Colonial Pines Healthcare Center
1203 Fm 1277 · San Augustine, TX · 75972 · 9362753412
107 certified beds For profit - Limited Liability company Chain: Stonegate Senior Living
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The composite number cleared 74 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
RN staffing in the bottom 10% nationally
0.29 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.51 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.29 | 0.55–0.75 |
| Weekend hours / resident-day | 3.08 | ≈ weekday level |
| Nursing turnover / year | 49% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (31 in the current record)
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Potential for harm · D January 21, 2026
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 January 30, 2026 · Resident Rights
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Potential for harm · D January 21, 2026
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected January 27, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 21, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected January 27, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 21, 2026
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.
Corrected January 30, 2026 · Quality of Life and Care
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Potential for harm · D January 21, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 30, 2026 · Quality of Life and Care
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Potential for harm · E January 21, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected January 30, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 21, 2026
Provide and implement an infection prevention and control program.
Corrected January 30, 2026 · Infection Control
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Potential for harm · E January 21, 2026
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected January 23, 2026 · Environmental
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Potential for harm · E October 29, 2024
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 November 1, 2024 · Pharmacy Service
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Potential for harm · D October 29, 2024
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected November 1, 2024 · Nutrition and Dietary
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Potential for harm · E October 29, 2024
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected November 1, 2024 · Nutrition and Dietary
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Potential for harm · D October 29, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 1, 2024 · Nutrition and Dietary
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Potential for harm · D October 29, 2024
Keep all essential equipment working safely.
Corrected November 1, 2024 · Environmental
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Potential for harm · E October 29, 2024
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected November 1, 2024 · Environmental
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Potential for harm · F October 29, 2024
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected November 1, 2024 · Environmental
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Potential for harm · D October 29, 2024
Have policies on smoking.
Corrected November 1, 2024 · Environmental
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Potential for harm · D October 23, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 24, 2024 · Resident Rights
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Potential for harm · D October 23, 2024 · found via complaint
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 October 24, 2024 · Quality of Life and Care
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Potential for harm · D April 24, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 2, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 24, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected April 2, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 7, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 13, 2023 · Resident Rights
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Potential for harm · D September 7, 2023
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected September 13, 2023 · Resident Rights
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Potential for harm · D September 7, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 13, 2023 · Resident Assessment and Care Planning
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Potential for harm · D September 7, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected September 13, 2023 · Resident Assessment and Care Planning
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Potential for harm · D September 7, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 13, 2023 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675358 · certified since August 1, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.