Justin, TX

Longmeadow Healthcare Center

1-star overall rating with 1-star inspections with $63,536 in total fines with 7 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

120 Meadowview Dr, Justin, TX

(940) 648-2731

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Creative Solutions In Healthcare

Operator or chain grouping

Approved since

1993-12-04

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

149 facilities

Chain averages 3 overall / 3 health / 2 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.32

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

0.97

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

1.70

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

2.99

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.29

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

2.60

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.38

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

0.38

CMS adjusted RN staffing hours

Adjusted total hours

3.57

CMS adjusted total nurse staffing hours

Case-mix index

1.15

Higher values indicate more complex resident acuity

RN turnover

63%

Annual RN turnover · state 52% · national 45%

Total nurse turnover

59%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

13,165

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

7.81

Composite VBP score used to determine payment impact.

Payment multiplier

0.9807

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 18.39% · Performance 22.42% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

Baseline 6.90% · Performance 7.71% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

3.12

Baseline 57.32% · Performance 50.91% · Measure score 3.12 · Achievement 3.12 · Improvement 1.47

Adjusted total nurse staffing

Baseline 3.71 hours · Performance 2.97 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.01%	10.72% 1.3 pts worse	No Different than the National Rate · Eligible stays 57 · Observed rate 17.54% · Lower 95% interval 7.98%
Discharge to community	28.19%	50.57% 22.4 pts worse	Worse than the National Rate · Eligible stays 31 · Observed rate 12.9% · Lower 95% interval 18.55%
Medicare spending per beneficiary	1.59	1.02 0.6 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 32 · Denominator 32
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 32
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	3.13%	2.29% 0.8 pts worse	Numerator 1 · Denominator 32 · Adjusted rate 2.48%
Healthcare-associated infections requiring hospitalization	7.71%	7.12% 0.6 pts worse	No Different than the National Rate · Eligible stays 36 · Observed rate 11.11% · Lower 95% interval 4.19%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 115
Staff flu vaccination coverage	35.48%	42% 6.5 pts worse	Numerator 55 · Denominator 155
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.0	2.1 0.1 pts better	1.9 0.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 3.0 · Expected 2.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.2	2.1 0.9 pts better	1.8 0.6 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.7 · Expected 2.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.7%	97.1% 2.6 pts better	93.4% 6.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 98.9% · Q4 100.0% · 4Q avg 99.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	97.9% 2.1 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	3.9%	3.3% 0.6 pts worse	3.3% 0.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 4.8% · Q3 4.4% · Q4 4.7% · 4Q avg 3.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	5.6%	2.7% 2.9 pts worse	11.4% 5.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 5.6% · Q3 3.1% · Q4 8.1% · 4Q avg 5.6%
Percentage of long-stay residents who lose too much weight	1.8%	3.3% 1.5 pts better	5.4% 3.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 1.2% · Q3 1.3% · Q4 2.6% · 4Q avg 1.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	19.3%	18.9% 0.4 pts worse	19.6% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 18.5% · Q2 20.5% · Q3 19.2% · Q4 19.2% · 4Q avg 19.3%
Percentage of long-stay residents who received an antipsychotic medication	10.7%	10.8% 0.1 pts better	16.7% 6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 11.3% · Q3 10.4% · Q4 11.3% · 4Q avg 10.7% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	10.9%	15.4% 4.5 pts better	16.3% 5.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 13.2% · Q3 12.8% · Q4 7.6% · 4Q avg 10.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	13.8%	16.1% 2.3 pts better	14.9% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 13.9% · Q3 21.1% · Q4 11.3% · 4Q avg 13.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.5% 0.5 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	0.8% 0.8 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	19.2%	15.0% 4.2 pts worse	19.8% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 18.0% · Q2 21.9% · Q3 16.5% · Q4 20.4% · 4Q avg 19.2%
Percentage of long-stay residents with pressure ulcers	5.8%	4.2% 1.6 pts worse	5.1% 0.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 4.3% · Q3 9.3% · Q4 6.4% · 4Q avg 5.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	80.8%	89.7% 8.9 pts worse	81.7% 0.9 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 84.2% · Q2 79.4% · Q3 73.5% · Q4 86.3% · 4Q avg 80.8%
Percentage of short-stay residents who had an outpatient emergency department visit	15.2%	12.0% 3.2 pts worse	12.0% 3.2 pts worse	Short Stay · 20240701-20250630 · Adjusted 15.2% · Observed 19.0% · Expected 14.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.6%	1.5% 0.1 pts worse	1.6% About the same	Short Stay · 2024Q4-2025Q3 · 4Q avg 1.6% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	87.9%	88.0% 0.1 pts worse	79.7% 8.2 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 87.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	32.8%	25.9% 6.9 pts worse	23.9% 8.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 32.8% · Observed 38.1% · Expected 27.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-06 · Fire 2025-05-06

7 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

6 fire-safety deficiencies

Top issue: Emergency Preparedness (3 deficiencies)

Cycle 2 Health 2024-03-28 · Fire 2024-03-28

12 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 3 Health 2023-02-14 · Fire 2023-02-14

17 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-05-06

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2025-06-13

F · Potential for more than minimal harm 2025-05-06

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-06-13

F · Potential for more than minimal harm 2025-05-06

E9 · Emergency Preparedness Deficiencies

Fire Safety

Include a process for Emergency Preparedness collaboration.

Corrected 2025-05-21

F · Potential for more than minimal harm 2025-05-06

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-06-13

F · Potential for more than minimal harm 2025-05-06

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-06-11

D · Potential for more than minimal harm 2025-05-06

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2025-05-30

F · Potential for more than minimal harm 2024-03-28

K321 · Smoke Deficiencies

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 2024-04-16

F · Potential for more than minimal harm 2023-02-14

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-03-10

F · Potential for more than minimal harm 2023-02-14

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2023-04-27

D · Potential for more than minimal harm 2023-02-14

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-03-10

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-05-06

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-05-21

E · Potential for more than minimal harm 2025-05-06

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-06-01

E · Potential for more than minimal harm 2025-05-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-21

E · Potential for more than minimal harm 2025-05-06

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2025-05-29

D · Potential for more than minimal harm 2025-05-06

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-05-21

D · Potential for more than minimal harm 2025-04-17

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-05-03

D · Potential for more than minimal harm 2025-04-17

F657 · Resident Assessment and Care Planning Deficiencies

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 2025-05-03

J · Immediate jeopardy 2024-12-27

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-12-14

E · Potential for more than minimal harm 2024-03-28

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-03-29

E · Potential for more than minimal harm 2024-03-28

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-04-16