Highland Pines Nursing Home

Nursing Home · Longview, TX

CMS overall rating 1/5 Government - Hospital district

CMS certification number675133

Contact & location

1100 N 4th Street
Longview, TX 75601
Gregg County
Phone
(903) 753-7661
ZIP code
75601 – all care providers

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Facility details

Certified beds
171
Residents per day
96.9 (57% occupied)
Ownership
Government - Hospital district
Legal name
Frio Hospital District
Chain
Opco Skilled Management (66 facilities, avg 2.3★)
Medicare certified since
May 1, 1993
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 2.6
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 1/5
State avg 1.9
Quality measures★★★★★ 3/5
State avg 3.7
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 2/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.70 (state 3.39 · U.S. 3.86)
Registered nurses (RN)
0.37 (state 0.43 · U.S. 0.69)
Licensed practical nurses
1.24 (state 0.95 · U.S. 0.86)
Nurse aides
2.08 (state 2.00 · U.S. 2.32)
Weekend total
3.12 (state 2.98 · U.S. 3.42)
Nursing staff turnover
46.2 (state 55.3 · U.S. 45.8)%
RN turnover
28.6 (state 54.6 · U.S. 42.9)%
Administrators who left
2 in the last year

Inspections

Last standard inspection
January 14, 2026
Health deficiencies (last cycle)
8.0 (state 9.3 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
48 health · 7 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-01-14 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-15
2026-01-14 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-15
2026-01-14 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-15
2026-01-14 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-15
2026-01-14 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-15
2026-01-14 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.
F0761 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-15
2026-01-14 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-15
2026-01-14 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-15
2025-03-04 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-02-20
2024-10-17 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-11-08
2024-10-17 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-11-08
2024-10-17 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-11-08
2024-10-17 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-11-08
2024-10-17 Have a policy regarding use and storage of foods brought to residents by family and other visitors.
F0813 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-11-08
2024-10-17 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-11-08
2024-10-17 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F0582 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-08
2024-10-17 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-08
2024-10-17 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-08
2024-10-17 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-08
2024-10-17 Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
F0646 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-08
2024-10-17 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-08
2024-10-17 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-08
2024-10-17 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-08
2024-10-17 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-08
2024-10-17 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.
F0758 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-08
2024-10-17 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-08
2024-10-17 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-08
2024-10-17 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.
F0761 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-08
2024-09-09 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-10
2024-09-04 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-05
2024-08-01 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2024-08-24
2024-08-01 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-08-24
2023-08-31 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2023-09-27
2023-08-31 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.
F0584 · Resident Rights Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2023-09-27
2023-08-31 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2023-09-27
2023-08-31 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2023-09-27
2023-08-31 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2023-09-27
2023-08-31 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2023-09-27
2023-08-31 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2023-09-27
2023-08-31 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2023-09-27
2023-08-31 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-09-27
2023-08-31 Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-09-27
2023-08-31 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-09-27
2023-08-31 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-09-27
2023-08-31 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.
F0761 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-09-27
2023-08-31 Have a policy regarding use and storage of foods brought to residents by family and other visitors.
F0813 · Nutrition and Dietary Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-09-27
2023-08-31 Keep all essential equipment working safely.
F0908 · Environmental Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-09-27
2023-08-31 Have policies on smoking.
F0926 · Environmental Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-09-27

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

2 penalties in the last three years, including $17,629 in fines.

DateTypeAmount
2024-08-01Payment Denial11 days payment denial
2024-08-01Fine$17,629

Ownership & management

NameRoleSince
Frio Hospital District (organization)5%+ Direct Ownership Interest · 100%
1100 Fourth Street M Tic, LLC (organization)Administrator · NOT APPLICABLE
Continuum Rehab Group LLC (organization)Administrator · NOT APPLICABLE
Earnest, Carl (individual)Administrator · NOT APPLICABLE
Gibraltar Trust (organization)Administrator · NOT APPLICABLE
HP Longview Realty, LLC (organization)Administrator · NOT APPLICABLE
Larchmont Realty, LLC (organization)Administrator · NOT APPLICABLE
Opco Ca Skilled Mgmt INC. (organization)Administrator · NOT APPLICABLE
Opco Texas Skilled Mgmt LLC (organization)Administrator · NOT APPLICABLE
Oregon Realty, LLC (organization)Administrator · NOT APPLICABLE
Wright, Jennifer (individual)Administrator · NOT APPLICABLE
Ruff, Michael (individual)Corporate Officer · NOT APPLICABLE
Gurwitz, Solomon (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Hagins, Elizabeth (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Kaplan, Esther (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Kaplan, Mordechai (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Mindle, Adam (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Unger, Jeffrey (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Garetz, David (individual)Operational/managerial Control · NOT APPLICABLE
HP Nursing & Rehab LLC (organization)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Highland Pines Nursing Home?

Highland Pines Nursing Home has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.

How many beds does Highland Pines Nursing Home have?

It has 171 certified beds and cares for about 97 residents per day.

Has Highland Pines Nursing Home been fined?

Yes. CMS lists 2 penalties totaling $17,629 in the last three years.

Who owns Highland Pines Nursing Home?

It is part of Opco Skilled Management and is classified as government - hospital district. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Highland Pines Nursing Home?

(903) 753-7661. The facility is located at 1100 N 4th Street, Longview, TX 75601.

Other nursing homes in Longview

Compare all nursing homes in Longview, TX →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.