Longview Hill Nursing and Rehabilitation Center
3201 N Fourth St, Longview, TX 75605 · (903) 236-4291
Government - Hospital district · 198 certified beds
Longview Hill Nursing and Rehabilitation Center has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in March 2026, found 10 citations (the Texas average is 9.4). It was fined 3 times in the last three years, $225,427 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 3 out of 5 stars · Average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 1 out of 5 stars · Much below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on March 18, 2026 found 10 citations. What an inspection citation means
- Ensure residents have reasonable access to and privacy in their use of communication methods.March 18, 2026 · F0576 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.March 18, 2026 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure each resident receives an accurate assessment.March 18, 2026 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.March 18, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide activities to meet all resident's needs.March 18, 2026 · F0679 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.March 18, 2026 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough food/fluids to maintain a resident's health.March 18, 2026 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.March 18, 2026 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Have a policy regarding use and storage of foods brought to residents by family and other visitors.March 18, 2026 · F0813 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Keep all essential equipment working safely.March 18, 2026 · F0908 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 35 citations.
- Ensure residents have reasonable access to and privacy in their use of communication methods.March 18, 2026 · F0576 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.February 28, 2026 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Let each resident or the resident's legal representative access or purchase copies of all the resident's records.February 9, 2026 · F0573 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.September 9, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that residents are free from significant medication errors.May 16, 2025 · F0760 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.February 14, 2025 · F0580 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.February 14, 2025 · F0684 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.February 14, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.January 15, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.January 15, 2025 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.January 15, 2025 · F0623 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.January 5, 2025 · F0758 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure 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.September 5, 2024 · F0803 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.February 25, 2024 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.February 25, 2024 · F0684 · Level of harm: Actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.February 25, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.February 25, 2024 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Make sure that a working call system is available in each resident's bathroom and bathing area.February 25, 2024 · F0919 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.November 29, 2023 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Allow resident to participate in the development and implementation of his or her person-centered plan of care.November 29, 2023 · F0553 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.November 29, 2023 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.November 29, 2023 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from the wrongful use of the resident's belongings or money.November 29, 2023 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- PASARR screening for Mental disorders or Intellectual DisabilitiesNovember 29, 2023 · F0645 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.November 29, 2023 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide care and assistance to perform activities of daily living for any resident who is unable.November 29, 2023 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.November 29, 2023 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe and appropriate respiratory care for a resident when needed.November 29, 2023 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide safe, appropriate dialysis care/services for a resident who requires such services.November 29, 2023 · F0698 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.November 29, 2023 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.November 29, 2023 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.November 29, 2023 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Have a policy regarding use and storage of foods brought to residents by family and other visitors.November 29, 2023 · F0813 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.November 29, 2023 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Keep all essential equipment working safely.November 29, 2023 · F0908 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $73,554May 16, 2025
- Fine of $145,009February 14, 2025
- Fine of $6,864February 25, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Texas average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.36 | 3.39 | 3.86 |
| Registered nurses (RN) | 0.38 | 0.43 | 0.69 |
| Licensed practical nurses (LPN) | 1.07 | 0.95 | 0.86 |
| Nurse aides | 1.92 | 2.01 | 2.32 |
| Total nursing staff turnover | 49.5% | 55.3% | 45.8% |
About this home
| Ownership | Government - Hospital district |
| Certified beds | 198 |
| Average residents per day | 114 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Buckner Westminster Place Longview · ★★★★★ 4 out of 5 stars
- The Oaks at Longview Longview · ★★★★★ 3 out of 5 stars
- Highland Pines Nursing Home Longview · ★★★★★ 2 out of 5 stars
- Heritage at Longview Healthcare Center Longview · ★★★★★ 1 out of 5 stars
- Avir at Longview Longview · ★★★★★ 1 out of 5 stars
Compare every nursing home in Longview, TX · Nursing homes in Texas · Home health agencies in Longview, TX
Comparing nursing homes?
See whether help at home or assisted living fits better. Answer four questions and we'll suggest where to start: a medical alert, help at home, or assisted living.
Free for families. This isn't medical advice.
Who are you looking for help for?
Data from Medicare (CMS), updated October 2026, from Longview Hill Nursing and Rehabilitation Center on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.