All states › Texas › San Augustine › Colonial Pines Healthcare Center
1203 Fm 1277 San Augustine, TX 75972 · San Augustine County
All 3 nursing homes in San Augustine, TX (3 take Medicaid)
CMS certification number 675358 · See this home on Medicare Care Compare
Is Colonial Pines Healthcare Center 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 Colonial Pines Healthcare Center as of October 2026.
CMS rates it 4 out of 5 stars overall, above the Texas average of 2.8.
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.
Staffing
Nursing staff spend about 3.17 hours per resident per day at Colonial Pines Healthcare Center, below the Texas median of 3.30 (US median: 3.72). About 0.34 of those hours are from registered nurses. On weekends it falls to 2.74 hours, 14% below its all-week average. 44.2% of nursing staff left within a year (Texas median 50.2%).
About this nursing home
Paying for care at Colonial Pines Healthcare Center: Medicare and Medicaid
Colonial Pines Healthcare Center 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 January 21, 2026 and found 8 deficiencies. In total, inspectors issued 30 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 30 citations at Colonial Pines Healthcare Center across 5 inspection dates, 4 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 30 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were environmental (5) and resident assessment and care planning (5). The most serious was cited under the CMS rule to "make sure there is a pest control program to prevent/deal with mice, insects, or other pests" (tag F0925, level F, October 29, 2024). 2 citations were under CMS's abuse, neglect and exploitation rules.
January 21, 2026 · 8 citations
ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
EMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
DHonor 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.
DAssure that each resident’s assessment is updated at least once every 3 months.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide 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.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide and implement an infection prevention and control program.
October 29, 2024 · 8 citations
FMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
EEnsure 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.
EEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DKeep all essential equipment working safely.
DHave policies on smoking.
October 23, 2024 · 2 citations · includes complaint inspection
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
April 24, 2024 · 2 citations · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
September 7, 2023 · 10 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FConduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
EProvide training in compliance and ethics.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide safe and appropriate respiratory care for a resident when needed.
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.
DProvide and implement an infection prevention and control program.
Questions to ask on a tour of Colonial Pines Healthcare Center
- CMS cited the home under its abuse and neglect rules on April 24, 2024. How are staff trained, and how are concerns reported?
- The home averages about 45% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- 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
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 4/5 | 4/5 | 3/5 | 4/5 |
| August 2026 | 4/5 | 4/5 | 4/5 | 4/5 |
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Location
Hospitals near Colonial Pines Healthcare Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 3.1 mi
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21.7 mi
Sabine County Hospital HemphillEmergency roomMedian ER visit 1h 56m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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- The Plaza at Lubbock · Lubbock · 3 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 24 Stonegate Senior Living 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.