Greenbrier Nursing & Rehabilitation Center of Pale
2404 HWY 155, Palestine, TX 75803
Palestine, Texas · CMS verdict
Greenbrier Nursing & Rehabilitation Center of Pale's CMS overall star rating runs above the Texas state average (2.8) and reflects above-average quality by the federal five-star measure.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Greenbrier Nursing & Rehabilitation Center of Pale in Palestine, Texas holds a CMS overall rating of 4 of 5 stars and a PlainElderCare Quality & Compliance Index of 58 of 100 (grade F). Its CMS inspection record lists multiple deficiencies. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (lighter deficiency book)
Its CMS deficiency count sits in the lighter U.S. deficiency tercile (≤16). A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall star rating shown at the top of the page. How this is calculated.
How the 58 is built
Each segment is a dimension's weighted points toward the score, summing to 58.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Greenbrier Nursing & Rehabilitation Center of Pale's lighter CMS deficiency book
Quality ratings
On Care Compare (data as of April 2026), the overall star is a roll-up of three separately tracked sub-ratings: health inspection, staffing, and quality measures. The comparison chart below shows where each one sits relative to Texas.
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Palestine, Texas. Bed capacity and average daily census, where CMS reports them, are in Facility details below. Its ownership type, listed in Facility details, can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 41% occupancy, this facility is running well below its certified bed capacity, worth asking why directly.
Same-ownership peers
Within Texas, Greenbrier Nursing & Rehabilitation Center of Pale is one of 207 government - hospital district nursing homes CMS rates. Its 4-star overall rating sits above the government - hospital district-segment average of 2.8 stars, ahead of roughly 66% of same-ownership peers in the state. Same-segment comparisons like this one strip out the business-model factor, leaving a cleaner read on facility-level performance than a raw state average would give.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility; the counts are in Facility details below. CMS has levied no enforcement penalties over the equivalent window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How Greenbrier Nursing & Rehabilitation Center of Pale compares to Texas
CMS five-star sub-ratings (0–5) for this facility against the Texas facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Texas state average. Higher is better on all four CMS measures.
Where Greenbrier Nursing & Rehabilitation Center of Pale ranks in Texas
Among the 1,167 CMS-rated nursing homes in Texas, Greenbrier Nursing & Rehabilitation Center of Pale’s 4-star overall rating is higher than 69% of them. The bars show how all Texas homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
212 Texas homes share this 4-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 120 |
| Residents | 49 |
| Ownership | Government - Hospital district |
| County | Anderson |
| Penalties | 0 |
| Deficiencies | 14 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Greenbrier Nursing & Rehabilitation Center of Pale? ▾
Greenbrier Nursing & Rehabilitation Center of Pale has an overall CMS quality rating of 4 out of 5 stars. The health inspection, staffing, and quality measures sub-ratings behind it are compared with the Texas average in the chart on this page.
How much does a nursing home cost per month in Texas? ▾
In Texas, a semi-private nursing home room runs a median $5,627/month ($67,525/year) per the CareScout 2025 survey; private rooms average $7,604/month.
What services does Greenbrier Nursing & Rehabilitation Center of Pale offer? ▾
CMS classifies Greenbrier Nursing & Rehabilitation Center of Pale as a skilled nursing facility. Care Compare does not itemize the services on offer; the facility itself is the source for that, and its capacity, census, and ownership are listed in Facility details above.
Does Greenbrier Nursing & Rehabilitation Center of Pale have any deficiencies or penalties? ▾
Greenbrier Nursing & Rehabilitation Center of Pale has multiple deficiencies and no penalties recorded by CMS; the counts are in the Facility details table. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Texas? ▾
In Texas, alternatives include assisted living ($5,666/mo), home health aides ($5,720/mo), and adult day care ($1,950/mo).
Keep reading
Also see the Texas elder-care overview and highest-rated states. Provider ID: 675816.
Read our methodology - how this data is sourced, computed, and verified.