nursing home in Longview, TX

Highland Pines Nursing Home

1100 N 4th Street, Longview, TX 75601 · (903) 753-7661

★★★★★2
Below average
CMS overall star rating
  • Health inspections★★★★★3
  • Staffing★★★★★1
  • Quality measures★★★★★3

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Highland Pines Nursing Home at a glance

Highland Pines Nursing Home is a 171-bed government nursing home in Longview, Texas (Gregg County).

CMS gives it 2 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.

Residents receive about 3.7 hours of nursing care per day (0.4 of them from registered nurses), better than the state average of 3.4 hours.

Its most recent standard health inspection (January 14, 2026) found 8 health citations. The Texas average is 9.4.

Federal regulators fined it 1 time in the past three years, totaling $17,629.

Nursing staff turnover is 46.2% per year (state average 55.3%).

Facility details

Type
Nursing home
Ownership
Government - Hospital District
Beds
171
Certified for
Medicare and Medicaid
Chain / affiliated entity
Opco Skilled Management
Medicare-certified since
May 1, 1993
Resident/family council
Resident
County
Gregg County
CMS Certification Number
675133

Ratings

MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)2 / 52.7 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)3 / 52.8 / 52.8 / 5Average
Staffing rating ⓘ (higher is better)1 / 51.9 / 52.9 / 5Worse
Quality measures rating ⓘ (higher is better)3 / 53.7 / 53.6 / 5Worse
Long-stay quality rating (higher is better)4 / 54 / 53.8 / 5Average
Short-stay (rehab) quality rating (higher is better)2 / 53.2 / 53.3 / 5Worse

Staffing

This facility3.70 hrsTexas average3.39 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.70 hrs3.39 hrs3.86 hrsAverage
Registered nurse hours per resident per day (higher is better)0.37 hrs0.43 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)2.08 hrs2.01 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)3.12 hrs2.98 hrs3.42 hrsWorse
Nursing staff turnover (yearly) (lower is better)46.2%55.3%45.8%Average
Registered nurse turnover (yearly) (lower is better)28.6%54.6%42.9%Better
Administrators who left in the past year (lower is better)211Worse

Inspections

This facility8Texas average9U.S. average9
Health citations in the most recent inspection: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)899Better
Citations from complaint investigations (latest cycle) (lower is better)043Better
Weighted health inspection score ⓘ (lower is better)71.810280.6Better

Penalties

This facility1Texas average1U.S. average1
Fines in the past 3 years: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)111Worse
Total fines in the past 3 years (lower is better)$17,629$44,141$30,972Better
All federal penalties in the past 3 years (lower is better)221Worse

Size

MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Certified beds171113107
Average residents per day977686
Occupancy56.7%67.6%80.9%

Long-stay residents

This facility2%Texas average3.3%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)2%3.3%3.2%Better
Long-stay residents with pressure ulcers (lower is better)1.8%3.8%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)15.5%9.6%15.4%Average
Long-stay residents with a urinary tract infection (lower is better)0.3%0.8%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)0%0.3%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)14.7%15.8%13.9%Worse
Long-stay residents whose walking worsened (lower is better)6.3%14%14.1%Better
Long-stay residents who lose too much weight (lower is better)0.7%3%5.2%Better
Long-stay residents with depressive symptoms (lower is better)0.3%2.4%12.8%Better
Long-stay residents who were physically restrained (lower is better)0%0%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)19.3%18%19.5%Average
Long-stay residents with new or worse incontinence (lower is better)9.4%13.4%19%Better
Long-stay residents given a flu vaccine (higher is better)99.1%98%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)99.1%96.6%93.6%Better

Short-stay residents

This facility0.4%Texas average1.5%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)0.4%1.5%1.6%Better
Short-stay residents given a flu vaccine (higher is better)98.9%88%79.8%Better
Short-stay residents given a pneumonia vaccine (higher is better)99.1%88.9%82%Better

Inspection citations

State inspectors cited this home for 48 health deficiencies and 7 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".

DateCitationSeverityStatus
January 14, 2026
Fire safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies · Tag K0372
E
Potential harm, pattern
Corrected January 16, 2026
January 14, 2026
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
B
No harm, pattern
No revisit needed
January 14, 2026
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
D
Potential harm, isolated
Corrected January 15, 2026
January 14, 2026
Standard
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.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected January 15, 2026
January 14, 2026
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected January 15, 2026
January 14, 2026
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected January 15, 2026
January 14, 2026
Standard
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Tag F0655
D
Potential harm, isolated
Corrected January 15, 2026
January 14, 2026
Standard
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Tag F0645
D
Potential harm, isolated
Corrected January 15, 2026
January 14, 2026
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected January 15, 2026
January 14, 2026
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected January 15, 2026
March 4, 2025
Complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600
D
Potential harm, isolated
Corrected February 20, 2025
October 17, 2024
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
C
No harm, widespread
Waiver has been granted
October 17, 2024
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
E
Potential harm, pattern
Corrected November 8, 2024
October 17, 2024
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected November 8, 2024
October 17, 2024
Standard
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary Deficiencies · Tag F0813
E
Potential harm, pattern
Corrected November 8, 2024
October 17, 2024
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
E
Potential harm, pattern
Corrected November 8, 2024
October 17, 2024
Standard
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Tag F0690
E
Potential harm, pattern
Corrected November 8, 2024
October 17, 2024
Complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600
E
Potential harm, pattern
Corrected November 8, 2024
October 17, 2024
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected November 8, 2024
October 17, 2024
Standard
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Tag F0582
D
Potential harm, isolated
Corrected November 8, 2024
October 17, 2024
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected November 8, 2024
October 17, 2024
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected November 8, 2024
October 17, 2024
Standard
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Tag F0645
D
Potential harm, isolated
Corrected November 8, 2024
October 17, 2024
Standard
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Resident Assessment and Care Planning Deficiencies · Tag F0646
D
Potential harm, isolated
Corrected November 8, 2024
October 17, 2024
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected November 8, 2024
October 17, 2024
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected November 8, 2024
October 17, 2024
Standard
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Tag F0757
D
Potential harm, isolated
Corrected November 8, 2024
October 17, 2024
Standard
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.
Pharmacy Service Deficiencies · Tag F0758
D
Potential harm, isolated
Corrected November 8, 2024
October 17, 2024
Standard
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Tag F0759
D
Potential harm, isolated
Corrected November 8, 2024
October 17, 2024
Standard
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
D
Potential harm, isolated
Corrected November 8, 2024
October 17, 2024
Standard
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.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected November 8, 2024
September 9, 2024
Complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected September 10, 2024
September 4, 2024
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected September 5, 2024
August 1, 2024
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
J
Immediate jeopardy, isolated
Corrected August 24, 2024
August 1, 2024
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected August 24, 2024
August 31, 2023
Fire safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Egress Deficiencies · Tag K0223
E
Potential harm, pattern
Corrected September 19, 2023
August 31, 2023
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
E
Potential harm, pattern
Corrected September 26, 2023
August 31, 2023
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
B
No harm, pattern
Corrected September 19, 2023
August 31, 2023
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
B
No harm, pattern
Waiver has been granted
August 31, 2023
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
E
Potential harm, pattern
Corrected September 27, 2023
August 31, 2023
Standard
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Tag F0690
E
Potential harm, pattern
Corrected September 27, 2023
August 31, 2023
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
E
Potential harm, pattern
Corrected September 27, 2023
August 31, 2023
Standard
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Tag F0580
E
Potential harm, pattern
Corrected September 27, 2023
August 31, 2023
Standard
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.
Resident Rights Deficiencies · Tag F0584
E
Potential harm, pattern
Corrected September 27, 2023
August 31, 2023
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
E
Potential harm, pattern
Corrected September 27, 2023
August 31, 2023
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected September 27, 2023
August 31, 2023
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
E
Potential harm, pattern
Corrected September 27, 2023
August 31, 2023
Standard
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary Deficiencies · Tag F0813
D
Potential harm, isolated
Corrected September 27, 2023
August 31, 2023
Standard
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Tag F0692
D
Potential harm, isolated
Corrected September 27, 2023
August 31, 2023
Standard
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Tag F0583
D
Potential harm, isolated
Corrected September 27, 2023
August 31, 2023
Standard
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Tag F0558
D
Potential harm, isolated
Corrected September 27, 2023
August 31, 2023
Standard
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Tag F0657
D
Potential harm, isolated
Corrected September 27, 2023
August 31, 2023
Standard
Keep all essential equipment working safely.
Environmental Deficiencies · Tag F0908
D
Potential harm, isolated
Corrected September 27, 2023
August 31, 2023
Standard
Have policies on smoking.
Environmental Deficiencies · Tag F0926
D
Potential harm, isolated
Corrected September 27, 2023
August 31, 2023
Standard
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.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected September 27, 2023

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports 2 federal penalties in the past three years, including $17,629 in fines.

DatePenaltyAmount / length
August 1, 2024Payment Denial11 days from August 30, 2024
August 1, 2024Fine$17,629

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
FRIO HOSPITAL DISTRICT
Organization
5% or greater direct ownership interest100%01/01/2024
1100 FOURTH STREET M TIC, LLC
Organization
adp of the snfNOT APPLICABLE01/01/2024
CONTINUUM REHAB GROUP LLC
Organization
adp of the snfNOT APPLICABLE01/01/2024
EARNEST, CARL
Individual
adp of the snfNOT APPLICABLE06/01/2019
GIBRALTAR TRUST
Organization
adp of the snfNOT APPLICABLE01/01/2024
HP LONGVIEW REALTY, LLC
Organization
adp of the snfNOT APPLICABLE01/01/2024
LARCHMONT REALTY, LLC
Organization
adp of the snfNOT APPLICABLE01/01/2024
OPCO CA SKILLED MGMT INC.
Organization
adp of the snfNOT APPLICABLE01/01/2024
OPCO TEXAS SKILLED MGMT LLC
Organization
adp of the snfNOT APPLICABLE01/01/2024
OREGON REALTY, LLC
Organization
adp of the snfNOT APPLICABLE01/01/2024
WRIGHT, JENNIFER
Individual
adp of the snfNOT APPLICABLE01/14/2025
RUFF, MICHAEL
Individual
corporate officerNOT APPLICABLE01/01/2024
GURWITZ, SOLOMON
Individual
individual is an owner, partner or trustee of any adp of the snfNOT APPLICABLE07/03/2025
HAGINS, ELIZABETH
Individual
individual is an owner, partner or trustee of any adp of the snfNOT APPLICABLE07/28/2025
KAPLAN, ESTHER
Individual
individual is an owner, partner or trustee of any adp of the snfNOT APPLICABLE07/03/2025
KAPLAN, MORDECHAI
Individual
individual is an owner, partner or trustee of any adp of the snfNOT APPLICABLE07/28/2025
MINDLE, ADAM
Individual
individual is an owner, partner or trustee of any adp of the snfNOT APPLICABLE07/03/2025
UNGER, JEFFREY
Individual
individual is an owner, partner or trustee of any adp of the snfNOT APPLICABLE07/03/2025
GARETZ, DAVID
Individual
operational/managerial controlNOT APPLICABLE01/01/2024
HP NURSING & REHAB LLC
Organization
operational/managerial controlNOT APPLICABLE01/01/2024

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    For-profit · 116 beds · Part of Creative Solutions in Healthcare

    • Special Focus candidate
    • Abuse citation
    ★★★★★1Much below average
  2. Heritage at Longview Healthcare Center

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    For-profit · 140 beds · Part of Creative Solutions in Healthcare

    ★★★★★1Much below average
  3. The Oaks at Longview

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    ★★★★★3Average
  4. Avir at Longview

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    Government · 115 beds · Part of Avir Health Group

    • Abuse citation
    • New owner (last 12 months)
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  5. Longview Hill Nursing and Rehabilitation Center

    3201 N Fourth St, Longview, TX 75605 · 2 mi

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  6. Buckner Westminster Place

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Frequently asked questions

What is Highland Pines Nursing Home's rating?

Highland Pines Nursing Home has 2 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.

How many inspection citations did Highland Pines Nursing Home receive?

Its most recent standard health inspection found 8 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.

Does Highland Pines Nursing Home accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Highland Pines Nursing Home?

It is government - hospital district and part of Opco Skilled Management. The ownership section on this page lists the owners and managers reported to CMS.

Where is Highland Pines Nursing Home and how do I contact it?

Highland Pines Nursing Home is at 1100 N 4th Street, Longview, TX 75601. Phone: (903) 753-7661.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.