Longview Hill Nursing and Rehabilitation Center
A nursing home in Longview, Texas 75605
3201 N Fourth St, Longview, Texas 75605. (903) 236-4291.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 12 health citations at the latest inspection cycle Texas average: 9.6
- 3.31 nurse hours per resident per day Texas average: 3.42
- 3 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
12 health citations at the latest inspection cycle
The Texas average is 9.6.
Last standard inspection Mar 18, 2026.
Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on May 16, 2025
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
43 citations in 8 months of the last 36. Last cited Mar 2026. Most serious: immediate jeopardy to health or safety (K). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 60 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 35 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Mar 18, 2026: standard inspection9 citations
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Ensure each resident receives an accurate assessment.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Provide activities to meet all resident’s needs.
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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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.
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Provide enough food/fluids to maintain a resident’s health.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Have a policy regarding use and storage of foods brought to residents by family and other visitors.
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Keep all essential equipment working safely.
Mar 18, 2026: standard and complaint inspection1 citation
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Ensure residents have reasonable access to and privacy in their use of communication methods.
Feb 28, 2026: complaint inspection1 citation
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Feb 9, 2026: complaint inspection1 citation
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Let each resident or the resident’s legal representative access or purchase copies of all the resident’s records.
Sep 9, 2025: complaint inspection1 citation
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Respond appropriately to all alleged violations.
May 16, 2025: complaint inspection1 citation
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Ensure that residents are free from significant medication errors.
Feb 14, 2025: complaint inspection3 citations
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Jan 15, 2025: standard inspection16 citations
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Ensure that residents are fully informed and understand their health status, care and treatments.
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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.
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Ensure each resident receives an accurate assessment.
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PASARR screening for Mental disorders or Intellectual Disabilities
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Provide enough food/fluids to maintain a resident’s health.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Ensure each resident’s drug regimen must be free from unnecessary drugs.
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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.
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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.
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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Have a policy regarding use and storage of foods brought to residents by family and other visitors.
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Provide and implement an infection prevention and control program.
Jan 15, 2025: standard and complaint inspection3 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Jan 5, 2025: complaint inspection1 citation
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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.
Sep 5, 2024: complaint inspection1 citation
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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.
Feb 25, 2024: complaint inspection5 citations
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
-
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Make sure that a working call system is available in each resident’s bathroom and bathing area.
Nov 29, 2023: standard and complaint inspection17 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Allow resident to participate in the development and implementation of his or her person-centered plan of care.
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
-
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.
-
Protect each resident from the wrongful use of the resident’s belongings or money.
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PASARR screening for Mental disorders or Intellectual Disabilities
-
Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
-
Provide care and assistance to perform activities of daily living for any resident who is unable.
-
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Provide safe and appropriate respiratory care for a resident when needed.
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Provide safe, appropriate dialysis care/services for a resident who requires such services.
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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.
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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.
-
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
-
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
-
Provide and implement an infection prevention and control program.
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Keep all essential equipment working safely.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Feb 11, 1987.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as government, hospital district.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 3 fines in the last three years, $225,427 in all.
- No Medicare payment denials in the last three years.
- 35 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| May 16, 2025 | Fine | $73,554 |
| Feb 14, 2025 | Fine | $145,009 |
| Feb 25, 2024 | Fine | $6,864 |
Who does the caring?
3.31 nurse hours per resident per day
The Texas average is 3.42.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Texas average |
|---|---|---|
| Nurse hours per resident per day | 3.31 | 3.42 |
| Of which registered nurses | 0.30 | 0.44 |
| At weekends | 3.01 | 2.99 |
| Nursing staff turnover | 50.4% | 50.8% |
| Registered nurse turnover | 72.7% | 49.8% |
| Administrators who left | 2 | Not given |
Who owns it?
- Hopkins County Hospital District owns 100% directly since Jul 16, 2014.
- 23 owners or officers are people: Gregory S Zarcone (runs it (operational or managerial control)); Gregory S Zarcone (additional disclosable party (controls, leases property to, or provides services to the home)); Jody Poole (additional disclosable party (controls, leases property to, or provides services to the home)); Leo T Sanders (runs it (operational or managerial control)); Leo T Sanders (additional disclosable party (controls, leases property to, or provides services to the home)); Michael Brent Smith (corporate officer, 0%); Patricia Gibson (on the governing body (managing control)); Barbara B Clapp (on the governing body (managing control)); Darneshia Jones (additional disclosable party (controls, leases property to, or provides services to the home)); Joe Bob Burgin (corporate officer, 0%); Antonio Carvajal (on the governing body (managing control)); Veronica Gonzales (on the governing body (managing control)); Kerry Law (corporate officer, 0%); Nicole Kaufman (on the governing body (managing control)); Tammy Wright (corporate officer, 0%); Kristi Shultz (corporate officer, 0%); Maria Mejia (corporate officer, 0%); Daniel S Baird (on the governing body (managing control)); Christopher Brown (corporate officer, 0%); Donovan R Dekowski (additional disclosable party (controls, leases property to, or provides services to the home)); Daren A Cortese (on the governing body (managing control)); David E Black (corporate officer, 0%); Elliot J Mandelbaum (on the governing body (managing control)).
- Part of Wellsential Health (67 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Hopkins County Hospital District | Owns 5% or more directly | 100% | Jul 16, 2014 |
| Csv Rhea Management Holdco, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 1, 2018 | |
| Regency IHS of Longview LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 1, 2018 | |
| Reg Bridge Opco LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 1, 2018 | |
| Regency IHS Rehab LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 1, 2018 | |
| Regency Texas Holdings LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 1, 2018 | |
| 3201 N Fourth Street LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 1, 2018 | |
| Jack and Nancy Dwyer Workforce Development Center Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 1, 2018 | |
| Reg Operator Holdco LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 1, 2018 | |
| Reg Hg Opco LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 1, 2018 | |
| Dwd TX Holdings LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 1, 2018 | |
| Regency Integrated Health Services LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 1, 2018 | |
| Hopkins County Hospital District | Additional disclosable party (controls, leases property to, or provides services to the home) | Aug 27, 2025 | |
| Regency IHS Clinical Consulting, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 1, 2018 |
How do residents fare?
- CMS rates its quality measures 3 of 5 (Texas average 3.8).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 1 of 5 |
| Quality measures | 3 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 14.2 miles, this one had the 7th most health citations at the latest inspection cycle (12; the middle value was 12.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Longview Hill Nursing and Rehabilitation Center This nursing home | 12 | |
| Avir at Longview | 0.6 | 26 |
| Heritage at Longview Healthcare Center | 0.9 | 15 |
| The Oaks at Longview | 0.9 | 6 |
| Treviso Transitional Care | 1.0 | 17 |
| Buckner Westminster Place | 1.0 | 5 |
| Whispering Pines Lodge | 2.0 | 15 |
| Highland Pines Nursing Home | 2.0 | 8 |
| Pine Tree Lodge Nursing Center | 4.4 | 13 |
| Truman W Smith Children’s Care Center | 13.5 | 4 |
| Willow Rehab & Nursing | 13.8 | 5 |
| Legend Oaks Healthcare and Rehabilitation Center G | 14.2 | 13 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
-
Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.