Pecan Creek Healthcare Center

910 E Pierson St · Hamilton, TX · 76531 · 2543868113

76 certified beds For profit - Corporation Chain: Nexion Health

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.
  • Cleaner inspection record than most facilities nationally.
  • No federal fines or payment denials in CMS’s 3-year window.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

RN staffing in the bottom 10% nationally

0.30 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Score breakdown

Inspection record 30% of score 82
Serious harm & abuse 20% 100
Staffing 20% 58
Federal penalties 15% 100
Trend 10% 44
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 5 of 5 Inspections: 5 of 5 Staffing: 3 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day3.783.48 min · 4.1 strong
RN hours / resident-day0.300.55–0.75
Weekend hours / resident-day3.26≈ weekday level
Nursing turnover / year57%median 45%
Fines (3-yr window)none

Inspection citations (6 in the current record)

  • Potential for harm · E April 30, 2025

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

    Corrected May 1, 2025 · Nutrition and Dietary

  • Potential for harm · D April 30, 2025

    Provide and implement an infection prevention and control program.

    Corrected May 1, 2025 · Infection Control

  • Potential for harm · D March 20, 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.

    Corrected May 4, 2024 · Quality of Life and Care

  • Potential for harm · D March 20, 2024

    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.

    Corrected May 4, 2024 · Quality of Life and Care

  • Potential for harm · E January 30, 2023

    Provide enough food/fluids to maintain a resident's health.

    Corrected March 2, 2023 · Quality of Life and Care

  • Potential for harm · E January 30, 2023

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected March 2, 2023 · Pharmacy Service

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455954 · certified since October 1, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.