Longmeadow Healthcare Center
120 MEADOW VIEW DRIVE, Justin, TX, 76247
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Creative Solutions In Healthcare
- Certified beds
- 120 · avg 95 residents/day
- Total nursing staff turnover
- 59.4% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 62.5% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 4 fines · $63,536 total
State licensing & capacity
- License number
- 147615
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 120 Medicaid/Medicare
- Current license effective
- March 31, 2023
- Current license expires
- March 31, 2026
- Initial license date
- December 1, 1988
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Fannin County Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Justin I Enterprises, Llc
- Administrator
- Bradlee Watson
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Creative Solutions in Healthcare chain — 149 facilities. Chain-wide average overall rating 2.7 / 5.
Disclosed owners (14 on record)
- Bradlee Watson
Adp of The Snf · since 2025
- Jason k Tibbels
Adp of The Snf · since 2025
- Zachary Willig
Corporate Director · since 2025
- Fannin County Hospital Authority
5% or Greater Direct Ownership Interest · 100% · since 2022
- Gary r Blake
Operational/managerial Control · 50% · since 2022
- Justin i Enterprises, Llc
Operational/managerial Control · 100% · since 2022
+ 8 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 36)
- E0919·May 6, 2025
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
- E0880·May 6, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·May 6, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0690·May 6, 2025
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E0677·May 6, 2025
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D0657·Apr 17, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D0600·Apr 17, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- J0689·Dec 27, 2024Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Federal penalties
By year
- 20241 fine · $18K
- 20233 fines · $46K
Most recent events
- Dec 27, 2024Fine · $18K
- Sep 14, 2023Fine · $11K
- Jul 27, 2023Fine · $22K
- May 24, 2023Fine · $13K
Largest single fine on record: $22K.
Fire-safety citations
10 Life-Safety-Code citations on file. Most recent: May 6, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Longmeadow Healthcare Center is a 120-bed Medicare/Medicaid nursing home in Justin, Denton County, operated by Justin I Enterprises under a hospital district license. CMS rates it 1 star overall, with 1-star health inspection and 2-star staffing scores. Four CMS fines totaling $63,536 have been assessed. The facility is part of Creative Solutions In Healthcare and runs at roughly 79% of licensed beds.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 2 stars — a tier shared by about 32% of Texas nursing homes. Each resident receives approximately 180 minutes of total nursing care per day, roughly 61 minutes less than at a 4-star-staffing facility in Texas. Of those 180 minutes, only 19 involve a registered nurse; the Texas threshold for 4-star staffing is 37 RN minutes per day.
Four CMS fines totaling $63,536 have been levied against this facility. The state median fine total among facilities that receive any fines is about $20,699, putting this facility's total notably above that midpoint. About 30% of Texas nursing homes have received no fines at all.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
How staffing levels are maintained
With 180 total nursing minutes per resident per day — 61 below the 4-star Texas threshold — ask how the facility covers overnight shifts and weekends, where staffed hours drop further to roughly 156 minutes.
Details on the four CMS fines
Four fines totaling $63,536 have been assessed; ask what specific deficiencies triggered each fine and what corrective steps have been put in place.
Short-stay care outcomes
CMS rates short-stay quality measures at 1 star while long-stay measures rate 5 stars — ask what the facility's typical short-stay population looks like and how rehab or recovery care is structured.
Resident Council access and function
The facility has a Resident Council but no Family Council; ask how family members can formally raise concerns and how often the Resident Council meets with administration.
Management company responsibilities
The licensee is a hospital district authority, but day-to-day management is handled by Justin I Enterprises — ask which entity is responsible for staffing decisions, hiring, and complaint resolution.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.