420 Moody St., Fairfield, TX 75840 · Freestone County · (903) 389-1236
101 certified beds, about 69 residents a day · Government - Hospital district · Medicare and Medicaid since 2006
CMS Care Compare ratings, data as of September 1, 2026 · CCN 676123 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on December 18, 2025, inspectors cited 2 health deficiencies (the Texas average is 9.4, the national average 9.2).
None of its 10 health citations since July 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.09 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.39 of those hours.
96.7% of nursing staff left within the year CMS measured (Texas average 55.3%).
CMS links it to Creative Solutions in Healthcare, an affiliated group of 149 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 10 health citations on file.
Inspectors wroteBased on interviews and record reviews, the facility failed to consider the views of the resident or family group and act promptly upon the grievances and recommendations of such groups concerning issues of resident care and life in the facility or to demonstrate their response and rationale for such response for 1 of 1 resident council reviewed. The facility failed to follow up on concerns and requests expressed in resident council meetings from July 2025 through November 2025. This failure placed residents at risk of not having their preferences honored. Review of Resident Council minutes from 07/05/2025 to 12/09/2025 reflected the following Resident council grievances did not have a facility's responses: *7/05/ 2025 minutes reflected: Nursing review concerns: When getting showers, beds still not getting stripped. [...]
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to properly store, prepare, and distribute food under sanitary conditions in accordance with standards for food service safety for 1 of 1 kitchen. 1. The facility failed to ensure Dietary Aide A wore proper hair restraint when holding clean plates in the dishwashing room.2. The facility failed to ensure the Dietary Manager wore a beard guard when standing next to the food prep table. 3. The facility failed to ensure Dietary Aide A sanitized his hands prior to donning gloves after touching his clothes.
Inspectors wroteBased on interview and record review, the resident has the right to be informed of, and participate in, his or her treatment including the right to be informed in advance, by the physician or other practitioner or professional, of the risks and benefits of the risks and benefits of proposed care, of treatment and treatment alternatives or treatment options and to choose the alternative or option he or she prefers for 1 of 5 (Resident #1) reviewed for resident rights. The facility failed to ensure Resident #1 was sent out to the hospital when Resident #1 complained of pain in her lower back on 07/17/2025. This failure could place residents at risk of their rights to have their medical needs met .
Inspectors wroteBased on interview and record review the facility failed to ensure, in accordance with accepted professional standards and practices, medical records were maintained on each resident that were complete and accurately documented for 1 of 5 residents (Resident #1) for complete and accurate records. The facility failed to ensure Resident #1's weight was documented in PCC for July 2025. This failure could place residents at risk for the possibility of not verifying the needed care and services to meet their needs.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure all allegations of abuse are reported immediately, but not later than 2 hours after the allegation is made, to the Administrator of the facility and to HHSC for one (Resident #4) of five residents reviewed for abuse. The facility staff failed to immediately report an allegation of abuse to the Administrator and to HHSC as required when Resident #4 was struck in the face by Resident #3 on 08/20/2024 at 8:30 p.m This failure could place residents at risk for unreported allegations of abuse.
Inspectors wroteBased on observation, interview and record review, the facility failed to maintain an infection prevention and control program designated to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable disease and infection for 1 (Residents #1) of 3 residents reviewed for infection control in that: 1. CNA A failed to change their soiled gloves and wash hands during incontinent care for Resident #1. These failures could place residents at-risk of cross contamination which could result in infections or illness.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents were free from physical restraints, not required to treat the resident's symptoms, for 1 of 9 residents (Resident #1) reviewed for physical restraints. The facility failed to ensure RP #2 was educated on physical restraint policy and refrained from having tied Resident #1's right hand/wrist to her bed's assist bar with a blanket. This failure placed residents at risk of physical harm, psychosocial harm, and having their needs gone unmet.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that all alleged violations involving abuse were reported immediately, but not later than 2 hours after the allegation was made, for 1 of 9 residents (Resident #1) reviewed for reporting abuse allegations. The facility failed to report an incident involving the use of a restraint on Resident #1 by RP #2, that occurred on 8/3/2024 at 8:35 PM, until 8/5/2024 to Health and Human Service. This failure placed residents at risk of physical harm, psychosocial harm, lack of regulatory oversite, and having their needs gone unmet.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide pharmaceutical services, including procedures that assures the accurate acquiring, receiving, dispensing, and administering of medications for 1 of 3 medication carts (nurse cart hall 300) and failed to establish a system of records of receipt and disposition of all controlled drugs in sufficient detail to enable an accurate reconciliation for 7 of 9 months (October 2022, February 2023, March 2023, April 2023, May 2023, June 2023, and July 2023) reviewed for pharmacy services. 1. The facility failed to remove expired insulin from the nurse medication cart on hall 300 for Resident #36. 2. The facility failed to remove expired medications from the nurse medication cart on hall 300 for Resident #64. 3. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a medication error rate of less than 5 percent. There were 3 errors out of 42 opportunities, resulting in a 7.14 percent medication error involving 3 of 9 residents (Resident #17, Resident #19, and Resident #70) reviewed for medication pass. LVN C failed to administer the ordered dose of Vitamin D3 to Resident # 17. LVN D failed to administer the ordered water flush with medication administration through a feeding tube for Resident # 19. LVN C failed to administer the ordered dose of Vitamin D3 to Resident # 70. These failures could place residents at risk for not receiving the intended therapeutic benefit of their medications or receiving them as prescribed, per physician orders
12 fire safety citations on file: 1 on December 18, 2025, 9 on September 26, 2024, 2 on July 26, 2023.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Texas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.09 | 3.39 | 3.86 |
| Registered nurses | 0.39 | 0.43 | 0.69 |
| All nursing staff on weekends | 2.78 | 2.98 | 3.42 |
| Nurse aides | 1.66 | ||
| Licensed practical nurses | 1.03 | ||
| Nursing staff turnover (share who left in a year) | 96.7% | 55.3% | 45.8% |
| Registered nurse turnover | 100.0% | 54.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.58 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.22 on weekdays and 2.78 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.47 in April to June 2025 to 3.09 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.09 | 0.39 | 3.22 | 2.78 | 0.0% | 0 of 90 | 69 |
| Oct to Dec 2025 | 3.25 | 0.50 | 3.41 | 2.84 | 0.0% | 0 of 92 | 66 |
| Jul to Sep 2025 | 3.22 | 0.48 | 3.36 | 2.89 | 0.0% | 0 of 92 | 66 |
| Apr to Jun 2025 | 3.47 | 0.52 | 3.67 | 2.97 | 0.0% | 0 of 91 | 67 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Texas, Jan to Mar 2026 | 3.33 | 0.40 | 3.50 | 2.93 | 2.2% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Trains nurse aides: this home runs a state-approved CNA program (state list: HHSC Approved NATCEP Providers, as of October 6, 2026). A nursing home cannot charge aides it employs, or has offered a job, for state-approved training (42 CFR 483.152(c)). See Fairfield Nursing and Rehabilitation CNA training on CareerFunded, our sister site for career training.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Texas, all employers | |||
| CNAs (nursing assistants) | $18.03 | $16.97 to $20.71 | 88,680 |
| LPNs and LVNs | $29.92 | $27.46 to $32.89 | 57,560 |
| Registered nurses | $46.14 | $38.06 to $50.53 | 271,380 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Texas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 18.9 | 15.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 7.3 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.7 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 13.8 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.2 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 15.2 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 29.7 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.7 | 12.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.9 | 2.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.9 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Fairfield Nursing & Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (52.7% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
52.7% this home
No different from the national rate
US median of homes 51.5% · Texas: 116 better, 50 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 47 eligible stays.
9.3% this home
No different from the national rate
US median of homes 10.7% · Texas: 0 better, 9 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 70 eligible stays.
7.1% this home
No different from the national rate
US median of homes 7.1% · Texas: 4 better, 11 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 35 eligible stays.
64.3% this home
Median of homes: Texas57.3% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 28 residents counted.
0.0% this home
Median of homes: Texas0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 46 residents counted.
4.3% this home
Median of homes: Texas1.3% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 46 residents counted.
90.9% this home
Median of homes: Texas98.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 22 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: LIBERTY COUNTY HOSPITAL DISTRICT NO 1. CMS links this home to Creative Solutions in Healthcare, a group of 149 nursing homes averaging 2.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Liberty County Hospital District No 1 | 5% or greater direct ownership interest | Organization | 100% | 05/01/2022 |
| Fregia, Milton | Managing control - governing body | Individual | 05/07/2022 | |
| Gardner, Shannon | Managing control - governing body | Individual | 08/22/2022 | |
| Gardzina, Margaret | Managing control - governing body | Individual | 02/26/2024 | |
| Henry, Paul | Managing control - governing body | Individual | 05/09/2009 | |
| Stratton, Charles | Managing control - governing body | Individual | 05/01/2005 | |
| Willig, Zachary | Corporate director | Individual | 01/01/2025 | |
| Huggins, Linda | Corporate officer | Individual | 05/01/2022 | |
| Stratton, Charles | Corporate officer | Individual | 05/01/2005 | |
| Fairfield I Enterprises, LLC | Operational/managerial control | Organization | 05/01/2022 | |
| Blake, Gary | Operational/managerial control | Individual | 05/01/2022 | |
| Blake, Malisa | Operational/managerial control | Individual | 05/01/2022 | |
| Fairfield I Enterprises, LLC | Adp of the SNF | Organization | 05/01/2022 | |
| Blake, Gary | Adp of the SNF | Individual | 05/01/2022 | |
| Lewis, Betty | Adp of the SNF | Individual | 04/11/2025 | |
| White, Darryl | Adp of the SNF | Individual | 04/11/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
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