Pecan Tree Rehab and Healthcare Center

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

    Compassionate staff and excellent care

    I've been very pleased with the compassionate, friendly staff-nurses, aides, therapists, housekeeping and kitchen all go above and beyond. The facility is clean and welcoming, with strong family communication, excellent rehab and hospice support, active programs and a genuine family atmosphere. Overall a very good choice for resident-focused care.

    Loved one of resident
    Jul 2026

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    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

    3.81·(69)

    Overall rating

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

      3.5
    • Staff

      3.8
    • Meals

      2.3
    • Amenities

      4.0
    • Value

      1.0

    Pros

    • Compassionate nursing and caregiving staff
    • Skilled physical, occupational, and speech therapy services
    • Effective hospice and end-of-life support
    • Welcoming, family-oriented atmosphere
    • Engaging activities program (arts, crafts, bingo, worship, outings)
    • Clean and well-maintained common areas
    • Responsive housekeeping and maintenance teams
    • Centralized nursing station and efficient day-shift staffing
    • Varied meal options and beverage/snack offerings
    • Long-tenured, experienced staff and positive workplace culture

    Cons

    • Inconsistent wound-care practices
    • Medication-management lapses and abrupt discontinuations
    • Staffing instability and burnout affecting responsiveness
    • Communication and discharge-planning gaps
    • Laundry and personal-belongings accountability issues
    • Variable sanitation and odor-control consistency
    • Nutritional-management inconsistencies for specialized diets
    • Small, crowded resident rooms limiting space
    • Behavioral-disturbance and noise-management gaps
    • Billing, reimbursement, and administrative follow-through weaknesses

    Summary of reviews

    Pecan Tree Rehab and Healthcare Center elicits a broad mix of positive experiences and serious operational concerns. Many reviews emphasize strengths in rehabilitative services, day-shift efficiency, and a warm, family-style culture: therapy staff (physical, occupational and speech) are frequently described as effective, hospice support is regarded as compassionate, and housekeeping and maintenance receive consistent praise. The facility is often characterized as welcoming, with an active activities program that includes arts and crafts, bingo, worship services, and pre-COVID outings. Several reviewers also highlighted a centralized nursing desk and long-tenured staff as contributors to continuity of care.

    Care quality shows a divided pattern. On the positive side, rehabilitation outcomes and restorative-care services are repeatedly cited as strong points, and many families reported good follow-up and attentive aides and nurses. In contrast, a subset of reviews raised serious clinical concerns, including inconsistent wound-care practices and medication-management lapses (for example, abrupt discontinuation of medications). These accounts suggest gaps in clinical escalation, infection-prevention adherence, and timely medication reconciliation. Given the seriousness of these types of concerns, prospective families should inquire specifically about wound-care protocols, medication reconciliation procedures, and clinical escalation pathways during any tour or intake conversation.

    Staffing and interpersonal interactions also present a mixed picture. Numerous comments praise compassionate, helpful caregivers and individual staff members who go beyond expectations. However, other accounts point to staffing instability, perceived burnout, and variability in responsiveness—issues that can affect timeliness of toileting/incontinence care, assistance with transfers and dressing, and general attentiveness. Leadership changes and administrative problems (including discharge coordination delays and billing/reimbursement follow-through) were also mentioned; these administrative gaps can compound clinical and family-communication frustrations when they occur.

    Dining and nutrition received varied feedback. Some families appreciated meal variety and on-site beverage/snack options, while others expressed concerns about the appropriateness of meals for specialized diets (for example, diabetic meal composition and carbohydrate control). Pain-management delays and medication-timing issues were also reported to affect resident comfort at times.

    Facility and operational observations include generally well-maintained common areas and ongoing remodeling in parts of the building, balanced against reports of odor concerns in some areas, small or crowded resident rooms, and lapses in laundry and personal-belongings accountability. A few reviews included allegations of missing items or inconsistent return of clothing, which points to an operational area that may benefit from clearer processes and family communication. Noise and behavioral-disturbance management were raised as occasional quality-of-life concerns for residents on certain units.

    In summary, Pecan Tree demonstrates clear strengths in therapy, hospice support, and a caring culture among many front-line staff, making it a reasonable option for restorative and end-of-life services. At the same time, recurring themes around wound care, medication management, staffing consistency, cleanliness/odor control, laundry accountability, and administrative communication warrant careful inquiry by families. Recommended next steps for prospective residents and families include touring the unit(s) where the resident would live, asking for written protocols on wound care and medication reconciliation, reviewing staffing levels and turnover, confirming discharge and billing procedures, and requesting references from recent family contacts when possible.

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    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

    Map showing location of Pecan Tree Rehab and Healthcare Center

    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 27 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.

    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.

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