"
  • "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
  • "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
  • "Who completes resident assessments here, and how do you check them for accuracy?"
  • "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
  • "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
  • "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
  • "What are your rules for bringing in my family member's favorite foods, and how are they stored?"

Also worth asking anywhere

  • "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 25% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 16 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)

FacilityDistanceCityOverallInspectionFlags
Legacy at Town Creek1.7 miPalestine, TX★☆☆☆☆2/5
Avir at Town Creek2.9 miPalestine, TX★★★☆☆3/5
Greenbrier Nursing & Rehabilitation Center of Pale4.0 miPalestine, TX★★★★☆5/5
Avir at Elkhart8.1 miElkhart, 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.

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Palestine →

Facility data as of CMS processing date 2026-08-01. CCN 676257.

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