Nursing home report
Lufkin, TX · Medicare-certified · 120 beds
Castle Pines Health and Rehabilitation in Lufkin, TX has a 2-star overall rating, with especially weak staffing at 1 star and reported nurse staffing below the federal benchmark (3.35 vs. 4.1 hours per resident per day). It also has a recent federal penalty, $14,384 in fines over the last 24 months, and recent inspection citations related to accident hazards, food handling, and residents’ safe, clean, comfortable environment.
Health inspections
Staffing
3.3453 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3453.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2026 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2024 — widespread issue, potential for harm.
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited May 2025 — limited pattern, potential for harm.
F-Tag 584 — 42 CFR §483.10 — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited May 2025 — limited pattern, potential for harm.
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to educate residents and staff about COVID-19 vaccination, offer the vaccine to eligible people, and properly record vaccination status. Cited May 2025 — limited pattern, potential for harm.
F-Tag 887 — 42 CFR §483.80 — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
A federal fine of $14,384 was recorded.
Health inspection found 1 health deficiency.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 6 health deficiencies.
Health inspection found 1 health deficiency.
Health inspection found 6 health deficiencies.
On record with Medicare: 3 fines · $53,155 in total fines · 1 payment denial.
Federal fine
May 14, 2026
Medicare/Medicaid payment denial
Mar 26, 2024
Federal fine
Mar 26, 2024
Federal fine
Sep 28, 2023
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
