CCN 455954 · Hamilton County, Texas
Pecan Creek Healthcare Center
910 E Pierson St, Hamilton, TX 76531
Pecan Creek Healthcare Center is a 76-bed for-profit nursing home in Hamilton, Texas, first certified for Medicare or Medicaid in 1991. CMS rates it 4 out of 5 stars overall in its September 2026 data, and it averaged 41.6 residents a day, about 55% of its certified beds. HUD's healthcare database shows an FHA-insured Section 232 loan for a project matching this facility, most recently $2 million in July 2017 (223(f) refinance or purchase), and none of them appears in HUD's active-loan file.
Facility facts
- Certified beds
- 76
- Average residents per day
- 41.6 (54.7% of beds)
- Ownership type
- For profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Hamilton County Hospital District
- Certified since
- Oct 1, 1991
- Chain or affiliated group
- Nexion Health (51 facilities, chain average 2.2 stars)
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Texas median | US median |
|---|---|---|---|
| Overall rating | 4 of 5 | State spread: 322 at 1, 244 at 2, 247 at 3, 211 at 4, 141 at 5 | |
| Health inspections | 4 of 5 | ||
| Quality measures | 2 of 5 | ||
| Staffing | 2 of 5 | ||
| Total nurse hours per resident per day | 3.79 | 3.27 | 3.68 |
| RN hours per resident per day | 0.21 | 0.38 | 0.58 |
| Weekend nurse hours per resident per day | 3.36 | ||
| Nursing staff turnover | 52.3% | 52.1% | 44.9% |
| Occupancy (residents / beds) | 54.7% | 68.6% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 8 (Jun 11, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Pecan Creek Healthcare Center meets that part today: 4 stars overall, 4 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Kirley, FrancisIndividual | Operational / Managerial Control | n/a | 10/09/2024 |
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Jul 28, 2017 | 223(f) refinance or purchaseHUD project name: Senior Living - Hamilton Healthcare Center, 76 beds. Lender at endorsement: Hunt Mortgage Capital, LLC | $1,990,000 | Ended Mar 31, 2023Prepayment | 11322211 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.