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Nursing HomeMedicaid Top Rated

Trucare Living Centers

Strong Medicare quality ratings; families often praise compassionate care for alzheimer's patients. Still worth an in-person visit.

2265 S Sycamore St, Palestine, TX 75801120 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
3.9/5

based on 11 Google reviews

5
4
3
2
1

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What this means for your family

While the facility has a history of providing compassionate care for Alzheimer's patients, recent reviews contain extremely alarming allegations of physical abuse and management's refusal to communicate about safety incidents. Families should prioritize investigating the facility's current safety protocols and management transparency before placement.

Google Reviews

Google Reviews

11 reviews analyzed
Families may find comfort in the compassionate care provided to residents with dementia and the kindness of the nursing staff. However, there is a critical allegation of physical abuse by an employee and concerns regarding management's transparency and responsiveness to basic patient needs like hydration.

Quality Themes

Tap a score for details
FoodN/AStaff7.0Clean2.0ActivitiesN/AMedsN/AMemory10.0Comms1.0Value8.0

Strengths

  • Compassionate care for Alzheimer's patients
  • Kind and attentive nursing staff
  • Supportive environment for grieving families

Concerns

  • Serious allegation of physical abuse by staff
  • Lack of management transparency regarding incidents
  • Inadequate attention to basic patient hydration

Rating Trends

Tap a year to see what changed

2342.32017(3)4.02020(2)5.02022(2)3.52023(2)5.02024(2)3.02025(2)

Distribution

5
7
4
1
3
0
2
1
1
2

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1With your expertise in Alzheimer's care, how do you tailor daily activities to keep residents engaged and mentally stimulated?
  • 2How does the management team ensure that all staff members are held accountable to the highest standards of resident safety and care?
  • 3What specific protocols are in place to ensure residents stay properly hydrated and receive consistent attention to their basic daily needs?
  • 4Could you describe your process for communicating important updates or changes in a resident's condition to their family members?
  • 5In the event of a medical emergency during the night, what is the immediate procedure for notifying the family and providing care?
  • 6What steps is the facility currently taking to maintain and improve the cleanliness and upkeep of the resident living areas?

Personalized based on this facility's data


Key Review Excerpts

The True Care staff was absolutely a God send . They were so very good to mother. When mother passed they let us stay with her as long as we wanted.

Memory care family member · 2023★★★★★

Recently, I learned my uncle who was a patient at Tru Care was suffocated with a pillow by one of the employees. The management will not give us the name of the employee or the repercussions the employee has endured since the incident.

Long-term resident's family · 2025☆☆☆☆

I was concerned about my brother’s water intake. We were there with him most of two weeks and no one tended his water.

Rehab patient's family · 2020★★★★
Source: 11 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.27hrs
36%
Registered nurses for medical care
Total Nursing
3.63hrs
89%
All nurses + aides combined
Staff Turnover
26%
Lower is better (< 30% = good)

Both 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

Medicare Rating
4/ 5
Better Than Avg

15

measures

Worse Than Avg

1

measures

Mixed Results

1

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility10.3%
Better than Avg
Here
10.3%
US
19.5%
TX
18.4%
Anderson
26.4%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility4.9%
Better than Avg
Here
4.9%
US
15.3%
TX
14.9%
Anderson
18.3%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Anderson
88.2%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
TX
98.0%
Anderson
89.4%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility5.1%
Better than Avg
Here
5.1%
US
15.4%
TX
9.4%
Anderson
12.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.8%
Better than Avg
Here
1.8%
US
12.1%
TX
2.5%
Anderson
5.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.7%
TX
88.0%
Anderson
72.4%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
TX
89.2%
Anderson
76.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.4%
Better than Avg
Here
0.4%
US
1.6%
TX
1.5%
Anderson
2.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

3deficiencies
Well below state avg (9.1)

TRUCARE LIVING CENTERS shows a pattern of recurring deficiencies in care planning and resident assessments, with issues found in both 2022 and 2024 surveys. The facility has faced problems with developing complete care plans, conducting accurate assessments, accident prevention, and bed rail safety protocols. While all deficiencies have correction dates from the provider, the repeated care planning issues across multiple years suggest ongoing challenges in this critical area.

Dec 17, 2025Routine
3
0656MinorCorrected

Resident Assessment and Care Planning Deficiencies

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

0755MinorCorrected

Pharmacy Service Deficiencies

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

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Sep 18, 2024Routine
6
0689ModerateCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0641ModerateCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656ModerateCorrected

Resident Assessment and Care Planning Deficiencies

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

0700ModerateCorrected

Quality of Life and Care Deficiencies

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

0813MinorCorrected

Nutrition and Dietary Deficiencies

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

0644MinorCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Aug 16, 2023Routine
1
0755MinorCorrected

Pharmacy Service Deficiencies

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

Ownership & Operations

Who Operates This Facility

Owner / Operator

Fannin County Hospital Authority

Organization Type

for profit

Management Company

PALESTINE DEVELOPMENT GROUP LLC

Administrator

WANDA LAMBRIGHT

Ownership & Management

Owners

Fannin County Hospital Authority

Owner · Organization

100%

Key personnel

Palestine Development Group LLC5% or Greater Mortgage InterestRye, Robert5% or Greater Mortgage InterestStein, James5% or Greater Mortgage InterestStein, Paul5% or Greater Mortgage InterestSanderson, ClarkOfficer / Director
Source: Medicare provider data

Contact

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References & Resources

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