Nursing homeActive
Trucare Living Centers
2265 S Sycamore St, Palestine, TX 758019037232592120 certified beds · 81 residentsGovernment - Hospital districtMedicare and Medicaid
Surveys on file
3
since 2023
Deficiencies
10
● 0● 10● 0
Penalties · 3 yrs
—
none on file
Last survey
2025-12-17
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 5
Staffing 3
Quality 4
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 |
|---|---|---|---|---|
| 2025-12-17 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2024-09-18 | Standard | 060 | CMS-2567 (Care Compare) | — |
| 2023-08-16 | Standard | 010 | 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.
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 2026-01-06Record 676257-20251217-F656
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-06Record 676257-20251217-F755
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 2026-01-06Record 676257-20251217-F880
F641Ensure each resident receives an accurate assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-02Record 676257-20240918-F641
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-02Record 676257-20240918-F644
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-02Record 676257-20240918-F656
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-02Record 676257-20240918-F689
F700Try 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.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-02Record 676257-20240918-F700
F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-02Record 676257-20240918-F813
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-21Record 676257-20230816-F755
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.28
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day3.59
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours3.20
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover25%
Facility
Texas
National
Texas 55% · National 46%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Texas | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 2.8% | 3.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 10.6% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 4.5% | 9.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.1% | 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 | 10.5% | 15.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 1.4% | 3.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 10.3% | 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% | — | — |
| Burnam, Soon Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Byrum, Joe Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Peterson, Marco Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Sandstone Crest Healthcare LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Byrum, Joe Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Byrum, Joe Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Ensign Services Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Keetch, Chad Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Peterson, Marco Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Peterson, Marco Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Sanderson, Clark Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Sandstone Crest Healthcare LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Standard Bearer Healthcare Op, LP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sycamore Street Health Holdings LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| The Ensign Group Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
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 | 1.7 mi | 2026-01-07 | 1155 |
| Avir at Town Creek Palestine | 2.9 mi | 2026-02-18 | 0192 |
| Greenbrier Nursing & Rehabilitation Center of Pale Palestine | 4.0 mi | 2026-04-30 | 0120 |
| Avir at Elkhart Elkhart | 8.1 mi | 2026-01-21 | 0210 |
| Avir at Jacksonville Jacksonville | 25.6 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 |