Castle Pines Health and Rehabilitation
2414 W Frank Ave · Lufkin, TX · 75904 · 9366992544
120 certified beds For profit - Corporation Chain: Creative Solutions in Healthcare
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
RN staffing in the bottom 10% nationally
0.22 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.32 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.22 | 0.55–0.75 |
| Weekend hours / resident-day | 2.83 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 2 · $38,771 |
Inspection citations (18 in the current record)
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Potential for harm · D May 20, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 30, 2025 · Resident Rights
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Potential for harm · E May 20, 2025
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.
Corrected May 30, 2025 · Resident Rights
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Potential for harm · D May 20, 2025
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.
Corrected May 30, 2025 · Pharmacy Service
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Potential for harm · E May 20, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 30, 2025 · Nutrition and Dietary
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Potential for harm · E May 20, 2025
Provide and implement an infection prevention and control program.
Corrected May 30, 2025 · Infection Control
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Potential for harm · E May 20, 2025
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.
Corrected May 30, 2025 · Infection Control
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Potential for harm · D March 11, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected January 8, 2025 · Pharmacy Service
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Immediate jeopardy · J March 26, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 5, 2024 · Quality of Life and Care
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Potential for harm · D March 26, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 27, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 26, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 27, 2024 · Quality of Life and Care
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Potential for harm · E March 26, 2024
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.
Corrected March 27, 2024 · Nutrition and Dietary
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Potential for harm · F March 26, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 27, 2024 · Nutrition and Dietary
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Potential for harm · D March 26, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 27, 2024 · Infection Control
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Immediate jeopardy · J September 28, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 29, 2023 · Quality of Life and Care
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Potential for harm · E September 28, 2023 · found via complaint
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected October 18, 2023 · Resident Assessment and Care Planning
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Potential for harm · D September 28, 2023 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 1, 2023 · Quality of Life and Care
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Potential for harm · D February 14, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 15, 2023 · Pharmacy Service
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Potential for harm · D February 14, 2023
Provide and implement an infection prevention and control program.
Corrected February 15, 2023 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 26, 2024 | Fine | $25,847 |
| March 26, 2024 | Payment Denial | 1 days |
| September 28, 2023 | Fine | $12,924 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675960 · certified since April 15, 2003. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.