CCN 675960 · Angelina County, Texas

Castle Pines Health & Rehabilitation

2414 West Frank Avenue, Lufkin, TX 75904

Castle Pines Health & Rehabilitation is a 120-bed for-profit nursing home in Lufkin, Texas, first certified for Medicare or Medicaid in 2003. CMS rates it 2 out of 5 stars overall in its September 2026 data, and it averaged 93.1 residents a day, about 78% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).

Facility facts

Certified beds
120
Average residents per day
93.1 (77.6% of beds)
Ownership type
For profit - Corporation
Certification
Medicare and Medicaid
Legal business name
Lufkin I Enterprises, LLC
Certified since
Apr 15, 2003
Chain or affiliated group
Creative Solutions in Healthcare (149 facilities, chain average 2.1 stars)
Location
Rural

Ratings and staffing

Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.

MeasureThis facilityTexas medianUS median
Overall rating2 of 5State spread: 322 at 1, 244 at 2, 247 at 3, 211 at 4, 141 at 5
Health inspections3 of 5
Quality measures2 of 5
Staffing1 of 5
Total nurse hours per resident per day3.353.273.68
RN hours per resident per day0.240.380.58
Weekend nurse hours per resident per day2.87
Nursing staff turnovernot reported52.1%44.9%
Occupancy (residents / beds)77.6%68.6%85.7%
Fines reported by CMS4 totaling $71,641
Health deficiencies, latest standard survey5 (Jul 23, 2026)

HUD 223(f) Express Lane: the CMS part

HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Castle Pines Health & Rehabilitation meets that part today: 2 stars overall, 3 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.

Who owns and operates it

These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.

NameRoleShareSince
Creative Solutions in Healthcare IncOrganizationOperational / Managerial Controln/a05/01/2006
Blake, GaryIndividualOperational / Managerial Controln/a05/01/2006
Blake, MalisaIndividualOperational / Managerial Controln/a05/01/2000

Changes of ownership

No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.

HUD Section 232 loans

No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.

Watch this facility

Get one email when the monthly CMS or HUD files show a change at Castle Pines Health & Rehabilitation: a new owner, operator or lender of record, a change of ownership, a new overall star rating, or a change to its HUD loan.

Alert emails have not started on this site yet. Your alert is saved now; the first email will ask you to confirm it.

Sources and dates

Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.

SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.