Longview, TX

Pine Tree Lodge Nursing Center

2-star overall rating with 2-star inspections with $225,502 in total fines with 12 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

2711 Pine Tree Rd, Longview, TX

(903) 759-3994

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

92

Certified beds

Average residents

62

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

Creative Solutions In Healthcare

Operator or chain grouping

Approved since

1993-08-25

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

No

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

0.30

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

1.27

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

1.95

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

3.52

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.57

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

3.07

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.25

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.34

CMS adjusted RN staffing hours

Adjusted total hours

3.99

CMS adjusted total nurse staffing hours

Case-mix index

1.21

Higher values indicate more complex resident acuity

RN turnover

91%

Annual RN turnover · state 52% · national 45%

Total nurse turnover

68%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,366

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

Performance score

20.63

Composite VBP score used to determine payment impact.

Payment multiplier

0.9824

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 21.75% · Performance 21.94% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

6.37

Baseline 11.88% · Performance 7.15% · Measure score 6.37 · Achievement 2.28 · Improvement 6.37

Total nurse turnover

0

Baseline 53.70% · Performance 68.42% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

1.88

Baseline 3.44 hours · Performance 3.61 hours · Measure score 1.88 · Achievement 1.88 · Improvement 0.26

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.65%
10.72%
0.9 pts worse
No Different than the National Rate · Eligible stays 85 · Observed rate 14.12% · Lower 95% interval 8.16%
Discharge to community 55.38%
50.57%
4.8 pts better
No Different than the National Rate · Eligible stays 54 · Observed rate 53.7% · Lower 95% interval 43.29%
Medicare spending per beneficiary 1.14
1.02
0.1 pts worse
Drug regimen review with follow-up 88%
95.27%
7.3 pts worse
Numerator 44 · Denominator 50
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 50
Discharge self-care score 64.29%
53.69%
10.6 pts better
Numerator 18 · Denominator 28
Discharge mobility score 57.14%
50.94%
6.2 pts better
Numerator 16 · Denominator 28
Pressure ulcers or injuries, new or worsened 4%
2.29%
1.7 pts worse
Numerator 2 · Denominator 50 · Adjusted rate 3.86%
Healthcare-associated infections requiring hospitalization 7.15%
7.12%
About the same
No Different than the National Rate · Eligible stays 52 · Observed rate 7.69% · Lower 95% interval 4.06%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 79
Staff flu vaccination coverage 17.09%
42%
24.9 pts worse
Numerator 27 · Denominator 158
Discharge function score 67.86%
56.45%
11.4 pts better
Numerator 19 · Denominator 28
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 3.7%
25.2%
21.5 pts worse
Numerator 1 · Denominator 27

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.4
2.1
0.3 pts worse
1.9
0.5 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 3.6 · Expected 2.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 2.4
2.1
0.3 pts worse
1.8
0.6 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.9 · Expected 2.0 · Used in QM five-star
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 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.3%
97.9%
0.4 pts better
95.5%
2.8 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.3%
Percentage of long-stay residents experiencing one or more falls with major injury 4.8%
3.3%
1.5 pts worse
3.3%
1.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 3.6% · Q3 5.5% · Q4 5.0% · 4Q avg 4.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 4.0%
2.7%
1.3 pts worse
11.4%
7.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.0% · Q3 10.9% · Q4 3.7% · 4Q avg 4.0%
Percentage of long-stay residents who lose too much weight 1.7%
3.3%
1.6 pts better
5.4%
3.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 2.6% · Q3 2.3% · Q4 0.0% · 4Q avg 1.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 19.8%
18.9%
0.9 pts worse
19.6%
0.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 14.3% · Q3 18.2% · Q4 26.1% · 4Q avg 19.8%
Percentage of long-stay residents who received an antipsychotic medication 8.1%
10.8%
2.7 pts better
16.7%
8.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 13.3% · Q3 9.1% · Q4 5.4% · 4Q avg 8.1% · 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 10.7%
15.4%
4.7 pts better
16.3%
5.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 11.2% · Q3 12.8% · Q4 16.1% · 4Q avg 10.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 10.7%
16.1%
5.4 pts better
14.9%
4.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 11.6% · Q2 12.5% · Q3 11.9% · Q4 6.8% · 4Q avg 10.7% · 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 0.4%
0.8%
0.4 pts better
1.7%
1.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.9% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 8.9%
15.0%
6.1 pts better
19.8%
10.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 10.8% · Q2 11.8% · Q3 5.3% · Q4 7.9% · 4Q avg 8.9%
Percentage of long-stay residents with pressure ulcers 9.0%
4.2%
4.8 pts worse
5.1%
3.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 8.8% · Q3 7.7% · Q4 12.3% · 4Q avg 9.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 96.0%
89.7%
6.3 pts better
81.7%
14.3 pts better
Short Stay · 2024Q4-2025Q3 · Q1 98.4% · Q2 95.7% · Q3 96.3% · Q4 93.1% · 4Q avg 96.0%
Percentage of short-stay residents who had an outpatient emergency department visit 4.9%
12.0%
7.1 pts better
12.0%
7.1 pts better
Short Stay · 20240701-20250630 · Adjusted 4.9% · Observed 5.4% · Expected 12.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.5%
1.5 pts better
1.6%
1.6 pts better
Short 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 short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 98.6%
88.0%
10.6 pts better
79.7%
18.9 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 26.1%
25.9%
0.2 pts worse
23.9%
2.2 pts worse
Short Stay · 20240701-20250630 · Adjusted 26.1% · Observed 29.7% · Expected 27.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-15 · Fire 2025-01-15

12 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

3 fire-safety deficiencies

Top issue: Services (2 deficiencies)

Cycle 2 Health 2023-12-20 · Fire 2023-12-20

13 health deficiencies

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

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2022-09-15 · Fire 2022-09-15

18 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-01-15

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-01-28

D · Potential for more than minimal harm 2025-01-15

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-01-28

C · Minimal harm 2025-01-15

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Not marked corrected

E · Potential for more than minimal harm 2023-12-20

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-01-08

D · Potential for more than minimal harm 2023-12-20

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 2024-01-05

D · Potential for more than minimal harm 2023-12-20

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-01-05

D · Potential for more than minimal harm 2023-12-20

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-01-12

C · Minimal harm 2023-12-20

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Not marked corrected

E · Potential for more than minimal harm 2022-09-15

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2022-10-07

D · Potential for more than minimal harm 2022-09-15

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-10-07

C · Minimal harm 2022-09-15

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Not marked corrected

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-01-15

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2025-02-04

E · Potential for more than minimal harm 2025-01-15

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-02-04

E · Potential for more than minimal harm 2025-01-15

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2025-02-04

E · Potential for more than minimal harm 2025-01-15

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2025-02-04

E · Potential for more than minimal harm 2025-01-15

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-02-04

E · Potential for more than minimal harm 2025-01-15

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 2025-02-04

D · Potential for more than minimal harm 2025-01-15

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2025-02-04

D · Potential for more than minimal harm 2025-01-15

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-02-04

D · Potential for more than minimal harm 2025-01-15

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 2025-02-04

D · Potential for more than minimal harm 2025-01-15

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-02-04

D · Potential for more than minimal harm 2025-01-15

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-02-04

D · Potential for more than minimal harm 2025-01-15

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2025-02-04

D · Potential for more than minimal harm 2024-10-31

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2024-11-23

E · Potential for more than minimal harm 2024-10-03

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 2024-10-04

D · Potential for more than minimal harm 2024-07-31

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-08-05

E · Potential for more than minimal harm 2024-06-19

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 2024-06-20

D · Potential for more than minimal harm 2024-01-23

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-01-24

D · Potential for more than minimal harm 2024-01-23

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2024-01-15

D · Potential for more than minimal harm 2024-01-23

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 2024-01-24

D · Potential for more than minimal harm 2024-01-23

F808 · Nutrition and Dietary Deficiencies

Health

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Corrected 2024-01-24

E · Potential for more than minimal harm 2023-12-20

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-12-21

E · Potential for more than minimal harm 2023-12-20

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 2023-12-21

E · Potential for more than minimal harm 2023-12-20

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-12-21

E · Potential for more than minimal harm 2023-12-20

F940 · Administration Deficiencies

Health

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Corrected 2023-12-21

D · Potential for more than minimal harm 2023-12-20

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-12-21

D · Potential for more than minimal harm 2023-12-20

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 2023-12-21

D · Potential for more than minimal harm 2023-12-20

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2023-12-21

D · Potential for more than minimal harm 2023-12-20

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-12-21

D · Potential for more than minimal harm 2023-12-20

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-12-21

K · Immediate jeopardy 2023-11-06

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-11-07

K · Immediate jeopardy 2023-11-06

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-11-07

J · Immediate jeopardy 2023-05-18

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-05-19

E · Potential for more than minimal harm 2023-04-25

F728 · Nursing and Physician Services Deficiencies

Health

Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

Corrected 2023-05-01

D · Potential for more than minimal harm 2023-04-25

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-05-01

G · Actual harm 2022-09-15

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2022-10-04

G · Actual harm 2022-09-15

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2022-10-04

E · Potential for more than minimal harm 2022-09-15

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-10-04

D · Potential for more than minimal harm 2022-09-15

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2022-10-04

D · Potential for more than minimal harm 2022-09-15

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2022-10-04

D · Potential for more than minimal harm 2022-09-15

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 2022-10-04

D · Potential for more than minimal harm 2022-09-15

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 2022-10-04

D · Potential for more than minimal harm 2022-09-15

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2022-10-04

D · Potential for more than minimal harm 2022-09-15

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2022-10-04

Penalties and ownership

What sits behind the stars

$210,600 2023-11-06

Fine

Fine · fine $210,600

Fine

$14,902 2023-05-18

Fine

Fine · fine $14,902

Fine

Ownership

Liberty County Hospital District No. 1

5% Or Greater Direct Ownership Interest · Organization

100% 35 facilities 2022-05-01
Blake, Gary

Operational/Managerial Control · Individual

0% 136 facilities 2022-05-01
Blake, Malisa

Operational/Managerial Control · Individual

0% 135 facilities 2022-05-01
Huggins, Linda

Corporate Director · Individual

0% 137 facilities 2022-05-01
Longview I Enterprises, LLC

Operational/Managerial Control · Organization

0% 1 facilities 2022-05-01
Stratton, Charles

Corporate Officer · Individual

0% 35 facilities 2005-05-01
Willig, Zachary

Corporate Director · Individual

0% 77 facilities 2025-01-01

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