Greenbrier Nursing & Rehabilitation Center of Palestine
Strong Medicare quality ratings; families often praise clean and well-maintained facility. Still worth an in-person visit.
based on 31 Google reviews
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What this means for your family
While the facility is noted for its cleanliness and friendly atmosphere, recent reviews raise alarming concerns regarding medical oversight and adherence to physician orders. If you choose this facility, we strongly recommend frequent, unannounced visits and close monitoring of all medical instructions and wound care progress.
Google Reviews
Google Reviews
31 reviews analyzed“Families considering Greenbrier may find a clean and welcoming environment with a staff that many describe as warm and compassionate. However, there are serious allegations regarding the failure to follow medical orders and issues with patient neglect during transitions of care.”
Quality Themes
Tap a score for detailsStrengths
- Clean and well-maintained facility
- Friendly and compassionate nursing staff
- Excellent rehabilitation services
- Welcoming and family-oriented atmosphere
Concerns
- Failure to follow physician orders and medical documentation issues
- Neglect regarding patient assistance and mobility support (mentioned by 2 reviewers)
- Inconsistent transportation to medical appointments
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
The owner uses highly repetitive, templated language for almost all negative reviews, following a strict script of apologizing and directing users to a customer care line. Only the response to the bereavement review shows any level of genuine empathy or deviation from the template.
Questions for Your Tour
- 1It is wonderful to see how clean and well-maintained the facility looks; what specific cleaning protocols do you have in place for the resident rooms?
- 2We want to ensure all medical instructions are followed closely; how do you ensure physician orders are communicated and documented accurately among the nursing team?
- 3How do you manage medication administration to ensure everything is given precisely as prescribed by the doctor?
- 4What is your process for assisting residents with mobility and making sure they have enough support when moving around the facility?
- 5How do you handle transportation for residents who have scheduled medical appointments outside of the center?
- 6We love the family-oriented atmosphere we see here; what kind of daily activities or social events do you host to keep residents engaged?
Personalized based on this facility's data
Key Review Excerpts
“They do not follow doctors orders even with scripts therefore my dad is not healing with bedsores. Director was addressed, even denied and defended her staff who later confessed to lying on records.”
“When she mentioned she was dizzy the aid told her maybe it was the coffee she drank (which was cold so she didn't drink it). Knowing my mother had a prior fall, no one volunteered to help her get dressed”
“Excellent Care of my Mother in all aspects . She very much loved the cleanness of the Facility. My Mother was very happy while she was there about 6 wks .”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
12
measures
2
measures
3
measures
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Residents with depression symptoms
Residents who lost too much weight
Residents on antipsychotic medication
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Six families filed complaints that triggered inspections, revealing recurring problems with infection control and bladder/bowel care that persist across multiple surveys from 2023 through 2025. The facility also has ongoing issues with building safety systems including fire barriers, ventilation, and equipment maintenance. While all deficiencies show correction dates, the pattern of repeated violations in critical care areas raises concerns about sustained quality improvements.
Mar 4, 2026Complaint2
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Jan 29, 2026Routine3
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Sep 10, 2025Complaint2
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jun 10, 2025Complaint1
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Mar 12, 2025Complaint1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Nov 6, 2024Routine3
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Ownership & Operations
Who Operates This Facility
Fannin County Hospital Authority
for profit
PALESTINE I ENTERPRISES, LLC
CYNTHIA PUGH
Chain Affiliation
Creative Solutions in Healthcare
149 facilities nationwide
Chain avg rating: 2.7/5 · Rank 45 of 148
Ownership & Management
Owners
Fannin County Hospital Authority
Owner · Organization
Honor X Enterprises, LLC
Owner (parent company) · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
31 reviews from families & visitors
Official Website
Visit greenbrierofpalestine.com
Medicare data downloads
Original nursing home datasets
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