Stonecreek Nursing & Rehabilitation
451 S EL CAMINO CROSSING, San Augustine, TX, 75972
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
- Government - Hospital district
- Certified beds
- 90 · avg 48 residents/day
- Total nursing staff turnover
- 40% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 149454
- Service type
- Medicare/medicaid
- Licensed capacity
- 90 beds
- Bed type breakdown
- 9 Medicare-only · 81 Medicaid/Medicare
- Current license effective
- April 1, 2024
- Current license expires
- April 1, 2027
- Initial license date
- September 18, 1985
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Nacogdoches County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Innovative Solutions Healthcare Llc
- Administrator
- Kristin Bennett
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (4 on record)
- Kristin Bennett
W-2 Managing Employee · since 2021
- Lynn Lindsey
Corporate Director · since 2021
- Innovative Solutions Healthcare Llc
Operational/managerial Control · since 2020
- Nacogdoches County Hospital District
Operational/managerial Control · 100% · since 2017
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 20)
- E0880·Feb 5, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Feb 5, 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·Feb 5, 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.
- D0700·Feb 5, 2025
Quality of Life and Care Deficiencies
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…
- D0656·Feb 5, 2025
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.
- D0839·Jan 15, 2025Complaint
Administration Deficiencies
Employ staff that are licensed, certified, or registered in accordance with state laws.
- D0600·Sep 25, 2024Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- E0919·Jan 24, 2024
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Fire-safety citations
2 Life-Safety-Code citations on file. Most recent: Feb 5, 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
Stonecreek Nursing & Rehabilitation is a 90-bed Medicare/Medicaid nursing home in San Augustine, Texas, licensed since 1985 and owned by Nacogdoches County Hospital District. CMS rates it 4 stars overall, with a 4-star health inspection rating. Quality-of-care outcomes for long-stay residents are rated 1 star — the lowest tier — while the facility currently operates at about 54% of its licensed beds.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 3 stars. Each resident receives about 238 minutes of nursing care per day — roughly 3 minutes less than the threshold for a 4-star staffing facility in Texas, placing this facility among about 19% of Texas nursing homes at this rating tier. The mix of residents here is less dependent on hands-on care than at a typical facility, so those staffing hours stretch further than the raw number suggests.
About 4 in 10 nursing staff left in the past year — below the Texas 25th-percentile cutoff of 42%, meaning turnover here is better than roughly three-quarters of nursing homes in the state.
The facility is operating at roughly 54% of its 90 licensed beds, with an average of about 48 residents on any given day. Other signals in this record — a 1-star long-stay quality-of-care rating — make the low occupancy relevant context.
Long-stay residents, meaning those living here for months or years rather than recovering from a short hospital stay, receive a 1-star quality-of-care rating from CMS — the lowest possible. Short-stay residents, typically recovering from surgery or illness, are rated 4 stars on quality outcomes. These two ratings measure different resident populations and reflect different care processes.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Long-stay quality rating of 1 star
CMS rates long-stay resident outcomes here at 1 star — ask which specific measures drove that rating and what the facility has changed in response.
Occupancy at roughly half capacity
With about 48 of 90 beds filled, ask whether the lower census reflects a planned reduction, staffing constraints, or referral patterns in this area.
RN coverage each day
Reported RN hours average about 14 minutes per resident per day — ask how many registered nurses are on shift and during which hours.
Resident Council without Family Council
The facility has a Resident Council but no Family Council — ask how family members currently raise concerns and how those are tracked and resolved.
Hospital district ownership and day-to-day management
Nacogdoches County Hospital District holds the license while Innovative Solutions Healthcare LLC manages operations — ask how decisions about staffing and care policy are divided between the two.
Short-stay versus long-stay care differences
Short-stay outcomes rate 4 stars while long-stay outcomes rate 1 star — ask what distinguishes how the facility approaches rehabilitation versus permanent residency care.
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.