Stonecreek Nursing & Rehabilitation
451 S EL CAMINO CROSSING, San Augustine, TX 75972
San Augustine, Texas · CMS verdict
CMS rates Stonecreek Nursing & Rehabilitation at 4 of 5 stars overall - above-average on the federal scale, and above the Texas average of 2.8.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Stonecreek Nursing & Rehabilitation in San Augustine, Texas holds a CMS overall rating of 4 of 5 stars and a PlainElderCare Quality & Compliance Index of 53 of 100 (grade F). The 90-bed facility operates where a semi-private nursing-home room in Texas runs a median of $5,627 per month. Figures are from CMS Nursing Home Compare.
PlainElderCare Quality & Compliance Index
A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 4 of 5 stars. How this is calculated.
How the 53 is built
Each segment is a dimension's weighted points toward the score, summing to 53.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Data insights
Quality ratings
Stonecreek Nursing & Rehabilitation holds a CMS overall quality rating of 4 out of 5 stars, based on the most recent Care Compare release (data as of April 2026). CMS breaks this into three sub-ratings: health inspection (4/5), staffing (3/5), and quality measures (2/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in San Augustine, Texas, this facility operates 90 certified beds with an average daily census of roughly 48 residents - an occupancy rate of about 53%. The facility is classified under government - hospital district ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 53% occupancy, this facility has meaningful open capacity relative to its certified bed count.
Same-ownership peers
Within Texas, Stonecreek Nursing & Rehabilitation is one of 207 government - hospital district nursing homes CMS rates. Its 4-star overall rating sits above the government - hospital district-segment average of 2.8 stars, ahead of roughly 66% of same-ownership peers in the state. Same-segment comparisons like this one strip out the business-model factor, leaving a cleaner read on facility-level performance than a raw state average would give.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (20 total). CMS has levied no enforcement penalties over the equivalent window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
The figures above come directly from the U.S. Centers for Medicare \& Medicaid Services Nursing Home Compare dataset for federal quality ratings, combined with the CareScout 2025 Cost of Care Survey of more than 15,000 elder-care providers nationwide and U.S. Census American Community Survey income data. Cost figures are monthly medians, refreshed annually with each new CareScout release; quality ratings are refreshed quarterly from the CMS Provider Information File. Read these state and county medians as benchmarks, then verify current rates with individual providers and consult care managers before making placement decisions. See our methodology for source vintage.
How Stonecreek Nursing & Rehabilitation compares to Texas
CMS five-star sub-ratings (0–5) for this facility against the Texas facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Texas state average. Higher is better on all four CMS measures.
Where Stonecreek Nursing & Rehabilitation ranks in Texas
Among the 1,167 CMS-rated nursing homes in Texas, Stonecreek Nursing & Rehabilitation’s 4-star overall rating is higher than 69% of them. The bars show how all Texas homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
212 Texas homes share this 4-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 90 |
| Residents | 48 |
| Ownership | Government - Hospital district |
| County | San Augustine |
| Penalties | 0 |
| Deficiencies | 20 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Stonecreek Nursing & Rehabilitation? ▾
CMS rates Stonecreek Nursing & Rehabilitation at 4 out of 5 stars overall. The three sub-ratings behind that number: health inspection 4/5, staffing 3/5, quality measures 2/5.
How much does a nursing home cost per month in Texas? ▾
In Texas, a semi-private nursing home room runs a median $5,627/month ($67,525/year) per the CareScout 2025 survey; private rooms average $7,604/month.
What services does Stonecreek Nursing & Rehabilitation offer? ▾
Stonecreek Nursing & Rehabilitation operates as a skilled nursing facility (90 beds with approximately 48 current residents) under government - hospital district ownership. CMS inspections have recorded 20 deficiencies and 0 penalties there.
Does Stonecreek Nursing & Rehabilitation have any deficiencies or penalties? ▾
Stonecreek Nursing & Rehabilitation has multiple deficiencies (20 total) and 0 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Texas? ▾
In Texas, alternatives include assisted living ($5,666/mo), home health aides ($5,720/mo), and adult day care ($1,950/mo).
Elder Care Guides
Explore PlainElderCare
Related Resources
Compare cost and CMS quality across the state on the Texas elder-care overview, or see how facilities rank nationwide in our highest-rated states ranking.
Weigh nursing care against assisted living, home health, and adult day care, with national median costs, on our care types comparison, and learn how to fund it in our paying for elder care guide.
Source: CMS Nursing Home Compare. Provider ID: 675729.
Read our methodology - how this data is sourced, computed, and verified.