Greenbrier Nursing & Rehabilitation Center Of Palestine in Palestine, Anderson County, Texas

Palestine, Anderson County, Texas 75803

Status Medicare and Medicaid certifiedMedicare CCN 675816

HHSC license rosteras of November 9, 2026CMS nursing home filerelease October 28, 2026; processing date October 1, 2026CMS processing date for this home October 1, 2026

Verify on TULIP View on Medicare.gov

Location and contact

Address: 2404 State Highway 155
Palestine, TX 75803
Open map (OpenStreetMap)
Phone: (903) 729-6024
HHSC facility ID: 005082
License number: 312184

Medicare ratings

Star ratings below are copied from the CMS Provider Information file (official release October 28, 2026; processing date October 1, 2026). They are not assigned by NursingCareLookup. See how to read ratings and CMS Five-Star documentation.

Overall: 4 of 5Overall: 4 of 5 stars
Health inspection: 5 of 5Health inspection: 5 of 5 stars
Staffing: 1 of 5Staffing: 1 of 5 stars
Quality measures: 2 of 5Quality measures: 2 of 5 stars
Long-stay quality measures: 4 of 5Long-stay quality measures: 4 of 5 stars
Short-stay quality measures: 1 of 5Short-stay quality measures: 1 of 5 stars

Staffing hours

Hours are the facility’s reported nurse staffing hours per resident per day from the CMS file. The Texas average is computed on this site from Texas rows in that same file that include a numeric value. It is not copied from another website. Method: Methodology.

Staffing hours per resident per day
Measure	This facility	Texas average (this site)
Total nurse staffing	2.89 hours	3.42 hours n=1,152
Registered nurse	0.29 hours	0.44 hours
LPN	1.09 hours	0.95 hours
Nurse aide	1.51 hours	2.03 hours
Weekend nurse staffing	2.58 hours	2.99 hours

0.53 hours below this site’s computed Texas average.

Total nursing staff turnover: 44.2% (Texas average computed on this site: 50.8%, n=1,096)
RN turnover: 20%
Average residents per day: 52.2
Certified beds (CMS): 120

MDS quality measures

These figures are the four-quarter averages published in the CMS MDS Quality Measures file (official release October 28, 2026; measure period 2025Q3-2026Q2; processing date October 1, 2026). They are not a grade this site assigned. A “used in Five-Star” flag is the published CMS field that says whether that measure feeds the quality-measure star rating. Quarterly scores are collapsed under each measure. Official definitions are on the CMS Five-Star page.

CMS MDS quality measures, four-quarter averages
Measure	Stay	Four-quarter average	Used in Five-Star QM rating
Percentage of long-stay residents whose need for help with daily activities has increased Quarterly scores Q1 22.9% · Q2 16.7% · Q3 25.8% · Q4 18.8% · Period 2025Q3-2026Q2 · Measure code 401	Long Stay	21.1%	Yes, as published by CMS
Percentage of long-stay residents with a catheter inserted and left in their bladder Quarterly scores Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 406	Long Stay	0.0%	Yes, as published by CMS
Percentage of long-stay residents with a urinary tract infection Quarterly scores Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 407	Long Stay	0.0%	Yes, as published by CMS
Percentage of long-stay residents experiencing one or more falls with major injury Quarterly scores Q1 0.0% · Q2 2.5% · Q3 7.5% · Q4 4.8% · Period 2025Q3-2026Q2 · Measure code 410	Long Stay	3.6%	Yes, as published by CMS
Percentage of long-stay residents whose ability to walk independently worsened Quarterly scores Q1 — (CMS footnote 9) · Q2 — (CMS footnote 9) · Q3 — (CMS footnote 9) · Q4 — (CMS footnote 9) · Period 2025Q3-2026Q2 · Measure code 451	Long Stay	7.2%	Yes, as published by CMS
Percentage of long-stay residents with pressure ulcers Quarterly scores Q1 4.7% · Q2 3.4% · Q3 1.8% · Q4 2.3% · Period 2025Q3-2026Q2 · Measure code 479	Long Stay	3.1%	Yes, as published by CMS
Percentage of long-stay residents who received an antipsychotic medication Quarterly scores Q1 4.2% · Q2 8.0% · Q3 11.5% · Q4 8.7% · Period 2025Q3-2026Q2 · Measure code 481	Long Stay	8.2%	Yes, as published by CMS
Percentage of long-stay residents who lose too much weight Quarterly scores Q1 2.7% · Q2 0.0% · Q3 0.0% · Q4 3.0% · Period 2025Q3-2026Q2 · Measure code 404	Long Stay	1.5%	No, as published by CMS
Percentage of long-stay residents who have depressive symptoms Quarterly scores Q1 5.4% · Q2 8.1% · Q3 2.7% · Q4 5.4% · Period 2025Q3-2026Q2 · Measure code 408	Long Stay	5.4%	No, as published by CMS
Percentage of long-stay residents who were physically restrained Quarterly scores Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 409	Long Stay	0.0%	No, as published by CMS
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Quarterly scores Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · Period 2025Q3-2026Q2 · Measure code 415	Long Stay	100.0%	No, as published by CMS
Percentage of long-stay residents who received an antianxiety or hypnotic medication Quarterly scores Q1 13.5% · Q2 12.5% · Q3 15.2% · Q4 14.3% · Period 2025Q3-2026Q2 · Measure code 452	Long Stay	13.9%	No, as published by CMS
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Quarterly scores Q1 — (CMS footnote 28) · Q2 — (CMS footnote 28) · Q3 — (CMS footnote 28) · Q4 — (CMS footnote 28) · Period 2025Q3-2026Q2 · Measure code 454	Long Stay	100.0%	No, as published by CMS
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Quarterly scores Q1 10.6% · Q2 13.7% · Q3 12.2% · Q4 14.0% · Period 2025Q3-2026Q2 · Measure code 480	Long Stay	12.6%	No, as published by CMS
Percentage of short-stay residents who newly received an antipsychotic medication Quarterly scores Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 434	Short Stay	0.0%	Yes, as published by CMS
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Quarterly scores Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · Period 2025Q3-2026Q2 · Measure code 430	Short Stay	100.0%	No, as published by CMS
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Quarterly scores Q1 — (CMS footnote 28) · Q2 — (CMS footnote 28) · Q3 — (CMS footnote 28) · Q4 — (CMS footnote 28) · Period 2025Q3-2026Q2 · Measure code 472	Short Stay	100.0%	No, as published by CMS

Inspection citations

12 health citations in the CMS file (7 from complaint surveys). Highest scope/severity letter in the file: D — Isolated, potential for more than minimal harm.

The list below is drawn from the CMS Health Deficiencies file. We show the tag, a plain-language reading of the scope and severity letter, whether the survey was a standard or complaint survey, the survey date, and whether CMS recorded a correction. We do not reprint the official deficiency narrative here. Read that text on TULIP or Medicare.gov. A facility may appeal a finding; a successful appeal can alter or remove a citation.

Scope and severity letters (A–L)

CMS assigns one letter from a grid of scope (how widely a problem was found) and severity (how serious the harm was or could be). The short labels below are our wording of that grid, not a different rating system.

Scope and severity letters used in CMS health citations
Severity	Isolated	Pattern	Widespread
Potential for minimal harm	A	B	C
No actual harm, potential for more than minimal harm	D	E	F
Actual harm	G	H	I
Immediate jeopardy	J	K	L

2026 — 4 citations

Tag 0684D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: April 30, 2026

CMS records a correction date (May 1, 2026)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0677D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: March 4, 2026

CMS records a correction date (March 5, 2026)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0550D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: March 4, 2026

CMS records a correction date (March 5, 2026)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0880E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: January 29, 2026

CMS records a correction date (January 30, 2026)

More detail

Infection Control Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

2025 — 4 citations

Tag 0880D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: September 10, 2025

CMS records a correction date (September 11, 2025)

More detail

Infection Control Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0690D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: September 10, 2025

CMS records a correction date (September 11, 2025)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0690D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: June 10, 2025

CMS records a correction date (June 11, 2025)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0880D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: March 12, 2025

CMS records a correction date (March 13, 2025)

More detail

Infection Control Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

2023 — 4 citations

Tag 0908F

F — Widespread, potential for more than minimal harm

Standard survey

Survey date: September 20, 2023

CMS records a correction date (October 12, 2023)

More detail

Environmental Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0880D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: September 20, 2023

CMS records a correction date (October 6, 2023)

More detail

Infection Control Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0656D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: September 20, 2023

CMS records a correction date (September 26, 2023)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0609D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: September 20, 2023

CMS records a correction date (September 26, 2023)

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

License and identity (HHSC)

License effective: October 1, 2024
License expires: October 1, 2027
Initial license date: January 12, 1976
Facility licensed: Yes
Facility certified (HHSC): Yes
Service type: MEDICARE/MEDICAID
Total licensed capacity: 120 beds
Bed mix (HHSC): Licensed only 0; Medicaid only 0; Medicare only 48; Medicare/Medicaid 72; ICF/IID 0
Alzheimer capacity: 0
Administrator: Cynthia Pugh
Management company: Palestine I Enterprises, LLC

Ownership

Ownership below comes from the CMS file when a row joined on this home’s Medicare number. HHSC also records an owner and entity type; those appear after the CMS data. The HHSC entity type “HOSPITAL DISTRICT/AUTHORITY” is very common in the state roster and may not describe day-to-day control. It is not used as a headline here.

CMS ownership type: For profit - Corporation · Affiliated / chain name in the file: CREATIVE SOLUTIONS IN HEALTHCARE (150 facilities in the chain, as listed)

CMS ownership records
Name	Role	Type	Share	Associated
FANNIN COUNTY HOSPITAL AUTHORITY	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 10/01/2024
HONOR X ENTERPRISES, LLC	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 10/01/2024
HOLT, ERIN	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 10/01/2024
KEETON, WENDY	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 10/01/2024
KISSLING, MONICA	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 10/01/2024
MCBEAN, PATRICIA	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 10/01/2024
SANDERSON, CLARK	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 10/01/2024
TROMPLER, KELLY	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 10/01/2024
HOLT, ERIN	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 10/01/2024
HUGGINS, LINDA	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 10/01/2024
KEETON, WENDY	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 10/01/2024
KISSLING, MONICA	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 10/01/2024

17 more CMS ownership records

Additional CMS ownership records
Name	Role	Type	Share	Associated
MCBEAN, PATRICIA	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 10/01/2024
SANDERSON, CLARK	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 10/01/2024
TROMPLER, KELLY	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 10/01/2024
PALESTINE I ENTERPRISES, LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 10/01/2024
BLAKE, GARY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/01/2024
BLAKE, MALISA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/01/2024
HUGGINS, LINDA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/04/2024
JOHNSON, JUANITA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/01/2024
WILLIG, ZACHARY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/01/2024
HONOR X ENTERPRISES, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 07/01/2025
PALESTINE I ENTERPRISES, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/01/2024
BLAKE, GARY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2024
BLAKE, MALISA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2024
HEKIMIAN, KHOREN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 07/01/2025
HUGGINS, LINDA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2024
JOHNSON, JUANITA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2024
WILLIG, ZACHARY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2024

HHSC owner fields

Owner (HHSC): Fannin County Hospital Authority
Type of entity (HHSC): HOSPITAL DISTRICT/AUTHORITY

Public data compiled by NursingCareLookup, not an endorsement or a recommendation, and not medical or legal advice. This site is not affiliated with HHSC, CMS, or Medicare. Figures can lag events at the facility, including surveys, corrections, and successful appeals (an appeal can alter or remove a citation). Verify current facts on TULIP and Medicare.gov, and visit in person before you decide. HHSC roster as of November 9, 2026 (America/Chicago). CMS file: official release October 28, 2026; processing date October 1, 2026.