Nursing home
Stonecreek Nursing & Rehabilitation
451 S El Camino Crossing, San Augustine, TX 75972 · Map
Government - Hospital district · 90 certified beds
Stonecreek Nursing & Rehabilitation is a Medicare-certified nursing home in San Augustine, Texas. CMS rates it 4 out of 5 stars overall (3/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.96 hours per resident per day, above the Texas average of 3.40. Its most recent inspection on Feb 5, 2025 cited 5 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Stonecreek Nursing & Rehabilitation compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.96 | 3.40 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.24 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.61 | 2.01 | 2.34 | above avg |
| Nursing staff turnover | 40.0% | 51.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 5.0 | 9.1 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the April 1, 2026 inspection was corrected by April 13, 2026
What inspectors found at Stonecreek Nursing & Rehabilitation
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Apr 1, 2026 · Full report (PDF) - Potential for harm
Keep all essential equipment working safely.
Environmental Deficiencies · Apr 1, 2026 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Apr 1, 2026 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Apr 1, 2026 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Feb 5, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Feb 5, 2025 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Feb 5, 2025 · Full report (PDF) - Potential for harm
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.
Quality of Life and Care Deficiencies · Feb 5, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Feb 5, 2025 · Full report (PDF) - Potential for harm
Employ staff that are licensed, certified, or registered in accordance with state laws.
Administration Deficiencies · Jan 15, 2025 · Full report (PDF) - Potential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Sep 25, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jan 24, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 451 S El Camino Crossing
San Augustine, TX 75972 - CMS certification #
- 675729
- Ownership
- Government - Hospital district
- Certified beds
- 90
- Avg residents/day
- 48.2
- Provider type
- Medicare and Medicaid
- First certified
- 1997-09-24
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Stonecreek Nursing & Rehabilitation using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Chi St Lukes Health Memorial San Augustine, San Augustine. 1.3 miles away, straight line.
- Nearest Medicare nursing home
- Avir at San Augustine, San Augustine. 1.6 miles away, straight line.
- Nearest home health agency office
- Motherwell Home Health, Nacogdoches. 31.8 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Brookshire Brothers Pharmacy. 0.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 75972 as rural (rural area).
- Dialysis within 15 miles
- Aqua Dialysis San Augustine, San Augustine, 1.4 miles away, straight line (CMS rating 1 of 5 stars)
- Hospice
- 11 Medicare hospices tell CMS they serve ZIP code 75972.
- Nearest geriatric medicine practice
- Cs Pacs 3 Southwest, LLC, Dayton. 111.2 miles away, straight line. 2 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- FEMA has a flood map for this community (effective July 21, 2026), but it is not in FEMA's digital flood map data, so the zone at this address could not be read. FEMA's Map Service Center has the map. (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively moderate, inland flooding relatively moderate, wildfire relatively low, tornado relatively high, heat wave relatively high, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Only cases that look tied to an earlier operator (not shown) |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Stonecreek Nursing & Rehabilitation a good nursing home?
CMS gives Stonecreek Nursing & Rehabilitation an overall rating of 4 out of 5 stars, including 3/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Stonecreek Nursing & Rehabilitation staffed?
Stonecreek Nursing & Rehabilitation reports 3.96 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Stonecreek Nursing & Rehabilitation had inspection problems?
Its most recent CMS inspection cited 5 deficiencies.
How many beds does Stonecreek Nursing & Rehabilitation have?
Stonecreek Nursing & Rehabilitation is certified for 90 beds.