CASTLE PINES HEALTH AND REHABILITATION Nursing Home


CASTLE PINES HEALTH AND REHABILITATION (CCN: 675960) is a For profit - Corporation facility located in LUFKIN, TX (75904). The facility has an overall rating of 2/5, health inspection rating of 3/5, and a staffing rating of 1/5. It offers 120 certified beds and maintains an average of 111. residents per day. The nursing staff includes Nurse Aides, LPNs, and RNs working 2.49525 total hours per resident per day. It has been certified since April 15, 2003 and the last listed health inspection was on February 14, 2023, The facility is located in Angelina county and provides senior and nursing home care.

CASTLE PINES HEALTH AND REHABILITATION Summary


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Provider Name: CASTLE PINES HEALTH AND REHABILITATION

Address: 2414 W FRANK AVE, LUFKIN, TX 75904

Phone: (936) 699-2544

County: Angelina (020)

Ownership Type: For profit - Corporation

Certified Beds: 120

Average Residents Per Day: 111. ()

Provider Type: Medicare and Medicaid, Resides in Hospital: No

Legal Business Name: LUFKIN I ENTERPRISES, LLC

First Approved Date: April 15, 2003

Affiliated Entity: CREATIVE SOLUTIONS IN HEALTHCARE (169)

Retirement Community: N, Special Focus Status:

Ownership Change in Last 12 Months: N

Resident Family Council: Resident

Sprinkler System Status: Yes

Overall Rating: 2 ()

Health Inspection Rating: 3 ()

QM Rating: 2 ()

Long Stay QM Rating: 3 ()

Short Stay QM Rating: 2 ()

Staffing Rating: 1 ()

Staffing Report Note:

PT Staffing Note:

Nurse Aide Staff Hours Per Day, per resident: 1.53043, LPN Staff Hours Per Day: 0.8095, RN Staff Hours Per Day: 0.1552, Licensed Staff Hours Per Day: 0.9648

Total Nurse Staff Hours Per Day, per resident: 2.49525

Weekend Nurse Staff Hours: 2.17269, Weekend RN Staff Hours: 0.1376

PT Staff Hours Per Day, per resident: 0.0483

Nurse Staff Turnover: 35.8, Nurse Turnover Note:

RN Turnover: 50.0, RN Turnover Note:

Admin Left Number: 0, Admin Turnover Note:

Case Mix Nurse Aide Hours Per Day, per resident: 2.1517, Case Mix LPN Hours Per Day: 0.8124, Case Mix RN Hours Per Day: 0.4386

Adjusted Nurse Aide Hours Per Day, per resident: 1.44898, Adjusted LPN Hours Per Day: 0.7353, Adjusted RN Hours Per Day: 0.1334

Total Adjusted Nurse Hours Per Day, per resident: 2.31133

Adjusted Weekend Nurse Hours Per Day, per resident: 2.01255

Health Survey Dates and Scores: Cycle 1: 2023-02-14 (Score: 95), Cycle 2: 2021-12-14 (Score: 12), Cycle 3: 2020-09-23 (Score: 8)

Total Weighted Health Score: 52.833

Reported Incidents: 0, Substantiated Complaints: 2

Infection Control Citations: 0

Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 12649.00, Payment Denials Number: 0, Total Penalties Number: 1

Location and GPS: 2414 W FRANK AVE,LUFKIN,TX,75904 (31.3324, -94.764)

Process Date: 2024-03-01


Health Inspection Citations Details

Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:

Citation on 2023-09-28

Type: Health, Deficiency: Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-10-18

Citation on 2023-09-28

Type: Health, Deficiency: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-10-18

Citation on 2023-09-28

Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity: J - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-10-18

Citation on 2023-02-14

Type: Health, Deficiency: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-02-15

Citation on 2023-02-14

Type: Health, Deficiency: Provide and implement an infection prevention and control program.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-02-15

Citation on 2021-12-14

Type: Health, Deficiency: Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-01-12

Citation on 2021-12-14

Type: Health, Deficiency: Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-01-12

Citation on 2020-09-23

Type: Health, Deficiency: Provide and implement an infection prevention and control program.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2020-10-22


Fire Safety Citations Details

Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:

Citation on 2020-09-25

Type: Fire Safety, Tag: 0222, Version: New

Description: Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2020-10-28

Citation on 2020-09-25

Type: Fire Safety, Tag: 0321, Version: New

Description: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2020-10-28

Citation on 2020-09-25

Type: Fire Safety, Tag: 0345, Version: New

Description: Have approved installation, maintenance and testing program for fire alarm systems.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2020-10-28

Citation on 2020-09-25

Type: Fire Safety, Tag: 0521, Version: New

Description: Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2020-10-28

Citation on 2020-09-25

Type: Fire Safety, Tag: 0741, Version: New

Description: Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2020-10-28