Worth Considering
1
Facilities graded B or better with zero fines
Best Nursing Homes in Gainesville, Texas
1 of 4 nursing homes in Gainesville (25%) meet our strict criteria. The Texas statewide average is 29%.
1 recommended · 0 caution · 3 avoid · data
City Average
2.0
★
+0.00 vs state
Total Beds
441
across 4 facilities
High Risk Facilities
3
2 Grade F
$197,904 in combined fines
Zero Fines
2
/4
passed all inspections
Nurse Availability
0 min
RN time per resident daily
Below CMS recommendation
Why This One?
The nursing home market in Gainesville, Texas, is limited and not highly recommended, with only 1 out of 4 facilities receiving a positive rating. Families should be cautious, as three facilities have accumulated a total of $197,904 in fines, despite the top-rated PECAN TREE REHAB AND HEALTHCARE CENTER.
Qualified (Grade B, Trust Score 70-79)
- 1 PECAN TREE REHAB AND HEALTHCARE CENTER (70) — Pecan Tree Rehab and Healthcare Center stands out with its solid CMS 4-star rating and a commendable Trust Score of 70/100. The facility's Grade B reflects its commitment to quality care, and the absence of fines underscores a strong operational integrity. With 122 beds, it offers a spacious environment for rehabilitation needs.
The other 3 Gainesville facilities didn't qualify — 3 carry Grade D or F ratings and 2 have fines totaling $197K.
Recommended
Pecan Tree Rehab and Healthcare Center stands out with its solid CMS 4-star rating and a commendable Trust Score of 70/100. The facility's Grade B reflects its commitment to quality care, and the absence of fines underscores a strong operational integrity. With 122 beds, it offers a spacious environment for rehabilitation needs.
Staffing Comparison
Staffing levels are the strongest predictor of care quality
| Metric | Top Facility | Gainesville Avg | CMS Minimum |
|---|---|---|---|
| RN Hours / Resident / Day | 0.00 | 0.00 | 0.75 |
| CMS Star Rating | 4 stars | 2.0 stars | — |
| Deficiencies / Inspection | 0 | 0.0 | — |
Facilities to Avoid
These facilities have significant quality concerns.
What Disqualified the Other 3?
Our criteria: Trust Grade B or better (score 70+) AND zero fines in 3 years
- Grade F facilities
- 2 Grade F — critical inspection failures
- Facilities with fines
- 2 Have fines totaling $197,904
- Low-scoring facilities
- 1 Scored below B — Trust Scores under 70
Questions Gainesville Families Should Ask
Based on what we found in local inspection data
-
1
"What is your current CMS star rating and Trust Score?"
Gainesville's city average is 2.0 stars
-
2
"Have you received any fines in the past 3 years?"
2 of 4 Gainesville facilities have fines
-
3
"How many RN hours per resident do you provide daily?"
CMS recommends 45 min; Gainesville avg is 0 min
-
4
"What were your most recent inspection findings?"
Gainesville facilities average 0.0 deficiencies per inspection
Explore Nearby Cities
Houston has strong options, but nearby cities add even more choices
Houston at a Glance
Good News
- 12 facilities meet our strict criteria—20% of the market
- 3 exceptional A-grade facilities with 5-star CMS ratings
- 24 facilities with zero fines in the past 3 years
Be Aware
- 30 facilities carry Grade F—nearly half the market
- $3.2M+ in total fines across 37 facilities
- Worst facility has $448,216 in fines alone
Key Numbers
- Average Trust Score: 48.6 (dragged down by 30 F-grades)
- 82% for-profit, 13% non-profit, 5% government
- 9.4 average deficiencies per facility
Frequently Asked Questions
How many nursing homes in Gainesville, TX are recommended?
1 of 4 nursing homes in Gainesville (25%) meet our strict criteria of excellent inspection results and a clean record with no fines.
What makes a nursing home in Gainesville "recommended"?
A facility earns our recommendation when it achieves a Trust Grade of B or better (score of 70+) AND has zero fines in the past three years. This combination indicates consistent quality care and regulatory compliance.
How should I evaluate nursing homes in Gainesville?
Look beyond star ratings. Check for recent fines, abuse citations, staffing levels (especially RN hours), and inspection deficiencies. Visit in person during different times of day to observe care quality firsthand.