6 health deficiencies
Top issue: Administration (1 deficiency)
3 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Longview, TX
2-star overall rating with 2-star inspections with $29,716 in total fines with 6 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
2201 Horseshoe Ln, Longview, TX
(903) 234-0000
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
20
Certified beds
Average residents
18
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Buckner Retirement Services
Operator or chain grouping
Approved since
2008-01-22
CMS approved date
Coverage
Medicare
Participation flags
Chain footprint
5 facilities
Chain averages 4 overall / 3 health / 4 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.80
Registered nurse staffing · state 0.44 · national 0.68
LPN hours / resident day
1.20
Licensed practical nurse staffing · state 0.95 · national 0.87
Aide hours / resident day
4.08
Nurse aide staffing · state 2.01 · national 2.35
Total nurse hours
6.08
All reported nurse hours · state 3.40 · national 3.89
Licensed hours
2.00
RN + LPN hours · state 1.38 · national 1.54
Weekend hours
5.66
Weekend nurse staffing · state 2.99 · national 3.43
Weekend RN hours
0.66
Weekend registered nurse coverage · state 0.34 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.07 · national 0.07
Adjusted RN hours
0.72
CMS adjusted RN staffing hours
Adjusted total hours
5.47
CMS adjusted total nurse staffing hours
Case-mix index
1.52
Higher values indicate more complex resident acuity
RN turnover
60%
Annual RN turnover · state 52% · national 45%
Total nurse turnover
39%
Annual nurse turnover · state 52% · national 46%
SNF VBP
Program rank
13,065
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
8.61
Composite VBP score used to determine payment impact.
Payment multiplier
0.9808
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 18.47% · Performance 21.34% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0.58
Baseline 5.61% · Performance 7.66% · Measure score 0.58 · Achievement 0.58 · Improvement 0
Total nurse turnover
2
Baseline 65.79% · Performance 55.56% · Measure score 2 · Achievement 1.99 · Improvement 2
Adjusted total nurse staffing
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.19% |
10.72%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 156 · Observed rate 9.62% · Lower 95% interval 7.57% |
| Discharge to community | 62.27% |
50.57%
11.7 pts better
|
Better than the National Rate · Eligible stays 146 · Observed rate 60.96% · Lower 95% interval 55.89% |
| Medicare spending per beneficiary | 0.96 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 99.17% |
95.27%
3.9 pts better
|
Numerator 119 · Denominator 120 |
| Falls with major injury | 0.83% |
0.77%
0.1 pts worse
|
Numerator 1 · Denominator 120 |
| Discharge self-care score | 82.42% |
53.69%
28.7 pts better
|
Numerator 75 · Denominator 91 |
| Discharge mobility score | 76.92% |
50.94%
26 pts better
|
Numerator 70 · Denominator 91 |
| Pressure ulcers or injuries, new or worsened | 2.5% |
2.29%
0.2 pts worse
|
Numerator 3 · Denominator 120 · Adjusted rate 3.03% |
| Healthcare-associated infections requiring hospitalization | 7.66% |
7.12%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 86 · Observed rate 6.98% · Lower 95% interval 4.47% |
| Staff COVID-19 vaccination coverage | 5.77% |
8.2%
2.4 pts worse
|
Numerator 3 · Denominator 52 |
| Staff flu vaccination coverage | 67.86% |
42%
25.9 pts better
|
Numerator 19 · Denominator 28 |
| Discharge function score | 83.52% |
56.45%
27.1 pts better
|
Numerator 76 · Denominator 91 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 28 · Denominator 28 |
| Transfer of health information to patient | 96.39% |
96.28%
0.1 pts better
|
Numerator 80 · Denominator 83 |
| Resident COVID-19 vaccinations up to date | 83.87% |
25.2%
58.7 pts better
|
Numerator 52 · Denominator 62 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
97.1%
2.9 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
3.3%
3.3 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
2.7%
2.7 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% |
| Percentage of long-stay residents with a urinary tract infection | 16.7% |
0.8%
15.9 pts worse
|
1.7%
15 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 16.7% · Used in QM five-star |
| Percentage of long-stay residents with pressure ulcers | 3.0% |
4.2%
1.2 pts better
|
5.1%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.4% |
89.7%
9.7 pts better
|
81.7%
17.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.9% · Q2 100.0% · Q3 98.6% · Q4 100.0% · 4Q avg 99.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.2% |
12.0%
0.2 pts worse
|
12.0%
0.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.2% · Observed 10.9% · Expected 10.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.0% |
1.5%
0.5 pts worse
|
1.6%
0.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.0% · Q3 1.9% · Q4 3.7% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.0% |
88.0%
6 pts better
|
79.7%
14.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.6% |
25.9%
1.7 pts worse
|
23.9%
3.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.6% · Observed 25.0% · Expected 21.6% · Used in QM five-star |
Survey summary
Top issue: Administration (1 deficiency)
3 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Pharmacy Service (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire Safety
Have an alternate power supply for its alarm system.
Corrected 2025-06-12
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-06-12
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-06-10
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2023-07-10
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-07-10
Inspection history
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2025-06-20
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-06-10
Health
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected 2025-06-06
Health
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected 2025-06-06
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-09-27
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-09-27
Health
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.
Corrected 2024-05-17
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-05-17
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-05-17
Health
Provide and implement an infection prevention and control program.
Corrected 2024-05-17
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-05-10
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-02-29
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2023-04-30
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-04-30
Health
Provide and implement an infection prevention and control program.
Corrected 2023-04-30
Penalties and ownership
Fine · fine $10,280
Fine
Fine · fine $19,436
Fine
5% Or Greater Direct Ownership Interest · Organization
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Nearby options
Longview, TX
2-star overall rating with 3-star inspections with $81,327 in total fines with 9 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Longview, TX
3-star overall rating with 4-star inspections with 6 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Longview, TX
1-star overall rating with 1-star inspections with $262,731 in total fines with 10 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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