TRUCARE LIVING CENTERS

2265 S SYCAMORE ST, PALESTINE, TX 75801 · CCN 676257 · 120 certified beds · Data as of 2026-07-01

CMS overall5 of 5CMS inspections5 of 5CMS staffing3 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

No immediate-jeopardy or actual-harm citations, and no CMS enforcement fines, appear in this facility's current record.

Serious inspection findings

No citations at CMS's actual-harm or immediate-jeopardy levels appear in this facility's current record.

Staffing, from payroll records

Nursing hours / resident / day

2.91

state median 2.67

Weekend staffing gap

−8%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.15

registered nurses only

Contract (agency) staff

0%

share of all nursing hours

Days with zero RN hours reported

1

with residents present

Nursing staff turnover

25%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

CMS records no penalties for this facility.

Ownership

Ownership type: Government - Hospital district.

Full citation history

By severity: Potential for more than minimal harm: 10

Survey dateTagCategorySeverityCorrected
2025-12-17F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2025-12-17F0755Pharmacy Service DeficienciesDnot recorded
2025-12-17F0880Infection Control DeficienciesDnot recorded
2024-09-18F0641Resident Assessment and Care Planning DeficienciesEnot recorded
2024-09-18F0644Resident Assessment and Care Planning DeficienciesDnot recorded
2024-09-18F0656Resident Assessment and Care Planning DeficienciesEnot recorded
2024-09-18F0689Quality of Life and Care DeficienciesEnot recorded
2024-09-18F0700Quality of Life and Care DeficienciesEnot recorded
2024-09-18F0813Nutrition and Dietary DeficienciesDnot recorded
2023-08-16F0755Pharmacy Service DeficienciesDnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “TRUCARE LIVING CENTERS, PALESTINE” at medicare.gov/care-compare.