Texas › San Augustine County › San Augustine
Stonecreek Nursing & Rehabilitation
451 S El Camino Crossing, San Augustine, TX 75972
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 90 beds, Stonecreek Nursing & Rehabilitation serves San Augustine in San Augustine County, Texas and has taken Medicare and Medicaid residents since 1997.
CMS gives it 3 of 5 stars overall, equal to the Texas median; the health inspection rating is 4, staffing 3 and quality measures 1.
Inspectors recorded 20 health deficiencies across the three most recent survey cycles (4, 7, 9 by cycle, most recent first), none at the actual-harm level. That is 22.2 per 100 beds, about the same as the state median of 22.5.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.7 hours per resident per day (0.2 RN), close to the Texas median of 3.3; nursing staff turnover is 35.6%.
Compared with county, state and nation
| Measure | This facility | San Augustine Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 20 | 20 | 25 | 28.7 |
| Citations per 100 beds | 22.2 | 22.7 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.7 | 3.7 | 3.3 | 3.9 |
| RN hours per resident day | 0.2 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | 35.6% | 48.8% | 52.1% | 45.8% |
| Fines listed | $0 | $0 | $16,801 | — |
County and state figures are medians across facilities (3 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: 1 Apr 2026, 5 Feb 2025.
Severity mix: D ×10 E ×7 F ×3
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 |
|---|---|---|---|---|---|
| 1 Apr 2026 | F0908 | Keep all essential equipment working safely. | F | Standard survey | 2 Apr 2026 |
| 1 Apr 2026 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Standard survey | 13 Apr 2026 |
| 1 Apr 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 2 Apr 2026 |
| 1 Apr 2026 | 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 | 2 Apr 2026 |
| 5 Feb 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 | 5 Mar 2025 |
| 5 Feb 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 5 Mar 2025 |
| 5 Feb 2025 | 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 | 5 Mar 2025 |
| 5 Feb 2025 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Standard survey | 5 Mar 2025 |
| 5 Feb 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 | 5 Mar 2025 |
| 15 Jan 2025 | F0839 | Employ staff that are licensed, certified, or registered in accordance with state laws. | D | Complaint investigation | 2 Feb 2025 |
| 25 Sep 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 4 Sep 2024 |
| 24 Jan 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 17 Feb 2024 |
| 24 Jan 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 17 Feb 2024 |
| 24 Jan 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 17 Feb 2024 |
| 24 Jan 2024 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Standard survey | 17 Feb 2024 |
| 24 Jan 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 17 Feb 2024 |
| 24 Jan 2024 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard survey | 17 Feb 2024 |
| 24 Jan 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 17 Feb 2024 |
| 15 Nov 2023 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | E | Complaint investigation | 15 Dec 2023 |
| 15 Nov 2023 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Complaint investigation | 15 Dec 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 35.6%, RNs —; 0 administrators 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 | 26.3% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.8% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.7% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 35.7% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.5% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 22.1% | 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: Nacogdoches County Hospital District.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Innovative Solutions Healthcare LLC | Operational/managerial control | NOT APPLICABLE | 03/01/2020 |
| Nacogdoches County Hospital District | Operational/managerial control | NOT APPLICABLE | 04/01/2017 |
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 San Augustine County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Colonial Pines Healthcare Center | San Augustine | 107 | 4 | 4 | 4 | 30 | 28.0 | — | 21 Jan 2026 |
| Avir At San Augustine | San Augustine | 88 | 3 | 4 | 1 | 20 | 22.7 | $103K | 13 May 2026 |
All 3 facilities in San Augustine County
Questions and answers
How many deficiencies has Stonecreek Nursing & Rehabilitation been cited for?
20 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Stonecreek Nursing & Rehabilitation been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Stonecreek Nursing & Rehabilitation compare?
Reported total nurse staffing is 3.7 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Stonecreek Nursing & Rehabilitation?
Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Innovative Solutions Healthcare LLC and Nacogdoches County Hospital District. Individual owners and managers are not listed on this site.
When was Stonecreek Nursing & Rehabilitation last inspected?
The most recent survey or investigation in the CMS record is dated 1 Apr 2026; the most recent standard health survey was 1 Apr 2026.
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.