Longmeadow Healthcare Center
120 Meadowview Dr, Justin, TX, 76247
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Order the reportFederal 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 June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Creative Solutions In Healthcare
- Certified beds
- 120 · avg 100 residents/day
- Total nursing staff turnover
- 93.8% — higher than most Texas nursing homesTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 100% — higher than most Texas nursing homesTexas avg: 52.8% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 3 fines · $50,595 total
Medicare certification
- CMS Certification Number
- 675185
- Certified beds
- 120 beds · avg 100 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Fannin County Hospital Authority
- Chain affiliation
- Creative Solutions In Healthcare
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Creative Solutions in Healthcare chain — 149 facilities. Chain-wide average overall rating 2.3 / 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 May 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 35)
- 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
- 20232 fines · $33K
Most recent events
- Dec 27, 2024Fine · $18K
- Sep 14, 2023Fine · $11K
- Jul 27, 2023Fine · $22K
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 Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Longmeadow Healthcare Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.