Elder Care Record

Texas › Denton County › Justin

Longmeadow Healthcare Center

120 Meadowview Dr., Justin, TX 76247

CCN 675185 · For-profit, limited liability company · 120 certified beds · chain Creative Solutions In Healthcare

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Longmeadow Healthcare Center is a For-profit, limited liability company nursing home in Justin, Texas, certified for 120 beds and caring for about 98 residents a day.

CMS gives it 2 of 5 stars overall, below the Texas median of 3; the health inspection rating is 3, staffing 1 and quality measures 3.

Inspectors recorded 28 health deficiencies across the three most recent survey cycles (5, 14, 9 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 23.3 per 100 beds, about the same as the state median of 22.5.

CMS lists 2 penalties in the period covered: fines totalling $29K.

Reported nurse staffing is 2.7 hours per resident per day (0.3 RN), close to the Texas median of 3.3; nursing staff turnover is 85.9%.

28health deficiencies, 3 survey cycles2 at actual harm or worse
$29Kfines listed by CMS2 penalties in period
2.7nurse hours per resident per daystate median 3.3
82%occupancy (residents ÷ beds)98 residents a day

Compared with county, state and nation

MeasureThis facilityDenton Co. medianTexas medianUS average
Overall star rating2333.0
Health citations, 3 cycles28322528.7
Citations per 100 beds23.329.522.526.8
Total nurse hours per resident day2.73.53.33.9
RN hours per resident day0.30.40.40.7
Nursing staff turnover85.9%61.4%52.1%45.8%
Fines listed$28,869$14,433$16,801—

County and state figures are medians across facilities (18 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)5
Cycle 214
Cycle 39

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 6 May 2025, 28 Mar 2024.

Severity mix: J ×2 D ×18 E ×8

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
6 May 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard survey21 May 2025
6 May 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey1 Jun 2025
6 May 2025F0880Provide and implement an infection prevention and control program.EStandard survey21 May 2025
6 May 2025F0919Make sure that a working call system is available in each resident's bathroom and bathing area.EStandard survey29 May 2025
6 May 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey21 May 2025
17 Apr 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation3 May 2025
17 Apr 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation3 May 2025
27 Dec 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation14 Dec 2024
28 Mar 2024F0695Provide safe and appropriate respiratory care for a resident when needed.EComplaint investigation29 Mar 2024
28 Mar 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint investigation16 Apr 2024
28 Mar 2024F0558Reasonably accommodate the needs and preferences of each resident.DComplaint investigation29 Mar 2024
28 Mar 2024F0567Honor the resident's right to manage his or her financial affairs.DComplaint investigation16 Apr 2024
28 Mar 2024F0584Honor 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.DComplaint investigation23 Apr 2024
28 Mar 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation29 Mar 2024
28 Mar 2024F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DComplaint investigation29 Mar 2024
28 Mar 2024F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DComplaint investigation29 Mar 2024
28 Mar 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation29 Mar 2024
28 Mar 2024F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DComplaint investigation29 Mar 2024
28 Mar 2024F0880Provide and implement an infection prevention and control program.DComplaint investigation29 Mar 2024
19 Oct 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation9 Oct 2023
14 Sep 2023F0641Ensure each resident receives an accurate assessment.DComplaint investigation15 Sep 2023
14 Sep 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation15 Sep 2023
14 Sep 2023F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation15 Sep 2023
14 Feb 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey21 Feb 2023
14 Feb 2023F0880Provide and implement an infection prevention and control program.EStandard survey7 Mar 2023
14 Feb 2023F0688Provide 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.DStandard survey21 Feb 2023
14 Feb 2023F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard survey21 Feb 2023
14 Feb 2023F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DStandard survey21 Feb 2023

Penalties

DateTypeAmountDetail
27 Dec 2024Fine$17,616
14 Sep 2023Fine$11,253

Staffing

Total nursing2.7 h
Nurse aides1.45 h
LPN0.99 h
RN0.26 h
Weekend total2.25 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 85.9%, RNs 83.3%; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityTexas medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay19.7%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.9%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay8.2%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay6.2%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay11.9%8.3%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: Fannin County Hospital Authority. Chain: Creative Solutions In Healthcare (149 facilities).

OrganisationRole in the CMS recordInterestSince
Fannin County Hospital Authority5% or greater direct ownership interest100%10/01/2022
Justin I Enterprises, LLCOperational/managerial controlNOT APPLICABLE10/01/2022
Justin I Enterprises, LLCAdp of the snfNOT APPLICABLE10/01/2022

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Denton County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Avir At Pilot PointPilot Point634421422.2—3 Mar 2026
Denton Rehabilitation and Nursing CenterDenton944342930.9—2 Apr 2026
Lake Forest Village By PurehealthDenton604341220.0—11 Feb 2026
Prestonwood Rehabilitation & Nursing Centerabuse iconPlano1324251612.1$14K17 Apr 2025
Vista Ridge Nursing & Rehabilitation CenterLewisville1324322720.5$10K9 Jun 2026
Cedar Ridge Rehabilitation and Healthcare CenterPilot Point1083323431.5—1 Apr 2026
Cross Timbers Rehabilitation and Healthcare CenterFlower Mound1203332420.0$8K16 Apr 2026
Denton Village By Purehealthabuse iconDenton883232629.5$55K18 Nov 2025

All 18 facilities in Denton County

Questions and answers

How many deficiencies has Longmeadow Healthcare Center been cited for?

28 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.

Has Longmeadow Healthcare Center been fined?

Yes. CMS lists fines totalling $29K in the period covered.

How does staffing at Longmeadow Healthcare Center compare?

Reported total nurse staffing is 2.7 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.

Who operates Longmeadow Healthcare Center?

It is part of the Creative Solutions In Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Fannin County Hospital Authority and Justin I Enterprises, LLC. Individual owners and managers are not listed on this site.

When was Longmeadow Healthcare Center last inspected?

The most recent survey or investigation in the CMS record is dated 6 May 2025; the most recent standard health survey was 6 May 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.