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Fairfield Nursing & Rehabilitation Center

Fairfield, TX · Medicare and Medicaid-certified nursing home (CCN 676123) · 101 certified beds

CMS overall rating: 4★ (state average 2.65★ — above state average)
Health inspection: 5 · Quality measures: 3 · Staffing: 1
Federal fines: none on current record
Phone: (903) 389-1236 · Verify on Medicare Care Compare ↗

Fairfield Nursing & Rehabilitation Center has a CMS overall rating of 4 stars, above the Texas state average of 2.65 stars, with a 5-star health inspection rating but only a 1-star staffing rating.

Fairfield Nursing & Rehabilitation Center reports about 3.09 total nurse hours per resident per day, including 0.39 RN hours, earning a 1-star CMS staffing rating, and its nursing staff turnover rate is a very high 96.7%.

Fairfield Nursing & Rehabilitation Center has no federal fines on record and no payment denials according to CMS data, and it does not carry the CMS abuse icon or a Special Focus Facility designation.

Overall rating vs. benchmarks
Fairfield Nursing & R… Fairfield Nursing & R…: 4★ 4★ TX average TX average: 2.65★ 2.65★ Creative Solutions chain avg Creative Solutions chain avg: 2.1★ 2.1★

About this facility

Fairfield Nursing & Rehabilitation Center is a government-owned facility (hospital district) in Fairfield, Freestone County, Texas, certified for both Medicare and Medicaid since December 2006. It is licensed for 101 beds and reports an average daily census of 69.3 residents.

According to CMS Care Compare, the facility holds an overall rating of 4 stars, above the Texas state average of 2.65 stars. This overall score reflects a 5-star health inspection rating, a 3-star quality measure rating, and a 1-star staffing rating. The 1-star staffing rating corresponds to reported total nurse staffing of about 3.09 hours per resident per day, including roughly 0.39 RN hours per resident per day, alongside a nursing staff turnover rate of 96.7% — a very high rate of staff churn.

On the penalty record, CMS lists 0 federal fines (no federal fines on record) and 0 payment denials for this facility.

Fairfield Nursing & Rehabilitation Center is part of the Creative Solutions In Healthcare chain, which operates 149 facilities nationally with an average CMS rating of 2.1 stars — notably lower than this facility's individual 4-star overall rating. Ownership has not changed in the past 12 months, so current ratings reflect the current operator.

Families should note the significant gap between the facility's strong inspection and overall scores and its low staffing rating and high turnover, and are encouraged to review the full inspection and staffing detail on Medicare Care Compare (data reflects the most recent CMS reporting period).

Questions families ask

What is this nursing home's CMS overall star rating and how does it compare to the state average?

It has an overall rating of 4 stars, above the Texas state average of 2.65 stars.

Does this facility accept Medicare, Medicaid, or both?

It accepts both Medicare and Medicaid.

How well is this facility staffed — nurse hours per resident and turnover?

Total nurse staffing is about 3.09 hours per resident per day, with 0.39 RN hours per resident per day, a 1-star staffing rating, and a 96.7% nursing turnover rate.

Does this facility have federal fines or penalties on record?

No, CMS records show 0 fines totaling $0.00 and 0 payment denials.

Has CMS flagged this facility for abuse or placed it in the Special Focus program?

No abuse icon or Special Focus status is listed for this facility in the provided data.

How large is this facility and how many residents live there?

It is certified for 101 beds and has an average daily census of 69.3 residents.

Who owns this facility — and is it part of a chain?

It is government-owned by a hospital district and is part of the Creative Solutions In Healthcare chain, which operates 149 facilities with an average rating of 2.1 stars.

How long has this facility been Medicare/Medicaid certified?

It was first approved for certification on December 14, 2006.

What do the four different CMS star ratings mean?

CMS rates facilities on overall, health inspection, staffing, and quality measures; this facility scores 4 overall, 5 on health inspections, 1 on staffing, and 3 on quality measures.

Does this facility offer short-term rehabilitation as well as long-term care?

The data provided does not specify service lines; contact the facility at 9033891236 and verify on Medicare Care Compare.

What should I look for when touring this facility?

The data provided doesn't cover tour details; contact the facility at 9033891236 to arrange a visit and verify current conditions on Medicare Care Compare.

How do I verify this facility's current record on Medicare Care Compare?

You can review the latest details at https://www.medicare.gov/care-compare/details/nursing-home/676123?state=TX.

Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.