305 SHANDS DR, Lufkin, TX 75904
Adult Day Services
Adult day servicesDaytime supervision & activitiesRespite for caregivers
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About Parkwood in the Pines
Parkwood in the Pines brings together experienced nursing care and comprehensive rehabilitation services to Lufkin, Texas families navigating recovery and long-term skilled nursing needs. Our team focuses on restoring independence and quality of life through personalized treatment plans and compassionate daily support.
Community at a glance
Capacity
140 residents
Medicare rating
3 of 5 stars
Location
Lufkin, TX
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
902 HILL STREET, Lufkin, Texas 75904
Medicare inspection and quality 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
Medicare rates Parkwood in the Pines 3 out of 5 stars overall, which it describes as average. The average across Texas's nursing homes is 2.7 stars.
At its most recent standard inspection, on April 21, 2026, state inspectors cited 11 health deficiencies (the Texas average is 9.4).
Nurses and nurse aides spend 3 hours 9 minutes with each resident a day, below the Texas average of 3 hours 23 minutes.
Medicare fined Parkwood in the Pines 2 times in the last three years, $21,473 in total.
Overall
3 of 5
average
Combines the three ratings below
Health inspections
3 of 5
average
Results of state inspections over three years
Staffing
1 of 5
much below average
Nurse hours per resident and staff turnover
Quality of resident care
5 of 5
much above average
Outcomes like falls, pressure ulcers and rehospitalization
Texas average: 2.7 stars across 1,177 nursing homes. National average: 3.0 stars.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 9 minutesBelow the Texas average |
| Registered nurse time per resident, per day | 16 minutesBelow the Texas average |
| Nursing staff who left in the past year | 55% |
Inspections
32 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
April 21, 2026 · Standard inspection · 10 citations
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Apr 22, 2026Procure 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 pattern (level E)Nutrition and DietaryCorrected Apr 22, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 22, 2026Make 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 few residents (level D)EnvironmentalCorrected Apr 22, 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 Apr 22, 2026Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Apr 22, 2026Keep residents' personal and medical records private and confidential.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Apr 22, 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 Apr 22, 2026Provide 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 CareCorrected Apr 22, 2026Post nurse staffing information every day.
Minimal harm or risk, widespread (level C)Nursing and Physician ServicesCorrected Apr 22, 2026
November 18, 2025 · Complaint investigation · 1 citation
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 few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Nov 19, 2025
February 12, 2025 · Standard inspection · 7 citations+
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.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Feb 13, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Feb 13, 2025Assess the resident when there is a significant change in condition
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Feb 13, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Feb 13, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Feb 13, 2025Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Feb 13, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 13, 2025
October 7, 2024 · Complaint investigation · 1 citation+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Oct 23, 2024
January 10, 2024 · Standard inspection · 6 citations+
Procure 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, widespread (level F)Nutrition and DietaryCorrected Jan 30, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Jan 30, 2024Honor 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 RightsCorrected Jan 30, 2024Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jan 30, 2024Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jan 30, 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 Jan 30, 2024
November 22, 2023 · Complaint investigation · 3 citations+
Reasonably accommodate the needs and preferences of each resident.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Nov 27, 2023Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Nov 27, 2023Honor 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 Nov 27, 2023
November 10, 2023 · Complaint investigation · 2 citations+
Develop 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 complaintCorrected Nov 13, 2023Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Nov 13, 2023
October 20, 2023 · Complaint investigation · 2 citations+
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Immediate danger to residents, a few residents (level J)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed by Oct 12, 2023Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Immediate danger to residents, a few residents (level J)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed by Oct 12, 2023
Fines and payment denials
2 fines totaling $21,473 in the last three years.
- October 7, 2024Fine: $8,824
- October 20, 2023Fine: $12,649
About the home, per Medicare
- Ownership
- Government - Hospital district
- Legal business name
- Nacogdoches County Hospital District
- Medicare-certified beds
- 140
- Average residents per day
- 105
- Accepts
- Medicare and Medicaid
- First certified
- October 29, 1986
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 455673
Location
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902 HILL STREETLufkin, TX 75904
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Questions about Parkwood in the Pines
What is Parkwood in the Pines's Medicare star rating?+
Medicare rates Parkwood in the Pines 3 out of 5 stars overall (average). Health inspections: 3 stars. Staffing: 1 stars. Quality of resident care: 5 stars. Source: CMS Care Compare, data as of September 1, 2026.
How did Parkwood in the Pines do on its last inspection?+
State inspectors visited on April 21, 2026 and cited 11 health deficiencies, 1 of them from complaint investigations. The Texas average is 9.4.
How much nursing care does each resident get at Parkwood in the Pines?+
Nurses and aides spend 3 hours 9 minutes with each resident per day, including 16 minutes from registered nurses. 55% of nursing staff left over the past year.
Has Parkwood in the Pines been fined by Medicare?+
Yes. Medicare fined Parkwood in the Pines 2 times in the last three years, totaling $21,473.
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 1–5 stars on health inspections, staffing, and quality measures. We show these ratings so you can compare quality at a glance.