For profit - Corporation · 120 certified beds · CMS number 675960

Castle Pines Health & Rehabilitation, Lufkin, TX

CMS records 21 health deficiencies at Castle Pines Health & Rehabilitation in Lufkin, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jul 23, 2026. The highest severity cited is J (immediate jeopardy to resident health or safety). 4 citations were at the immediate jeopardy level, 3 of them recorded as past non-compliance (fixed before the inspection). CMS lists 4 fines totaling $71,641 and 1 payment denial in the last three years.

Inspections and deficiencies

CMS findings for Castle Pines Health & Rehabilitation as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Castle Pines Health & Rehabilitation may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (5 deficiencies)

Standard inspection Jul 23, 2026. CMS counts 5 health deficiencies and 1 fire safety deficiency in this cycle.

Jul 23, 2026 · Standard inspection

3 deficiencies, highest E

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 31, 2026

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jul 31, 2026

F761 · Drug labeling and secure storage

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 31, 2026

Jul 9, 2026 · Complaint inspection

1 deficiency, highest J

F805 · Food prepared for individual needs

Requirement cited (CMS): Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Severity
J Immediate jeopardy to resident health or safety, isolated
Status
Past non-compliance (fixed before the inspection)

May 14, 2026 · Complaint inspection

1 deficiency, highest J

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
J Immediate jeopardy to resident health or safety, isolated
Status
Past non-compliance (fixed before the inspection)
Previous cycle: 7 deficiencies (standard inspection May 20, 2025)

Standard inspection May 20, 2025. CMS counts 7 health deficiencies and 3 fire safety deficiencies in this cycle.

May 20, 2025 · Standard inspection

6 deficiencies, highest E

F887 · COVID-19 vaccine education and offering

Requirement cited (CMS): 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.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date May 30, 2025

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date May 30, 2025

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date May 30, 2025

F761 · Drug labeling and secure storage

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 30, 2025

F584 · Safe, clean, homelike surroundings

Requirement cited (CMS): 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.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date May 30, 2025

F550 · Dignity and the right to exercise rights

Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 30, 2025

Mar 11, 2025 · Complaint inspection

1 deficiency, highest D

F760 · No significant medication errors

Requirement cited (CMS): Ensure that residents are free from significant medication errors.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Past non-compliance (fixed before the inspection), Jan 8, 2025
Earlier cycle: 9 deficiencies (standard inspection Mar 26, 2024)

Standard inspection Mar 26, 2024. CMS counts 9 health deficiencies and 2 fire safety deficiencies in this cycle.

Mar 26, 2024 · Standard + complaint inspection

6 deficiencies, highest J

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Mar 27, 2024

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date Mar 27, 2024

F803 · Menus that meet nutritional needs

Requirement cited (CMS): 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.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Mar 27, 2024

F695 · Respiratory and oxygen care

Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Mar 27, 2024

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
J Immediate jeopardy to resident health or safety, isolated
Status
Past non-compliance (fixed before the inspection), Mar 5, 2024

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Mar 27, 2024

Sep 28, 2023 · Complaint inspection

3 deficiencies, highest J

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
J Immediate jeopardy to resident health or safety, isolated
Status
Correction date Sep 29, 2023

F684 · Quality of care

Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 1, 2023

F640 · Submitting assessment data on time

Requirement cited (CMS): Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Oct 18, 2023

Tags cited in more than one inspection

4 tags cited on more than one inspection date at Castle Pines Health & Rehabilitation; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F689 Accident prevention and supervision3May 14, 2026 (PNC); Mar 26, 2024 (PNC); Sep 28, 2023
F812 Food safety and sanitation3Jul 23, 2026; May 20, 2025; Mar 26, 2024
F880 Infection prevention and control program3Jul 23, 2026; May 20, 2025; Mar 26, 2024
F761 Drug labeling and secure storage2Jul 23, 2026; May 20, 2025

Fines and payment denials

DateTypeAmount / length
Jul 9, 2026Fine$23,520
May 14, 2026Fine$9,350
Mar 26, 2024Fine$25,847
Mar 26, 2024Payment Denial1 days from Mar 26, 2024
Sep 28, 2023Fine$12,924

Staffing and CMS ratings

Total nurse staff hours per resident per day
3.35 h (about the same as the Texas median of 3.27 h)
RN hours per resident per day
0.24 h (below the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
2.87 h
Nursing staff turnover
not reported
Administrators who left
1
CMS overall rating
2 of 5
Health inspection rating
3 of 5
Staffing rating
1 of 5
Quality measure rating
2 of 5

CMS figures for Castle Pines Health & Rehabilitation, copied as published; Texas medians are ours.

Facility details

Address
2414 West Frank Avenue, Lufkin, TX 75904
Phone
(936) 699-2544
County
Angelina
Accepts
Medicare and Medicaid
Ownership
For profit - Corporation
Chain (CMS)
Creative Solutions in Healthcare
Certified beds
120
Average residents per day
93.1
In Medicare/Medicaid since
Apr 15, 2003
Inside a hospital
No
Continuing care retirement community
No
Resident and family council
Resident
Sprinklers in all required areas
Yes

Questions to ask on a visit

Based on the tags cited most often here.

  • How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 3 times)
  • When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 3 times)
  • How do staff track and report infections among residents? (F880, cited 3 times)
  • How are medications stored and secured on each unit? (F761, cited 2 times)

Other nursing homes in Lufkin and the same chain

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

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