01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-12-17 | 3 | 2025-12-17 | 0 |
| Cycle 2 | 2024-09-18 | 6 | 2024-09-18 | 0 |
| Cycle 3 | 2023-08-16 | 1 | 2023-08-16 | 0 |
CMS CCN 6762572026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Trucare Living Centers
2265 S Sycamore St · Palestine, TX 75801 · Anderson County
Certified beds120CMS provider file
Recent citation rows10current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
10 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 2 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-12-17 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2026-01-062025-12-17 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2026-01-062025-12-17 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-01-062024-09-18 · HEALTHF0641Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2024-10-022024-09-18 · HEALTHF0644Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Correction field: Deficient, Provider has date of correction · 2024-10-022024-09-18 · HEALTHF0656Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2024-10-022024-09-18 · HEALTHF0689Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2024-10-022024-09-18 · HEALTHF0700Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-10-022024-09-18 · HEALTHF0813Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Correction field: Deficient, Provider has date of correction · 2024-10-022023-08-16 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2023-08-2103 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- FANNIN COUNTY HOSPITAL AUTHORITYOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 05/01/2026
- BYRUM, JOEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 05/01/2026
- PETERSON, MARCOIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 05/01/2026
- KEETCH, CHADIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/01/2011
- SANDERSON, CLARKIndividual · CORPORATE OFFICERNOT APPLICABLE · since 05/01/2026
- SANDSTONE CREST HEALTHCARE LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/01/2026
- BURNAM, SOONIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/01/2026
- BYRUM, JOEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/01/2026
- PETERSON, MARCOIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/01/2026
- ENSIGN SERVICES INCOrganization · ADP OF THE SNFNOT APPLICABLE · since 02/13/2026
- SANDSTONE CREST HEALTHCARE LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 04/15/2026
- STANDARD BEARER HEALTHCARE OP, LPOrganization · ADP OF THE SNFNOT APPLICABLE · since 05/01/2026
- SYCAMORE STREET HEALTH HOLDINGS LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 05/01/2026
- THE ENSIGN GROUP INCOrganization · ADP OF THE SNFNOT APPLICABLE · since 05/01/2026
- BYRUM, JOEIndividual · ADP OF THE SNFNOT APPLICABLE · since 05/01/2026
- PETERSON, MARCOIndividual · ADP OF THE SNFNOT APPLICABLE · since 04/01/2018
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.59per resident day
RN hours0.28per resident day
Weekend nurse hours3.20per resident day
Staff turnover25.0%CMS reported field