Nursing homeActive

Highland Pines Nursing Home

1100 N 4th Street, Longview, TX 756019037537661171 certified beds · 97 residentsGovernment - Hospital districtMedicare and Medicaid
Surveys on file
7
since 2023
Deficiencies
48
0471
Penalties · 3 yrs
$17,629
1 fine · 1 action
Last survey
2026-01-14
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 2
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
2026-01-14Standard080CMS-2567 (Care Compare)
2025-03-04Complaint010CMS-2567 (Care Compare)
2024-10-17Standard0190CMS-2567 (Care Compare)
2024-09-09Complaint010CMS-2567 (Care Compare)
2024-09-04Complaint010CMS-2567 (Care Compare)
2024-08-01Complaint011CMS-2567 (Care Compare)
2023-08-31Standard0160CMS-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.

2026-01-14Standard survey · 8 deficienciesOfficial report
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-15Record 675133-20260114-F641
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-15Record 675133-20260114-F645
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-15Record 675133-20260114-F655
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 2026-01-15Record 675133-20260114-F656
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 2026-01-15Record 675133-20260114-F755
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 2026-01-15Record 675133-20260114-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-15Record 675133-20260114-F812
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 2026-01-15Record 675133-20260114-F880
2025-03-04Complaint survey · 1 deficiencyOfficial report
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 2025-02-20Record 675133-20250304-F600
2024-10-17Standard survey · 19 deficienciesOfficial report
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-08Record 675133-20241017-F582
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-11-08Record 675133-20241017-F600
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-08Record 675133-20241017-F609
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-08Record 675133-20241017-F641
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-08Record 675133-20241017-F645
F646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-08Record 675133-20241017-F646
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 2024-11-08Record 675133-20241017-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 2024-11-08Record 675133-20241017-F677
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 2024-11-08Record 675133-20241017-F686
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-11-08Record 675133-20241017-F690
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 2024-11-08Record 675133-20241017-F695
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 2024-11-08Record 675133-20241017-F755
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-08Record 675133-20241017-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 DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-08Record 675133-20241017-F758
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-08Record 675133-20241017-F759
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-08Record 675133-20241017-F760
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 2024-11-08Record 675133-20241017-F761
F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-11-08Record 675133-20241017-F813
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-11-08Record 675133-20241017-F880
2024-09-09Complaint survey · 1 deficiencyOfficial report
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 2024-09-10Record 675133-20240909-F656
2024-09-04Complaint survey · 1 deficiencyOfficial report
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 2024-09-05Record 675133-20240904-F689
2024-08-01Complaint survey · 2 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-08-24Record 675133-20240801-F689
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-24Record 675133-20240801-F609
2023-08-31Standard survey · 16 deficienciesOfficial report
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-27Record 675133-20230831-F558
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-27Record 675133-20230831-F580
F583Keep residents' personal and medical records private and confidential.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-27Record 675133-20230831-F583
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 EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-27Record 675133-20230831-F584
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 2023-09-27Record 675133-20230831-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-27Record 675133-20230831-F657
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 2023-09-27Record 675133-20230831-F677
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-27Record 675133-20230831-F690
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 2023-09-27Record 675133-20230831-F692
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 2023-09-27Record 675133-20230831-F695
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 2023-09-27Record 675133-20230831-F755
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 2023-09-27Record 675133-20230831-F761
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 2023-09-27Record 675133-20230831-F813
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-27Record 675133-20230831-F880
F908Keep all essential equipment working safely.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-27Record 675133-20230831-F908
F926Have policies on smoking.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-27Record 675133-20230831-F926

Penalties & enforcement

DateActionAmountSource
2024-08-01Civil money penalty$17,629CMS · Penalties
2024-08-01Denial of payment for new admissions
Payment denial for 11 days, from 2024-08-30
CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.37
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day3.70
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours3.12
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover46%
Facility
Texas
National
Texas 55% · National 46%
Registered nurse turnover29%
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
1.8%3.8%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
2.0%3.3%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
15.5%9.6%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.3%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
14.7%15.8%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
0.7%3.0%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
19.3%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
Frio Hospital District
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Garetz, David
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Hp Nursing & Rehab LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
1100 Fourth Street M Tic, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Continuum Rehab Group LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Earnest, Carl
Individual
ADP OF THE SNFNOT APPLICABLE
Gibraltar Trust
Organization
ADP OF THE SNFNOT APPLICABLE
Gurwitz, Solomon
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Hagins, Elizabeth
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Hp Longview Realty, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Kaplan, Esther
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Kaplan, Mordechai
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Larchmont Realty, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Mindle, Adam
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Opco Ca Skilled Mgmt Inc.
Organization
ADP OF THE SNFNOT APPLICABLE
Opco Texas Skilled Mgmt LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Oregon Realty, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Ruff, Michael
Individual
CORPORATE OFFICERNOT APPLICABLE
Unger, Jeffrey
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Wright, Jennifer
Individual
ADP OF THE SNFNOT APPLICABLE
Part of a chain
Opco Skilled Management66 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
Heritage At Longview Healthcare Center
Longview
1.6 mi2026-04-280262
The Oaks at Longview
Longview
1.6 mi2025-12-110230
Whispering Pines Lodge
Longview
1.5 mi2026-02-2004712
Avir at Longview
Longview
1.7 mi2026-05-071327
Longview Hill Nursing and Rehabilitation Center
Longview
2.0 mi2026-03-180564
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