Trucare Living Centers
Palestine, Anderson County, Texas · CCN 676257 · Government (Hospital district) · not part of a chain
CMS rates Trucare Living Centers 5 of 5 overall as of August 2026. 120 certified beds, 81 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 | ★★★★★ 5 of 5 |
|---|---|
| Health inspections | ★★★★★ 5 of 5 |
| Staffing | ★★★☆☆ 3 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 4 / 3 of 5 |
Staffing
| Total nurse staffing | 3.58684 hours per resident per day |
|---|---|
| Registered nurses | 0.27645 hours per resident per day |
| Weekend total | 3.20272 hours per resident per day |
| Nursing staff turnover | 25% |
| Administrators who left | 0 |
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 |
|---|---|---|---|
| 2025-12-17 | 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 2026-01-06 |
| 2025-12-17 | 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 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-01-06 |
| 2025-12-17 | 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 2026-01-06 |
| 2024-09-18 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-10-02 |
| 2024-09-18 | 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 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-10-02 |
| 2024-09-18 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-10-02 |
| 2024-09-18 | 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. Quality of Life and Care Deficiencies · tag F0700 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-10-02 |
| 2024-09-18 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · tag F0644 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-02 |
| 2024-09-18 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · tag F0813 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-02 |
| 2023-08-16 | 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 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-08-21 |
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% | 2026-05-01 |
| Ensign Services Inc. Organization | adp of the snf | — | 2026-02-13 |
| Sandstone Crest Healthcare LLC Organization | adp of the snf | — | 2026-04-15 |
| Standard Bearer Healthcare Op, Lp Organization | adp of the snf | — | 2026-05-01 |
| Sycamore Street Health Holdings LLC Organization | adp of the snf | — | 2026-05-01 |
| The Ensign Group Inc. Organization | adp of the snf | — | 2026-05-01 |
| Sandstone Crest Healthcare LLC Organization | operational/managerial control | — | 2026-05-01 |
| Byrum, Joe Individual | adp of the snf | — | 2026-05-01 |
| Peterson, Marco Individual | adp of the snf | — | 2018-04-01 |
| Keetch, Chad Individual | corporate officer | — | 2011-03-01 |
| Sanderson, Clark Individual | corporate officer | — | 2026-05-01 |
| Byrum, Joe Individual | managing control - governing body | — | 2026-05-01 |
| Peterson, Marco Individual | managing control - governing body | — | 2026-05-01 |
| Burnam, Soon Individual | operational/managerial control | — | 2026-05-01 |
| Byrum, Joe Individual | operational/managerial control | — | 2026-05-01 |
| Peterson, Marco Individual | operational/managerial control | — | 2026-05-01 |
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 Trucare Living Centers.
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.