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Fairfield Nursing & Rehabilitation Center

All states › Texas › Fairfield › Fairfield Nursing & Rehabilitation Center

420 Moody St Fairfield, TX 75840 · Freestone County

(903) 389-1236

All 2 nursing homes in Fairfield, TX (2 take Medicaid)

Accepts Medicare Accepts Medicaid 101 certified beds Government

CMS certification number 676123 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Fairfield Nursing & Rehabilitation Center a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Fairfield Nursing & Rehabilitation Center as of October 2026.

CMS rates it 4 out of 5 stars overall, above the Texas average of 2.8. Inspectors issued 10 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 5 out of 5; for long-term residents, 3 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Compare with the 3 closest homes

Staffing

Nursing staff spend about 2.98 hours per resident per day at Fairfield Nursing & Rehabilitation Center, below the Texas median of 3.30 (US median: 3.72). About 0.34 of those hours are from registered nurses. On weekends it falls to 2.63 hours, 12% below its all-week average. 42.1% of nursing staff left within a year (Texas median 50.2%).

Nursing care per resident per day 2.98 hours
Below the Texas median of 3.30 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.34 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.63 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 42.1% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 50% a year Share of registered nurses who left over a year.
Administrators who left 1 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds101
Residents per day 63 About 63% of beds filled, on average
OwnershipGovernment - Hospital district
Payment acceptedMedicare and Medicaid
Certified sinceDecember 2006
Part of a chainCreative Solutions In Healthcare
Legal business nameLIBERTY COUNTY HOSPITAL DISTRICT NO 1

Paying for care at Fairfield Nursing & Rehabilitation Center: Medicare and Medicaid

Fairfield Nursing & Rehabilitation Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on December 18, 2025 and found 2 deficiencies. In total, inspectors issued 10 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 10 citations at Fairfield Nursing & Rehabilitation Center across 5 inspection dates, 5 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 10 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were freedom from abuse, neglect, and exploitation (3) and pharmacy service (2). The most serious was cited under the CMS rule to "honor the resident's right to organize and participate in resident/family groups in the facility" (tag F0565, level E, December 18, 2025). 3 citations were under CMS's abuse, neglect and exploitation rules.

December 18, 2025 · 2 citations

EHonor the resident's right to organize and participate in resident/family groups in the facility.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0565 · Deficient, Provider has date of correction (Dec 19, 2025)

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Dec 19, 2025)

July 28, 2025 · 2 citations · includes complaint inspection

DEnsure that residents are fully informed and understand their health status, care and treatments.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0552 · Complaint inspection · Deficient, Provider has date of correction (Jul 29, 2025)

DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Complaint inspection · Deficient, Provider has date of correction (Jul 29, 2025)

September 26, 2024 · 2 citations · includes complaint inspection

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Past Non-Compliance (Aug 21, 2024)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Sep 27, 2024)

August 14, 2024 · 2 citations · includes complaint inspection

DEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 · Complaint inspection · Deficient, Provider has date of correction (Aug 15, 2024)

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (Aug 15, 2024)

July 26, 2023 · 2 citations

EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Aug 15, 2023)

EEnsure medication error rates are not 5 percent or greater.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0759 · Deficient, Provider has date of correction (Aug 15, 2023)

Questions to ask on a tour of Fairfield Nursing & Rehabilitation Center

  1. CMS cited the home under its abuse and neglect rules on September 26, 2024. How are staff trained, and how are concerns reported?
  2. CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  3. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  4. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 4/5 5/5 1/5 4/5
August 2026 4/5 5/5 1/5 3/5
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Location

Hospitals near Fairfield Nursing & Rehabilitation Center

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Fairview Healthcare Residence Fairfield · 1.1 mi away ★★★★☆ Inspection 4/5 · Staffing 2/5 84 beds · Medicaid
Teague Nursing and Rehabilitation Teague · 9.8 mi away ★★★★★ Inspection 5/5 · Staffing 2/5 76 beds · Medicaid
Skilled Care of Mexia Mexia · 18.8 mi away ★★★☆☆ Inspection 4/5 · Staffing 1/5 80 beds · Medicaid
The Manor Healthcare Residence Mexia · 19.5 mi away ★★★★★ Inspection 5/5 · Staffing 2/5 66 beds · Medicaid
MEXIA LTC Nursing and Rehabilitation Mexia · 19.6 mi away ★★★☆☆ Inspection 4/5 · Staffing 1/5 66 beds · Medicaid

More nursing homes near Fairfield Nursing & Rehabilitation Center ›   All nursing homes in Fairfield ›

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Other Creative Solutions In Healthcare nursing homes in Texas

Affiliation comes from CMS's affiliated-entity data, October 2026. All 150 Creative Solutions In Healthcare nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/texas/fairfield/fairfield-nursing-and-rehabilitation-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.