San Augustine, TX

Colonial Pines Healthcare Center

3-star overall rating with 3-star inspections with $12,649 in total fines with 8 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

1203 Fm 1277, San Augustine, TX

(936) 275-3412

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

107

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Stonegate Senior Living

Operator or chain grouping

Approved since

1994-08-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

24 facilities

Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.23

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

1.14

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

1.88

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

3.25

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.37

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

2.78

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.22

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.26

CMS adjusted RN staffing hours

Adjusted total hours

3.64

CMS adjusted total nurse staffing hours

Case-mix index

1.22

Higher values indicate more complex resident acuity

RN turnover

Annual RN turnover

Total nurse turnover

44%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,008

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

18.33

Composite VBP score used to determine payment impact.

Payment multiplier

0.9819

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 21.08% · Performance 22.33% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

2.47

Baseline 6.81% · Performance 7.10% · Measure score 2.47 · Achievement 2.47 · Improvement 0

Total nurse turnover

4.13

Baseline 54.41% · Performance 46.81% · Measure score 4.13 · Achievement 4.13 · Improvement 2.07

Adjusted total nurse staffing

0.73

Baseline 3.62 hours · Performance 3.29 hours · Measure score 0.73 · Achievement 0.73 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.54%	10.72% 0.2 pts better	No Different than the National Rate · Eligible stays 46 · Observed rate 8.7% · Lower 95% interval 6.93%
Discharge to community	60.72%	50.57% 10.1 pts better	No Different than the National Rate · Eligible stays 32 · Observed rate 65.63% · Lower 95% interval 45.74%
Medicare spending per beneficiary	1.14	1.02 0.1 pts worse
Drug regimen review with follow-up	96.67%	95.27% 1.4 pts better	Numerator 29 · Denominator 30
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 30
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 30 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	7.1%	7.12% About the same	No Different than the National Rate · Eligible stays 32 · Observed rate 6.25% · Lower 95% interval 3.43%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 77
Staff flu vaccination coverage	70.83%	42% 28.8 pts better	Numerator 51 · Denominator 72
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.9	2.1 0.8 pts worse	1.9 1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.9 · Observed 1.7 · Expected 1.1 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	3.5	2.1 1.4 pts worse	1.8 1.7 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.5 · Observed 2.8 · Expected 1.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	97.1% 2.9 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.1%	97.9% 0.2 pts better	95.5% 2.6 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.1%
Percentage of long-stay residents experiencing one or more falls with major injury	4.5%	3.3% 1.2 pts worse	3.3% 1.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 5.8% · Q3 2.1% · Q4 4.1% · 4Q avg 4.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	2.7% 2.7 pts better	11.4% 11.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight	4.2%	3.3% 0.9 pts worse	5.4% 1.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 6.8% · Q3 7.7% · Q4 2.5% · 4Q avg 4.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	15.1%	18.9% 3.8 pts better	19.6% 4.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.6% · Q2 11.4% · Q3 14.3% · Q4 19.5% · 4Q avg 15.1%
Percentage of long-stay residents who received an antipsychotic medication	15.4%	10.8% 4.6 pts worse	16.7% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.9% · Q2 14.3% · Q3 15.2% · Q4 18.8% · 4Q avg 15.4% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	5.1%	15.4% 10.3 pts better	16.3% 11.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 9.4% · 4Q avg 5.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	5.4%	16.1% 10.7 pts better	14.9% 9.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 0.0% · Q3 9.8% · Q4 10.3% · 4Q avg 5.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.5% 0.5 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	0.8% 0.8 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	17.9%	15.0% 2.9 pts worse	19.8% 1.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 29.7% · Q2 11.8% · Q3 13.6% · Q4 16.4% · 4Q avg 17.9%
Percentage of long-stay residents with pressure ulcers	2.2%	4.2% 2 pts better	5.1% 2.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 3.2% · Q3 2.1% · Q4 1.8% · 4Q avg 2.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	90.6%	89.7% 0.9 pts better	81.7% 8.9 pts better	Short Stay · 2024Q4-2025Q3 · Q1 76.7% · Q2 90.6% · Q3 100.0% · 4Q avg 90.6%
Percentage of short-stay residents who had an outpatient emergency department visit	22.3%	12.0% 10.3 pts worse	12.0% 10.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 22.3% · Observed 23.1% · Expected 11.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.9%	1.5% 1.4 pts worse	1.6% 1.3 pts worse	Short Stay · 2024Q4-2025Q3 · Q2 0.0% · 4Q avg 2.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	91.2%	88.0% 3.2 pts better	79.7% 11.5 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 91.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	24.8%	25.9% 1.1 pts better	23.9% 0.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 24.8% · Observed 23.1% · Expected 22.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-10-29 · Fire 2024-10-29

8 health deficiencies

Top issue: Environmental (4 deficiencies)

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2023-09-07 · Fire 2023-09-07

14 health deficiencies

Top issue: Resident Rights (3 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2022-07-27 · Fire 2022-07-27

4 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-10-29

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2024-11-07

F · Potential for more than minimal harm 2023-09-07

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-09-08

E · Potential for more than minimal harm 2023-09-07

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-10-03

Inspection history

Recent health citations

F · Potential for more than minimal harm 2024-10-29

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2024-11-01

E · Potential for more than minimal harm 2024-10-29

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-11-01

E · Potential for more than minimal harm 2024-10-29

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2024-11-01

E · Potential for more than minimal harm 2024-10-29

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2024-11-01

D · Potential for more than minimal harm 2024-10-29

F802 · Nutrition and Dietary Deficiencies

Health

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Corrected 2024-11-01

D · Potential for more than minimal harm 2024-10-29

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-11-01

D · Potential for more than minimal harm 2024-10-29

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2024-11-01

D · Potential for more than minimal harm 2024-10-29

F926 · Environmental Deficiencies

Health

Have policies on smoking.

Corrected 2024-11-01

D · Potential for more than minimal harm 2024-10-23

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-10-24

D · Potential for more than minimal harm 2024-10-23

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-10-24

D · Potential for more than minimal harm 2024-04-24

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-04-02

D · Potential for more than minimal harm 2024-04-24

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-04-02

F · Potential for more than minimal harm 2023-09-07

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-09-13

F · Potential for more than minimal harm 2023-09-07

F944 · Administration Deficiencies

Health

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Corrected 2023-09-13

E · Potential for more than minimal harm 2023-09-07