The nursing home failed to keep essential equipment working safely. Cited April 2026 — widespread issue, potential for harm.
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F-Tag 908 — 42 CFR §483.90 — S/S: F
Nursing home report
STONECREEK NURSING & REHABILITATION
SAN AUGUSTINE, TX · Medicare-certified · 90 beds
In good standing
For-profit
4 of 5 overall
4 of 5 stars overall, with solid health inspection and staffing ratings but a weaker 2 of 5 quality measures score. Reported nurse staffing is below the federal benchmark (3.77 vs. 4.1 hours per resident per day), with no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.7706 hrs/resident/day
Quality measures
Last inspection: April 1, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7706.
Staffing detail
- Registered nurses
- 0.26
- Licensed practical nurses
- 1.18
- Nurse aides
- 2.34
- Weekend nursing
- 3.11
Hours per resident per day.
Total staff turnover: 37%
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
12.5%25.9%Worsening
Residents with a fall causing major injury
7.8%2.2%Improving
Residents with pressure ulcers (bedsores)
4%0%Improving
Residents with a urinary tract infection
8.5%0%Improving
Residents who lost too much weight
2.6%9.4%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
45.2%14.3%Improving
Residents whose ability to walk got worse
29.1%17.5%Improving
Long-stay residents on antianxiety or sleep medication
30.2%13.9%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
2.2%0%Improving
Residents with new or worsening incontinence
21.4%3.8%Improving
Residents with depressive symptoms
0%2.2%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 pneumonia vaccine
—87.5%—
What the inspectors found
The nursing home failed to make sure it had a pest control program to prevent or deal with mice, insects, and other pests. Cited April 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 925 — 42 CFR §483.90 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2024 — widespread issue, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2026 — limited pattern, potential for harm.
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F-Tag 689 — 42 CFR §483.25(d) — 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 February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — 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 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Occupancy
- 45.4 residents on an average day (50% of 90 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 28 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.