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Nursing HomeMedicaid Investigative

Castle Pines Health & Rehabilitation

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

2414 West Frank Avenue, Lufkin, TX 75904120 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.7/5

based on 49 Google reviews

5
4
3
2
1

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2/ 10
low Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low staffing rating (2/5 stars)
  • High staff turnover (62%)

Above average in Texas · Critically understaffed (RN) · $38,771 in fines

Source: Medicare data

What this means for your family

This facility offers excellent physical therapy and several highly praised nursing staff members. However, the frequency of reports regarding medication errors, falls, and hygiene neglect is a significant red flag. If you choose this facility, you must implement a rigorous daily check-in routine to personally verify medication administration and hygiene standards.

Google Reviews

Google Reviews

49 reviews analyzed
Families considering Castle Pines Health & Rehabilitation will find a polarizing environment. While many reviewers praise the compassionate nursing staff and effective physical therapy for rehab patients, there are serious, recurring allegations regarding medication errors, neglectful care, and patient safety incidents. The facility is highly regarded for its cleanliness and friendly administration by some, but others report significant issues with hygiene and responsiveness to call lights.

Quality Themes

Tap a score for details
Food2.0Staff5.0Clean4.0Activities5.0Meds1.0MemoryN/AComms6.0ValueN/A

Strengths

  • Compassionate and professional nursing staff
  • Effective physical therapy and rehabilitation
  • Clean and well-maintained facility
  • Welcoming and communicative administration

Concerns

  • Medication management errors and delays (mentioned by 3 reviewers)
  • Patient neglect and hygiene issues (mentioned by 3 reviewers)
  • Slow response to call lights and resident needs (mentioned by 3 reviewers)
  • Inadequate monitoring leading to falls (mentioned by 2 reviewers)
  • Poor food quality and temperature (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'14(1)'16(1)'19(3)'21(5)'23(3)'25(2)'26(7)

Distribution

5
19
4
2
3
1
2
2
1
12

How They Respond to Reviews

30%response rate
Generic

The owner relies heavily on highly standardized, templated responses that follow a nearly identical structure for almost every negative review. While they acknowledge the reviewer by name, they fail to address the specific allegations (such as medication errors, neglect, or food quality) and instead use a repetitive script to redirect users to a corporate hotline.

Questions for Your Tour

  • 1We've heard wonderful things about the compassion of your nursing staff; how do you ensure that this level of care remains consistent across all shifts?
  • 2Could you walk us through your specific protocols for medication administration and how you prevent any delays or errors?
  • 3What steps are in place to ensure residents are monitored closely, especially during the night, to prevent falls?
  • 4We'd love to hear more about the dining experience, specifically how you ensure meals are served at the right temperature and meet different nutritional needs.
  • 5How does the team respond to call lights to ensure that residents' needs are met promptly and without long wait times?
  • 6What kind of daily activities or social programs do you have planned to keep the residents engaged and active?

Personalized based on this facility's data


Key Review Excerpts

The nurses, aides, and administrative team consistently go above and beyond, treating residents with dignity, patience, and genuine kindness.

Long-term resident's family · 2026★★★★★

My 95 year old grandmother was sent here yesterday 11/30/24 and was not even in there 12 hours before they left her in her room alone in a wheelchair, wheels not locked.. where she tried to get into bed by herself and fell and broke her right wrist and hip and had to have surgery this morning.

Long-term resident's family · 2024☆☆☆☆

I live over 50 miles from here and I know they are my eyes and ears, I can call any staff member and ask any question about my husband and I am answered with clear answers and patient responses.

Long-term resident's family · 2025★★★★★
Source: 49 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.22hrs
30%
Registered nurses for medical care
Total Nursing
3.32hrs
81%
All nurses + aides combined

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

12

measures

Worse Than Avg

4

measures

Mixed Results

1

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility2.3%
Better than Avg
Here
2.3%
US
15.4%
TX
9.4%
Angelina
12.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.4%
Better than Avg
Here
2.4%
US
12.1%
TX
2.5%
Angelina
3.2%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility11.5%
Better than Avg
Here
11.5%
US
19.5%
TX
18.4%
Angelina
14.2%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Angelina
97.2%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility13.1%
Better than Avg
Here
13.1%
US
19.4%
TX
14.2%
Angelina
16.0%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility7.1%
Worse than Avg
Here
7.1%
US
4.9%
TX
4.0%
Angelina
2.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.3%
Better than Avg
Here
99.3%
US
81.8%
TX
89.2%
Angelina
77.0%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility97.1%
Better than Avg
Here
97.1%
US
79.7%
TX
88.0%
Angelina
79.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility3.5%
Worse than Avg
Here
3.5%
US
1.6%
TX
1.5%
Angelina
2.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies
3penalties
Near state avg (9.1)
7 complaint-triggered
$38,771 in fines

This facility has faced multiple family complaints resulting in 7 deficiencies, with recurring issues in medication management, infection control, and fire safety systems. Problems persist across recent surveys, including repeated violations for accident prevention, infection control programs, and medication errors, though the facility has provided correction dates for most issues. The pattern of ongoing deficiencies in critical care areas warrants careful consideration during any visit.

May 20, 2025Routine
9
0353ModerateCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0584ModerateCorrected

Resident Rights Deficiencies

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.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

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

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0887ModerateCorrected

Infection Control Deficiencies

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

0321ModerateCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0324ModerateCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0550MinorCorrected

Resident Rights Deficiencies

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

0761MinorCorrected

Pharmacy Service Deficiencies

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.

Mar 11, 2025Complaint
1
0760Minor

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Mar 26, 2024Complaint
3
0689Severe

Quality of Life and Care Deficiencies

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

0812ModerateCorrected

Nutrition and Dietary Deficiencies

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

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Mar 26, 2024Routine
5
0803ModerateCorrected

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

0223ModerateCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0321ModerateCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0656MinorCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0695MinorCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Sep 28, 2023Complaint
3
0689SevereCorrected

Quality of Life and Care Deficiencies

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

0640ModerateCorrected

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

0684MinorCorrected

Quality of Life and Care Deficiencies

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

Feb 14, 2023Routine
2
0755MinorCorrected

Pharmacy Service Deficiencies

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

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Federal Penalties

Fine

Mar 26, 2024

$25,847

Payment Denial

Mar 26, 2024

1-day denial

Fine

Sep 28, 2023

$12,924

Ownership & Operations

Who Operates This Facility

Owner / Operator

Lufkin I Enterprises, LLC

Organization Type

for profit

Management Company

CREATIVE SOLUTIONS IN HEALTHCARE, INC

Administrator

LAURA COLLINS

Chain Affiliation

Chain Name

Creative Solutions in Healthcare

Chain Size

149 facilities nationwide

Chain avg rating: 2.7/5 · Rank 52 of 148

Ownership & Management

Key personnel

Huggins, LindaW-2 Managing EmployeeCreative Solutions in Healthcare INCManagerBlake, GaryManagerBlake, MalisaManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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