PlainNursing
CMS Nursing Home Compare · August 2026

Colonial Pines Healthcare Center

1203 Fm 1277, San Augustine, TX 75972

Colonial Pines Healthcare Center, a 107-bed for profit - limited liability company nursing facility in San Augustine, TX, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #137 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 9362753412

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4 / 5
Above average · CMS overall · nat'l 3.0
#137 of 1,165
In-state rank among rated TX homes
3.72
About average · nurse hrs/day · nat'l 3.86
30
Inspection findings

The verdict

Colonial Pines Healthcare Center, a 107-bed for profit - limited liability company nursing facility in San Augustine, TX, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #137 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.

4 / 5
CMS overall · national 3.0
#137 of 1,165
In-state rank among rated TX homes
3.72
Nurse hrs/resident-day · national 3.86
30
Inspection findings on file

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 1,177 TX nursing homes split by ownership sector

This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

4/5

Staffing

4/5

Quality Measures

4/5

Long-Stay Quality

4/5

Facility Information

Provider Number
675358
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
107
Residents
42
In Hospital
No
County
San Augustine
Last Inspection
Jan 21, 2026

Staffing Data

How the 3.72 total nursing hours per resident-day are staffed:

RN Hours
0.32 (nat'l avg: 0.69)
LPN Hours
1.26
CNA Hours
2.14
Total Nursing Hours
3.72 (nat'l avg: 3.86)
PT Hours
0.01
Nursing Turnover
48.8%

What the CMS Record Reveals About Colonial Pines Healthcare Center

According to CMS Nursing Home Compare, Colonial Pines Healthcare Center ranks #137 of 1,165 rated nursing homes in TX on overall stars (tie-broken by health+staffing+quality, then fewer fines). Colonial Pines Healthcare Center operates 107 certified beds in San Augustine, TX with approximately 42 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 4★ · staffing 4★ · quality 4★).

The inspection file contains 30 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. CMS has not levied any fines or payment denials against this facility. Per resident day, this facility reports 3.72 total nursing hours (national average 3.86) and 0.32 RN hours.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Colonial Pines Healthcare Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 48.8% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (30 most recent)

D - Isolated - Minimal harm Jan 21, 2026 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jan 30, 2026

D - Isolated - Minimal harm Jan 21, 2026 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Jan 30, 2026

D - Isolated - Minimal harm Jan 21, 2026 Tag: 0688

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.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 30, 2026

D - Isolated - Minimal harm Jan 21, 2026 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 27, 2026

D - Isolated - Minimal harm Jan 21, 2026 Tag: 0638

Assure that each resident’s assessment is updated at least once every 3 months.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 27, 2026

D - Isolated - Minimal harm Jan 21, 2026 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Jan 30, 2026

E - Pattern - Minimal harm Jan 21, 2026 Tag: 0925

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Category: Environmental Deficiencies

Corrected: Jan 23, 2026

E - Pattern - Minimal harm Jan 21, 2026 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 30, 2026

D - Isolated - Minimal harm Oct 29, 2024 Tag: 0926

Have policies on smoking.

Category: Environmental Deficiencies

Corrected: Nov 1, 2024

D - Isolated - Minimal harm Oct 29, 2024 Tag: 0908

Keep all essential equipment working safely.

Category: Environmental Deficiencies

Corrected: Nov 1, 2024

D - Isolated - Minimal harm Oct 29, 2024 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 1, 2024

D - Isolated - Minimal harm Oct 29, 2024 Tag: 0802

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 1, 2024

E - Pattern - Minimal harm Oct 29, 2024 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Nov 1, 2024

E - Pattern - Minimal harm Oct 29, 2024 Tag: 0805

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

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 1, 2024

E - Pattern - Minimal harm Oct 29, 2024 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Nov 1, 2024

F - Widespread - Minimal harm Oct 29, 2024 Tag: 0925

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Category: Environmental Deficiencies

Corrected: Nov 1, 2024

D - Isolated - Minimal harm Oct 23, 2024 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 24, 2024

D - Isolated - Minimal harm Oct 23, 2024 Tag: 0550

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

Category: Resident Rights Deficiencies

Corrected: Oct 24, 2024

D - Isolated - Minimal harm Apr 24, 2024 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 2, 2024

D - Isolated - Minimal harm Apr 24, 2024 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 2, 2024

D - Isolated - Minimal harm Sep 7, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Sep 13, 2023

D - Isolated - Minimal harm Sep 7, 2023 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Sep 13, 2023

D - Isolated - Minimal harm Sep 7, 2023 Tag: 0695

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

Category: Quality of Life and Care Deficiencies

Corrected: Sep 13, 2023

D - Isolated - Minimal harm Sep 7, 2023 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 13, 2023

D - Isolated - Minimal harm Sep 7, 2023 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 13, 2023

D - Isolated - Minimal harm Sep 7, 2023 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Sep 13, 2023

D - Isolated - Minimal harm Sep 7, 2023 Tag: 0550

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

Category: Resident Rights Deficiencies

Corrected: Sep 13, 2023

E - Pattern - Minimal harm Sep 7, 2023 Tag: 0946

Provide training in compliance and ethics.

Category: Administration Deficiencies

Corrected: Sep 13, 2023

F - Widespread - Minimal harm Sep 7, 2023 Tag: 0944

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Category: Administration Deficiencies

Corrected: Sep 13, 2023

F - Widespread - Minimal harm Sep 7, 2023 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 13, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 9.5% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.4% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 4.4% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 10.0% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 3.5% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 7.4% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 8.3% Yes
Percentage of long-stay residents who lose too much weight Long Stay 3.4% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 99.4% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 14.9% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 98.1% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 16.8% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 77.3% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 91.2% No

Penalty History

No penalties on record.

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Colonial Pines Healthcare Center, both outside TX so the neighborhoods are not the same-state geography list below.

What the CMS records show for Colonial Pines Healthcare Center

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The TX registry aggregates state averages and the highest-rated homes in this cohort. View TX registry
  • Peer homes near 107 beds show how CMS stars vary at a similar scale in TX. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Colonial Pines Healthcare Center?
Colonial Pines Healthcare Center has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (4★), staffing levels (4★), and quality measures (4★).
Where does Colonial Pines Healthcare Center rank among nursing homes in TX?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Colonial Pines Healthcare Center ranks 137th among 1,165 rated nursing homes in TX (#137 of 1,165). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Colonial Pines Healthcare Center?
Colonial Pines Healthcare Center reports 3.72 total nursing hours per resident day (national average: 3.86). RN hours are 0.32 per resident day (national average: 0.69). Nursing staff turnover is 48.8%.
How many beds does Colonial Pines Healthcare Center have?
Colonial Pines Healthcare Center has 107 certified beds with approximately 42 residents. The facility is located at 1203 Fm 1277, San Augustine, TX 75972.
Does Colonial Pines Healthcare Center have any deficiencies on record?
Yes, Colonial Pines Healthcare Center has 30 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has Colonial Pines Healthcare Center received any fines or penalties?
No, Colonial Pines Healthcare Center has no fines or penalties on record.
Who owns Colonial Pines Healthcare Center?
Colonial Pines Healthcare Center is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Colonial Pines Healthcare Center last inspected?
The most recent health inspection for Colonial Pines Healthcare Center was on Jan 21, 2026. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for Colonial Pines Healthcare Center?
Colonial Pines Healthcare Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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