Federal inspection record · CMS data as of October 1, 2026
Colonial Pines Healthcare Center
1203 Fm 1277, San Augustine, TX · (936) 275-3412
- Certified beds
- 107
- Residents per day
- 48
- Ownership
- For-Profit
- Chain
- Stonegate Senior Living
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 1, 1994
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Colonial Pines Healthcare Center carries 48 inspection points. That is fewer than 69% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
30 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning5E
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Assure that each resident’s assessment is updated at least once every 3 months.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Environmental5F
- E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- F
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- D
Keep all essential equipment working safely.
- D
Have policies on smoking.
Resident Rights4D
- D
Honor 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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Quality of Life and Care4D
- D
Provide 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.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Nutrition and Dietary4F
- E
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- D
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Pharmacy Service2E
- E
Ensure 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.
- D
Ensure 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.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Administration2F
- F
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
- E
Provide training in compliance and ethics.
Inspection history
2026-01-21
8 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2024-10-29
10 health deficiencies · 1 fire-safety deficiencies
Top issue: Environmental (4 deficiencies)
2023-09-07
12 health deficiencies · 2 fire-safety deficiencies
Top issue: Administration (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 10 min of nursing staff time a day, 20 min of it from a registered nurse.
This home
3 h 10 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 44% of nursing staff and 0% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.1 pts worse | 2.1 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts worse | 2.7 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.9 pts better | 98.3% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better | 100.0% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.4 pts worse | 4.6% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.3 pts better | 0.0% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.5 pts better | 1.4% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.7 pts better | 15.1% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.2 pts better | 6.6% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened0.2 pts better | 12.7% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7.2 pts better | 8.6% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts worse | 0.4% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 0.0% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4 pts worse | 16.5% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.5 pts worse | 4.2% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine26.5 pts worse | 62.2% | 88.7% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication8.6 pts worse | 10.0% | 1.4% | 1.5% |
·
Who owns and runs it
23 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Liberty County Hospital District No 1 | 5% Or Greater Direct Ownership Interest · Organization | 100% | 35 facilities |
| Campbell, Scott | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 24 facilities |
| Chance, James | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 24 facilities |
| Fisher, James | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 24 facilities |
| Govathoti, Deepti | Adp Of The SNF · Individual | 0% | 3 facilities |
| Langdon, Thomas | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 24 facilities |
| Lifetime Wellness, Ltd. | Adp Of The SNF · Organization | 0% | 22 facilities |
| Martus Financial Services, Inc. | Adp Of The SNF · Organization | 0% | 23 facilities |
| Mcgehee, William | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 24 facilities |
| Pf Colonial SNF Ops, LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Pf Colonial SNF Ops, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Pharmerica Drug Systems LLC | Adp Of The SNF · Organization | 0% | 33 facilities |
| Preservation Freehold Company | Adp Of The SNF · Organization | 0% | 24 facilities |
| Rehab Pro LP | Adp Of The SNF · Organization | 0% | 23 facilities |
| Sanctuary Ltc, LLC | Adp Of The SNF · Organization | 0% | 24 facilities |
| Stonegate Senior Living, LP | Operational/Managerial Control · Organization | 0% | 24 facilities |
| Stonegate Senior Living, LP | Adp Of The SNF · Organization | 0% | 24 facilities |
| Stratton, Charles | Corporate Officer · Individual | 0% | 35 facilities |
| Taylor, John | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 27 facilities |
| Tousha, Joshua | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Tousha, Joshua | Adp Of The SNF · Individual | 0% | 1 facilities |
| Umb Bank National Association | 5% Or Greater Mortgage Interest · Organization | 0% | 31 facilities |
| Waller, Amber | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
4 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3F
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Provide properly protected cooking facilities.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Egress1E
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
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Other homes nearby
-
Stonecreek Nursing & Rehabilitation
San Augustine, TX
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 29 min
- Fines
- $0
-
Avir At San Augustine
San Augustine, TX
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 44 min
- Fines
- $102,752
-
Avir at Center
Center, TX · Avir Health Group
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 31 min
- Fines
- $9,113