Fairfield Nursing & Rehabilitation Center
Fairfield, Freestone County, Texas · CCN 676123 · Government (Hospital district) · part of Creative Solutions In Healthcare (149 facilities, chain average 2.1 stars)
CMS rates Fairfield Nursing & Rehabilitation Center 4 of 5 overall as of August 2026. 101 certified beds, 69 residents a day on average. 10 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 | 2 / 3 of 5 |
Staffing
| Total nurse staffing | 3.08964 hours per resident per day |
|---|---|
| Registered nurses | 0.39334 hours per resident per day |
| Weekend total | 2.77717 hours per resident per day |
| Nursing staff turnover | 96.7% (registered nurses 100%) |
| 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 |
|---|---|---|---|
| 2025-12-18 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · tag F0565 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-12-19 |
| 2025-12-18 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-12-19 |
| 2025-07-28 complaint survey |
Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · tag F0552 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-29 |
| 2025-07-28 complaint survey |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-29 |
| 2024-09-26 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 | Past Non-Compliance 2024-08-21 |
| 2024-09-26 | 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 2024-09-27 |
| 2024-08-14 complaint survey |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0604 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-15 |
| 2024-08-14 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 2024-08-15 |
| 2023-07-26 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-08-15 |
| 2023-07-26 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-08-15 |
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 |
|---|---|---|---|
| Liberty County Hospital District No 1 Organization | 5% or greater direct ownership interest | 100% | 2022-05-01 |
| Fairfield I Enterprises, LLC Organization | adp of the snf | — | 2022-05-01 |
| Fairfield I Enterprises, LLC Organization | operational/managerial control | — | 2022-05-01 |
| Blake, Gary Individual | adp of the snf | — | 2022-05-01 |
| Lewis, Betty Individual | adp of the snf | — | 2025-04-11 |
| White, Darryl Individual | adp of the snf | — | 2025-04-11 |
| Willig, Zachary Individual | corporate director | — | 2025-01-01 |
| Huggins, Linda Individual | corporate officer | — | 2022-05-01 |
| Stratton, Charles Individual | corporate officer | — | 2005-05-01 |
| Fregia, Milton Individual | managing control - governing body | — | 2022-05-07 |
| Gardner, Shannon Individual | managing control - governing body | — | 2022-08-22 |
| Gardzina, Margaret Individual | managing control - governing body | — | 2024-02-26 |
| Henry, Paul Individual | managing control - governing body | — | 2009-05-09 |
| Stratton, Charles Individual | managing control - governing body | — | 2005-05-01 |
| Blake, Gary Individual | operational/managerial control | — | 2022-05-01 |
| Blake, Malisa Individual | operational/managerial control | — | 2022-05-01 |
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 Fairfield Nursing & Rehabilitation Center.
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 Freestone County.