Stonecreek Nursing and Rehabilitation

    451 S El Camino Xing, San Augustine, TX 75972
    • Assisted Living
    • Memory Care
    • Skilled Nursing

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    Tour Type

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    4.12·(17)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.5
    • Staff

      3.9
    • Meals

      4.1
    • Amenities

      4.1
    • Value

      4.1

    Pros

    • Compassionate, attentive nursing aides
    • Strong inpatient rehabilitation program
    • Engaging activities program with an active director
    • Family-like, homey resident atmosphere
    • Experienced dietary supervisor focused on feeding
    • High level of family satisfaction with care
    • Informative admissions staff and available tours

    Cons

    • Inconsistent bathing and incontinence-care practices
    • Delayed staff response to call bells and resident requests
    • Cleanliness and odor concerns in some common areas
    • Gaps in administrative communication and clinical oversight
    • Variability in care quality and responsiveness across shifts

    Summary of reviews

    The reviewer summaries indicate a facility with clear strengths in interpersonal care, rehabilitation, dining leadership, and activities, alongside operational weaknesses that affect day-to-day resident experience. Many comments emphasize warm, caring direct-care staff and an active therapeutic environment; however, recurring operational issues create a mixed overall impression.

    Care and staff: Reviews describe direct-care staff—particularly nursing aides—as kind, loving, and personally connected to residents. Families often felt that staff demonstrated compassion and understanding, creating a family-like atmosphere. At the same time, there are repeated concerns about responsiveness: extended waits for assistance after call-ball requests and delays in attending to basic personal-care needs. These patterns suggest inconsistent staffing coverage or prioritization protocols that can leave residents waiting for routine assistance.

    Dining and activities: The dietary program is noted as a strength, with a long-tenured dietary supervisor and an explicit focus on feeding and resident satisfaction. Families praised the food-service leadership and its resident-centered approach. The activities program also receives positive mention—an engaged activity director runs a range of programs that contribute to residents feeling at home and socially engaged. These areas appear to be reliable contributors to resident quality of life.

    Facilities and management: Some reviewers raised sanitation and odor concerns in common areas, indicating opportunities to strengthen environmental services and odor-control protocols. Comments about administrative interactions describe inconsistent communication and a sometimes unresponsive or dismissive tone from leadership offices; combined with reports of staff-response delays, this points to gaps in clinical oversight, shift-to-shift consistency, and family communication practices. Overall, the pattern is one of reliable, compassionate hands-on caregiving and strong ancillary programs (rehab, dietary, activities) tempered by operational weaknesses—particularly in responsiveness, hygiene management, and leadership communication—that prospective residents and families should probe further during a tour or intake discussion.

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    Medicare Ratings

    4·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Stonecreek Nursing and Rehabilitation is located at 451 S El Camino Xing, San Augustine, TX, 75972.

    About Stonecreek Nursing and Rehabilitation

    Twin Lakes Rehabilitation and Care Center is a dedicated nursing home facility situated in San Augustine, Texas, providing comprehensive care and support for residents who require nursing services. The facility offers a range of care options, prioritizing the needs of individuals who require specialized attention and daily assistance with health and personal care routines. The goal of Twin Lakes Rehabilitation and Care Center is to create a comfortable, welcoming environment where residents can feel secure while receiving the support they need.

    The cost of nursing home care at Twin Lakes Rehabilitation and Care Center varies depending on the specific needs and services required by each resident. Monthly rates begin at $3,000 and can go up to $5,410. This range reflects the variety of room options and personalized services available, allowing prospective residents and their families to select accommodations that best fit their requirements and budget. Additional services and levels of care may influence the overall cost, ensuring that each individual’s needs are thoroughly met.

    While offering a broad spectrum of care services, Twin Lakes Rehabilitation and Care Center does not permit the presence of pets within the facility. This policy is put in place to maintain a certain level of order and ensure the comfort and safety of all residents. The environment is carefully managed to support the well-being of every individual residing in the community.

    The facility is designed with resident comfort and accessibility in mind. There are various room and apartment options available, catering to diverse preferences and financial situations. Twin Lakes Rehabilitation and Care Center strives to accommodate both long-term residents as well as those who may be seeking shorter rehabilitation stays. The knowledgeable staff is dedicated to supporting residents through a compassionate approach, with an emphasis on dignity and personalized attention at every stage of care.

    Residents and their families are assisted in exploring payment options, ranging from utilizing private funds to pursuing veteran’s benefits or other financial solutions tailored to their circumstances. Twin Lakes Rehabilitation and Care Center recognizes the challenges families face when considering senior care, and provides guidance to help navigate the process of planning for current and future needs.

    The facility emphasizes the well-being and holistic health of its residents, offering an environment that promotes recovery, comfort, and connection. Overall, Twin Lakes Rehabilitation and Care Center serves as a caring and professional community, dedicated to enabling residents to thrive while receiving high-quality nursing and rehabilitative care.

    People often ask...

    Stonecreek Nursing and Rehabilitation offers assisted living, memory care, and skilled nursing.

    The full address for this community is 451 S El Camino Xing, San Augustine, TX 75972.

    No, Stonecreek Nursing and Rehabilitation does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Texas, the Health & Human Services Commission licenses assisted living and long-term care facilities, conducting health and life-safety visits and complaint investigations.

    License number001cv00000RsAcRAAV
    StatusActive
    Facility typeNursing Facility (snf/nf)
    License classLicensed
    Capacity90 residents
    LicenseeHopkins County Hospital District
    Care servedSnf/nf
    View the official license record

    Inspection Reports

    2

    Reports

    8

    Citations

    0

    Complaints

    0

    Years

    01 Apr 2026Inspection
    Found deficiencies in equipment safety, pest control, drug labeling, and safety hazards.
    • —Health Visit
    • —Health Visit
    • —Health Visit
    • —Health Visit
    31 Mar 2026Life Safety
    Found deficiencies in health and safety, sprinkler system, locked unit creation, and electrical/lighting compliance.
    • —Life Safety Code
    • —Life Safety Code
    • —Life Safety Code
    • —Life Safety Code

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Stonecreek Nursing and Rehabilitation. The information above has not been verified or approved by the owner or operator. For exact information, please contact Stonecreek Nursing and Rehabilitation directly. There is no cost for this service. We are compensated by the community you select.

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