facebook tracking Castle Pines Health & Rehabilitation, Lufkin TX: CMS Ratings
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Castle Pines Health & Rehabilitation

All states › Texas › Lufkin › Castle Pines Health & Rehabilitation

2414 West Frank Avenue Lufkin, TX 75904 · Angelina County

(936) 699-2544

All 6 nursing homes in Lufkin, TX (6 take Medicaid)

Accepts Medicare Accepts Medicaid 120 certified beds For profit

CMS certification number 675960 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Castle Pines Health & Rehabilitation a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Castle Pines Health & Rehabilitation as of October 2026.

CMS rates it 2 out of 5 stars overall, below the Texas average of 2.8. Inspectors issued 18 citations in the last three years. CMS imposed 4 penalties, including $58,717 in fines, in that time. For short-term rehab patients CMS rates quality 1 out of 5; for long-term residents, 4 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Compare with the 3 closest homes

Staffing

Nursing staff spend about 3.13 hours per resident per day at Castle Pines Health & Rehabilitation, below the Texas median of 3.30 (US median: 3.72). About 0.22 of those hours are from registered nurses. On weekends it falls to 2.68 hours, 14% below its all-week average. 48.1% of nursing staff left within a year (Texas median 50.2%).

Nursing care per resident per day 3.13 hours
Below the Texas median of 3.30 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.22 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.68 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 48.1% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 28.6% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds120
Residents per day 94 About 79% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceApril 2003
Part of a chainCreative Solutions In Healthcare
Legal business nameLUFKIN I ENTERPRISES, LLC

Paying for care at Castle Pines Health & Rehabilitation: Medicare and Medicaid

Castle Pines Health & Rehabilitation is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on July 23, 2026 and found 3 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 18 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 18 citations at Castle Pines Health & Rehabilitation across 6 inspection dates, 6 of them from complaint investigations. 3 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on July 9, 2026 (complaint inspection). The most common areas cited were nutrition and dietary (5) and infection control (4). The most serious was cited under the CMS rule to "ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs" (tag F0805, level J, July 9, 2026).

July 23, 2026 · 3 citations

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jul 31, 2026)

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Jul 31, 2026)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jul 31, 2026)

July 9, 2026 · 1 citation, includes immediate jeopardy · includes complaint inspection

JEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Immediate jeopardy · Nutrition and Dietary Deficiencies · Tag F0805 · Complaint inspection · Past Non-Compliance (Jul 6, 2026)

May 14, 2026 · 1 citation, includes immediate jeopardy · includes complaint inspection

JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Past Non-Compliance (Mar 24, 2026)

May 20, 2025 · 6 citations

EHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (May 30, 2025)

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (May 30, 2025)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (May 30, 2025)

EEducate 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.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0887 · Deficient, Provider has date of correction (May 30, 2025)

DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (May 30, 2025)

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (May 30, 2025)

March 11, 2025 · 1 citation · includes complaint inspection

DEnsure that residents are free from significant medication errors.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0760 · Complaint inspection · Past Non-Compliance (Jan 8, 2025)

March 26, 2024 · 6 citations, includes immediate jeopardy · includes complaint inspection

JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Past Non-Compliance (Mar 5, 2024)

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Complaint inspection · Deficient, Provider has date of correction (Mar 27, 2024)

EEnsure 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.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0803 · Deficient, Provider has date of correction (Mar 27, 2024)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Mar 27, 2024)

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Mar 27, 2024)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Mar 27, 2024)

Questions to ask on a tour of Castle Pines Health & Rehabilitation

  1. Inspectors cited the home at the immediate-jeopardy level on July 9, 2026 under the rule on nutrition and dietary. What changed afterwards, and can I see the plan of correction?
  2. CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  3. CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
  4. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  5. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

4 penalties in the last three years, including $58,717 in fines.

DateTypeAmount or length
Jul 9, 2026 Fine $23,520
May 14, 2026 Fine $9,350
Mar 26, 2024 Fine $25,847
Mar 26, 2024 Payment Denial 1 days of payments denied

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 2/5 3/5 1/5 3/5
August 2026 2/5 3/5 1/5 2/5
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Location

Hospitals near Castle Pines Health & Rehabilitation

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Kennedy Health & Rehab Lufkin · 0.3 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 2/5 145 beds · Medicaid
Larkspur Lufkin · 0.8 mi away ★★★★☆ Inspection 4/5 · Staffing 2/5 120 beds · Medicaid
Parkwood in the Pines Lufkin · 1.1 mi away ★★☆☆☆ Inspection 3/5 · Staffing 1/5 140 beds · Medicaid
Pinecrest Retirement Community Lufkin · 2.2 mi away ★★★★★ Inspection 5/5 · Staffing 5/5 51 beds · Medicaid
Southland Rehabilitation and Healthcare Center Lufkin · 4.3 mi away ★★★☆☆ Inspection 2/5 · Staffing 2/5 150 beds · Medicaid

More nursing homes near Castle Pines Health & Rehabilitation ›   All nursing homes in Lufkin ›

Compare Castle Pines Health & Rehabilitation with the 3 closest homes side by side ›

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Other Creative Solutions In Healthcare nursing homes in Texas

Affiliation comes from CMS's affiliated-entity data, October 2026. All 150 Creative Solutions In Healthcare nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/texas/lufkin/castle-pines-health-and-rehabilitation/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.