Texas › Gregg County › Longview
Longview Hill Nursing and Rehabilitation Center
3201 N Fourth St, Longview, TX 75605
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.
Certified for 198 beds, Longview Hill Nursing and Rehabilitation Center serves Longview in Gregg County, Texas and has taken Medicare and Medicaid residents since 1987.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 1, staffing 1 and quality measures 3.
Inspectors recorded 60 health deficiencies across the three most recent survey cycles (13, 25, 22 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 30.3 per 100 beds, more than the state median of 22.5.
CMS lists 3 penalties in the period covered: fines totalling $225K.
Reported nurse staffing is 3.4 hours per resident per day (0.4 RN), close to the Texas median of 3.3; nursing staff turnover is 49.5%.
Compared with county, state and nation
| Measure | This facility | Gregg Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 1 | 3 | 3.0 |
| Health citations, 3 cycles | 60 | 44 | 25 | 28.7 |
| Citations per 100 beds | 30.3 | 37.9 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.4 | 3.3 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 49.5% | 48.5% | 52.1% | 45.8% |
| Fines listed | $225,427 | $150,705 | $16,801 | — |
County and state figures are medians across facilities (12 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 18 Mar 2026, 15 Jan 2025.
Severity mix: J ×1 K ×2 G ×1 D ×39 E ×14 F ×3
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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 18 Mar 2026 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | Complaint investigation | 19 Mar 2026 |
| 18 Mar 2026 | F0688 | Provide 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. | E | Standard survey | 19 Mar 2026 |
| 18 Mar 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 15 Apr 2026 |
| 18 Mar 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 19 Mar 2026 |
| 18 Mar 2026 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 19 Mar 2026 |
| 18 Mar 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 19 Mar 2026 |
| 18 Mar 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 19 Mar 2026 |
| 18 Mar 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 19 Mar 2026 |
| 18 Mar 2026 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Standard survey | 19 Mar 2026 |
| 18 Mar 2026 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 19 Mar 2026 |
| 28 Feb 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Complaint investigation | 2 Mar 2026 |
| 9 Feb 2026 | F0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | Complaint investigation | 10 Feb 2026 |
| 9 Sep 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 10 Sep 2025 |
| 16 May 2025 | F0760 | Ensure that residents are free from significant medication errors. | J | Complaint investigation | 17 May 2025 |
| 14 Feb 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | K | Complaint investigation | 15 Feb 2025 |
| 14 Feb 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K | Complaint investigation | 15 Feb 2025 |
| 14 Feb 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 15 Feb 2025 |
| 15 Jan 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 9 Feb 2025 |
| 15 Jan 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 9 Feb 2025 |
| 15 Jan 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Standard survey | 9 Feb 2025 |
| 15 Jan 2025 | F0758 | Implement 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. | E | Standard survey | 9 Feb 2025 |
| 15 Jan 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 9 Feb 2025 |
| 15 Jan 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 9 Feb 2025 |
| 15 Jan 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 9 Feb 2025 |
| 15 Jan 2025 | F0584 | Honor 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. | D | Standard survey | 9 Feb 2025 |
| 15 Jan 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 9 Feb 2025 |
| 15 Jan 2025 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint investigation | 9 Feb 2025 |
| 15 Jan 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 9 Feb 2025 |
| 15 Jan 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 9 Feb 2025 |
| 15 Jan 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 9 Feb 2025 |
| 15 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 9 Feb 2025 |
| 15 Jan 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 9 Feb 2025 |
| 15 Jan 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 9 Feb 2025 |
| 15 Jan 2025 | F0761 | 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. | D | Standard survey | 9 Feb 2025 |
| 15 Jan 2025 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Standard survey | 9 Feb 2025 |
| 15 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 9 Feb 2025 |
| 5 Jan 2025 | F0758 | Implement 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. | D | Complaint investigation | 24 Jan 2025 |
| 5 Sep 2024 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | F | Complaint investigation | 6 Sep 2024 |
| 25 Feb 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 28 Feb 2024 |
| 25 Feb 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 28 Feb 2024 |
| 25 Feb 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 28 Feb 2024 |
| 25 Feb 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 28 Feb 2024 |
| 25 Feb 2024 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Complaint investigation | 28 Feb 2024 |
| 29 Nov 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 11 Dec 2023 |
| 29 Nov 2023 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | E | Complaint investigation | 11 Dec 2023 |
| 29 Nov 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 11 Dec 2023 |
| 29 Nov 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 11 Dec 2023 |
| 29 Nov 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Complaint investigation | 11 Dec 2023 |
| 29 Nov 2023 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Complaint investigation | 11 Dec 2023 |
| 29 Nov 2023 | F0761 | 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. | E | Complaint investigation | 11 Dec 2023 |
| 29 Nov 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 11 Dec 2023 |
| 29 Nov 2023 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Complaint investigation | 11 Dec 2023 |
| 29 Nov 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 11 Dec 2023 |
| 29 Nov 2023 | F0584 | Honor 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. | D | Complaint investigation | 11 Dec 2023 |
| 29 Nov 2023 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Complaint investigation | 11 Dec 2023 |
| 29 Nov 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 11 Dec 2023 |
| 29 Nov 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Complaint investigation | 11 Dec 2023 |
| 29 Nov 2023 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Complaint investigation | 11 Dec 2023 |
| 29 Nov 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 11 Dec 2023 |
| 29 Nov 2023 | F0908 | Keep all essential equipment working safely. | D | Complaint investigation | 11 Dec 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 16 May 2025 | Fine | $73,554 | |
| 14 Feb 2025 | Fine | $145,009 | |
| 25 Feb 2024 | Fine | $6,864 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 49.5%, RNs 72.7%; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 10.5% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.2% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.2% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.0% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.4% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 7.9% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.8% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 11.0% | 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: government, hospital district. Legal business name: Hopkins County Hospital District. Chain: Wellsential Health (67 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Hopkins County Hospital District | 5% or greater direct ownership interest | 100% | 07/16/2014 |
| 3201 N Fourth Street LLC | Adp of the snf | NOT APPLICABLE | 10/01/2018 |
| Csv Rhea Management Holdco, LLC | Adp of the snf | NOT APPLICABLE | 10/01/2018 |
| Dwd Tx Holdings LLC | Adp of the snf | NOT APPLICABLE | 10/01/2018 |
| Hopkins County Hospital District | Adp of the snf | NOT APPLICABLE | 08/27/2025 |
| Jack and Nancy Dwyer Workforce Development Center Inc | Adp of the snf | NOT APPLICABLE | 10/01/2018 |
| Reg Bridge Opco LLC | Adp of the snf | NOT APPLICABLE | 10/01/2018 |
| Reg Hg Opco LLC | Adp of the snf | NOT APPLICABLE | 10/01/2018 |
| Reg Operator Holdco LLC | Adp of the snf | NOT APPLICABLE | 10/01/2018 |
| Regency Ihs Clinical Consulting, LLC | Adp of the snf | NOT APPLICABLE | 10/01/2018 |
| Regency Ihs of Longview LLC | Adp of the snf | NOT APPLICABLE | 10/01/2018 |
| Regency Ihs Rehab LLC | Adp of the snf | NOT APPLICABLE | 10/01/2018 |
| Regency Integrated Health Services LLC | Adp of the snf | NOT APPLICABLE | 10/01/2018 |
| Regency Texas Holdings LLC | Adp of the snf | NOT APPLICABLE | 10/01/2018 |
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 Gregg County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Truman W Smith Children'S Care Center | Gladewater | 120 | 5 | 5 | 2 | 13 | 10.8 | — | 17 Mar 2026 |
| Buckner Westminster Place | Longview | 20 | 4 | 3 | 5 | 15 | 75.0 | $30K | 4 Jun 2025 |
| The Oaks At Longview | Longview | 108 | 3 | 4 | 1 | 33 | 30.6 | — | 11 Dec 2025 |
| Willow Rehab & Nursing | Kilgore | 118 | 3 | 2 | 2 | 33 | 28.0 | $219K | 1 Apr 2026 |
| Legend Oaks Healthcare and Rehabilitation Center G | Gladewater | 100 | 2 | 2 | 2 | 39 | 39.0 | $125K | 23 May 2026 |
| Avir At Longviewabuse icon | Longview | 115 | 1 | 1 | 2 | 55 | 47.8 | $263K | 7 May 2026 |
| Heritage At Longview Healthcare Center | Longview | 140 | 1 | 2 | 1 | 32 | 22.9 | $82K | 28 Apr 2026 |
| Highland Pines Nursing Home | Longview | 171 | 1 | 2 | 1 | 48 | 28.1 | $18K | 14 Jan 2026 |
All 12 facilities in Gregg County
Questions and answers
How many deficiencies has Longview Hill Nursing and Rehabilitation Center been cited for?
60 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Longview Hill Nursing and Rehabilitation Center been fined?
Yes. CMS lists fines totalling $225K in the period covered.
How does staffing at Longview Hill Nursing and Rehabilitation Center compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Longview Hill Nursing and Rehabilitation Center?
It is part of the Wellsential Health chain. Ownership type is government, hospital district. Organisations in the CMS ownership record include Hopkins County Hospital District. Individual owners and managers are not listed on this site.
When was Longview Hill Nursing and Rehabilitation Center last inspected?
The most recent survey or investigation in the CMS record is dated 18 Mar 2026; the most recent standard health survey was 18 Mar 2026.
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.