Nursing homeActive
Greenbrier Nursing & Rehabilitation Center of Pale
2404 State Highway 155, Palestine, TX 758039037296024120 certified beds · 47 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
8
since 2023
Deficiencies
12
● 0● 12● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-04-30
Complaint
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 5
Staffing 1
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Texas Health and Human Services Commission · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-04-30 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2026-03-04 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2026-01-29 | Standard | 010 | CMS-2567 (Care Compare) | — |
| 2025-09-10 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-06-10 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-03-12 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-11-06 | Standard | 000 | CMS-2567 (Care Compare) | — |
| 2023-09-20 | Standard | 040 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Texas Health and Human Services Commission publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-01Record 675816-20260430-F684
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-05Record 675816-20260304-F550
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-05Record 675816-20260304-F677
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-01-30Record 675816-20260129-F880
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-11Record 675816-20250910-F690
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-11Record 675816-20250910-F880
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-11Record 675816-20250610-F690
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-13Record 675816-20250312-F880
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-26Record 675816-20230920-F609
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-26Record 675816-20230920-F656
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-06Record 675816-20230920-F880
F908Keep all essential equipment working safely.Scope/severity FStandard
Environment
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-10-12Record 675816-20230920-F908
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.38
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day3.18
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours2.67
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover98%
Facility
Texas
National
Texas 55% · National 46%
Registered nurse turnover80%
Facility
Texas
National
Texas 55% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Texas | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.3% | 3.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 3.0% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 10.9% | 9.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 0.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 20.3% | 15.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 0.7% | 3.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 14.0% | 18.0% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Fannin County Hospital Authority Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Blake, Gary Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Blake, Malisa Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Huggins, Linda Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Johnson, Juanita Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Palestine I Enterprises, LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Willig, Zachary Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Blake, Gary Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Blake, Malisa Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hekimian, Khoren Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Holt, Erin Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Holt, Erin Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Honor X Enterprises, LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Honor X Enterprises, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Huggins, Linda Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Huggins, Linda Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Johnson, Juanita Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Keeton, Wendy Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Keeton, Wendy Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Kissling, Monica Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Kissling, Monica Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Mcbean, Patricia Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Mcbean, Patricia Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Palestine I Enterprises, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sanderson, Clark Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Sanderson, Clark Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Trompler, Kelly Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Trompler, Kelly Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Willig, Zachary Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Creative Solutions In Healthcare — 149 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Texas.
No county cost figures on file for Anderson.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Legacy At Town Creek Palestine | 3.6 mi | 2026-01-07 | 1155 |
| Trucare Living Centers Palestine | 4.0 mi | 2025-12-17 | 090 |
| Avir at Town Creek Palestine | 5.1 mi | 2026-02-18 | 0192 |
| Avir at Elkhart Elkhart | 11.9 mi | 2026-01-21 | 0210 |
| Avir at Jacksonville Jacksonville | 23.1 mi | 2026-02-25 | 060 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |