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Greenbrier Nursing & Rehabilitation Center of Pale

All states › Texas › Palestine › Greenbrier Nursing & Rehabilitation Center of Pale

2404 State Highway 155 Palestine, TX 75803 · Anderson County

(903) 729-6024

All 4 nursing homes in Palestine, TX (4 take Medicaid)

Accepts Medicare Accepts Medicaid 120 certified beds For profit

CMS certification number 675816 · 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 Greenbrier Nursing & Rehabilitation Center of Pale 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 Greenbrier Nursing & Rehabilitation Center of Pale as of October 2026.

CMS rates it 4 out of 5 stars overall, above the Texas average of 2.8. Inspectors issued 12 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 1 out of 5; for long-term residents, 4 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 2.89 hours per resident per day at Greenbrier Nursing & Rehabilitation Center of Pale, below the Texas median of 3.30 (US median: 3.72). About 0.29 of those hours are from registered nurses. On weekends it falls to 2.58 hours, 11% below its all-week average. 44.2% of nursing staff left within a year (Texas median 50.2%).

Nursing care per resident per day 2.89 hours
Below the Texas median of 3.30 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.29 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.58 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 44.2% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 20% 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 beds120
Residents per day 52 About 44% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceDecember 1999
Part of a chainCreative Solutions In Healthcare
Legal business nameFANNIN COUNTY HOSPITAL AUTHORITY

Paying for care at Greenbrier Nursing & Rehabilitation Center of Pale: Medicare and Medicaid

Greenbrier Nursing & Rehabilitation Center of Pale 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 January 29, 2026 and found 1 deficiency, plus 3 from complaint inspections in the same period. In total, inspectors issued 12 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 12 citations at Greenbrier Nursing & Rehabilitation Center of Pale across 7 inspection dates, 7 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 12 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were infection control (4) and quality of life and care (4). The most serious was cited under the CMS rule to "keep all essential equipment working safely" (tag F0908, level F, September 20, 2023). 1 citation was under CMS's abuse, neglect and exploitation rules.

April 30, 2026 · 1 citation · includes complaint inspection

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (May 1, 2026)

March 4, 2026 · 2 citations · includes complaint inspection

DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Complaint inspection · Deficient, Provider has date of correction (Mar 5, 2026)

DProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Complaint inspection · Deficient, Provider has date of correction (Mar 5, 2026)

January 29, 2026 · 1 citation

EProvide 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 (Jan 30, 2026)

September 10, 2025 · 2 citations · includes complaint inspection

DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0690 · Complaint inspection · Deficient, Provider has date of correction (Sep 11, 2025)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Sep 11, 2025)

June 10, 2025 · 1 citation · includes complaint inspection

DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0690 · Complaint inspection · Deficient, Provider has date of correction (Jun 11, 2025)

March 12, 2025 · 1 citation · includes complaint inspection

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Mar 13, 2025)

September 20, 2023 · 4 citations

FKeep all essential equipment working safely.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0908 · Deficient, Provider has date of correction (Oct 12, 2023)

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 · Deficient, Provider has date of correction (Sep 26, 2023)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Sep 26, 2023)

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 (Oct 6, 2023)

Questions to ask on a tour of Greenbrier Nursing & Rehabilitation Center of Pale

  1. CMS cited the home under its abuse and neglect rules on September 20, 2023. 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. CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
  4. The home averages about 44% of its beds filled. Are any units closed?
  5. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  6. 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 2/5
August 2026 4/5 5/5 1/5 3/5
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Location

Hospitals near Greenbrier Nursing & Rehabilitation Center of Pale

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

Legacy at Town Creek Palestine · 3.6 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 1/5 199 beds · Medicaid
Trucare Living Centers Palestine · 4.0 mi away ★★★★★ Inspection 5/5 · Staffing 3/5 120 beds · Medicaid
Avir at Town Creek Palestine · 5.1 mi away ★★★☆☆ Inspection 3/5 · Staffing 3/5 102 beds · Medicaid
Avir at Elkhart Elkhart · 11.9 mi away ★★★☆☆ Inspection 3/5 · Staffing 3/5 98 beds · Medicaid
Avir at Jacksonville Jacksonville · 23.1 mi away ★★★★★ Inspection 5/5 · Staffing 3/5 53 beds · Medicaid

More nursing homes near Greenbrier Nursing & Rehabilitation Center of Pale ›   All nursing homes in Palestine ›

Compare Greenbrier Nursing & Rehabilitation Center of Pale with the 3 closest homes side by side ›

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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/palestine/greenbrier-nursing-and-rehabilitation-center-of-pale/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.