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Pecan Tree Rehab and Healthcare Center

1900 E California St

3.8(66 ratings)· Gainesville average: 4.1

Pecan Tree Rehab and Healthcare Center, photo 11 / 5

Quick Facts

Total units
122
Medicare rating
1 of 5

CMS Care Compare

Ownership
Government, Hospital district
Certified beds
122
Quality oversight
Facility undergoes biannual external quality audits
Rehab focus
Wound care and post-hospital deconditioning support
Care goal
Programs aim to reduce hospital readmissions

What Families Think

Reviews for Pecan Tree Rehab and Healthcare Center are sharply divided, with several families praising cleanliness and staff warmth while others report serious lapses in basic care and communication. Google reviewers gave a mix of very low and very high ratings, pointing to inconsistency in the day-to-day resident experience.

The Good

  • Housekeeping and cleanliness praised by reviewers
  • Some reviewers describe attentive, caring staff
  • Active volunteer program mentioned by a reviewer
  • Specialized orthopedic and neurological rehab programs
  • Wound care and post-hospital deconditioning support offered

The Bad

  • One report of a diaper-change neglect and understaffing
  • One family described a mishandled, delayed discharge process
  • One report of a 106-day delay returning a refund
  • Communication breakdowns between staff and families noted

AI-generated from reviews and community data.

Pecan Tree Rehab and Healthcare Center is a senior living community in Gainesville, Texas offering Skilled Nursing / Long Term Care. Amenities include Restaurant style Dining Room, Gathering / Activity Spaces and Housekeeping. Families rate it 3.8 out of 5 across 66 reviews.

About Pecan Tree Rehab and Healthcare Center

Pecan Tree Rehab and Healthcare Center is a skilled nursing and rehabilitation facility located in Gainesville, Texas. The community provides comprehensive skilled care with a focus on personalized treatment plans tailored to each resident's individual needs.

The center offers specialized rehabilitation programs including orthopedic rehabilitation for patients recovering from joint replacements, fractures, and post-fall injuries, as well as neurological rehabilitation for conditions such as stroke and Parkinson's disease. Care teams also provide wound care services and support for patients experiencing deconditioning after extended hospital stays. All services emphasize pain management, mobility restoration, strength and balance training, and safe transitions.

The facility maintains high standards of cleanliness and safety through its White Glove Program, which includes rigorous staff training and biannual external surveys to ensure consistent excellence. The community is designed with warm, welcoming resident rooms and lively common areas to provide a home-like environment.

Nutrition and dining are integral to the community's approach to resident care. Menus feature regional favorites prepared with quality ingredients, designed to be both nutritious and enjoyable as a social activity for residents.

Care planning at the facility is conducted by a compassionate clinical team that recognizes each resident's unique circumstances. The interdisciplinary team develops individualized plans focused on restoring independence, improving daily function, and enhancing quality of life while supporting safe recovery and reducing hospital readmissions.

Types of Care at Pecan Tree Rehab and Healthcare Center

Skilled Nursing / Long Term Care

Amenities

Room Amenities

  • Emergency Call System
  • Private Bathroom
  • Wheelchair Accessible

Meals & Dining

  • Dietary Accommodations (Gluten-Free, Low / No Sodium, No Sugar, Vegan)
  • Restaurant style Dining Room

Community Amenities

  • 24-Hour Staff
  • Gathering / Activity Spaces
  • Housekeeping
  • Medication Management
  • On-Site Nurse (RN)

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Reviews of Pecan Tree Rehab and Healthcare Center

3.8overall · 66 ratings combined

3.8★ on Google (66)

Debbie Akins

May 2026

via Google

I went there to visit my friend and I was told the food is horrible and they get in no hurry to make the patients feel at home. Especially when you have other patients coming in your room and harassing them. That goes for a screaming room mate. My friend is a Christian lady who's use to being in a quiet home but bc she lost her husband she had to go into this facility. I wouldn't recommend it. I wouldn't recommend putting your family members in a nursing facility unless it is a last resort!! Its a cruel world for them!! I know bc my Mom was put in one of the worst facilities in Oklahoma!!

ruby

May 2026

via Google

Long term hall is terrible for our love one. He's been in the same cloths 4 days now. His diaper supposed to be change 3 times a day and the last few day's we have to drive over here and change his soiled diaper that he wears all day and night till one of us come over. It's not short staffed at this point it's neglect .

Marcia Jacobi

Mar 2026

via Google

Love the staff, good volunteer program, excellent inspection results, and the residents are very social and fun!

barb m

Mar 2026

via Google

My loved one passed away 106 days ago, they owe me a reimbursement for the remainder of Nov 2025 and I have contacted them in person and by email, but they are still working on returning this money. 106 !days!! Horrible accountability

James Brown

Mar 2026

via Google

The staff here is top notch! Responsive to questions and the needs of their residents:)

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Government Inspection History

5 inspection visits in the last three years, 34 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).

May 12, 2026Health Complaint1 citation
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 14, 2026

Feb 18, 2026Fire Safety StandardHealth Standard5 citations
  • Have properly located and lighted "Exit" signs.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 14, 2026

  • Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 14, 2026

  • Provide and implement an infection prevention and control program.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 19, 2026

  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 19, 2026

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 19, 2026

Oct 18, 2025Health Complaint7 citations
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Severity K of L: immediate jeopardy, patternFound during a complaint inspectionCorrected Oct 19, 2025

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Oct 19, 2025

  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Oct 19, 2025

  • Ensure that residents are free from significant medication errors.

    Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Oct 19, 2025

  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Oct 19, 2025

  • Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Oct 19, 2025

  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 19, 2025

Nov 13, 2024Fire Safety StandardHealth ComplaintHealth Standard7 citations
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 9, 2024

  • Provide and implement an infection prevention and control program.

    Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Dec 9, 2024

  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 9, 2024

  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 9, 2024

  • Reasonably accommodate the needs and preferences of each resident.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 9, 2024

  • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 9, 2024

  • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 11, 2024

Sep 19, 2023Fire Safety StandardHealth ComplaintHealth Standard14 citations
  • Keep aisles, corridors, and exits free of obstruction in case of emergency.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 11, 2023

  • Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 11, 2023

  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Oct 11, 2023

  • Provide activities to meet all resident's needs.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 11, 2023

  • Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 11, 2023

  • Provide and implement an infection prevention and control program.

    Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Oct 11, 2023

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 11, 2023

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 11, 2023

  • Properly provide smoke detection systems in areas open to corridors.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 11, 2023

  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 11, 2023

  • Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 11, 2023

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 11, 2023

  • Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 11, 2023

  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 11, 2023

Source: CMS Care Compare, public federal data covering certified nursing facilities, refreshed monthly. Citations range from A (least serious) to L (most serious) on the federal scope and severity scale. Most citations are corrected quickly; review the details and ask the community about anything that concerns you.

Frequently Asked Questions

What types of care does Pecan Tree Rehab and Healthcare Center offer?

Pecan Tree Rehab and Healthcare Center offers Skilled Nursing / Long Term Care.

Where is Pecan Tree Rehab and Healthcare Center located?

Pecan Tree Rehab and Healthcare Center is located at 1900 E California St in Gainesville, Texas.

What do families say about Pecan Tree Rehab and Healthcare Center?

Reviews for Pecan Tree Rehab and Healthcare Center are sharply divided, with several families praising cleanliness and staff warmth while others report serious lapses in basic care and communication. Google reviewers gave a mix of very low and very high ratings, pointing to inconsistency in the day-to-day resident experience.

How did Pecan Tree Rehab and Healthcare Center do on recent health and safety inspections?

Pecan Tree Rehab and Healthcare Center had 5 government inspection visits in the last three years, with 34 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

How can families visit Pecan Tree Rehab and Healthcare Center?

Submit the Request Information form on this page to connect with Pecan Tree Rehab and Healthcare Center and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.

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