For profit - Corporation · 90 certified beds · CMS number 675729

Stonecreek Nursing & Rehabilitation, San Augustine, TX

CMS records 20 health deficiencies at Stonecreek Nursing & Rehabilitation in San Augustine, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Apr 1, 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.

Inspections and deficiencies

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

Most recent cycle (4 deficiencies)

Standard inspection Apr 1, 2026. CMS counts 4 health deficiencies and 2 fire safety deficiencies in this cycle.

Apr 1, 2026 · Standard inspection

4 deficiencies, highest F

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 Apr 13, 2026

F908 · Equipment kept in safe working order

Requirement cited (CMS): Keep all essential equipment working safely.

Severity
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date Apr 2, 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 Apr 2, 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
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Apr 2, 2026
Previous cycle: 7 deficiencies (standard inspection Feb 5, 2025)

Standard inspection Feb 5, 2025. CMS counts 7 health deficiencies and 2 fire safety deficiencies in this cycle.

Feb 5, 2025 · Standard inspection

5 deficiencies, highest E

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 Mar 5, 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 Mar 5, 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 Mar 5, 2025

F700 · Bed rail safety

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Mar 5, 2025

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 5, 2025

Jan 15, 2025 · Complaint inspection

1 deficiency, highest D

F839 · Licensed and qualified staff

Requirement cited (CMS): Employ staff that are licensed, certified, or registered in accordance with state laws.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 2, 2025

Sep 25, 2024 · Complaint inspection

1 deficiency, highest D

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), Sep 4, 2024
Earlier cycle: 9 deficiencies (standard inspection Jan 24, 2024)

Standard inspection Jan 24, 2024. CMS counts 9 health deficiencies and 0 fire safety deficiencies in this cycle.

Jan 24, 2024 · Standard inspection

7 deficiencies, highest F

F919 · Working call system

Requirement cited (CMS): Make sure that a working call system is available in each resident's bathroom and bathing area.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Feb 17, 2024

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 Feb 17, 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 Feb 17, 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
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 17, 2024

F804 · Palatable, attractive food at safe temperatures

Requirement cited (CMS): Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Feb 17, 2024

F756 · Monthly pharmacist medication review

Requirement cited (CMS): Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Feb 17, 2024

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 Feb 17, 2024

Nov 15, 2023 · Complaint inspection

2 deficiencies, highest E

F602 · Protecting residents' money and belongings

Requirement cited (CMS): Protect each resident from the wrongful use of the resident's belongings or money.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Dec 15, 2023

F553 · Taking part in care planning

Requirement cited (CMS): Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 15, 2023

Tags cited in more than one inspection

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

TagInspectionsDates
F761 Drug labeling and secure storage2Apr 1, 2026; Feb 5, 2025
F812 Food safety and sanitation2Feb 5, 2025; Jan 24, 2024
F880 Infection prevention and control program2Feb 5, 2025; Jan 24, 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
3.65 h (above the Texas median of 3.27 h)
RN hours per resident per day
0.23 h (below the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
3.14 h
Nursing staff turnover
35.6% (Texas median 52.1%)
Administrators who left
0
CMS overall rating
3 of 5
Health inspection rating
4 of 5
Staffing rating
3 of 5
Quality measure rating
1 of 5

CMS figures for Stonecreek Nursing & Rehabilitation, copied as published; Texas medians are ours.

Facility details

Address
451 S El Camino Crossing, San Augustine, TX 75972
Phone
(936) 275-2900
County
San Augustine
Accepts
Medicare and Medicaid
Ownership
For profit - Corporation
Chain (CMS)
Not part of a chain in CMS data
Certified beds
90
Average residents per day
46.9
In Medicare/Medicaid since
Sep 24, 1997
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 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)
  • How do staff track and report infections among residents? (F880, cited 2 times)
  • How often are care plan meetings held, and can family members attend? (F553, cited 1 time)

Other nursing homes in San Augustine

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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