F
LEGACY AT TOWN CREEK
24/100 score
0.27 hrs RN staffing
6 deficiencies
GREENBRIER NURSING & REHABILITATION CENTER OF PALE
2404 HWY 155, PALESTINE, TX 75803
Operator
FANNIN COUNTY HOSPITAL AUTHORITY · 54 facilities
- Provider number (CCN)
- 675816
- Certification
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified beds
- 120
- Phone
- (903) 729-6024
- CMS data as of
- July 1, 2026
D
What the records show
CMS rates GREENBRIER NURSING & REHABILITATION CENTER OF PALE 4 out of 5 stars overall, with 5 of 5 for health inspections, 1 of 5 for staffing, 3 of 5 for quality measures. Federal inspectors cited 12 health deficiencies across the last three survey cycles, most recently surveyed in 2026. CMS lists no fines or payment denials for this facility in the covered period.
Facility Assessment
This facility is operated by FANNIN COUNTY HOSPITAL AUTHORITY, which scores 17 points below the national average. This facility staffs below 0.55 RN hours per resident day — the level the 2024 federal rule, repealed in February 2026, would have required.
Reviews, Ratings and Official Records
This page reviews GREENBRIER NURSING & REHABILITATION CENTER OF PALE using federal government records — CMS star ratings, health-inspection findings, staffing data and enforcement actions. NursingHomeGrade does not collect, host or publish resident or family testimonials, and no star rating below is a consumer review score.
Below the repealed 0.55 hr RN benchmark — elevated deficiency count.
Ratings and Grade Breakdown
|
RN Staffing
Registered nurse time each resident receives daily. 2024 federal benchmark: 0.55 hrs. Repealed February 2026.
|
0.38 — Below the repealed 0.55 hr benchmark |
The 0.55 hour RN standard was repealed effective February 2, 2026 and is not currently enforced. We still grade against it. Why |
|
|
Health Deficiencies (last 3 survey cycles)
Violations found during federal inspections, with how many remain open and how many involved actual harm.
|
Total
12
Outstanding
0
Actual harm or worse (G–L)
0
|
|
CMS Ratings
Federal five-star ratings published by CMS. These are regulatory ratings, not consumer review scores.
|
Overall: ★★★★☆ (4/5)
Health inspection: ★★★★★ (5/5)
Quality: ★★★☆☆ (3/5)
Staffing: ★☆☆☆☆ (1/5)
|
|
NursingHomeGrade Score
|
47/100 |
Loaded into NursingHomeGrade on August 7, 2026. This is the load date, not the date CMS published the underlying survey data — see release dates.
CMS scores each facility from one to five stars — one is in the bottom fifth of facilities in its state on health inspections, five is in the top tenth. Our own A–F grade is a separate 0–100 score built from staffing hours, inspection citations, and the severity and correction status of those citations, weighted as described in our grading methodology.
Staffing Compared With State and National Levels
| This facility | 0.38 hrs |
|---|---|
| TX median | 0.38 hrs |
| National average | 0.69 hrs |
Registered nurse turnover: 80.0% · Total nursing staff turnover: 97.9%
Staffing figures are the values CMS published in its file processed July 1, 2026, drawn from payroll-based journal reporting.
Inspection Records Covered
- Most recent standard health survey: January 29, 2026.
- Citations shown below span 3 recorded inspection cycles.
- Survey dates on file range from September 20, 2023 to April 30, 2026.
Source records: CMS Care Compare profile for provider 675816 ↗ · the federal files we load and when.
Inspection Deficiencies
Health inspections identify violations of federal standards. Severity ranges from no actual harm (A–F) to immediate jeopardy (J–L).
12 deficiencies found. 12 corrected. None involved actual harm.
Most recent inspection (January 29, 2026)
E
Potential harm — pattern
F0880
Status: Corrected
Provide and implement an infection prevention and control program.
Infection Control Deficiencies — Deficient, Provider has date of correction, corrected January 30, 2026
D
Potential harm — isolated
F0880
Status: Corrected
Provide and implement an infection prevention and control program.
Infection Control Deficiencies — Deficient, Provider has date of correction, corrected September 11, 2025
D
Potential harm — isolated
F0684
Status: Corrected
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected May 1, 2026
D
Potential harm — isolated
F0677
Status: Corrected
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected March 5, 2026
D
Potential harm — isolated
F0690
Status: Corrected
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected September 11, 2025
D
Potential harm — isolated
F0550
Status: Corrected
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies — Deficient, Provider has date of correction, corrected March 5, 2026
Inspection cycle 2 (March 12, 2025)
D
Potential harm — isolated
F0880
Status: Corrected
Provide and implement an infection prevention and control program.
Infection Control Deficiencies — Deficient, Provider has date of correction, corrected March 13, 2025
D
Potential harm — isolated
F0690
Status: Corrected
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected June 11, 2025
Inspection cycle 3 (September 20, 2023)
F
Potential harm — widespread
F0908
Status: Corrected
Keep all essential equipment working safely.
Environmental Deficiencies — Deficient, Provider has date of correction, corrected October 12, 2023
D
Potential harm — isolated
F0609
Status: Corrected
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies — Deficient, Provider has date of correction, corrected September 26, 2023
D
Potential harm — isolated
F0880
Status: Corrected
Provide and implement an infection prevention and control program.
Infection Control Deficiencies — Deficient, Provider has date of correction, corrected October 6, 2023
D
Potential harm — isolated
F0656
Status: Corrected
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies — Deficient, Provider has date of correction, corrected September 26, 2023
Fines and Enforcement Actions
CMS lists no fines and no payment denials for GREENBRIER NURSING & REHABILITATION CENTER OF PALE in the enforcement records covering the last three years, as published in the file processed July 1, 2026.
Ownership and Contact Information
- Facility name
- GREENBRIER NURSING & REHABILITATION CENTER OF PALE
- Legal business name
- FANNIN COUNTY HOSPITAL AUTHORITY
- Address
- 2404 HWY 155, PALESTINE, TX 75803
- Phone
- (903) 729-6024
- Provider number (CCN)
- 675816
- Ownership type
- For profit - Corporation
- Operator
- FANNIN COUNTY HOSPITAL AUTHORITY · 54 facilities
- Medicare/Medicaid certified since
- December 21, 1999
- Official record
- CMS Care Compare profile ↗
- Details verified against CMS data dated
- July 1, 2026
The federal nursing-home files publish no email address for certified facilities, so none is listed here. We do not guess or construct contact addresses. Contact details above are reproduced from CMS Provider Information; call the facility to confirm before relying on them.
How We Stay Independent
NursingHomeGrade is strictly independent. We do not accept payments from facilities. Our grades are calculated solely from federal CMS datasets.
Learn about our data methodology →Nearby facilities in PALESTINE
Compare local nursing homes using the same CMS-backed grading method.
C
TRUCARE LIVING CENTERS
60/100 score
0.28 hrs RN staffing
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Avir at Town Creek
50/100 score
0.37 hrs RN staffing
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Sources and Methodology
- CMS Provider Information (file processed July 1, 2026) — ratings, staffing, ownership, certification and contact details. Dataset 4pq5-n9py ↗
- CMS Health Deficiencies — inspection citations, scope and severity, correction status. Dataset r5ix-sfxw ↗
- CMS Ownership — owning and managing organisations. Dataset y2hd-n93e ↗
The NursingHomeGrade score is our own calculation from these federal files — it is not a CMS rating and not a consumer review score. See exactly how the score is calculated · full methodology · source files and load dates.
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