Trucare Living Centers
2265 S Sycamore St · Palestine, TX · 75801 · 9037232592
120 certified beds Government - Hospital district
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
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.
Red flags
RN staffing in the bottom 10% nationally
0.27 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Score breakdown
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: 4 of 5
| Total nurse hours / resident-day | 3.63 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.27 | 0.55–0.75 |
| Weekend hours / resident-day | 3.16 | ≈ weekday level |
| Nursing turnover / year | 26% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (10 in the current record)
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Potential for harm · D December 17, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 6, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 17, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 6, 2026 · Pharmacy Service
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Potential for harm · D December 17, 2025
Provide and implement an infection prevention and control program.
Corrected January 6, 2026 · Infection Control
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Potential for harm · E September 18, 2024
Ensure each resident receives an accurate assessment.
Corrected October 2, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 18, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected October 2, 2024 · Resident Assessment and Care Planning
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Potential for harm · E September 18, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 2, 2024 · Resident Assessment and Care Planning
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Potential for harm · E September 18, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 2, 2024 · Quality of Life and Care
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Potential for harm · E September 18, 2024
Try 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.
Corrected October 2, 2024 · Quality of Life and Care
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Potential for harm · D September 18, 2024
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected October 2, 2024 · Nutrition and Dietary
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Potential for harm · D August 16, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 21, 2023 · Pharmacy Service
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676257 · certified since July 22, 2010. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.