Federal inspection record · CMS data as of October 1, 2026

Parkwood In The Pines

902 Hill Street, Lufkin, TX · (936) 637-7215

CMS overall rating

2 of 5

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Certified beds
140
Residents per day
100
Ownership
Government
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
October 29, 1986

1

How this home got 2 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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.

  2. Staffing

    −1 star

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    2 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Texas homes

Parkwood In The Pines carries 68 inspection points. That is fewer than 53% of Texas's 1,166 rated homes.

5★4★3★2★1★+35 homes above 292.505102550100200inspection points → fewer is better on the leftThis home · 68 pts · 3★

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

32 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 2 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 22 4 pts
E 5 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 1 0 pts

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.

Harm and immediate-jeopardy citations (3)

  1. G

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    October 7, 2024 · Complaint inspection · Quality of Life and Care · F689 · Corrected October 23, 2024

  2. J

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

    October 20, 2023 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected October 12, 2023

  3. J

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

    October 20, 2023 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F607 · Corrected October 12, 2023

Everything else, by area of care

Quality of Life and Care8E
  1. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    April 21, 2026 · Standard · F684 · Corrected April 22, 2026

  2. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    April 21, 2026 · Standard · F689 · Corrected April 22, 2026

  3. 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.

    April 21, 2026 · Standard · F690 · Corrected April 22, 2026

  4. E

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    February 12, 2025 · Standard · F689 · Corrected February 13, 2025

  5. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    February 12, 2025 · Standard · F677 · Corrected February 13, 2025

  6. 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.

    January 10, 2024 · Complaint · F690 · Corrected January 30, 2024

  7. D

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    January 10, 2024 · Standard · F694 · Corrected January 30, 2024

  8. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    November 22, 2023 · Complaint · F677 · Corrected November 27, 2023

Resident Rights7E
  1. D

    Keep residents' personal and medical records private and confidential.

    April 21, 2026 · Standard · F583 · Corrected April 22, 2026

  2. 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.

    April 21, 2026 · Standard · F584 · Corrected April 22, 2026

  3. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    February 12, 2025 · Complaint · F580 · Corrected February 13, 2025

  4. D

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

    January 10, 2024 · Standard · F550 · Corrected January 30, 2024

  5. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    January 10, 2024 · Standard · F580 · Corrected January 30, 2024

  6. E

    Reasonably accommodate the needs and preferences of each resident.

    November 22, 2023 · Complaint · F558 · Corrected November 27, 2023

  7. D

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

    November 22, 2023 · Complaint · F550 · Corrected November 27, 2023

Pharmacy Service3E
  1. E

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    April 21, 2026 · Standard · F755 · Corrected April 22, 2026

  2. 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.

    February 12, 2025 · Standard · F761 · Corrected February 13, 2025

  3. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    February 12, 2025 · Standard · F755 · Corrected February 13, 2025

Infection Control3D
  1. D

    Provide and implement an infection prevention and control program.

    April 21, 2026 · Standard · F880 · Corrected April 22, 2026

  2. D

    Provide and implement an infection prevention and control program.

    February 12, 2025 · Standard · F880 · Corrected February 13, 2025

  3. D

    Provide and implement an infection prevention and control program.

    January 10, 2024 · Complaint · F880 · Corrected January 30, 2024

Nutrition and Dietary2F
  1. E

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

    April 21, 2026 · Standard · F812 · Corrected April 22, 2026

  2. F

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

    January 10, 2024 · Standard · F812 · Corrected January 30, 2024

Resident Assessment and Care Planning2D
  1. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    November 18, 2025 · Complaint · F842 · Corrected November 19, 2025

  2. D

    Assess the resident when there is a significant change in condition

    February 12, 2025 · Standard · F637 · Corrected February 13, 2025

Freedom from Abuse, Neglect, and Exploitation2D
  1. D

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

    November 10, 2023 · Complaint · F607 · Corrected November 13, 2023

  2. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    November 10, 2023 · Complaint · F609 · Corrected November 13, 2023

Environmental1D
  1. D

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

    April 21, 2026 · Standard · F921 · Corrected April 22, 2026

Nursing and Physician Services1C
  1. C

    Post nurse staffing information every day.

    April 21, 2026 · Standard · F732 · Corrected April 22, 2026

Inspection history

  1. 2026-04-21

    11 health deficiencies · 0 fire-safety deficiencies

    Top issue: Quality of Life and Care (3 deficiencies)

  2. 2025-02-12

    8 health deficiencies · 3 fire-safety deficiencies

    Top issue: Quality of Life and Care (3 deficiencies)

  3. 2024-01-10

    13 health deficiencies · 1 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 13 min of nursing staff time a day, 20 min of it from a registered nurse.

This home

3 h 13 min

Texas average

3 h 25 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 53% of nursing staff and 33% 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

Fines and payment denials

$21,473 in federal fines on record over the past three years.

DatePenaltyAmount
2024-10-07Fine$8,824
2023-10-20Fine$12,649

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.4 pts better1.62.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts worse2.12.01.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better100.0%96.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better100.0%97.0%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.6 pts worse4.8%3.2%3.2%
Percentage of long-stay residents who have depressive symptoms2.4 pts worse4.7%2.3%13.5%
Percentage of long-stay residents who lose too much weight0.1 pts better2.8%2.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication12.2 pts better5.6%17.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication9.3 pts better0.5%9.8%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened1.9 pts better11.0%12.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased8.9 pts better6.9%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better0.0%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection0.8 pts better0.0%0.8%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.7 pts better9.8%12.5%18.3%
Percentage of long-stay residents with pressure ulcers2.6 pts better1.1%3.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.3 pts better100.0%88.7%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit1.9 pts worse14.1%12.2%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.9 pts better0.5%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine14.6 pts better100.0%85.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission4.8 pts worse30.3%25.5%23.4%

·

Who owns and runs it

22 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Nacogdoches County Hospital District5% Or Greater Direct Ownership Interest · Organization100%2 facilities
Bauder Family Investments, LLCAdp Of The SNF · Organization0%25 facilities
Bauder, KellyIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%28 facilities
Bauder, MadisonIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%28 facilities
Bauder, ParkerIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%28 facilities
Bauder, WilliamOperational/Managerial Control · Individual0%42 facilities
Boulware St James LLCAdp Of The SNF · Organization0%25 facilities
Boulware, DouglasIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%46 facilities
Boulware, SandraIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%20 facilities
Boulware, StevenIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%48 facilities
Boulware, ThomasIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%30 facilities
Bridgepointe Finanical Services, LLCAdp Of The SNF · Organization0%24 facilities
Hekimian, KhorenAdp Of The SNF · Individual0%11 facilities
Innovative Nurse Consulting, LLCAdp Of The SNF · Organization0%20 facilities
Lindsey, LynnCorporate Officer · Individual0%5 facilities
Miller, BertinaAdp Of The SNF · Individual0%1 facilities
Pmg Opco - Lufkin LLCOperational/Managerial Control · Organization0%1 facilities
Pmg Realco-Lufkin LLCAdp Of The SNF · Organization0%1 facilities
Priority Management Group, LLCAdp Of The SNF · Organization0%40 facilities
Progressive Rehab Solutions, LLCAdp Of The SNF · Organization0%36 facilities
Steven Boulware Family Investments LLCAdp Of The SNF · Organization0%19 facilities
Walker, KatieIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%30 facilities

·

Fire safety

4 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke3F
  1. F

    Inspect, test, and maintain automatic sprinkler systems.

    February 12, 2025 · K353 · Corrected March 5, 2025

  2. E

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    February 12, 2025 · K374 · Corrected February 12, 2025

  3. F

    Have an alternate power supply for its alarm system.

    January 10, 2024 · K344 · Corrected February 21, 2024

Gas, Vacuum, and Electrical Systems1F
  1. F

    Have generator or other power source capable of supplying service within 10 seconds.

    February 12, 2025 · K918 · Corrected March 10, 2025

·

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