Longview Hill Nursing and Rehabilitation Center
3201 N Fourth St · Longview, TX · 75605 · 9032364291
198 certified beds Government - Hospital district Chain: Wellsential Health
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $218,563 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
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
$218,563 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.46 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.43 | 0.55–0.75 |
| Weekend hours / resident-day | 3.21 | ≈ weekday level |
| Nursing turnover / year | 39% | median 45% |
| Fines (3-yr window) | 3 · $225,427 |
Inspection citations (60 in the current record)
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Potential for harm · D March 18, 2026
Ensure each resident receives an accurate assessment.
Corrected April 15, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 18, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 19, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 18, 2026
Provide activities to meet all resident's needs.
Corrected March 19, 2026 · Quality of Life and Care
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Potential for harm · D March 18, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 19, 2026 · Quality of Life and Care
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Potential for harm · E March 18, 2026
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.
Corrected March 19, 2026 · Quality of Life and Care
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Potential for harm · D March 18, 2026
Provide enough food/fluids to maintain a resident's health.
Corrected March 19, 2026 · Quality of Life and Care
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Potential for harm · D March 18, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 19, 2026 · Pharmacy Service
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Potential for harm · D March 18, 2026
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected March 19, 2026 · Nutrition and Dietary
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Potential for harm · D March 18, 2026
Keep all essential equipment working safely.
Corrected March 19, 2026 · Environmental
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Potential for harm · E March 18, 2026 · found via complaint
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected March 19, 2026 · Resident Rights
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Potential for harm · E February 28, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 2, 2026 · Quality of Life and Care
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Potential for harm · D February 9, 2026 · found via complaint
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected February 10, 2026 · Resident Rights
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Potential for harm · D September 9, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected September 10, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J May 16, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected May 17, 2025 · Pharmacy Service
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Immediate jeopardy · K February 14, 2025 · 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 February 15, 2025 · Resident Rights
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Immediate jeopardy · K February 14, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 15, 2025 · Quality of Life and Care
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Potential for harm · E February 14, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 15, 2025 · Pharmacy Service
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Potential for harm · D January 15, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected February 9, 2025 · Resident Rights
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Potential for harm · D January 15, 2025
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 February 9, 2025 · Resident Rights
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Potential for harm · D January 15, 2025
Ensure each resident receives an accurate assessment.
Corrected February 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 15, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected February 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · E January 15, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 9, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D January 15, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 9, 2025 · Quality of Life and Care
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Potential for harm · D January 15, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 9, 2025 · Quality of Life and Care
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Potential for harm · D January 15, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected February 9, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 16, 2025 | Fine | $73,554 |
| February 14, 2025 | Fine | $145,009 |
| February 25, 2024 | Fine | $6,864 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455684 · certified since February 11, 1987. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.