Nursing homeActive

Longview Hill Nursing and Rehabilitation Center

3201 N Fourth St, Longview, TX 756059032364291198 certified beds · 114 residentsGovernment - Hospital districtMedicare and Medicaid
Surveys on file
11
since 2023
Deficiencies
60
0564
Penalties · 3 yrs
$225,427
3 fines
Last survey
2026-03-18
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 1
Quality 3
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Texas Health and Human Services Commission · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-03-18Standard0100CMS-2567 (Care Compare)
2026-02-28Complaint010CMS-2567 (Care Compare)
2026-02-09Complaint010CMS-2567 (Care Compare)
2025-09-09Complaint010CMS-2567 (Care Compare)
2025-05-16Complaint001CMS-2567 (Care Compare)
2025-02-14Complaint012CMS-2567 (Care Compare)
2025-01-15Standard0190CMS-2567 (Care Compare)
2025-01-05Complaint010CMS-2567 (Care Compare)
2024-09-05Complaint010CMS-2567 (Care Compare)
2024-02-25Complaint041CMS-2567 (Care Compare)
2023-11-29Standard0170CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Texas Health and Human Services Commission publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-03-18Standard survey · 10 deficienciesOfficial report
F576Ensure residents have reasonable access to and privacy in their use of communication methods.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-19Record 455684-20260318-F576
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-15Record 455684-20260318-F641
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-19Record 455684-20260318-F656
F679Provide activities to meet all resident's needs.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-19Record 455684-20260318-F679
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-19Record 455684-20260318-F686
F688Provide 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.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-19Record 455684-20260318-F688
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-19Record 455684-20260318-F692
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-19Record 455684-20260318-F755
F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-19Record 455684-20260318-F813
F908Keep all essential equipment working safely.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-19Record 455684-20260318-F908
2026-02-28Complaint survey · 1 deficiencyOfficial report
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-02Record 455684-20260228-F686
2026-02-09Complaint survey · 1 deficiencyOfficial report
F573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-10Record 455684-20260209-F573
2025-09-09Complaint survey · 1 deficiencyOfficial report
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-10Record 455684-20250909-F610
2025-05-16Complaint survey · 1 deficiencyOfficial report
F760Ensure that residents are free from significant medication errors.Scope/severity JHarm
Medication
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-05-17Record 455684-20250516-F760
2025-02-14Complaint survey · 3 deficienciesOfficial report
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity KHarm
Dignity & rights
Pattern; immediate jeopardy to resident health or safety.Corrected 2025-02-15Record 455684-20250214-F580
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity KHarm
Care planning
Pattern; immediate jeopardy to resident health or safety.Corrected 2025-02-15Record 455684-20250214-F684
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-15Record 455684-20250214-F755
2025-01-15Standard survey · 19 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-09Record 455684-20250115-F550
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-09Record 455684-20250115-F552
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-09Record 455684-20250115-F584
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-09Record 455684-20250115-F600
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-09Record 455684-20250115-F623
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-09Record 455684-20250115-F641
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-09Record 455684-20250115-F645
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-09Record 455684-20250115-F656
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-09Record 455684-20250115-F677
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-09Record 455684-20250115-F689
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-09Record 455684-20250115-F692
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-09Record 455684-20250115-F755
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-09Record 455684-20250115-F757
F758Implement 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-09Record 455684-20250115-F758
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-09Record 455684-20250115-F761
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-09Record 455684-20250115-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-02-09Record 455684-20250115-F812
F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-09Record 455684-20250115-F813
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-09Record 455684-20250115-F880
2025-01-05Complaint survey · 1 deficiencyOfficial report
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-24Record 455684-20250105-F758
2024-09-05Complaint survey · 1 deficiencyOfficial report
F803Ensure 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.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-09-06Record 455684-20240905-F803
2024-02-25Complaint survey · 5 deficienciesOfficial report
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-02-28Record 455684-20240225-F684
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-28Record 455684-20240225-F580
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-28Record 455684-20240225-F689
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-28Record 455684-20240225-F842
F919Make sure that a working call system is available in each resident's bathroom and bathing area.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-28Record 455684-20240225-F919
2023-11-29Standard survey · 17 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-11Record 455684-20231129-F550
F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-11Record 455684-20231129-F553
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-11Record 455684-20231129-F580
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-11Record 455684-20231129-F584
F602Protect each resident from the wrongful use of the resident's belongings or money.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-11Record 455684-20231129-F602
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-11Record 455684-20231129-F645
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-11Record 455684-20231129-F656
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-11Record 455684-20231129-F677
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-11Record 455684-20231129-F689
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-11Record 455684-20231129-F695
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-11Record 455684-20231129-F698
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-11Record 455684-20231129-F726
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-11Record 455684-20231129-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-12-11Record 455684-20231129-F812
F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-11Record 455684-20231129-F813
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-11Record 455684-20231129-F880
F908Keep all essential equipment working safely.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-11Record 455684-20231129-F908

Penalties & enforcement

DateActionAmountSource
2025-05-16Civil money penalty$73,554CMS · Penalties
2025-02-14Civil money penalty$145,009CMS · Penalties
2024-02-25Civil money penalty$6,864CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.38
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day3.36
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours3.01
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover50%
Facility
Texas
National
Texas 55% · National 46%
Registered nurse turnover73%
Facility
Texas
National
Texas 55% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityTexasNational
Percentage of long-stay residents with pressure ulcers
lower is better
3.8%3.8%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
5.0%3.3%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
11.0%9.6%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
1.2%0.8%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.0%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
10.5%15.8%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
3.9%3.0%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
17.1%18.0%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Hopkins County Hospital District
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Sanders, Leo
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Zarcone, Gregory
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
3201 N Fourth Street LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Baird, Daniel
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Black, David
Individual
CORPORATE OFFICERNOT APPLICABLE
Brown, Christopher
Individual
CORPORATE OFFICERNOT APPLICABLE
Burgin, Joe
Individual
CORPORATE OFFICERNOT APPLICABLE
Carvajal, Antonio
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Clapp, Barbara
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Cortese, Daren
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Csv Rhea Management Holdco, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Dekowski, Donovan
Individual
ADP OF THE SNFNOT APPLICABLE
Dwd Tx Holdings LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Gibson, Patricia
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Gonzales, Veronica
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Hopkins County Hospital District
Organization
ADP OF THE SNFNOT APPLICABLE
Jack And Nancy Dwyer Workforce Development Center Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Jones, Darneshia
Individual
ADP OF THE SNFNOT APPLICABLE
Kaufman, Nicole
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Law, Kerry
Individual
CORPORATE OFFICERNOT APPLICABLE
Mandelbaum, Elliot
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Mejia, Maria
Individual
CORPORATE OFFICERNOT APPLICABLE
Poole, Jody
Individual
ADP OF THE SNFNOT APPLICABLE
Reg Bridge Opco LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Reg Hg Opco LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Reg Operator Holdco LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Regency Ihs Clinical Consulting, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Regency Ihs Of Longview LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Regency Ihs Rehab LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Regency Integrated Health Services LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Regency Texas Holdings LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Sanders, Leo
Individual
ADP OF THE SNFNOT APPLICABLE
Shultz, Kristi
Individual
CORPORATE OFFICERNOT APPLICABLE
Smith, Michael
Individual
CORPORATE OFFICERNOT APPLICABLE
Wright, Tammy
Individual
CORPORATE OFFICERNOT APPLICABLE
Zarcone, Gregory
Individual
ADP OF THE SNFNOT APPLICABLE
Part of a chain
Wellsential Health67 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Texas.

No county cost figures on file for Gregg.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Avir at Longview
Longview
0.6 mi2026-05-071327
Heritage At Longview Healthcare Center
Longview
0.9 mi2026-04-280262
The Oaks at Longview
Longview
0.9 mi2025-12-110230
Treviso Transitional Care
Longview
1.0 mi2026-06-100384
Buckner Westminster Place
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1.0 mi2025-06-04084
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01