Pine Tree Lodge Nursing Center
2711 PINE TREE ROAD, Longview, TX, 75604
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
- Government - Hospital district · Chain: Creative Solutions In Healthcare
- Certified beds
- 92 · avg 62 residents/day
- Total nursing staff turnover
- 67.7% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 90.9% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 2 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $225,502 total
State licensing & capacity
- License number
- 308581
- Service type
- Medicare/medicaid
- Licensed capacity
- 92 beds
- Bed type breakdown
- 1 Medicare-only · 91 Medicaid/Medicare
- Current license effective
- May 1, 2025
- Current license expires
- May 1, 2028
- Initial license date
- December 10, 1973
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Liberty County Hospital District No 1 (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Longview I Enterprises, Llc
- Administrator
- Michelle Shepherd Owens
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 (13 on record)
- Hong-i Shen
Adp of The Snf · since 2025
- Natalie Townson
Adp of The Snf · since 2025
- Zachary Willig
Corporate Director · since 2025
- Margaret Gardzina
Managing Control - Governing Body · since 2024
- Shannon Gardner
Managing Control - Governing Body · since 2022
- Milton Fregia
Managing Control - Governing Body · since 2022
+ 7 additional owners on the federal record.
Recent change of ownership
May 2022 (4 years ago) · acquired from Pine Tree Lodge Nursing Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, 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 43)
- D0883·Jan 15, 2025
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D0880·Jan 15, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Jan 15, 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.
- E0804·Jan 15, 2025
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E0761·Jan 15, 2025
Pharmacy Service Deficiencies
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.
- E0756·Jan 15, 2025
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E0755·Jan 15, 2025
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E0698·Jan 15, 2025
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Federal penalties
By year
- 20232 fines · $226K
Most recent events
- Nov 6, 2023Fine · $211K
- May 18, 2023Fine · $15K
Largest single fine on record: $211K.
Fire-safety citations
11 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
Pine Tree Lodge Nursing Center is a 92-bed nursing home in Longview, Texas, licensed since 1973 and managed by Longview I Enterprises under a hospital district license. CMS rates it 2 stars overall, with 1-star staffing and $225,502 in fines across two citations — more than ten times the Texas median fine amount of $20,699. Quality-of-care outcome measures rate 5 stars. The facility is operating at roughly 67% of licensed capacity.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates Pine Tree Lodge 1 star on staffing — the lowest tier, shared by about 38% of Texas nursing homes. Each resident receives approximately 211 minutes of total nursing care per day, about 30 minutes less than at a 4-star-staffing facility in Texas. Registered nurse time is 18 minutes per resident per day, against a 4-star threshold of 37 minutes in Texas.
Two administrators left in the past year. Residents and families will interact with leadership that has turned over repeatedly in a short window.
Seven in 10 nursing staff left in the past year — above the Texas 75th-percentile cutoff of 60%, meaning turnover here is worse than at least three-quarters of Texas nursing homes. RN turnover runs at roughly 9 in 10 per year. A long-stay resident will likely go through two or three primary caregivers, and most of the registered nurses, in a single year.
Two CMS fines totaling $225,502 have been assessed. The Texas median fine across all fined facilities is $20,699; this facility's total is roughly eleven times that figure. About 30% of Texas nursing homes have received no fines at all.
The facility is operating at approximately 67% of its 92 licensed beds — 61.6 residents on an average day. Paired with the staffing, turnover, and fine signals above, the low occupancy reflects a pattern that prospective residents and families may want to explore directly.
CMS rates quality-of-care outcome measures at 5 stars overall, with 4 stars for long-stay residents and 5 stars for short-stay residents. That places the measured resident outcomes above most peers despite the staffing and regulatory record.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Two administrators in one year
Two administrators have left in the past 12 months — ask who is currently in the role, how long they have been here, and whether the position is permanently filled.
RN coverage on a typical day
Reported RN hours average 18 minutes per resident per day; ask how many registered nurses are on each shift and whether RN coverage is consistent on nights and weekends.
$225,502 in CMS fines
Two federal citations produced fines totaling $225,502 — ask what the deficiencies were, what corrective steps were taken, and whether those plans are complete.
Staff continuity for a new resident
With 7 in 10 nursing staff leaving in the past year, ask how the facility assigns consistent caregivers to residents and how quickly new staff are trained to individual care plans.
Current bed availability and waitlist
The facility is at roughly 67% occupancy — ask whether specific units or wings are fuller than others, and what has driven the lower census over the past year.
How outcome scores are maintained
CMS rates resident outcome measures 5 stars despite 1-star staffing — ask which specific measures drive that score and how care plan reviews are structured.
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.