Pecan Tree Rehab and Healthcare Center

    1900 E California St, Gainesville, TX 76240
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Request a Tour

    Date of Tour
    Time Window
    Tour Type

    You selected in-person tour on in the

    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    3.79·(70)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.5
    • Staff

      3.8
    • Meals

      2.0
    • Amenities

      4.0
    • Value

      1.0

    Pros

    • Compassionate nursing and aide teams
    • Strong therapy and rehabilitation services (PT/OT/ST)
    • Supportive hospice and end-of-life care
    • Engaging social activities and religious services
    • Proactive clinical communication with families
    • Responsive housekeeping and maintenance
    • Welcoming admissions and front-desk reception
    • Laundry and personal-item handling systems
    • Family-like atmosphere and roommate matching
    • Clean, well-maintained interior with remodeling efforts
    • Experienced long‑tenured staff and volunteers
    • Recognition and awards for rehabilitation services
    • Resident-centered restorative-care expertise
    • Accommodating meal-service options and beverage bar

    Cons

    • Inconsistent wound-care and infection-control practices
    • Gaps in medication management and continuity
    • Variable sanitation and odor-control in some areas
    • Staffing instability and daytime/night coverage variability
    • Delays and gaps in discharge planning and paperwork
    • Property-tracking and financial-accountability gaps (allegations of theft and billing delays)
    • Inconsistent meal quality and dietary appropriateness
    • Weaknesses in transfer-safety and mobility-assist practices
    • Small, crowded room layouts in parts of the facility
    • Inconsistent responsiveness to family concerns and communication tone
    • Laundry and personal-belonging return inconsistencies
    • Limited capability for higher-acuity or specialized medical admissions

    Summary of reviews

    Pecan Tree Rehab and Healthcare Center elicits strongly polarized feedback with distinct strengths in clinical rehabilitation and person-centered support but recurring operational concerns. The facility receives consistent praise for its therapy department (physical, occupational, speech), restorative-care outcomes, and a visible commitment to hospice and end-of-life comfort. Families frequently describe compassionate nursing and aide teams, supportive housekeeping and maintenance, and a welcoming front‑desk experience. Regular activities, religious services, and a family‑like atmosphere are noted as important contributors to resident quality of life.

    Clinical strengths are balanced by several patterns of concern. Multiple reviewers described inconsistencies in wound care and infection-control practices and identified gaps in medication management and continuity (including delays, abrupt medication changes, and medication-access problems). Relatedly, there are recurring sanitation and odor-control issues reported in portions of the building, and some reviewers raised questions about dietary appropriateness and meal quality. Transfer and mobility-assist practices were also flagged as an area for improvement, with some describing difficulties with safe transfers and assistance with dressing or standing.

    Operational and administrative issues appear in several domains. Staffing stability and coverage variability are a common theme — reviewers cited both long-tenured, dedicated staff and periods when staff felt overworked or transient, which correlated with slower responsiveness. Discharge planning and paperwork delays, oxygen/medical-equipment coordination problems, and billing or reimbursement delays were reported. Property-tracking weaknesses (lost clothing, missing items, and at least one allegation of theft and billing/accountability delays) were raised by families and warrant attention. Room size and crowding in certain units, along with occasional delays in laundry or return of personal items, contribute to family frustration.

    Facility condition and safety are mixed: the building is described as older in parts but undergoing remodeling, with many noting clean, well-groomed residents and attentive housekeeping in some wings. At the same time, odor and sanitation concerns appear intermittently. Communication quality is uneven — while many families commend proactive clinical updates and staff who will meet with family on request, others cite poor customer-service tone, perceived dismissiveness, or slow follow-through on questions and concerns. Several reviewers singled out exceptional individual staff members and leadership who improve the experience.

    For prospective residents and families, Pecan Tree offers clear strengths in rehabilitation, hospice support, and a community-oriented activity program. Those considering the facility should weigh these clinical and social advantages against reported inconsistencies in wound care, medication continuity, sanitation in certain areas, staffing variability, and administrative follow-through (discharge, billing, and personal-item tracking). A recommended approach is an in-person visit to evaluate room size and odors, a discussion with clinical leadership about wound‑care and medication protocols, and confirmation of discharge and billing procedures before admission.

    Reviews written on Mirador

    We have no reviews to show about Pecan Tree Rehab and Healthcare Center.

    Help other families by writing a review about your experience with this community.

    Medicare Ratings

    1·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Pecan Tree Rehab and Healthcare Center is located at 1900 E California St, Gainesville, TX, 76240.

    About Pecan Tree Rehab and Healthcare Center

    Pecan Tree Rehab and Healthcare Center has 122 beds and provides both long-term care and short-term rehabilitation, so folks can receive skilled nursing care after a hospital stay or for ongoing needs. The center has private and semi-private rooms, and offers a comfortable, up-to-date place with wifi, a dining room, and even restaurant-style dining or room service if that's helpful. Residents get daily healthy meals and can take part in a range of social activities or events. There's a hair salon on-site, and the staff supports life-engaging activities.

    The facility has skilled nursing, long-term care, home care, home health, and hospice services. People needing help between hospital and home can get transitional care, and there are therapies for stroke recovery, joint replacement, physical, occupational, and speech therapy, plus care for diabetes, wounds, tracheostomies, and memory needs. They offer intravenous therapy, respiratory care, palliative care, and respite care for home caregivers who need a break. Telehealth services mean residents can see healthcare providers using video calls.

    Pecan Tree Rehab and Healthcare Center strives to include residents and their families in care planning, aiming to help residents reach their best level of ability. The staff, including people like Natalie Webb, provide compassionate and professional healthcare. Folks can see photos of the facility online, use a virtual tour, and look at a gallery to get a sense of the place before visiting. The center aims to be a welcoming home for those needing extra help, whether it's for a short recovery or something longer term.

    People often ask...

    Pecan Tree Rehab and Healthcare Center offers assisted living, memory care, and skilled nursing.

    There are 35 photos of Pecan Tree Rehab and Healthcare Center on Mirador.

    The full address for this community is 1900 E California St, Gainesville, TX 76240.

    No, Pecan Tree Rehab and Healthcare Center does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Texas, the Health & Human Services Commission licenses assisted living and long-term care facilities, conducting health and life-safety visits and complaint investigations.

    License number001cv00000RscHRAAZ
    StatusActive
    Facility typeNursing Facility (snf/nf)
    License classLicensed
    Capacity122 residents
    LicenseeDECATUR HOSPITAL AUTHORITY
    Care servedSnf/nf
    View the official license record

    Inspection Reports

    2

    Reports

    7

    Citations

    0

    Complaints

    0

    Years

    18 Feb 2026Inspection
    Found deficiencies in infection control, safe food handling, comprehensive care planning aligned with professional standards and resident choices, and preventing new pressure ulcers.
    • —Health Visit
    • —Health Visit
    • —Health Visit
    • —Health Visit
    17 Feb 2026Life Safety
    Found Life Safety Code deficiencies related to occupancy requirements, door protections, and evacuation route posting.
    • —Life Safety Code
    • —Life Safety Code
    • —Life Safety Code

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Pecan Tree Rehab and Healthcare Center. The information above has not been verified or approved by the owner or operator. For exact information, please contact Pecan Tree Rehab and Healthcare Center directly. There is no cost for this service. We are compensated by the community you select.

    Are you an owner or operator of Pecan Tree Rehab and Healthcare Center?

    Claim this listing to receive messages from prospective customers and manage your community page.

    Nearby Communities

    Assisted Living in Nearby Cities

    1. 5 facilities$4,048/mo
    2. 3 facilities$3,222/mo
    3. 4 facilities
    4. 3 facilities$3,222/mo
    5. 5 facilities$4,227/mo
    6. 4 facilities
    7. 2 facilities
    8. 6 facilities$4,487/mo
    9. 4 facilities
    10. 5 facilities
    11. 13 facilities$4,218/mo
    12. 2 facilities
    © 2026 Mirador Living