Pecan Tree Health Care and Rehabilitation Center in Gainesville, TX

Pros

• The facility is well kept and clean, with amazing housekeeping and on-point care.
• The staff are friendly, helpful, and genuinely care about each resident's well-being.
• The therapy department is top-notch, delivering remarkable outcomes and progress.
• Administration is devoted to excellence and keeps families well-informed about health changes.
• Residents are greeted with warm smiles and enjoy a welcoming, family-like atmosphere.
• A variety of engaging activities and spiritual services helps keep residents active and connected.
• The facility has earned recognition for quality care and is repeatedly praised by families for compassionate support.

Cons

• The facility is described as the worst place to put loved ones.
• The staff left the resident in bed for long periods and discouraged standing.
• There were medical mistakes and inconsistent explanations about Medicare payments.
• The staff neglected the resident and improperly took money from her insurance.
• Dressings for wounds were not changed as required, and the wound showed signs of infection.
• A resident waited five weeks for pain medications to be adjusted.
• There was a persistent odor of urine and complaints about cleanliness.
• A family member reported that his father died within 24 hours of admission.

Review

This community is best suited for families seeking a rehab-focused, people-first environment where compassionate daily care and a home-like atmosphere are prioritized. Pecan Tree Health Care and Rehabilitation Center tends to shine for residents needing restorative therapy after surgery or illness, and for families that value attentive housekeeping, clean surroundings, and steady, proactive communication. The campus culture often comes across as welcoming and faith-friendly, with worship services and activity programming that aim to engage residents in meaningful daily routines. For those who want a facility with a strong therapy track record and a sense of family involvement, this is a compelling option.

However, potential residents or families should consider alternatives if reliability in medical care and consistency in staff are paramount. A pattern of negative experiences appears in several reviews, including reports of medication delays, dressing and wound-care lapses, and inconsistent note-taking that can lead to questions about what residents are actually receiving. Some families describe neglectful moments and odor issues, and there are accounts of staffing turnover that may affect day-to-day continuity. These concerns suggest that anyone with high-risk medical needs or a history of wound complications may want to thoroughly vet current practices, request direct observation of wound-care routines, and compare other nearby facilities before deciding.

On the pro side, the facility's strengths are tangible and meaningful. The building is consistently described as well kept, with housekeeping celebrated as amazing. The therapy department frequently earns high marks, praised for its effectiveness and the positive outcomes residents reportedly achieve under skilled therapy teams. Families repeatedly highlight the proactive communication from nursing and therapy staff, noting that caregivers keep them informed about health changes and treatment plans. The environment also supports social and spiritual engagement, with organized activities, Bible studies, and worship options that contribute to a sense of community and belonging for many residents.

These strengths do not exist in a vacuum; they often offset some of the more troubling feedback when evaluated in context. The team's demonstrated commitment to restorative care, combined with dedicated hospice support and long-tenured staff in some units, creates a stabilizing effect for families seeking gradual improvement and ongoing reassurance. Several residents' families describe experiences that feel transformative - improved mobility, better pain management through attentive therapy, and consistent caregiver availability. In practice, this means that for residents whose needs align with rehabilitation and daily living support rather than acute medical crises, the positives can meaningfully outweigh the concerns raised in a minority of reviews.

Practical next steps can help families decide with confidence. First, conduct a candid onsite tour focused on therapy availability, wound-care protocols, and med-management workflows. Request to meet the wound-care nurse and the therapy team to understand dressing schedules, advancement criteria, and how changes in medications are communicated to families. Verify current policies on bed management, personal belongings, and room assignments, since some comments touched on laundry issues and misdirected items. Finally, ask for up-to-date information about ownership and staffing stability, as new ownership under Southwest LTC has been mentioned, and shifts in leadership can influence day-to-day operations. A well-structured plan with clear expectations makes a substantial difference in outcomes here.

In sum, Pecan Tree presents a strong option for families prioritizing restorative outcomes, compassionate care, and a supportive, active community. It is particularly well-suited for residents who benefit from a robust therapy program and who value regular family involvement and spiritual programming. The place to be cautious is for individuals with complex wound care needs or medication-management vulnerabilities, where documented lapses could have serious consequences. For those considering alternatives, comparing fellow Texoma-area facilities with demonstrably lower incident reports and more consistent med and wound protocols will be a prudent complement to a closer look at Pecan Tree's current staff ecosystem and care processes. A deliberate visit and a targeted conversation with care teams will reveal whether this community can reliably deliver the level of care sought.

This area of Gainesville, Texas, offers convenient access to various amenities and services that would cater well to senior living. With a range of transportation options, including Limo Joe's Casino Shuttle for leisure trips and pharmacies like Plaza Pharmacy and CVS Pharmacy for medical needs, seniors can easily navigate the area. Nearby places of worship like Well and Harvest Time Church of God provide opportunities for spiritual growth, while restaurants such as Jack In The Box and El Tapatio offer diverse dining choices. For healthcare needs, Cooke County Medical Center and NTMC Pediatrics are within close proximity. Additionally, the presence of parks like Pecan Creek Park provides outdoor recreational opportunities. Overall, this part of Gainesville presents a well-rounded environment suitable for seniors looking for a comfortable and convenient lifestyle.

Transportation

• Limo Joe's Casino Shuttle (0.2 miles)
• Zodiac Aerospace (5 miles)

Places of Worship

• Well (0.4 miles)
• Harvest Time Church of God (0.5 miles)
• Antioch Baptist Church (1 miles)
• Gainesville Eastside Nazarene (1 miles)
• St Pauls Episcopal Church (1.2 miles)
• St Paul's Episcopal Church (1.2 miles)
• First United Methodist Church (1.2 miles)

Restaurants

• Jack In The Box (0.7 miles)
• Aldava's Video (0.7 miles)
• Santorini (0.8 miles)
• Mendez Bakery (0.9 miles)
• Chicken Express (1.1 miles)
• El Tapatio (1.2 miles)
• Sonic Drive-In (1.2 miles)

Pharmacies

• Plaza Pharmacy (0.7 miles)
• SNI Pharmacy (0.9 miles)
• Hometown Pharmacy (0.9 miles)
• Hometown Pharmacy & Hometown Medical Equipment (0.9 miles)
• CVS Pharmacy (1.4 miles)
• Thackerville Pharmacy (8.6 miles)
• Health Mart Pharmacy (8.6 miles)

Physicians

• Cooke County Medical Center (0.9 miles)
• NTMC Pediatrics (0.9 miles)
• Gainesville Eye Care (1.3 miles)
• Matthew Barrows, MD (1.3 miles)
• Mark R Klein (1.5 miles)
• North Texas Vision Center PA (1.8 miles)
• Richard W Jolly (2.1 miles)

Parks

• Pecan Creek Park (1 miles)

Hospitals

• North Texas Medical Center (2.8 miles)

Cafes

• Duffy's Burgers and Bait (10.5 miles)