Greenbrier Nursing & Rehabilitation Center Of Pale
Palestine, Anderson County, Texas · CCN 675816 · For-profit (Corporation) · part of Creative Solutions In Healthcare (149 facilities, chain average 2.1 stars)
CMS rates Greenbrier Nursing & Rehabilitation Center Of Pale 4 of 5 overall as of August 2026. 120 certified beds, 47 residents a day on average. 12 citations on record from the current inspection cycles; no fines on record.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★☆ 4 of 5 |
|---|---|
| Health inspections | ★★★★★ 5 of 5 |
| Staffing | ★☆☆☆☆ 1 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 3 / — of 5 |
Staffing
| Total nurse staffing | 3.17957 hours per resident per day |
|---|---|
| Registered nurses | 0.37944 hours per resident per day |
| Weekend total | 2.67474 hours per resident per day |
| Nursing staff turnover | 97.9% (registered nurses 80%) |
| Administrators who left | 1 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-04-30 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-01 |
| 2026-03-04 complaint survey |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-05 |
| 2026-03-04 complaint survey |
Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-05 |
| 2026-01-29 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-01-30 |
| 2025-09-10 complaint survey |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-11 |
| 2025-09-10 complaint survey |
Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-11 |
| 2025-06-10 complaint survey |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-11 |
| 2025-03-12 complaint survey |
Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-13 |
| 2023-09-20 | Keep all essential equipment working safely. Environmental Deficiencies · tag F0908 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2023-10-12 |
| 2023-09-20 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-09-26 |
| 2023-09-20 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-09-26 |
| 2023-09-20 complaint survey |
Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-06 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Fannin County Hospital Authority Organization | 5% or greater direct ownership interest | 100% | 2024-10-01 |
| Honor X Enterprises, LLC Organization | adp of the snf | — | 2025-07-01 |
| Palestine I Enterprises, LLC Organization | adp of the snf | — | 2024-10-01 |
| Honor X Enterprises, LLC Organization | indirect ownership interest | — | 2024-10-01 |
| Palestine I Enterprises, LLC Organization | operational/managerial control | — | 2024-10-01 |
| Blake, Gary Individual | adp of the snf | — | 2024-10-01 |
| Blake, Malisa Individual | adp of the snf | — | 2024-10-01 |
| Hekimian, Khoren Individual | adp of the snf | — | 2025-07-01 |
| Huggins, Linda Individual | adp of the snf | — | 2024-10-01 |
| Johnson, Juanita Individual | adp of the snf | — | 2024-10-01 |
| Willig, Zachary Individual | adp of the snf | — | 2024-10-01 |
| Holt, Erin Individual | corporate director | — | 2024-10-01 |
| Huggins, Linda Individual | corporate director | — | 2024-10-01 |
| Keeton, Wendy Individual | corporate director | — | 2024-10-01 |
| Kissling, Monica Individual | corporate director | — | 2024-10-01 |
| Mcbean, Patricia Individual | corporate director | — | 2024-10-01 |
| Sanderson, Clark Individual | corporate director | — | 2024-10-01 |
| Trompler, Kelly Individual | corporate officer | — | 2024-10-01 |
| Holt, Erin Individual | managing control - governing body | — | 2024-10-01 |
| Keeton, Wendy Individual | managing control - governing body | — | 2024-10-01 |
| Kissling, Monica Individual | managing control - governing body | — | 2024-10-01 |
| Mcbean, Patricia Individual | managing control - governing body | — | 2024-10-01 |
| Sanderson, Clark Individual | managing control - governing body | — | 2024-10-01 |
| Trompler, Kelly Individual | managing control - governing body | — | 2024-10-01 |
| Blake, Gary Individual | operational/managerial control | — | 2024-10-01 |
| Blake, Malisa Individual | operational/managerial control | — | 2024-10-01 |
| Huggins, Linda Individual | operational/managerial control | — | 2024-10-04 |
| Johnson, Juanita Individual | operational/managerial control | — | 2024-10-01 |
| Willig, Zachary Individual | operational/managerial control | — | 2024-10-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Greenbrier Nursing & Rehabilitation Center Of Pale.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Anderson County.