The home failed to ensure residents received food prepared in a form that met their individual needs. Cited July 2026 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 805 — 42 CFR §483.60 — S/S: J
Nursing home report
Castle Pines Health & Rehabilitation
Lufkin, TX · Medicare-certified · 120 beds
Needs attention
For-profitChain member
Data as of September 1, 2026
2 of 5 overall
Castle Pines Health & 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 had $32,870 in fines in the last 24 months and a recent federal penalty; its health inspection rating is 3 stars and quality measures are 2 stars.
Facility ratings
Health inspections
Staffing
3.3453 hrs/resident/day
Quality measures
Last inspection: July 23, 2026Penalties, last 24 months: $32,870recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3453.
Staffing detail
- Registered nurses
- 0.24
- Licensed practical nurses
- 0.98
- Nurse aides
- 2.13
- Weekend nursing
- 2.87
Hours per resident per day.
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
1.8%0%Improving
Residents with a fall causing major injury
2.5%2.7%No change
Residents with pressure ulcers (bedsores)
8.8%4.8%Improving
Residents with a urinary tract infection
1.2%0%Improving
Residents who lost too much weight
1.5%1.6%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
16.4%18.6%Worsening
Residents whose ability to walk got worse
—9.9%—
Long-stay residents on antianxiety or sleep medication
10.1%9.5%Improving
Short-stay residents newly given an antipsychotic
2.8%1.6%Improving
Residents with a long-term catheter
0%1%Worsening
Residents with new or worsening incontinence
13.8%8.9%Improving
Residents with depressive symptoms
1.4%3%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—97.1%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
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.
View the original federal record
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.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
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.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
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.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $23,520 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $9,350 was recorded.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $14,384 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 4 fines · $71,641 in total fines · 1 payment denial.
- $23,520
Federal fine
Jul 9, 2026
- $9,350
Federal fine
May 14, 2026
- 1 days
Medicare/Medicaid payment denial
Mar 26, 2024
- $25,847
Federal fine
Mar 26, 2024
- $12,924
Federal fine
Sep 28, 2023
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of CREATIVE SOLUTIONS IN HEALTHCARE · 149 homes · 2.1 stars avg
- Occupancy
- 93.1 residents on an average day (78% of 120 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 23 years
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.