Hillcrest Assisted Living
State licensed1997 Davidson Dr., San Augustine, TX 75972
Assisted Living
Assisted livingState-licensed (Texas HHSC)24-hour personal care
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Prices not published
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Medicare-certifiedSkilled Nursing
Colonial Pines Healthcare Center
San Augustine, TexasMedicare inspection record
About Colonial Pines Healthcare Center
Colonial Pines Healthcare Center brings skilled nursing and rehabilitation services to San Augustine, Texas, with a focus on personalized recovery care. Our experienced team supports patients through post-hospital transitions and complex medical needs with dignity and attention to each person's goals.
Community at a glance
Capacity
107 residents
Location
San Augustine, TX
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
1203 FM 1277, San Augustine, Texas 75972
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on January 21, 2026, state inspectors cited 8 health deficiencies (the Texas average is 9.4).
Nurses and nurse aides spend 3 hours 43 minutes with each resident a day, above the Texas average of 3 hours 23 minutes.
Medicare has not fined Colonial Pines Healthcare Center in the last three years.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 43 minutesAbove the Texas average |
| Registered nurse time per resident, per day | 19 minutesBelow the Texas average |
| Nursing staff who left in the past year | 49%Below the Texas average |
Inspections
20 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
January 21, 2026 · Standard inspection · 8 citations
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Jan 30, 2026Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Risk of harm, no one hurt, a pattern (level E)EnvironmentalCorrected Jan 23, 2026Assure that each resident’s assessment is updated at least once every 3 months.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jan 27, 2026Honor 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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jan 30, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jan 30, 2026Provide 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.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jan 30, 2026Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Jan 30, 2026Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jan 27, 2026
October 29, 2024 · Standard inspection · 8 citations
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Risk of harm, no one hurt, widespread (level F)EnvironmentalCorrected Nov 1, 2024Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Nov 1, 2024Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Risk of harm, no one hurt, a pattern (level E)EnvironmentalCorrected Nov 1, 2024Ensure 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.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Nov 1, 2024Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Nov 1, 2024Keep all essential equipment working safely.
Risk of harm, no one hurt, a few residents (level D)EnvironmentalCorrected Nov 1, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Nov 1, 2024Have policies on smoking.
Risk of harm, no one hurt, a few residents (level D)EnvironmentalCorrected Nov 1, 2024
October 23, 2024 · Complaint investigation · 2 citations+
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Oct 24, 2024Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Oct 24, 2024
April 24, 2024 · Complaint investigation · 2 citations+
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed by Apr 2, 2024Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed by Apr 2, 2024
Fines and payment denials
No fines or Medicare payment denials in the last three years.
About the home, per Medicare
- Ownership
- For profit - Limited Liability company
- Legal business name
- Liberty County Hospital District No 1
- Medicare-certified beds
- 107
- Average residents per day
- 42
- Accepts
- Medicare and Medicaid
- First certified
- August 1, 1994
- Part of a chain
- Stonegate Senior Living, 24 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Both
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 675358
Location
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1203 FM 1277San Augustine, TX 75972
2 other communities within 10 miles
Senior living near San Augustine
Avir at San Augustine
Medicare-certified902 E MAIN ST, San Augustine, TX 75972
Skilled Nursing
Medicare & Medicaid certifiedSprinkler systemsResident & family councilSkilled nursing & rehabilitation+1 more
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Pine Grove Nursing Center
Medicare-certified246 Haley Dr, Center, TX 75935
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Questions about Colonial Pines Healthcare Center
How did Colonial Pines Healthcare Center do on its last inspection?+
State inspectors visited on January 21, 2026 and cited 8 health deficiencies. The Texas average is 9.4.
How much nursing care does each resident get at Colonial Pines Healthcare Center?+
Nurses and aides spend 3 hours 43 minutes with each resident per day, including 19 minutes from registered nurses. 49% of nursing staff left over the past year.
Has Colonial Pines Healthcare Center been fined by Medicare?+
Medicare's records show no fines against Colonial Pines Healthcare Center in the last three years.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.