Home›Browse›Texas›Lufkin›Castle Pines Health & Rehabilitation

Nursing homeFAID #14385

Castle Pines Health & Rehabilitation

2414 West Frank Avenue, LUFKIN, TX, 75904

(936) 699-2544

120 licensed beds

CMS rates Castle Pines Health & Rehabilitation 2 out of 5 overall. Federal inspectors issued 24 citations across 10 inspections in the last three years, with $58,717 in fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall3/5 health inspections1/5 staffing3/5 quality measuresSource: CMS Care Compare

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Address

2414 West Frank Avenue

Lufkin, TX 75904

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Public record summary

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Bed capacity

120

CMS facility ID

675960

Care type

Nursing home

County

Angelina

Facility name

Castle Pines Health & Rehabilitation

Street address

2414 West Frank Avenue

City / state / ZIP

Lufkin, TX 75904

Phone

(936) 699-2544

About this facility — Castle Pines Health & Rehabilitation

Castle Pines Health & Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in Lufkin, Texas. It is licensed for 120 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 19 senior care facilities in Lufkin and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Creative Solutions in Healthcare, a group of 150 facilities on this site.

Federal inspectors have cited Castle Pines Health & Rehabilitation 24 times across 10 inspections in the last three years, including 5 food-safety citations, and CMS has imposed $58,717 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Creative Solutions In Healthcare

Ownership type

For profit - Corporation

Registered owners & officers

Blake, Gary

Operational control — since 2006

Blake, Malisa

Operational control — since 2000

Creative Solutions In Healthcare Inc

Operational control — since 2006

Huggins, Linda

Managing employee — since 2007

Regulatory standing

Federal court records

4 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

2003-04-15

CMS overall rating

2 of 5 stars

Health deficiencies

5 at the last standard inspection

Federal fines

$58,717 total

Last standard inspection

2026-07-23

Nurse staffing

3.1 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$241 per day (≈ $7,330/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

67% Medicaid · 10% Medicare · 23% private/other

Occupancy

84% (fiscal year 2023)

Vs. state median

13% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

120

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 5 food-safety citations on its three-year record — flagged below among the inspections.

2026-07-23Health inspection3 citations

F-0761

D · No harm found

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 2026-07-31

F-0812

E · No harm foundFood safety

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

Corrected 2026-07-31

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-07-31

2026-07-09Health inspectionComplaint-triggered1 citation

F-0805

J · Immediate jeopardyFood safetyFrom a complaint

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

Corrected 2026-07-06

7 earlier / fire-safety inspections (20 citations)

2026-05-14Health inspectionComplaint-triggered1 citation

F-0689

J · Immediate jeopardyFrom a complaint

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

Corrected 2026-03-24

2025-05-20Health inspection6 citations

F-0550

D · No harm found

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

Corrected 2025-05-30

F-0584

E · No harm found

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.

Corrected 2025-05-30

F-0761

D · No harm found

Corrected 2025-05-30

F-0812

E · No harm foundFood safety

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

Corrected 2025-05-30

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-05-30

F-0887

E · No harm found

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.

Corrected 2025-05-30

2025-03-11Health inspectionComplaint-triggered1 citation

F-0760

D · No harm foundFrom a complaint

Ensure that residents are free from significant medication errors.

Corrected 2025-01-08

2024-03-26Health inspectionComplaint-triggered6 citations

F-0656

D · No harm found

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

Corrected 2024-03-27

F-0689

J · Immediate jeopardyFrom a complaint

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

Corrected 2024-03-05

F-0695

D · No harm found

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

Corrected 2024-03-27

F-0803

E · No harm foundFood safety

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.

Corrected 2024-03-27

F-0812

F · No harm foundFood safetyFrom a complaint

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

Corrected 2024-03-27

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2024-03-27

2026-07-23Fire-safety inspection1 citation

K-0324

D · No harm found

Provide properly protected cooking facilities.

Corrected 2026-08-14

2025-05-20Fire-safety inspection3 citations

K-0321

E · No harm found

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

Corrected 2025-05-22

K-0324

E · No harm found

Provide properly protected cooking facilities.

Corrected 2025-06-13

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-06-18

2024-03-26Fire-safety inspection2 citations

K-0223

E · No harm found

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

Corrected 2024-04-04

K-0321

E · No harm found

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

Corrected 2024-04-04

Federal penalties

2026-07-09Fine$23,520

2026-05-14Fine$9,350

2024-03-26Fine$25,847

2024-03-26Medicare payment denial — 1 days

Total fines$58,717

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 675960.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 24% of nursing homes in the state

State median: 33

Federal fines, 3 years

$58,717

More than 79% of nursing homes in the state

State median: $15,642

Nurse staffing, hours per resident per day

3.1

Higher than 30% of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

48%

Higher than 43% of nursing homes in the state

State median: 50%

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 8 and worse on 8. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	18.5%	15.8%	13.5%	Worse than state
Lose too much weight	2.7%	2.9%	5.1%	Near state average
With a catheter inserted and left in their bladder	0.4%	0.3%	0.7%	Worse than state
With a urinary tract infection	1.9%	0.8%	1.5%	Worse than state
Have depressive symptoms	3.3%	2.3%	13.5%	Worse than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	2.9%	3.2%	3.2%	Near state average
Assessed and appropriately given the pneumococcal vaccine	100.0%	96.4%	93.7%	Near state average
Ability to walk independently worsened	20.5%	12.9%	12.7%	Worse than state
Received an antianxiety or hypnotic medication	11.3%	17.8%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	100.0%	97.0%	95.3%	Near state average
With pressure ulcers	4.8%	3.7%	4.5%	Worse than state
With new or worsened bowel or bladder incontinence	8.3%	12.5%	18.3%	Better than state
Received an antipsychotic medication	1.9%	9.8%	15.4%	Better than state
Hospitalizations per 1000 long-stay resident days	1.69	2.05	1.81	Better than state
Outpatient emergency department visits per 1000 long-stay resident days	1.35	1.97	1.69	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	100.0%	88.7%	82.3%	Better than state
Newly received an antipsychotic medication	2.7%	1.4%	1.5%	Worse than state
Were assessed and appropriately given the seasonal influenza vaccine	99.1%	85.4%	80.1%	Better than state
Were rehospitalized after a nursing home admission	30.2%	25.5%	23.4%	Worse than state
Had an outpatient emergency department visit	11.4%	12.2%	11.8%	Near state average

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0812 3 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-0880 3 inspections. Provide and implement an infection prevention and control program.
F-0761 2 inspections. 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.
K-0324 2 inspections. Provide properly protected cooking facilities.
F-0689 2 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
K-0321 2 inspections. Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

Licensing: Texas Health and Human Services
File a complaint: 800-458-9858 · Online
Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Chi St Lukes Health Memorial Lufkin, about 1.4 miles. CMS rating 2 of 5.
Nacogdoches Memorial Hospital, about 21 miles. CMS rating 2 of 5.
Nacogdoches Medical Center, about 23 miles. CMS rating 3 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Kennedy Health & Rehab, Lufkin, about 0.3 miles. CMS rating 1 of 5.
Larkspur, Lufkin, about 0.8 miles. CMS rating 4 of 5.
Parkwood In the Pines, Lufkin, about 1.1 miles. CMS rating 2 of 5.
Pinecrest Retirement Community, Lufkin, about 2.2 miles. CMS rating 5 of 5.
Southland Rehabilitation and Healthcare Center, Lufkin, about 4.3 miles. CMS rating 3 of 5.

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

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Inspection citations — last 5 years

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The 24 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

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Active civil suits

Federal dockets

CDC infection data

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered