For profit - Limited Liability company · 107 certified beds · CMS number 675358
Colonial Pines Healthcare Center, San Augustine, TX
CMS records 30 health deficiencies at Colonial Pines Healthcare Center in San Augustine, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jan 21, 2026. The highest severity cited is F (no actual harm, potential for more than minimal harm). CMS lists no fines or payment denials in the last three years.
- 30deficiencies, 3 cycles (TX median 25)
- 8in the latest cycle (TX median 8)
- Fhighest severity · Potential for harm
- $0fines, last 3 years
- 4CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Colonial Pines Healthcare Center as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Colonial Pines Healthcare Center may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (8 deficiencies)
Standard inspection Jan 21, 2026. CMS counts 8 health deficiencies and 1 fire safety deficiency in this cycle.
Jan 21, 2026 · Standard inspection
8 deficiencies, highest E
F925 · Pest control
Requirement cited (CMS): Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 23, 2026
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 Jan 30, 2026
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 30, 2026
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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 30, 2026
F688 · Range of motion and mobility
Requirement cited (CMS): Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 30, 2026
F657 · Care plan timing and team review
Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 27, 2026
F638 · Quarterly assessment reviews
Requirement cited (CMS): Assure that each resident’s assessment is updated at least once every 3 months.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 27, 2026
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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 30, 2026
Previous cycle: 10 deficiencies (standard inspection Oct 29, 2024)
Standard inspection Oct 29, 2024. CMS counts 10 health deficiencies and 1 fire safety deficiency in this cycle.
Oct 29, 2024 · Standard inspection
8 deficiencies, highest F
F926 · Smoking policies
Requirement cited (CMS): Have policies on smoking.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 1, 2024
F925 · Pest control
Requirement cited (CMS): Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Nov 1, 2024
F921 · Safe, functional, sanitary building
Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 1, 2024
F908 · Equipment kept in safe working order
Requirement cited (CMS): Keep all essential equipment working safely.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 1, 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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 1, 2024
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 1, 2024
F802 · Enough kitchen and dining support staff
Requirement cited (CMS): Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 1, 2024
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 1, 2024
Oct 23, 2024 · Complaint inspection
2 deficiencies, highest D
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 24, 2024
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 Oct 24, 2024
Earlier cycle: 12 deficiencies (standard inspection Sep 7, 2023)
Standard inspection Sep 7, 2023. CMS counts 12 health deficiencies and 2 fire safety deficiencies in this cycle.
Apr 24, 2024 · Complaint inspection
2 deficiencies, highest D
F607 · Abuse prevention policies
Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Past non-compliance (fixed before the inspection), Apr 2, 2024
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Past non-compliance (fixed before the inspection), Apr 2, 2024
Sep 7, 2023 · Standard inspection
10 deficiencies, highest F
F946 · Compliance and ethics training
Requirement cited (CMS): Provide training in compliance and ethics.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 13, 2023
F944 · Quality program training
Requirement cited (CMS): Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Sep 13, 2023
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 Sep 13, 2023
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 Sep 13, 2023
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 Sep 13, 2023
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 Sep 13, 2023
F657 · Care plan timing and team review
Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 13, 2023
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 Sep 13, 2023
F580 · Telling residents and families about changes
Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 13, 2023
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 Sep 13, 2023
Tags cited in more than one inspection
6 tags cited on more than one inspection date at Colonial Pines Healthcare Center; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F550 Dignity and the right to exercise rights | 2 | Oct 23, 2024; Sep 7, 2023 |
| F657 Care plan timing and team review | 2 | Jan 21, 2026; Sep 7, 2023 |
| F761 Drug labeling and secure storage | 2 | Oct 29, 2024; Sep 7, 2023 |
| F812 Food safety and sanitation | 2 | Oct 29, 2024; Sep 7, 2023 |
| F880 Infection prevention and control program | 2 | Jan 21, 2026; Sep 7, 2023 |
| F925 Pest control | 2 | Jan 21, 2026; Oct 29, 2024 |
Fines and payment denials
CMS lists no fines or payment denials for this nursing home in the last three years.
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.72 h (above the Texas median of 3.27 h)
- RN hours per resident per day
- 0.32 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 3.26 h
- Nursing staff turnover
- 48.8% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 4 of 5
- Health inspection rating
- 4 of 5
- Staffing rating
- 4 of 5
- Quality measure rating
- 4 of 5
CMS figures for Colonial Pines Healthcare Center, copied as published; Texas medians are ours.
Facility details
- Address
- 1203 Fm 1277, San Augustine, TX 75972
- Phone
- (936) 275-3412
- County
- San Augustine
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Chain (CMS)
- Stonegate Senior Living
- Certified beds
- 107
- Average residents per day
- 41.5
- In Medicare/Medicaid since
- Aug 1, 1994
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Both
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How do staff learn about and respect each resident's personal routines and choices? (F550, cited 2 times)
- Who sits on the care planning team, and how are family members invited? (F657, cited 2 times)
- How are medications stored and secured on each unit? (F761, cited 2 times)
- When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 2 times)
Other nursing homes in San Augustine and the same chain
- Avir at San Augustine
San Augustine · 20 deficiencies - Stonecreek Nursing & Rehabilitation
San Augustine · 20 deficiencies - Reunion Plaza Senior Care and Rehabilitation Cente
Texarkana · 90 deficiencies - Accel at Willow Bend
Plano · 52 deficiencies - Baybrooke Village Care and Rehab Center
McKinney · 44 deficiencies - Heritage Plaza Nursing Center
Texarkana · 40 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.