Longview Hill Nursing And Rehabilitation Center
3201 N FOURTH ST, Longview, TX, 75605
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 Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- Non profit - Corporation · Chain: Wellsential Health
- Certified beds
- 198 · avg 119 residents/day
- Total nursing staff turnover
- 34% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 40% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 5 fines · $296,219 total
State licensing & capacity
- License number
- 150142
- Service type
- Medicare/medicaid
- Licensed capacity
- 198 beds
- Bed type breakdown
- 39 Medicare-only · 159 Medicaid/Medicare
- Current license effective
- July 18, 2024
- Current license expires
- July 18, 2027
- Initial license date
- February 11, 1991
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Hopkins County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Regency Ihs Of Longview, Llc
- Administrator
- Leo Sanders
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Wellsential Health chain — 67 facilities. Chain-wide average overall rating 2.8 / 5.
Disclosed owners (34 on record)
- Hopkins County Hospital District
Adp of The Snf · since 2025
- Leo t Sanders
Operational/managerial Control · since 2025
- Darneshia Jones
Adp of The Snf · since 2025
- Gregory s Zarcone
Operational/managerial Control · since 2025
- Jody Poole
Adp of The Snf · since 2025
- Antonio Carvajal
Managing Control - Governing Body · since 2024
+ 28 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 69)
- D0610·Sep 9, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
- J0760·May 16, 2025Complaint
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- E0755·Feb 14, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- K0684·Feb 14, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- K0580·Feb 14, 2025Complaint
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D0623·Jan 15, 2025Complaint
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D0600·Jan 15, 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.
- D0550·Jan 15, 2025Complaint
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Federal penalties
By year
- 20252 fines · $258K
- 20241 fine · $6,864
- 20232 fines · $31K
Most recent events
- May 16, 2025Fine · $113K
- Feb 14, 2025Fine · $145K
- Feb 25, 2024Fine · $6,864
- May 26, 2023Fine · $16K
- May 26, 2023Fine · $16K
Largest single fine on record: $145K.
Fire-safety citations
9 Life-Safety-Code citations on file. Most recent: Jan 15, 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
Longview Hill Nursing And Rehabilitation Center is a 198-bed nursing home in Longview, TX, accepting Medicare and Medicaid. CMS rates it 1 star overall, with 1-star ratings for both health inspections and staffing. CMS has substantiated findings of resident abuse or neglect within the past 36 months, and five fines total $296,219 — more than 14 times the Texas median. The facility is currently operating at roughly 60% of licensed capacity.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the lowest tier, shared by about 38% of Texas nursing homes. Nursing-hours data was not submitted to CMS for this reporting period, so a per-resident daily minute figure is unavailable. What the 1-star rating reflects is a pattern of deficiency findings tied to staffing levels, not a documentation gap alone.
Staff turnover runs in the opposite direction of most signals here. About 3 in 10 nursing staff left in the past year — below the 25th-percentile cutoff for Texas, meaning turnover is better than roughly three-quarters of nursing homes in the state. Long-stay residents are less likely to cycle through multiple primary caregivers than at most Texas facilities.
CMS has substantiated findings of resident abuse or neglect at this facility within the past 36 months. This is a formal CMS designation based on inspection findings, not an allegation.
Five CMS fines totaling $296,219 have been assessed — about 14 times the Texas median fine amount of $20,699, and 70% of Texas nursing homes have received no fines at all. The dollar figure reflects penalties tied to specific deficiency findings identified during inspections.
One administrator has left in the past year, which CMS classifies as elevated turnover at the leadership level. Leadership continuity affects how consistently care policies are implemented.
The facility is operating at roughly 60% of its 198 licensed beds, with an average of 119 residents per day. Paired with the safety flags and fine history above, low occupancy is a concrete data point families may want to ask about directly.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Substantiated abuse findings
CMS records substantiated abuse or neglect findings here within the past 36 months — ask what the specific findings were and what policy changes followed.
Five fines totaling $296,219
Ask which deficiencies triggered each of the five fines and whether the cited practices have been corrected through a formal plan of correction.
Missing staffing hours data
CMS shows no nursing-hours data submitted for the most recent period — ask why that data was not reported and what daily nursing coverage actually looks like now.
Administrator change last year
One administrator left in the past 12 months — ask how long the current administrator has been in place and who oversees day-to-day operations.
Why beds are running half-full
The facility averages about 119 residents against 198 licensed beds — ask what accounts for the low occupancy and whether staffing levels have changed alongside census.
Management company's role
The facility is licensed to a hospital district but managed by Regency IHS of Longview — ask which entity sets staffing budgets and handles 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.