Elder Care Record

Texas › Gregg County › Longview

Pine Tree Lodge Nursing Center

2711 Pine Tree Rd, Longview, TX 75604

CCN 675177 · Government, hospital district · 92 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.

Certified for 92 beds, Pine Tree Lodge Nursing Center serves Longview in Gregg County, Texas and has taken Medicare and Medicaid residents since 1993.

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 4.

Inspectors recorded 44 health deficiencies across the three most recent survey cycles (13, 14, 17 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 47.8 per 100 beds, more than the state median of 22.5.

CMS lists 2 penalties in the period covered: fines totalling $233K.

Reported nurse staffing is 3.3 hours per resident per day (0.4 RN), close to the Texas median of 3.3; nursing staff turnover is 93.8%.

44health deficiencies, 3 survey cycles4 at actual harm or worse
$233Kfines listed by CMS2 penalties in period
3.3nurse hours per resident per daystate median 3.3
64%occupancy (residents ÷ beds)59 residents a day

Compared with county, state and nation

MeasureThis facilityGregg Co. medianTexas medianUS average
Overall star rating1133.0
Health citations, 3 cycles44442528.7
Citations per 100 beds47.837.922.526.8
Total nurse hours per resident day3.33.43.33.9
RN hours per resident day0.40.40.40.7
Nursing staff turnover93.8%48.5%52.1%45.8%
Fines listed$232,525$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

Cycle 1 (latest)13
Cycle 214
Cycle 317

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 25 Mar 2026, 15 Jan 2025.

Severity mix: K ×4 D ×26 E ×14

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
25 Jun 2026F0880Provide and implement an infection prevention and control program.EComplaint investigation26 Jun 2026
28 May 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation29 May 2026
28 May 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation29 May 2026
25 Mar 2026F0697Provide safe, appropriate pain management for a resident who requires such services.KStandard survey26 Mar 2026
25 Mar 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.KStandard survey26 Mar 2026
25 Mar 2026F0880Provide and implement an infection prevention and control program.EStandard survey26 Mar 2026
25 Mar 2026F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DStandard survey26 Mar 2026
25 Mar 2026F0584Honor 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.DStandard survey26 Mar 2026
25 Mar 2026F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey26 Mar 2026
25 Mar 2026F0693Ensure 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 survey26 Mar 2026
25 Mar 2026F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey26 Mar 2026
25 Mar 2026F0761Ensure 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.DStandard survey26 Mar 2026
25 Mar 2026F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard survey26 Mar 2026
15 Jan 2025F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.EStandard survey4 Feb 2025
15 Jan 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey4 Feb 2025
15 Jan 2025F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard survey4 Feb 2025
15 Jan 2025F0761Ensure 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.EStandard survey4 Feb 2025
15 Jan 2025F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey4 Feb 2025
15 Jan 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey4 Feb 2025
15 Jan 2025F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard survey4 Feb 2025
15 Jan 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey4 Feb 2025
15 Jan 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey4 Feb 2025
15 Jan 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey4 Feb 2025
15 Jan 2025F0880Provide and implement an infection prevention and control program.DStandard survey4 Feb 2025
15 Jan 2025F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey4 Feb 2025
31 Oct 2024F0688Provide 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.DComplaint investigation23 Nov 2024
3 Oct 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint investigation4 Oct 2024
31 Jul 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation5 Aug 2024
19 Jun 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation20 Jun 2024
23 Jan 2024F0558Reasonably accommodate the needs and preferences of each resident.DComplaint investigation24 Jan 2024
23 Jan 2024F0583Keep residents' personal and medical records private and confidential.DComplaint investigation15 Jan 2024
23 Jan 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation24 Jan 2024
23 Jan 2024F0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.DComplaint investigation24 Jan 2024
20 Dec 2023F0641Ensure each resident receives an accurate assessment.EStandard survey21 Dec 2023
20 Dec 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey21 Dec 2023
20 Dec 2023F0880Provide and implement an infection prevention and control program.EComplaint investigation21 Dec 2023
20 Dec 2023F0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.EStandard survey21 Dec 2023
20 Dec 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey21 Dec 2023
20 Dec 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation21 Dec 2023
20 Dec 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 Dec 2023
20 Dec 2023F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey21 Dec 2023
20 Dec 2023F0760Ensure that residents are free from significant medication errors.DStandard survey21 Dec 2023
6 Nov 2023F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.KComplaint investigation7 Nov 2023
6 Nov 2023F0760Ensure that residents are free from significant medication errors.KComplaint investigation7 Nov 2023

Penalties

DateTypeAmountDetail
25 Mar 2026Fine$21,925
6 Nov 2023Fine$210,600

Staffing

Total nursing3.29 h
Nurse aides1.74 h
LPN1.18 h
RN0.37 h
Weekend total2.93 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 93.8%, RNs 100.0%; 2 administrators 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 Stay15.2%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 Stay0.5%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.6%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 Stay24.8%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay9.0%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay5.3%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: Liberty County Hospital District No 1. Chain: Creative Solutions In Healthcare (149 facilities).

OrganisationRole in the CMS recordInterestSince
Liberty County Hospital District No 15% or greater direct ownership interest100%05/01/2022
Longview I Enterprises, LLCOperational/managerial controlNOT APPLICABLE05/01/2022
Longview I Enterprises, LLCAdp of the snfNOT APPLICABLE05/01/2022

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 Gregg County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Truman W Smith Children'S Care CenterGladewater1205521310.8—17 Mar 2026
Buckner Westminster PlaceLongview204351575.0$30K4 Jun 2025
The Oaks At LongviewLongview1083413330.6—11 Dec 2025
Willow Rehab & NursingKilgore1183223328.0$219K1 Apr 2026
Legend Oaks Healthcare and Rehabilitation Center GGladewater1002223939.0$125K23 May 2026
Avir At Longviewabuse iconLongview1151125547.8$263K7 May 2026
Heritage At Longview Healthcare CenterLongview1401213222.9$82K28 Apr 2026
Highland Pines Nursing HomeLongview1711214828.1$18K14 Jan 2026

All 12 facilities in Gregg County

Questions and answers

How many deficiencies has Pine Tree Lodge Nursing Center been cited for?

44 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 Pine Tree Lodge Nursing Center been fined?

Yes. CMS lists fines totalling $233K in the period covered.

How does staffing at Pine Tree Lodge Nursing Center compare?

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

Who operates Pine Tree Lodge Nursing Center?

It is part of the Creative Solutions In Healthcare chain. Ownership type is government, hospital district. Organisations in the CMS ownership record include Liberty County Hospital District No 1 and Longview I Enterprises, LLC. Individual owners and managers are not listed on this site.

When was Pine Tree Lodge Nursing Center last inspected?

The most recent survey or investigation in the CMS record is dated 25 Jun 2026; the most recent standard health survey was 25 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.