Government - Hospital district · 120 certified beds · CMS number 676257

Trucare Living Centers, Palestine, TX

CMS records 10 health deficiencies at Trucare Living Centers in Palestine, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Dec 17, 2025. The highest severity cited is E (no actual harm, potential for more than minimal harm). CMS lists no fines or payment denials in the last three years.

Inspections and deficiencies

CMS findings for Trucare Living Centers as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Trucare Living Centers may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (3 deficiencies)

Standard inspection Dec 17, 2025. CMS counts 3 health deficiencies and 0 fire safety deficiencies in this cycle.

Dec 17, 2025 · Standard inspection

3 deficiencies, highest D

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 6, 2026

F755 · Pharmacy services and a consultant pharmacist

Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 6, 2026

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 6, 2026
Previous cycle: 6 deficiencies (standard inspection Sep 18, 2024)

Standard inspection Sep 18, 2024. CMS counts 6 health deficiencies and 0 fire safety deficiencies in this cycle.

Sep 18, 2024 · Standard inspection

6 deficiencies, highest E

F813 · Food brought in by visitors

Requirement cited (CMS): Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 2, 2024

F700 · Bed rail safety

Requirement cited (CMS): Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Oct 2, 2024

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Oct 2, 2024

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Oct 2, 2024

F644 · Coordinating with PASARR screening

Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 2, 2024

F641 · Accurate resident assessments

Requirement cited (CMS): Ensure each resident receives an accurate assessment.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Oct 2, 2024
Earlier cycle: 1 deficiency (standard inspection Aug 16, 2023)

Standard inspection Aug 16, 2023. CMS counts 1 health deficiency and 0 fire safety deficiencies in this cycle.

Aug 16, 2023 · Standard inspection

1 deficiency, highest D

F755 · Pharmacy services and a consultant pharmacist

Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 21, 2023

Tags cited in more than one inspection

2 tags cited on more than one inspection date at Trucare Living Centers; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F656 Comprehensive person-centered care plan2Dec 17, 2025; Sep 18, 2024
F755 Pharmacy services and a consultant pharmacist2Dec 17, 2025; Aug 16, 2023

Fines and payment denials

CMS lists no fines or payment denials for this nursing home in the last three years.

Staffing and CMS ratings

Total nurse staff hours per resident per day
3.59 h (above the Texas median of 3.27 h)
RN hours per resident per day
0.28 h (below the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
3.20 h
Nursing staff turnover
25.0% (Texas median 52.1%)
Administrators who left
0
CMS overall rating
5 of 5
Health inspection rating
5 of 5
Staffing rating
3 of 5
Quality measure rating
4 of 5

CMS figures for Trucare Living Centers, copied as published; Texas medians are ours.

Facility details

Address
2265 S Sycamore St, Palestine, TX 75801
Phone
(903) 723-2592
County
Anderson
Accepts
Medicare and Medicaid
Ownership
Government - Hospital district
Chain (CMS)
Not part of a chain in CMS data
Certified beds
120
Average residents per day
81
In Medicare/Medicaid since
Jul 22, 2010
Inside a hospital
No
Continuing care retirement community
No
Resident and family council
Resident
Sprinklers in all required areas
Yes

Questions to ask on a visit

Based on the tags cited most often here.

  • How are a resident's goals and preferences written into the care plan? (F656, cited 2 times)
  • How are new medication orders filled, and how quickly can urgent medications arrive? (F755, cited 2 times)
  • How does the home check that resident assessments match what staff actually observe? (F641, cited 1 time)
  • If a resident has a mental health condition or intellectual disability, how are PASARR recommendations included in their care? (F644, cited 1 time)

Other nursing homes in Palestine

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

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