Groesbeck LTC Nursing and Rehabilitation
607 Parkside Dr, Groesbeck, TX 76642 · Limestone County · (254) 729-3245
90 certified beds, about 64 residents a day · Government - Hospital district · Medicare and Medicaid since 2005
CMS Care Compare ratings, data as of September 1, 2026 · CCN 676071 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 22, 2025, inspectors cited 1 health deficiency (the Texas average is 9.4, the national average 9.2).
None of its 6 health citations since January 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 3.39 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.15 of those hours.
38.9% of nursing staff left within the year CMS measured (Texas average 55.3%).
CMS links it to Gulf Coast LTC Partners, an affiliated group of 20 nursing homes.
Health inspections
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.
Where its citations fall on CMS's grid
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 6 health citations on file.
May 22, 2025Standard inspection · 1 citation
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interviews, and record reviews, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen. The facility failed to ensure food safety on 05/20/2025 by not temping hot foods before service, consistently monitoring, and discarding expired food, maintaining unsanitary kitchen equipment and storage areas when food items were not labeled and/or dated and Drawers where the serving utensils were stored were dirty. These failures could place residents who received meals from the main kitchen at risk for foodborne illness.
April 29, 2025Complaint inspection · 1 citation
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure the resident had the right to reside and receive services in the facility with reasonable accommodations of resident needs and preferences except when to do so would endanger the health or safety of the resident or other residents for 3 of 7 residents (Residents #1, #2 and #3) reviewed for resident rights. The facility failed to ensure Resident #1, Resident #2, and Resident's #3 call lights were within reach on 04/29/2025. This failure could place residents at risk of their needs not being met.
March 28, 2024Standard inspection · 3 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food under sanitary conditions in the facility's kitchen for one out of one ice machines. The facility failed to ensure the ice machine was free of mold. This failure placed the residents at risk for foodborne illnesses.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on interviews and record review the facility failed to refer all residents with possible serious mental disorders or a related condition for level II resident review upon a significant change in status assessment for 1 of 5 Residents (Resident #52) whose records were reviewed for mental disorders. The facility failed to refer Resident #52 for a PASRR evaluation based on mental disorder diagnoses including Schizoaffective Disorder, Bipolar type. This deficient practice could affect residents with a mental illness and contribute to a delay in services needed.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on interviews and record reviews, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, which included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs for 1 of 2 residents (Resident #50) reviewed for care plans. The facility failed to follow comprehensive care plan interventions for Residents #50. This failure could place residents at risk for not receiving necessary care and services or having important care needs identified and met.
January 26, 2023Standard inspection · 1 citation
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for one of one kitchen reviewed for kitchen sanitation. A. The facility failed to sanitize the oven, walk-in refrigerator and walk-in freezer located in the kitchen. B. The facility failed to properly store and label food in the facility's walk-in refrigerator and walk-in freezer. C. The facility failed to ensure Dietary Aide B wore a beard net when removing clean plates from the dishwasher and Dietary Aide C properly wore a hair net when placing residents' breakfast plates on the meal tray cart. D. The facility failed to dispose of an expired case of prune juice and expired 8 loaves of Texas toast bread in the dry storage room. E. [...]
Fire safety inspections
3 fire safety citations on file: 1 on May 22, 2025, 1 on March 28, 2024, 1 on January 26, 2023.
Every fire safety citation3 citations
- C Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- C Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- C Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
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) | 3.39 | 3.39 | 3.86 |
| Registered nurses | 0.15 | 0.43 | 0.69 |
| All nursing staff on weekends | 3.18 | 2.98 | 3.42 |
| Nurse aides | 2.24 | ||
| Licensed practical nurses | 1.01 | ||
| Nursing staff turnover (share who left in a year) | 38.9% | 55.3% | 45.8% |
| Registered nurse turnover | not reported | 54.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.37 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
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 3.48 on weekdays and 3.18 on weekends, 9% 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 3.43 in April to June 2025 to 3.39 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 | 3.39 | 0.15 | 3.48 | 3.18 | 0.0% | 0 of 90 | 64 |
| Oct to Dec 2025 | 3.37 | 0.16 | 3.44 | 3.17 | 0.4% | 0 of 92 | 63 |
| Jul to Sep 2025 | 3.37 | 0.13 | 3.47 | 3.14 | 1.2% | 1 of 92 | 64 |
| Apr to Jun 2025 | 3.43 | 0.14 | 3.53 | 3.19 | 1.2% | 1 of 91 | 61 |
| 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.
Quality measures
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 | 7.1 | 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 | 8.0 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.9 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.2 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 8.5 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.4 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 17.1 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 32.2 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.5 | 12.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 2.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.4 | 2.1 | 1.8 |
Owners and operators
Legal business name: SOUTH LIMESTONE HOSPITAL DISTRICT. CMS links this home to Gulf Coast LTC Partners, a group of 20 nursing homes averaging 2.5 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| South Limestone Hospital District | 5% or greater direct ownership interest | Organization | 100% | 04/01/2018 |
| East Texas III Associates, LLC | 5% or greater mortgage interest | Organization | 04/01/2018 | |
| Price, Larry | Corporate officer | Individual | 04/01/2018 | |
| Groesbeck LTC Partners, Inc. | Operational/managerial control | Organization | 04/01/2018 | |
| Bergeron, Bobby | Operational/managerial control | Individual | 04/01/2018 | |
| Nicholson, Louis | Operational/managerial control | Individual | 04/01/2018 | |
| East Texas III Associates, LLC | Adp of the SNF | Organization | 04/01/2018 | |
| Groesbeck LTC Partners, Inc. | Adp of the SNF | Organization | 04/26/2025 | |
| Bhateley, Dileep | Adp of the SNF | Individual | 08/01/2024 | |
| Hyden, Dawna | Adp of the SNF | Individual | 04/01/2018 |
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.
Questions to ask on a visit
Chosen from this home's own inspection record.
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on May 22, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on March 28, 2024: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on April 29, 2025: "Reasonably accommodate the needs and preferences of each resident."
Other nursing homes nearby
- Windsor Healthcare Residence Groesbeck, 1.1 mi · 2 of 5 stars · 12 citations
- The Manor Healthcare Residence Mexia, 11.4 mi · 5 of 5 stars · 16 citations
- Skilled Care of Mexia Mexia, 11.6 mi · 3 of 5 stars · 16 citations
- Mexia LTC Nursing and Rehabilitation Mexia, 11.6 mi · 2 of 5 stars · 16 citations
- Teague Nursing and Rehabilitation Teague, 15.7 mi · 5 of 5 stars · 8 citations
Texas contacts for a concern about a nursing home
These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.
- Resident advocate: Texas Office of the State Long-Term Care Ombudsman, 800-252-2412. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is Groesbeck LTC Nursing and Rehabilitation's Medicare star rating?
- CMS rates Groesbeck LTC Nursing and Rehabilitation 5 out of 5 stars overall, with 5 for health inspections, 2 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Groesbeck LTC Nursing and Rehabilitation get at its last inspection?
- 1 health deficiency at the standard inspection on May 22, 2025. The Texas average is 9.4.
- Has Groesbeck LTC Nursing and Rehabilitation been fined?
- CMS lists no fines in the last three years.
- Does Groesbeck LTC Nursing and Rehabilitation accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Groesbeck LTC Nursing and Rehabilitation?
- CMS lists 10 owners and managers, and links the home to Gulf Coast LTC Partners. Legal business name: SOUTH LIMESTONE HOSPITAL DISTRICT.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.