Texas › Angelina County › Lufkin
Castle Pines Health & Rehabilitation
2414 West Frank Avenue, Lufkin, TX 75904
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 120 beds, Castle Pines Health & Rehabilitation serves Lufkin in Angelina County, Texas and has taken Medicare and Medicaid residents since 2003.
CMS gives it 2 of 5 stars overall, below the Texas median of 3; the health inspection rating is 3, staffing 1 and quality measures 2.
Inspectors recorded 19 health deficiencies across the three most recent survey cycles (7, 7, 5 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 15.8 per 100 beds, fewer than the state median of 22.5.
CMS lists 4 penalties in the period covered: fines totalling $53K and 1 payment denial.
Reported nurse staffing is 3.3 hours per resident per day (0.2 RN), close to the Texas median of 3.3.
Compared with county, state and nation
| Measure | This facility | Angelina Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 19 | 32 | 25 | 28.7 |
| Citations per 100 beds | 15.8 | 25.5 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.3 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.2 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | — | 54.6% | 52.1% | 45.8% |
| Fines listed | $53,155 | $30,928 | $16,801 | — |
County and state figures are medians across facilities (8 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 20 May 2025, 26 Mar 2024.
Severity mix: J ×3 D ×9 E ×6 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 14 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | Past Non-Compliance |
| 20 May 2025 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard survey | 30 May 2025 |
| 20 May 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 30 May 2025 |
| 20 May 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 30 May 2025 |
| 20 May 2025 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | Standard survey | 30 May 2025 |
| 20 May 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 30 May 2025 |
| 20 May 2025 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 30 May 2025 |
| 11 Mar 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 8 Jan 2025 |
| 26 Mar 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 5 Mar 2024 |
| 26 Mar 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 27 Mar 2024 |
| 26 Mar 2024 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Standard survey | 27 Mar 2024 |
| 26 Mar 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 27 Mar 2024 |
| 26 Mar 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 27 Mar 2024 |
| 26 Mar 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 27 Mar 2024 |
| 28 Sep 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 29 Sep 2023 |
| 28 Sep 2023 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | Complaint investigation | 18 Oct 2023 |
| 28 Sep 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 1 Oct 2023 |
| 14 Feb 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 15 Feb 2023 |
| 14 Feb 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 15 Feb 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 14 May 2026 | Fine | $14,384 | |
| 26 Mar 2024 | Payment denial | — | 1 days |
| 26 Mar 2024 | Fine | $25,847 | |
| 28 Sep 2023 | Fine | $12,924 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff —, RNs —; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 19.7% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.3% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.2% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 21.2% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.2% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 1.5% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Lufkin I Enterprises, Llc. Chain: Creative Solutions In Healthcare (149 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Creative Solutions In Healthcare Inc | Operational/managerial control | NOT APPLICABLE | 05/01/2006 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Angelina County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Pinecrest Retirement Community | Lufkin | 51 | 5 | 5 | 5 | 13 | 25.5 | — | 8 Jul 2026 |
| Larkspur | Lufkin | 120 | 3 | 4 | 1 | 24 | 20.0 | $31K | 10 Jun 2026 |
| Parkwood In the Pines | Lufkin | 140 | 3 | 3 | 1 | 32 | 22.9 | $21K | 21 Apr 2026 |
| Diboll Nursing and Rehab | Diboll | 82 | 2 | 3 | 1 | 33 | 40.2 | — | 27 Aug 2025 |
| Huntington Health Care & Rehabilitation Center | Huntington | 112 | 2 | 3 | 2 | 40 | 35.7 | — | 16 Jul 2025 |
| Kennedy Health & Rehababuse iconSFF Candidate | Lufkin | 145 | 1 | 1 | 1 | 53 | 36.6 | $247K | 1 Jul 2026 |
| Southland Rehabilitation and Healthcare Center | Lufkin | 150 | 1 | 2 | 1 | 22 | 14.7 | $189K | 13 May 2026 |
All 8 facilities in Angelina County
Questions and answers
How many deficiencies has Castle Pines Health & Rehabilitation been cited for?
19 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Castle Pines Health & Rehabilitation been fined?
Yes. CMS lists fines totalling $53K in the period covered, plus 1 payment denial.
How does staffing at Castle Pines Health & Rehabilitation compare?
Reported total nurse staffing is 3.3 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Castle Pines Health & Rehabilitation?
It is part of the Creative Solutions In Healthcare chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Creative Solutions In Healthcare Inc. Individual owners and managers are not listed on this site.
When was Castle Pines Health & Rehabilitation last inspected?
The most recent survey or investigation in the CMS record is dated 14 May 2026; the most recent standard health survey was 20 May 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.