CCN 675311 · Freestone County, Texas

Fairview Healthcare Residence

601 E Reunion St, Fairfield, TX 75840

Fairview Healthcare Residence is a 84-bed government-owned nursing home in Fairfield, Texas, first certified for Medicare or Medicaid in 1994. CMS rates it 4 out of 5 stars overall in its September 2026 data, and it averaged 40.9 residents a day, about 49% of its certified beds. HUD's healthcare database shows an FHA-insured Section 232 loan for a project matching this facility, most recently $2.1 million in October 2022 (223(a)(7) refinance of a 223(f) loan), and none of them appears in HUD's active-loan file.

Facility facts

Certified beds
84
Average residents per day
40.9 (48.7% of beds)
Ownership type
Government - Hospital district
Certification
Medicare and Medicaid
Legal business name
Coryell County Memorial Hospital Authority
Certified since
Mar 30, 1994
Chain or affiliated group
Coryell County Memorial Hospital Authority (9 facilities, chain average 2.8 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.

MeasureThis facilityTexas medianUS median
Overall rating4 of 5State spread: 322 at 1, 244 at 2, 247 at 3, 211 at 4, 141 at 5
Health inspections4 of 5
Quality measures4 of 5
Staffing3 of 5
Total nurse hours per resident per day3.133.273.68
RN hours per resident per day0.330.380.58
Weekend nurse hours per resident per day2.77
Nursing staff turnover43.6%52.1%44.9%
Occupancy (residents / beds)48.7%68.6%85.7%
Fines reported by CMS1 totaling $19,412
Health deficiencies, latest standard survey5 (Aug 7, 2025)

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). Fairview Healthcare Residence 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.

NameRoleShareSince
Coryell County Memorial Hospital AuthorityOrganizationOperational / Managerial Controln/a10/01/2014
Tgr Healthcare, LLCOrganizationOperational / Managerial Controln/a10/01/2019
Thomas, BrianIndividualOperational / Managerial Controln/a10/01/2019
Villa, RicardoIndividualOperational / Managerial Controln/a10/01/2019

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.

EndorsedProgramOriginal amountStatusFHA number
Oct 26, 2022223(a)(7) refinance of a 223(f) loanHUD project name: Fairview Healthcare Residence, 84 beds. Lender at endorsement: Greystone Funding Company LLC$2,080,000Ended Aug 12, 2026Prepayment11322313

Watch this facility

Get one email when the monthly CMS or HUD files show a change at Fairview Healthcare Residence: a new owner, operator or lender of record, a change of ownership, a new overall star rating, or a change to its HUD loan.

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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.