# Stonecreek Nursing & Rehabilitation

Stonecreek Nursing & Rehabilitation is a Medicare/Medicaid-certified nursing home (Nursing home · SNF / NF) in San Augustine, TX, CMS Certification Number 675729, with 90 certified beds and about 54 residents per day. CMS rates it 4/5 overall (health inspections 4/5, staffing 3/5, quality measures 2/5).

## Key facts
- Status: Active CMS certification
- Address: 451 S El Camino Crossing, San Augustine, TX 75972 (San Augustine County)
- Ownership type: For profit - Corporation

- Operator (legal business name): [Nacogdoches County Hospital District](https://carefield.site/operator/op-nacogdoches-county-hospital-district)
- CMS chain: not part of a CMS-reported chain

- Phone: 9362752900
- Medicare Care Compare: https://www.medicare.gov/care-compare/details/nursing-home/675729

## Inspection record
9 inspections in the CMS window (latest 2026-04-01); 24 citations (20 health, 4 fire safety); 0 at actual harm and 0 at immediate jeopardy; 0 without a verified correction at last report. CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years; no citation in that window is not proof of a clean history.
- 2026-04-01 — [K-0353](https://carefield.site/deficiency/cms-k0353) Inspect, test, and maintain automatic sprinkler systems. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2026-04-01 — [K-0511](https://carefield.site/deficiency/cms-k0511) Have properly installed electrical wiring and gas equipment. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2026-04-01 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2026-04-01 — [F-0761](https://carefield.site/deficiency/cms-f0761) 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. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2026-04-01 — [F-0908](https://carefield.site/deficiency/cms-f0908) Keep all essential equipment working safely. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2026-04-01 — [F-0925](https://carefield.site/deficiency/cms-f0925) Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2025-02-05 — [K-0321](https://carefield.site/deficiency/cms-k0321) Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-02-05 — [K-0353](https://carefield.site/deficiency/cms-k0353) Inspect, test, and maintain automatic sprinkler systems. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2025-02-05 — [F-0656](https://carefield.site/deficiency/cms-f0656) Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-02-05 — [F-0700](https://carefield.site/deficiency/cms-f0700) Try different approaches before using a bed rail.  If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-02-05 — [F-0761](https://carefield.site/deficiency/cms-f0761) 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. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-02-05 — [F-0812](https://carefield.site/deficiency/cms-f0812) Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2025-02-05 — [F-0880](https://carefield.site/deficiency/cms-f0880) Provide and implement an infection prevention and control program. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2025-01-15 — [F-0839](https://carefield.site/deficiency/cms-f0839) Employ staff that are licensed, certified, or registered in accordance with state laws. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2024-09-25 — [F-0600](https://carefield.site/deficiency/cms-f0600) Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. — scope/severity D (No actual harm, potential for more than minimal harm); Past non-compliance; complaint survey
- 2024-01-24 — [F-0657](https://carefield.site/deficiency/cms-f0657) Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2024-01-24 — [F-0756](https://carefield.site/deficiency/cms-f0756) Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2024-01-24 — [F-0804](https://carefield.site/deficiency/cms-f0804) Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2024-01-24 — [F-0805](https://carefield.site/deficiency/cms-f0805) Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2024-01-24 — [F-0812](https://carefield.site/deficiency/cms-f0812) Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- …and 4 more on the source page.

## Penalties
No fines or payment denials in the CMS penalties file (about the last three years).

## Staffing (PBJ, hours per resident per day)
- Total nurse: 3.48686 (state avg 3.41615, US 3.90085)
- RN: 0.16492
- Nursing staff turnover: 29.3%

## Owners and managers of record (CMS disclosures)
- [Innovative Solutions Healthcare LLC](https://carefield.site/owner/org-innovative-solutions-healthcare-llc) — Operational / managerial control, since 2020-03-01
- [Nacogdoches County Hospital District](https://carefield.site/owner/org-nacogdoches-county-hospital-district) — Operational / managerial control, since 2017-04-01

## Nearby nursing homes
- [Avir at San Augustine](https://carefield.site/facility/cms-675846) — 2.6 km, CMS overall 3/5
- [Colonial Pines Healthcare Center](https://carefield.site/facility/cms-675358) — 2.7 km, CMS overall 4/5

## Sources
- cms_provider_info: https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=675729&conditions%5B0%5D%5Boperator%5D=%3D
- cms_ownership: https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=675729&conditions%5B0%5D%5Boperator%5D=%3D
- cms_health_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=675729&conditions%5B0%5D%5Boperator%5D=%3D
- cms_fire_safety_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=675729&conditions%5B0%5D%5Boperator%5D=%3D
- cms_penalties: https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=675729&conditions%5B0%5D%5Boperator%5D=%3D
- cms_inspection_dates: https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=675729&conditions%5B0%5D%5Boperator%5D=%3D

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Source page: https://carefield.site/facility/cms-675729 · Carefield — Senior Care Intelligence. Facts come from the CMS Provider Data Catalog (Medicare/Medicaid-certified nursing homes). Missing data never means no issue exists.