Greenbrier Nursing & Rehabilitation Center of Pale
2404 Hwy 155 · Palestine, TX · 75803 · 9037296024
120 certified beds For profit - Corporation Chain: Creative Solutions in Healthcare
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- 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.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 4 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.24 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.51 | 0.55–0.75 |
| Weekend hours / resident-day | 2.76 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | none |
Inspection citations (12 in the current record)
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Potential for harm · D April 30, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 1, 2026 · Quality of Life and Care
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Potential for harm · D March 4, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 5, 2026 · Resident Rights
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Potential for harm · D March 4, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 5, 2026 · Quality of Life and Care
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Potential for harm · E January 29, 2026
Provide and implement an infection prevention and control program.
Corrected January 30, 2026 · Infection Control
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Potential for harm · D September 10, 2025 · found via complaint
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 September 11, 2025 · Quality of Life and Care
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Potential for harm · D September 10, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected September 11, 2025 · Infection Control
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Potential for harm · D June 10, 2025 · found via complaint
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 June 11, 2025 · Quality of Life and Care
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Potential for harm · D March 12, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 13, 2025 · Infection Control
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Potential for harm · D September 20, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 26, 2023 · Resident Assessment and Care Planning
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Potential for harm · F September 20, 2023
Keep all essential equipment working safely.
Corrected October 12, 2023 · Environmental
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Potential for harm · D September 20, 2023 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 26, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 20, 2023 · found via complaint
Provide and implement an infection prevention and control program.
Corrected October 6, 2023 · Infection Control
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675816 · certified since December 21, 1999. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.