Services
nacmem
Comprehensive Healthcare Services
Emergency & Trauma
At Nacogdoches Memorial Hospital, we provide comprehensive emergency and trauma care to address critical health situations promptly and effectively.
- Ambulance Services: Our ambulance services are equipped to deliver rapid response and transport for patients requiring immediate medical attention.
- Level III Trauma Center: As the only IAP Level III Trauma Center in the East Texas region, we are prepared to handle a wide range of traumatic injuries with specialized resources and personnel.
- Emergency Room (ER): Our ER operates 24/7, staffed by experienced emergency physicians and nurses, ensuring timely and efficient care for all emergency medical needs.
Advanced Surgical Care
- Day Surgery: We provide same-day, outpatient procedures in a comfortable environment, allowing patients to return home the same day with minimal disruption to their lives.
- Joint Replacement Surgery: Our orthopedic specialists perform total and partial joint replacements—such as hips and knees—using advanced techniques to relieve pain and restore mobility.
Whether it’s a routine operation or a complex procedure, our surgical services are designed to promote healing and enhance your quality of life.
Serenity Pines – Inpatient Behavioral Health for Seniors
At Nacogdoches Memorial Hospital, Serenity Pines offers compassionate, inpatient behavioral health care for adults aged 55 and older experiencing a psychiatric emergency, behavioral health crisis, or significant changes in mental status. Our dedicated team provides specialized, evidence-based care in a safe and supportive environment.
- Our Serenity Pines nurse will review clinical information and contact the psychiatric provider for assessment. We aim to provide a decision and next-step guidance within 15 minutes.
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We specialize in the behavioral care of older adults facing mental health challenges such as:
– Suicidal or homicidal ideation or behaviors
– Medication resistance or poor compliance
– Refusal of routine care due to paranoia or confusion
– Hallucinations, delusions, or psychosis
– Mood instability, mania, or depressive episodes
– Grief, anxiety, isolation, or social withdrawal
– Adjustment disorders or sudden behavioral changes
– Paranoia or disruptive suspicion - At Serenity Pines, our mission is to deliver prompt, respectful, and effective care for older adults in behavioral crisis, helping them find stability, safety, and support close to home.
To refer a patient, please call our Rapid Referral Line at 936.221.6647
Email: SerenityPines@nacmem.org
Rehabilitation & Therapy Services
- Physical Therapy: Personalized rehabilitation programs to restore strength, balance, and flexibility, improving physical function.
- Occupational Therapy: Specialized therapy to help you regain the skills needed for daily activities, from dressing to cooking.
- Speech Therapy: Treatment to improve communication, swallowing, and cognitive abilities post-stroke or surgery.
- Sports Rehabilitation: Targeted therapy to recover from sports-related injuries and return to activity safely.
Each therapy program is designed by our experienced therapists and customized to your unique needs for optimal recovery.
Clear, Accurate Diagnostics with Advanced Imaging Technology
- MRI (Magnetic Resonance Imaging): Non-invasive imaging for soft tissues, joints, brain, and spinal cord conditions.
- CT Scan (Computed Tomography): Rapid cross-sectional imaging for detailed views of internal organs, bones, and blood vessels.
- X-ray: Fast and accessible diagnostics for bone fractures, chest conditions, and more.
- Ultrasound: Real-time imaging for evaluating soft tissues, pregnancy, and vascular function.
- Mammography: State-of-the-art digital mammograms for early detection of breast cancer.
- DEXA Scan: Bone density testing to assess osteoporosis and fracture risk.
Each test is conducted by certified technologists and interpreted by board-certified radiologists to ensure accuracy and clarity.
Expert Heart Care You Can Trust
Nacogdoches Memorial Hospital offers comprehensive cardiology services including:
- Cardiac Action Plan Individualized care pathways for patients with cardiac risk, helping them manage conditions and prevent complications.
- Cardiac Cath Lab Advanced, minimally invasive procedures to diagnose and treat heart blockages, often avoiding open-heart surgery.
- Cardiac Imaging Including EKG, Echocardiograms, and Stress Testing to detect structural or electrical heart issues.
- Cardiac Rehabilitation Personalized recovery programs designed to restore strength and heart health following cardiac events.
- CT Cardiac Calcium Scoring A quick, non-invasive CT scan that detects calcium buildup in coronary arteries, helping assess heart disease risk early.
Compassionate Pediatric Care at Every Stage
- Well-Child Visits: Routine exams to monitor development, provide immunizations, and support long-term wellness.
- Acute Care: Fast, effective treatment for common illnesses like infections, asthma, and fevers.
- Chronic Condition Support: Ongoing care for conditions like asthma, diabetes, and developmental concerns.
- Pediatric Emergency Care: 24/7 emergency services tailored for children’s unique needs.
Our women and children’s department is committed to providing safe, expert care tailored to the unique needs of young patients.
Comprehensive Women’s Health
- Gynecological Care: Routine exams, screenings, and treatment for a wide range of women’s health conditions.
- Maternity Services: Support throughout pregnancy, labor, and delivery with a dedicated team of OB/GYNs and certified nurses.
- Menopause & Hormone Care: Guidance and treatment for managing symptoms and maintaining wellness during hormonal changes.
- Breast Health: Imaging, screenings, and referrals for diagnostic follow-up, including mammograms.
Our Women’s Health team is committed to delivering high-quality, compassionate care designed around your health and well-being.
Relief That Restores Quality of Life
- Chronic Pain Treatment: Customized plans for conditions like arthritis, back pain, fibromyalgia, and neuropathy.
- Post-Surgical Pain Control: Targeted therapies to manage pain and support faster healing after surgery.
- Interventional Procedures: Minimally invasive treatments, including nerve blocks and joint injections, to reduce pain at its source.
- Medication Management: Careful evaluation and oversight of prescription therapies to ensure safe, effective relief.
Our goal is to reduce your pain and improve your daily function through expert care tailored to your needs.
Advanced Critical Care When It Matters Most
- Intensive Care Unit (ICU): Specialized care for critically ill patients, including advanced monitoring, ventilator support, and life-saving interventions.
- Intermediate Care Unit (IMC): Step-down care for patients who no longer need ICU-level support but still require close observation and skilled nursing.
- Highly Skilled Team: Staffed by experienced physicians, critical care nurses, and respiratory therapists trained to manage complex conditions.
Our ICU and IMC teams are committed to delivering the highest level of care with urgency, precision, and compassion.
Healing with Expertise and Support
- Inpatient Nutrition Services: Our dietitians develop individualized plans for hospitalized patients to aid healing and manage chronic conditions.
- Dietary Consultation: We provide expert guidance for patients with specific nutritional needs, such as diabetes, kidney disease, or recovery after surgery.
- Wound Care Services: We treat hard-to-heal wounds using advanced techniques and personalized plans. Conditions we manage include diabetic ulcers, pressure sores, surgical wounds, and more.
- Specialized Therapies: From wound debridement to custom dressings, our team uses the latest tools to support recovery and prevent complications.
Together, our team delivers whole-person care—treating the wound and supporting the body’s ability to heal.
Access to Essential Care for All
Designated as the payor of last resort, Medical Assistance Program (MAP) is designed to provide covered medical services to low income residents and those who meet all eligibility requirements of the program. MAP offers assistance by utilizing medical services through local physicians, hospitals, and other facilities.
Health care equity is a priority for us. We will work with you to determine your health-related social needs, such as, access to transportation, difficulty paying for prescriptions or medical bills and food/housing insecurity.
Hours of Operations
Monday – Thursday 9:00am – 5:00pm
Friday – 9:00am – 12:00pm
Lunch – 12:00pm – 1:00pm
Outlined below are additional details about our Indigent Program.
Requirements
- Be a Nacogdoches County resident
- Income meets eligibility requirements set by NCHD’s eligibility system
- Service requested is covered under NCHD’s program
Application Process
- Complete the County Indigent Health Care Program (CIHCP) Application for Health Care Assistance.
- Applications for Indigent Program are by appointment only.
- Provide all supporting verification documents: English | Spanish
- Call NCHD’s Indigent Program Coordinator at (936) 221-5851 or (936) 221-5765 to schedule an appointment or schedule an appointment here.
- Below are additional forms that may be requested (The Indigent Program Coordinator will instruct you on which one to complete if needed).
Questions
If you have any questions regarding the application process or need assistance in completing the application, please contact the Indigent Program Coordinator at (936) 221-5851 or (936) 221-5765.
The Team
José Jesús Rubalcava, Indigent Program Director
(936) 221-5851
As Nacogdoches County Hospital District’s Indigent Program Director, Jesús Rubalcava helps people who don’t qualify for state or federal programs get access to health care services. He has worked in health care for more than 24 years. His journey to his current position has been shaped by inspiration, encouragement, and a strong work ethic.
One of Jesús’ former teachers, Mrs. Rebecca Shokrian, taught him to speak English when his family first came to the United States, and he credits her with inspiring him to help other people. During his last semester of college, a professor recommended him for the in-house Spanish Interpreter position at Nacogdoches Memorial Hospital. The job was supposed to last for four months, but it turned into a career.
“When I started as an interpreter, I decided to stay in healthcare because of the satisfaction of being able to help the non-English patients,” he said.
In addition to his service as an interpreter, Jesús has also worked at the hospital as a staff accountant, a payroll manager, a financial analyst and controller.
“The positions that I have held have given me the opportunity to work with patients, staff, and many local doctors,” he said. “I have learned medical terms and am able to speak with the patients in a form that they are able to understand.”
Jesús was in the Top Ten of his 1996 graduating class at Westwood High School in Palestine and earned his associate degree in business administration in 1998 from Trinity Valley Community College, where he was a member of Phi Theta Kappa, an International Honor Society of two-year colleges. He graduated Magna Cum Laude with a Bachelor of Business Administration in 2001 from Stephen F. Austin State University, where he was a member of Beta Gamma Sigma, the honor society for collegiate schools of business, and Alpha Chi National College Honor Scholarship Society.
Jesús and his wife, Veronica Chavez Rubalcava, have two daughters, Ariana and Angelica, and two “awesome” dogs, Phineas and Bonita. They are active members of Our Lady of Guadalupe Catholic Church in Diboll, where Jesús serves as an instituted acolyte, liturgical leader, president of the Pastoral Council, and a member of the Knights of Columbus. In his free time, Jesús enjoys working in the yard, taking road trips with his family, and sneaking in the occasional nap.
How would you describe your job to your 10-year-old self? Your job is awesome! You are going to love helping people.
Tell us something about yourself that would surprise us. I love to dance and sing like nobody is watching.
Describe yourself in one word. Godfearing
Kristine Sutton, Indigent Program Consultant – RN
936-553-0118
Maricela Garcia, Indigent Program Coordinator – LVN
936-221-5765
Maria Martinez, Indigent Program Claims Specialist
936-221-5849
