Castle Pines Health & Rehabilitation
2414 WEST FRANK AVENUE, Lufkin, TX, 75904
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Creative Solutions In Healthcare
- Certified beds
- 120 · avg 93 residents/day
- Total nursing staff turnover
- 62% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 40% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $38,771 total
- Payment denials
- 1 denial
State licensing & capacity
- License number
- 150010
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 26 Medicare-only · 94 Medicaid/Medicare
- Current license effective
- May 1, 2024
- Current license expires
- May 1, 2027
- Initial license date
- April 8, 2003
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Lufkin I Enterprises, Llc (Limited Liability Company (LLC))
- Operator / manager
- Creative Solutions In Healthcare, Inc
- Administrator
- Laura Collins
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Creative Solutions in Healthcare chain — 149 facilities. Chain-wide average overall rating 2.7 / 5.
Disclosed owners (5 on record)
- Honor x Enterprises, Llc
5% or Greater Direct Ownership Interest · 100% · since 2013
- Linda f Huggins
W-2 Managing Employee · since 2007
- Creative Solutions in Healthcare Inc
Operational/managerial Control · 100% · since 2006
- Gary r Blake
5% or Greater Indirect Ownership Interest · 50% · since 2006
- Malisa a Blake
5% or Greater Indirect Ownership Interest · 50% · since 2006
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 18)
- E0887·May 20, 2025
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.
- E0880·May 20, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·May 20, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0761·May 20, 2025
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.
- E0584·May 20, 2025
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.
- D0550·May 20, 2025
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D0760·Mar 11, 2025Complaint
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- D0880·Mar 26, 2024Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Federal penalties
By year
- 20241 fine · $26K · 1 payment denial
- 20231 fine · $13K
Most recent events
- Mar 26, 2024Payment denial · 1 day · starting Mar 26, 2024
- Mar 26, 2024Fine · $26K
- Sep 28, 2023Fine · $13K
Largest single fine on record: $26K.
Fire-safety citations
5 Life-Safety-Code citations on file. Most recent: May 20, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Castle Pines Health & Rehabilitation is a 120-bed nursing home in Lufkin, Texas, licensed for Medicare and Medicaid care and managed by Creative Solutions In Healthcare. CMS rates it 3 stars overall, with a 2-star staffing rating and a 1-star short-stay quality rating. Two CMS fines totaling $38,771 have been assessed. About 93 residents occupy the facility on an average day, and the license runs through May 2027.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 2 stars — roughly the bottom third of Texas nursing homes on this measure. Each resident receives about 198 minutes of nursing care per day, approximately 43 minutes less than at a 4-star-staffing facility in Texas. Residents here also tend to need more hands-on care than at a typical facility — more dependent or medically complex on average — so those 198 minutes stretch thinner than the raw number suggests.
About 6 in 10 nursing staff left in the past year. Texas nursing homes at the 75th percentile see 60% annual turnover, so this facility sits right at that upper boundary. A resident who stays for several months will likely move through multiple primary caregivers during that time.
CMS has recorded 2 fines totaling $38,771 since the facility's data window. The state median for fined facilities in Texas is about $20,699 per facility, placing this total above the midpoint; roughly 30% of Texas nursing homes have no fines at all in the same period.
The facility's 1-star short-stay quality rating stands apart from its 3-star overall and 4-star long-stay quality scores. Short-stay residents are typically people recovering from a hospitalization — a hip replacement, a stroke, a serious illness — and the gap between the 1-star short-stay and 4-star long-stay ratings means outcomes for that group differ meaningfully from outcomes for permanent residents.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing on nights and weekends
Weekend nursing hours here average 2.86 hours per resident per day, below the already-low weekday figure — ask how many nurses and aides are on duty on a Saturday night.
Short-stay outcomes and care planning
CMS rates short-stay quality at 1 star; ask which specific measures drove that score and what the facility has changed in response.
Nursing staff retention efforts
With roughly 6 in 10 nursing staff leaving in the past year, ask what the facility is doing to reduce turnover and how long current aides on the floor have been here.
Details behind the two CMS fines
Two fines totaling $38,771 have been assessed; ask what deficiencies triggered them and whether the cited problems have been re-inspected and cleared.
Family Council availability
The facility has a Resident Council but no Family Council; ask how family members currently raise concerns and who the designated contact is when issues arise.
Management continuity under Creative Solutions
Creative Solutions In Healthcare manages multiple facilities; ask how many facilities the regional director oversees and how often they visit this location.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.