Longmeadow Healthcare Center
120 Meadowview Dr · Justin, TX · 76247 · 9406482731
120 certified beds For profit - Limited Liability company Chain: Creative Solutions in Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- Federal penalties on record: $17,616 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
8 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
3 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Total nurse staffing below 3.0 hours per resident-day
2.74 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
94% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 2.74 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.32 | 0.55–0.75 |
| Weekend hours / resident-day | 2.22 | ≈ weekday level |
| Nursing turnover / year | 94% | median 45% |
| Fines (3-yr window) | 3 · $50,595 |
Inspection citations (35 in the current record)
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Potential for harm · E May 6, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 21, 2025 · Quality of Life and Care
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Potential for harm · D May 6, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected May 21, 2025 · Quality of Life and Care
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Potential for harm · E May 6, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 1, 2025 · Nutrition and Dietary
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Potential for harm · E May 6, 2025
Provide and implement an infection prevention and control program.
Corrected May 21, 2025 · Infection Control
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Potential for harm · E May 6, 2025
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected May 29, 2025 · Environmental
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Potential for harm · D April 17, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 3, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 17, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 3, 2025 · Resident Assessment and Care Planning
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Immediate jeopardy · J December 27, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 14, 2024 · Quality of Life and Care
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Potential for harm · D March 28, 2024 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected March 29, 2024 · Resident Rights
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Potential for harm · D March 28, 2024 · found via complaint
Honor the resident's right to manage his or her financial affairs.
Corrected April 16, 2024 · Resident Rights
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Potential for harm · D March 28, 2024 · found via complaint
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.
Corrected April 23, 2024 · Resident Rights
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Potential for harm · D March 28, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 29, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 28, 2024 · found via complaint
Ensure 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.
Corrected March 29, 2024 · Quality of Life and Care
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Potential for harm · E March 28, 2024 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 29, 2024 · Quality of Life and Care
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Potential for harm · D March 28, 2024 · found via complaint
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected March 29, 2024 · Quality of Life and Care
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Potential for harm · D March 28, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 29, 2024 · Pharmacy Service
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Potential for harm · D March 28, 2024 · found via complaint
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.
Corrected March 29, 2024 · Pharmacy Service
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Potential for harm · E March 28, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 16, 2024 · Nutrition and Dietary
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Potential for harm · D March 28, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 29, 2024 · Infection Control
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Immediate jeopardy · J October 19, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 9, 2023 · Quality of Life and Care
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Potential for harm · D September 14, 2023 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected September 15, 2023 · Resident Assessment and Care Planning
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Potential for harm · D September 14, 2023 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 15, 2023 · Resident Assessment and Care Planning
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Potential for harm · D September 14, 2023 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 15, 2023 · Quality of Life and Care
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Immediate jeopardy · K July 27, 2023 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected August 11, 2023 · Resident Rights
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Immediate jeopardy · K July 27, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 11, 2023 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 27, 2024 | Fine | $17,616 |
| September 14, 2023 | Fine | $11,253 |
| July 27, 2023 | Fine | $21,726 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675185 · certified since December 4, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.