Stonecreek Nursing & Rehabilitation

Name: Stonecreek Nursing & Rehabilitation
Address: 451 S EL CAMINO CROSSING, San Augustine, TX, 75972, US
Telephone: 9362752900

451 S El Camino Crossing, San Augustine, TX 75972 · San Augustine County · 90 certified beds · avg 47 residents/day · certified since Sep 24, 1997

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.35

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (20)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Apr 1, 2026	F · Potential for harm, facility-wide	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.
Apr 1, 2026	F · Potential for harm, facility-wide	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests.
Apr 1, 2026	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Apr 1, 2026	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Feb 5, 2025	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Feb 5, 2025	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Feb 5, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Feb 5, 2025	D · Potential for harm, one-off	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Feb 5, 2025	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jan 15, 2025	D · Potential for harm, one-off	The facility employed staff who were not licensed, certified, or registered as required by state law. · from a complaint
Sep 25, 2024	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Jan 24, 2024	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jan 24, 2024	E · Potential for harm, repeated	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Jan 24, 2024	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Jan 24, 2024	E · Potential for harm, repeated	The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area.
Jan 24, 2024	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Jan 24, 2024	D · Potential for harm, one-off	The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems.
Jan 24, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Nov 15, 2023	E · Potential for harm, repeated	The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint
Nov 15, 2023	D · Potential for harm, one-off	The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. · from a complaint

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 4).

Year	Citations	Worst severity that year
2023	2	E
2024	8	F
2025	6	E
2026	4	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.35	3.46	3.95	top 9% in Texas; top 28% in the U.S.
Registered Nurse hours	0.27	0.44	0.69	bottom 21% in Texas; bottom 7% in the U.S.
Weekend total nurse staffing	3.74	3.04	3.50	top 11% in Texas; top 31% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.19	0.34	0.48	bottom 19% in Texas; bottom 11% in the U.S.
Total nursing staff turnover (%)	35.6	55.3	45.8	top 13% in Texas; top 25% in the U.S.
RN turnover (%)	0.0	54.6	42.9	—

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.65, RN 0.23, weekend 3.14. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: 1/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Bennett, Kristin	Individual	W-2 Managing Employee	NOT APPLICABLE	07/13/2021
Innovative Solutions Healthcare LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	03/01/2020
Lindsey, Lynn	Individual	Corporate Director	NOT APPLICABLE	07/01/2021
Nacogdoches County Hospital District	Organization	Operational/Managerial Control	NOT APPLICABLE	04/01/2017

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you inspect and maintain essential equipment, and how quickly are repairs made?"
"How is pest control handled here, and when was the last treatment or inspection?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"What alternatives do you try before using bed rails, and how do you involve families in that decision?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Avir at San Augustine	1.6 mi	San Augustine, TX	★★★☆☆	4/5
Colonial Pines Healthcare Center	1.7 mi	San Augustine, TX	★★★★☆	4/5
Avir at Center	18.6 mi	Center, TX	★★★★☆	4/5
Pine Grove Nursing Center	18.6 mi	Center, TX	★★★★★	4/5
Focused Care of Center	19.2 mi	Center, TX	★★★☆☆	2/5	abuse

Compare this facility with the 3 closest →

All facilities in San Augustine →

Facility data as of CMS processing date 2026-08-01. CCN 675729.

The Care File

Visit checklist — Stonecreek Nursing & Rehabilitation

451 S El Camino Crossing, San Augustine, TX 75972 · 9362752900

Health inspection rating 4/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
☐ "How is pest control handled here, and when was the last treatment or inspection?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 675729 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)