{"schema_version":"1.0.0","facility":{"id":"cms-455684","ccn":"455684","name":"Longview Hill Nursing and Rehabilitation Center","source_name":"Longview Hill Nursing and Rehabilitation Center","facility_types":["skilled_nursing_facility","nursing_home"],"primary_type":"skilled_nursing_facility","universe":"cms_certified_nursing_homes","source_type_label":"Medicare and Medicaid","status":"active","status_label":"Active CMS certification","status_evidence":"VERIFIED","state":"TX","address":{"line1":"3201 N Fourth St","city":"Longview","state":"TX","zip":"75605","county_name":"Gregg County","county_fips":"48183","county_method":"name_match","ssa_county_code":"570","urban":true},"location":{"lat":32.5382,"lon":-94.732,"method":"cms_published_coordinates"},"phone":"9032364291","certification":{"authority":"CMS","ccn":"455684","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1987-02-11","certified_beds":198,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/455684"},"licenses":[],"license_note":"State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.","capacity":{"certified_beds":198,"avg_residents_per_day":117.8},"ownership_type":"Government - Hospital district","ownership_class":"government","legal_business_name":"HOPKINS COUNTY HOSPITAL DISTRICT","flags":{"ccrc":false,"abuse_icon":false,"high_performing":false,"inspection_over_2y":false,"changed_ownership_12mo":false,"resident_family_council":"Resident","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":1},"health_inspection":{"value":1},"quality_measures":{"value":3},"long_stay_qm":{"value":5},"short_stay_qm":{"value":1},"staffing":{"value":1},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":1.94429,"lpn_hprd":1.06909,"rn_hprd":0.30137,"licensed_hprd":1.37046,"total_nurse_hprd":3.31475,"weekend_total_nurse_hprd":3.01397,"weekend_rn_hprd":0.20962,"pt_hprd":0.03658,"nursing_turnover_pct":50.4,"rn_turnover_pct":72.7,"administrators_left":2,"case_mix_index":1.39059,"case_mix_index_ratio":0.98606,"case_mix_total_nurse_hprd":3.84646,"adjusted_total_nurse_hprd":3.33525,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2026-03-18","cycle1_deficiencies":12,"cycle1_score":60,"cycle2_date":"2025-01-15","cycle23_deficiencies":47,"cycle23_score":572,"total_weighted_score":188},"cms_penalty_counts":{"fines":3,"fine_total":225427,"payment_denials":0,"total":3},"chain":{"id":"cms-chain-670","cms_chain_id":"670","name":"WELLSENTIAL HEALTH"},"operator_id":"op-hopkins-county-hospital-district","first_seen":"2026-11-07T00:15:24.640Z","last_changed":"2026-11-07T00:15:24.640Z","profile_url":"https://www.medicare.gov/care-compare/details/nursing-home/455684","provenance":[{"source_id":"cms_provider_info","source_record_id":"455684","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=455684&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["name","address","phone","certification","certified_beds","ownership_type","legal_business_name","chain"],"evidence_class":"VERIFIED","status":"current"},{"source_id":"cms_provider_info","source_record_id":"455684","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=455684&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["ratings","staffing","health_survey_score"],"evidence_class":"VERIFIED","status":"current","note":"Five-Star ratings and PBJ staffing apply to the CMS-certified universe only."}],"inspection_summary":{"count":14,"health_count":11,"fire_count":3,"complaint_count":11,"latest_date":"2026-03-18","latest_standard_health":"2026-03-18","earliest_date":"2023-11-29","window_note":"CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.","evidence_class":"VERIFIED"},"deficiency_summary":{"count":68,"health_count":60,"fire_count":8,"open_count":0,"actual_harm_count":1,"immediate_jeopardy_count":3,"serious_count":4,"complaint_count":35,"by_severity":{"potential":64,"immediate_jeopardy":3,"actual_harm":1},"by_scope_severity":{"E":16,"D":40,"J":1,"K":2,"F":8,"G":1},"by_concept":{"resident_rights":15,"clinical_care":23,"medication":9,"food_nutrition":7,"environment_life_safety":10,"infection_prevention":2,"emergency_preparedness":1,"staffing":1},"type_ids":["cms-f0576","cms-f0688","cms-f0641","cms-f0656","cms-f0679","cms-f0686","cms-f0692","cms-f0755","cms-f0813","cms-f0908","cms-f0573","cms-f0610","cms-f0760","cms-f0580","cms-f0684","cms-k0321","cms-k0918","cms-k0372","cms-k0324","cms-f0812","cms-f0757","cms-f0758","cms-f0804","cms-f0550","cms-f0552","cms-f0584","cms-f0600","cms-f0623","cms-f0645","cms-f0677","cms-f0689","cms-f0761","cms-f0880","cms-f0803","cms-f0842","cms-f0919","cms-e0039","cms-k0345","cms-k0511","cms-f0602","cms-f0695","cms-f0726","cms-f0553","cms-f0698"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":3,"fines":3,"fine_total":225427,"payment_denials":0,"latest_date":"2025-05-16"},"ownership_summary":{"disclosures":37,"organizations":13,"individuals":23,"not_available":false}},"row":{"id":"cms-455684","ccn":"455684","name":"Longview Hill Nursing and Rehabilitation Center","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"TX","city":"Longview","zip":"75605","county_fips":"48183","county_name":"Gregg County","address":"3201 N Fourth St","beds":198,"residents":117.8,"ownership":"government","operator_id":"op-hopkins-county-hospital-district","operator_name":"Hopkins County Hospital District","chain_id":"cms-chain-670","chain_name":"Wellsential Health","lat":32.5382,"lon":-94.732,"overall":1,"health_rating":1,"staffing_rating":1,"qm_rating":3,"nurse_hprd":3.31,"turnover":50.4,"inspections":14,"last_inspection":"2026-03-18","deficiencies":68,"serious":4,"ij":3,"open":0,"penalties":3,"fines_total":225427,"deficiency_type_ids":["cms-f0576","cms-f0688","cms-f0641","cms-f0656","cms-f0679","cms-f0686","cms-f0692","cms-f0755","cms-f0813","cms-f0908","cms-f0573","cms-f0610","cms-f0760","cms-f0580","cms-f0684","cms-k0321","cms-k0918","cms-k0372","cms-k0324","cms-f0812","cms-f0757","cms-f0758","cms-f0804","cms-f0550","cms-f0552","cms-f0584","cms-f0600","cms-f0623","cms-f0645","cms-f0677","cms-f0689","cms-f0761","cms-f0880","cms-f0803","cms-f0842","cms-f0919","cms-e0039","cms-k0345","cms-k0511","cms-f0602","cms-f0695","cms-f0726","cms-f0553","cms-f0698"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-hopkins-county-hospital-district","name":"Hopkins County Hospital District","legal_name":"HOPKINS COUNTY HOSPITAL DISTRICT","facility_count":5,"states":["TX"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-670","name":"Wellsential Health","cms_chain_id":"670","facility_count":67,"states":["TX"],"cms_reported":{"facility_count":67,"avg_overall_rating":2.8,"avg_health_inspection_rating":2.9,"avg_staffing_rating":1.6,"avg_qm_rating":4.3}},"ownership":[{"owner_id":"org-hopkins-county-hospital-district","owner_type":"organization","owner_name":"Hopkins County Hospital District","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":100,"percentage_raw":"100%","association_date":"2014-07-16"},{"owner_type":"individual","owner_name":"Daniel Baird","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2021-04-13","owner_name_raw":"BAIRD, DANIEL"},{"owner_type":"individual","owner_name":"Antonio Carvajal","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2024-05-16","owner_name_raw":"CARVAJAL, ANTONIO"},{"owner_type":"individual","owner_name":"Barbara Clapp","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2021-06-01","owner_name_raw":"CLAPP, BARBARA"},{"owner_type":"individual","owner_name":"Daren Cortese","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2021-08-10","owner_name_raw":"CORTESE, DAREN"},{"owner_type":"individual","owner_name":"Patricia Gibson","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2021-08-01","owner_name_raw":"GIBSON, PATRICIA"},{"owner_type":"individual","owner_name":"Veronica Gonzales","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2024-05-16","owner_name_raw":"GONZALES, VERONICA"},{"owner_type":"individual","owner_name":"Nicole Kaufman","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2021-08-10","owner_name_raw":"KAUFMAN, NICOLE"},{"owner_type":"individual","owner_name":"Elliot Mandelbaum","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2022-09-01","owner_name_raw":"MANDELBAUM, ELLIOT"},{"owner_type":"individual","owner_name":"Leo Sanders","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2025-08-04","owner_name_raw":"SANDERS, LEO"},{"owner_type":"individual","owner_name":"Gregory Zarcone","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2025-01-01","owner_name_raw":"ZARCONE, GREGORY"},{"owner_type":"individual","owner_name":"David Black","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2012-05-01","owner_name_raw":"BLACK, DAVID"},{"owner_type":"individual","owner_name":"Christopher Brown","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2019-05-28","owner_name_raw":"BROWN, CHRISTOPHER"},{"owner_type":"individual","owner_name":"Joe Burgin","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"1998-10-01","owner_name_raw":"BURGIN, JOE"},{"owner_type":"individual","owner_name":"Kerry Law","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2020-08-12","owner_name_raw":"LAW, KERRY"},{"owner_type":"individual","owner_name":"Maria Mejia","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2023-10-26","owner_name_raw":"MEJIA, MARIA"},{"owner_type":"individual","owner_name":"Kristi Shultz","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2019-08-19","owner_name_raw":"SHULTZ, KRISTI"},{"owner_type":"individual","owner_name":"Michael Smith","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2021-12-06","owner_name_raw":"SMITH, MICHAEL"},{"owner_type":"individual","owner_name":"Tammy Wright","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2021-12-01","owner_name_raw":"WRIGHT, TAMMY"},{"owner_id":"org-3201-n-fourth-street-llc","owner_type":"organization","owner_name":"3201 N Fourth Street LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2018-10-01"},{"owner_id":"org-csv-rhea-management-holdco-llc","owner_type":"organization","owner_name":"Csv Rhea Management Holdco, LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2018-10-01"},{"owner_id":"org-dwd-tx-holdings-llc","owner_type":"organization","owner_name":"Dwd Tx Holdings LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2018-10-01"},{"owner_id":"org-hopkins-county-hospital-district","owner_type":"organization","owner_name":"Hopkins County Hospital District","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-08-27"},{"owner_id":"org-jack-and-nancy-dwyer-workforce-development-center-inc","owner_type":"organization","owner_name":"Jack and Nancy Dwyer Workforce Development Center Inc","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2018-10-01"},{"owner_id":"org-reg-bridge-opco-llc","owner_type":"organization","owner_name":"Reg Bridge Opco LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2018-10-01"},{"owner_id":"org-reg-hg-opco-llc","owner_type":"organization","owner_name":"Reg Hg Opco LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2018-10-01"},{"owner_id":"org-reg-operator-holdco-llc","owner_type":"organization","owner_name":"Reg Operator Holdco LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2018-10-01"},{"owner_id":"org-regency-ihs-clinical-consulting-llc","owner_type":"organization","owner_name":"Regency Ihs Clinical Consulting, LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2018-10-01"},{"owner_id":"org-regency-ihs-of-longview-llc","owner_type":"organization","owner_name":"Regency Ihs of Longview LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2018-10-01"},{"owner_id":"org-regency-ihs-rehab-llc","owner_type":"organization","owner_name":"Regency Ihs Rehab LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2018-10-01"},{"owner_id":"org-regency-integrated-health-services-llc","owner_type":"organization","owner_name":"Regency Integrated Health Services LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2018-10-01"},{"owner_id":"org-regency-texas-holdings-llc","owner_type":"organization","owner_name":"Regency Texas Holdings LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2018-10-01"},{"owner_type":"individual","owner_name":"Donovan Dekowski","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2018-10-01","owner_name_raw":"DEKOWSKI, DONOVAN"},{"owner_type":"individual","owner_name":"Darneshia Jones","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-01-01","owner_name_raw":"JONES, DARNESHIA"},{"owner_type":"individual","owner_name":"Jody Poole","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-01-01","owner_name_raw":"POOLE, JODY"},{"owner_type":"individual","owner_name":"Leo Sanders","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-08-04","owner_name_raw":"SANDERS, LEO"},{"owner_type":"individual","owner_name":"Gregory Zarcone","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-01-01","owner_name_raw":"ZARCONE, GREGORY"}],"inspections":[{"id":"cms-455684-20260318-fire","ccn":"455684","date":"2026-03-18","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":0,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[]},{"id":"cms-455684-20260318-health","ccn":"455684","date":"2026-03-18","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":10,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0576","ss":"E","sl":2,"cs":"corrected","cd":"2026-03-19","cmp":1,"std":1},{"t":"cms-f0641","ss":"D","sl":2,"cs":"corrected","cd":"2026-04-15","std":1},{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2026-03-19","std":1},{"t":"cms-f0679","ss":"D","sl":2,"cs":"corrected","cd":"2026-03-19","std":1},{"t":"cms-f0686","ss":"D","sl":2,"cs":"corrected","cd":"2026-03-19","std":1},{"t":"cms-f0688","ss":"E","sl":2,"cs":"corrected","cd":"2026-03-19","std":1},{"t":"cms-f0692","ss":"D","sl":2,"cs":"corrected","cd":"2026-03-19","std":1},{"t":"cms-f0755","ss":"D","sl":2,"cs":"corrected","cd":"2026-03-19","std":1},{"t":"cms-f0813","ss":"D","sl":2,"cs":"corrected","cd":"2026-03-19","std":1},{"t":"cms-f0908","ss":"D","sl":2,"cs":"corrected","cd":"2026-03-19","std":1}]},{"id":"cms-455684-20260228-health","ccn":"455684","date":"2026-02-28","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0686","ss":"E","sl":2,"cs":"corrected","cd":"2026-03-02","cmp":1}]},{"id":"cms-455684-20260209-health","ccn":"455684","date":"2026-02-09","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0573","ss":"D","sl":2,"cs":"corrected","cd":"2026-02-10","cmp":1}]},{"id":"cms-455684-20250909-health","ccn":"455684","date":"2025-09-09","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0610","ss":"D","sl":2,"cs":"corrected","cd":"2025-09-10","cmp":1}]},{"id":"cms-455684-20250516-health","ccn":"455684","date":"2025-05-16","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":4,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0760","ss":"J","sl":4,"cs":"corrected","cd":"2025-05-17","cmp":1}]},{"id":"cms-455684-20250214-health","ccn":"455684","date":"2025-02-14","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":3,"max_severity_level":4,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0580","ss":"K","sl":4,"cs":"corrected","cd":"2025-02-15","cmp":1},{"t":"cms-f0684","ss":"K","sl":4,"cs":"corrected","cd":"2025-02-15","cmp":1},{"t":"cms-f0755","ss":"E","sl":2,"cs":"corrected","cd":"2025-02-15","cmp":1}]},{"id":"cms-455684-20250115-fire","ccn":"455684","date":"2025-01-15","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":4,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0321","ss":"F","sl":2,"cs":"corrected","cd":"2025-01-17","std":1,"tv":"New"},{"t":"cms-k0324","ss":"D","sl":2,"cs":"corrected","cd":"2025-01-23","std":1,"tv":"New"},{"t":"cms-k0372","ss":"E","sl":2,"cs":"corrected","cd":"2025-01-17","std":1,"tv":"New"},{"t":"cms-k0918","ss":"F","sl":2,"cs":"corrected","cd":"2025-01-15","std":1,"tv":"New"}]},{"id":"cms-455684-20250115-health","ccn":"455684","date":"2025-01-15","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":19,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0550","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-09","cmp":1,"std":1},{"t":"cms-f0552","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-09","std":1},{"t":"cms-f0584","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-09","std":1},{"t":"cms-f0600","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-09","cmp":1,"std":1},{"t":"cms-f0623","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-09","cmp":1,"std":1},{"t":"cms-f0641","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-09","std":1},{"t":"cms-f0645","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-09","std":1},{"t":"cms-f0656","ss":"E","sl":2,"cs":"corrected","cd":"2025-02-09","std":1},{"t":"cms-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-09","std":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-09","std":1},{"t":"cms-f0692","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-09","std":1},{"t":"cms-f0755","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-09","std":1},{"t":"cms-f0757","ss":"E","sl":2,"cs":"corrected","cd":"2025-02-09","std":1},{"t":"cms-f0758","ss":"E","sl":2,"cs":"corrected","cd":"2025-02-09","std":1},{"t":"cms-f0761","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-09","std":1},{"t":"cms-f0804","ss":"E","sl":2,"cs":"corrected","cd":"2025-02-09","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2025-02-09","std":1},{"t":"cms-f0813","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-09","std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-09","std":1}]},{"id":"cms-455684-20250105-health","ccn":"455684","date":"2025-01-05","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0758","ss":"D","sl":2,"cs":"corrected","cd":"2025-01-24","cmp":1}]},{"id":"cms-455684-20240905-health","ccn":"455684","date":"2024-09-05","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0803","ss":"F","sl":2,"cs":"corrected","cd":"2024-09-06","cmp":1}]},{"id":"cms-455684-20240225-health","ccn":"455684","date":"2024-02-25","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":5,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0684","ss":"G","sl":3,"cs":"corrected","cd":"2024-02-28","cmp":1},{"t":"cms-f0580","ss":"D","sl":2,"cs":"corrected","cd":"2024-02-28","cmp":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2024-02-28","cmp":1},{"t":"cms-f0842","ss":"D","sl":2,"cs":"corrected","cd":"2024-02-28","cmp":1},{"t":"cms-f0919","ss":"D","sl":2,"cs":"corrected","cd":"2024-02-28","cmp":1}]},{"id":"cms-455684-20231129-fire","ccn":"455684","date":"2023-11-29","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":4,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-e0039","ss":"F","sl":2,"cs":"corrected","cd":"2024-01-17","std":1,"tv":"New"},{"t":"cms-k0321","ss":"E","sl":2,"cs":"corrected","cd":"2024-01-17","std":1,"tv":"New"},{"t":"cms-k0345","ss":"F","sl":2,"cs":"corrected","cd":"2024-01-17","std":1,"tv":"New"},{"t":"cms-k0511","ss":"F","sl":2,"cs":"corrected","cd":"2024-01-17","std":1,"tv":"New"}]},{"id":"cms-455684-20231129-health","ccn":"455684","date":"2023-11-29","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":17,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0550","ss":"D","sl":2,"cs":"corrected","cd":"2023-12-11","cmp":1,"std":1},{"t":"cms-f0553","ss":"D","sl":2,"cs":"corrected","cd":"2023-12-11","cmp":1,"std":1},{"t":"cms-f0580","ss":"D","sl":2,"cs":"corrected","cd":"2023-12-11","cmp":1,"std":1},{"t":"cms-f0584","ss":"D","sl":2,"cs":"corrected","cd":"2023-12-11","cmp":1,"std":1},{"t":"cms-f0602","ss":"E","sl":2,"cs":"corrected","cd":"2023-12-11","cmp":1,"std":1},{"t":"cms-f0645","ss":"D","sl":2,"cs":"corrected","cd":"2023-12-11","cmp":1,"std":1},{"t":"cms-f0656","ss":"E","sl":2,"cs":"corrected","cd":"2023-12-11","cmp":1,"std":1},{"t":"cms-f0677","ss":"E","sl":2,"cs":"corrected","cd":"2023-12-11","cmp":1,"std":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2023-12-11","cmp":1,"std":1},{"t":"cms-f0695","ss":"E","sl":2,"cs":"corrected","cd":"2023-12-11","cmp":1,"std":1},{"t":"cms-f0698","ss":"D","sl":2,"cs":"corrected","cd":"2023-12-11","cmp":1,"std":1},{"t":"cms-f0726","ss":"E","sl":2,"cs":"corrected","cd":"2023-12-11","cmp":1,"std":1},{"t":"cms-f0761","ss":"E","sl":2,"cs":"corrected","cd":"2023-12-11","cmp":1,"std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2023-12-11","cmp":1,"std":1},{"t":"cms-f0813","ss":"D","sl":2,"cs":"corrected","cd":"2023-12-11","cmp":1,"std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2023-12-11","cmp":1,"std":1},{"t":"cms-f0908","ss":"D","sl":2,"cs":"corrected","cd":"2023-12-11","cmp":1,"std":1}]}],"deficiency_types":{"cms-f0576":{"code":"F-0576","title":"Ensure residents have reasonable access to and privacy in their use of communication methods.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0688":{"code":"F-0688","title":"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.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0641":{"code":"F-0641","title":"Ensure each resident receives an accurate assessment.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0656":{"code":"F-0656","title":"Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0679":{"code":"F-0679","title":"Provide activities to meet all resident's needs.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0686":{"code":"F-0686","title":"Provide appropriate pressure ulcer care and prevent new ulcers from developing.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0692":{"code":"F-0692","title":"Provide enough food/fluids to maintain a resident's health.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0755":{"code":"F-0755","title":"Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0813":{"code":"F-0813","title":"Have a policy regarding use and storage of foods brought to residents by family and other visitors.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0908":{"code":"F-0908","title":"Keep all essential equipment working safely.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0573":{"code":"F-0573","title":"Let each resident or the resident's legal representative access or purchase copies of all the resident's records.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0610":{"code":"F-0610","title":"Respond appropriately to all alleged violations.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0760":{"code":"F-0760","title":"Ensure that residents are free from significant medication errors.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0580":{"code":"F-0580","title":"Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.)  that affect the resident.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0684":{"code":"F-0684","title":"Provide appropriate treatment and care according to orders, resident’s preferences and goals.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-k0321":{"code":"K-0321","title":"Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0918":{"code":"K-0918","title":"Have generator or other power source capable of supplying service within 10 seconds.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0372":{"code":"K-0372","title":"Ensure smoke barriers are constructed to a 1 hour fire resistance rating.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0324":{"code":"K-0324","title":"Provide properly protected cooking facilities.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0812":{"code":"F-0812","title":"Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0757":{"code":"F-0757","title":"Ensure each resident’s drug regimen must be free from unnecessary drugs.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0758":{"code":"F-0758","title":"Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0804":{"code":"F-0804","title":"Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0550":{"code":"F-0550","title":"Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0552":{"code":"F-0552","title":"Ensure that residents are fully informed and understand their health status, care and treatments.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0584":{"code":"F-0584","title":"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.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0600":{"code":"F-0600","title":"Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0623":{"code":"F-0623","title":"Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0645":{"code":"F-0645","title":"PASARR screening for Mental disorders or Intellectual Disabilities","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0677":{"code":"F-0677","title":"Provide care and assistance to perform activities of daily living for any resident who is unable.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0689":{"code":"F-0689","title":"Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0761":{"code":"F-0761","title":"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.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0880":{"code":"F-0880","title":"Provide and implement an infection prevention and control program.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0803":{"code":"F-0803","title":"Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0842":{"code":"F-0842","title":"Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0919":{"code":"F-0919","title":"Make sure that a working call system is available in each resident's  bathroom and bathing area.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-e0039":{"code":"E-0039","title":"Conduct testing and exercise requirements.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-k0345":{"code":"K-0345","title":"Have approved installation, maintenance and testing program for fire alarm systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0511":{"code":"K-0511","title":"Have properly installed electrical wiring and gas equipment.","category":"Services Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0602":{"code":"F-0602","title":"Protect each resident from the wrongful use of the resident's belongings or money.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0695":{"code":"F-0695","title":"Provide safe and appropriate respiratory care for a resident when needed.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0726":{"code":"F-0726","title":"Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"cms-f0553":{"code":"F-0553","title":"Allow resident to participate in the development and implementation of his or her person-centered plan of care.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0698":{"code":"F-0698","title":"Provide safe, appropriate dialysis care/services for a resident who requires such services.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"}},"penalties":[{"id":"cms-455684-pen-f113905","type":"fine","type_label":"Civil money penalty (fine)","date":"2025-05-16","amount":73554,"fine_id":"113905","evidence_class":"VERIFIED","source_record_id":"455684|Fine|113905"},{"id":"cms-455684-pen-f113615","type":"fine","type_label":"Civil money penalty (fine)","date":"2025-02-14","amount":145009,"fine_id":"113615","evidence_class":"VERIFIED","source_record_id":"455684|Fine|113615"},{"id":"cms-455684-pen-f112536","type":"fine","type_label":"Civil money penalty (fine)","date":"2024-02-25","amount":6864,"fine_id":"112536","evidence_class":"VERIFIED","source_record_id":"455684|Fine|112536"}],"state_actions":[],"record_urls":{"cms_provider_info":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=455684&conditions%5B0%5D%5Boperator%5D=%3D","cms_ownership":"https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=455684&conditions%5B0%5D%5Boperator%5D=%3D","cms_health_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=455684&conditions%5B0%5D%5Boperator%5D=%3D","cms_fire_safety_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=455684&conditions%5B0%5D%5Boperator%5D=%3D","cms_penalties":"https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=455684&conditions%5B0%5D%5Boperator%5D=%3D","cms_inspection_dates":"https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=455684&conditions%5B0%5D%5Boperator%5D=%3D"},"compact_keys":{"t":"deficiency_type_id","ss":"scope_severity_code","sl":"severity_level (1–4)","cs":"correction_status","cd":"correction_date","cmp":"complaint","std":"standard survey","ic":"infection control","idr":"under IDR","iidr":"under IIDR","tv":"tag version"},"benchmarks":{"state":{"key":"TX","overall_rating":2.8,"health_inspection_rating":2.8,"qm_rating":3.8,"staffing_rating":1.9,"avg_residents_per_day":75.9,"cycle1_health_deficiencies":9.6,"cycle1_fire_deficiencies":3.2,"nurse_aide_hprd":2.03,"lpn_hprd":0.94,"rn_hprd":0.44127,"licensed_hprd":1.39,"total_nurse_hprd":3.41615,"weekend_total_nurse_hprd":2.99221,"weekend_rn_hprd":0.35,"pt_hprd":0.07,"nursing_turnover_pct":50.8,"rn_turnover_pct":49.8,"administrators_left":0.6,"case_mix_index":1.39704,"fines":1.4,"fine_amount":42987,"processing_note":"CMS State and US Averages"},"nation":{"key":"NATION","overall_rating":3,"health_inspection_rating":2.8,"qm_rating":3.7,"staffing_rating":3,"avg_residents_per_day":85.7,"cycle1_health_deficiencies":9.2,"cycle1_fire_deficiencies":4.4,"nurse_aide_hprd":2.35,"lpn_hprd":0.86,"rn_hprd":0.69164,"licensed_hprd":1.55,"total_nurse_hprd":3.90085,"weekend_total_nurse_hprd":3.43303,"weekend_rn_hprd":0.48,"pt_hprd":0.07,"nursing_turnover_pct":45.3,"rn_turnover_pct":42.5,"administrators_left":0.5,"case_mix_index":1.41025,"fines":0.9,"fine_amount":30351,"processing_note":"CMS State and US Averages"}},"geo":{"state":{"code":"TX","name":"Texas"},"county":{"fips":"48183","name":"Gregg County"},"zip":"75605","city":"Longview"},"related":{"same_operator":[{"id":"cms-675563","ccn":"675563","name":"Colonial Nursing & Rehabilitation Center","address":"508 Pierce St","city":"Lindale","state":"TX","zip":"75771","beds":90,"overall":1,"inspections":10,"last_inspection":"2026-07-27","deficiencies":28,"serious":3,"ij":2,"open":0,"fines_total":247572,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-675668","ccn":"675668","name":"Avir at Mineola","address":"320 Greenville Ave.","city":"Mineola","state":"TX","zip":"75773","beds":115,"overall":2,"inspections":14,"last_inspection":"2026-05-11","deficiencies":65,"serious":3,"ij":3,"open":0,"fines_total":24974,"abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-676005","ccn":"676005","name":"Park Place Nursing & Rehabilitation Center","address":"2450 E Fifth St","city":"Tyler","state":"TX","zip":"75701","beds":120,"overall":1,"inspections":17,"last_inspection":"2026-06-30","deficiencies":46,"serious":3,"ij":1,"open":0,"fines_total":282126,"abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-676453","ccn":"676453","name":"Simpson Place","address":"3922 Simpson Street","city":"Dallas","state":"TX","zip":"75246","beds":50,"overall":3,"inspections":12,"last_inspection":"2026-04-30","deficiencies":32,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_operator_total":4,"same_chain":[{"id":"cms-455528","ccn":"455528","name":"Laredo West Nursing and Rehabilitation Center","address":"1200 E Lane St","city":"Laredo","state":"TX","zip":"78043","beds":188,"overall":3,"inspections":16,"last_inspection":"2026-07-28","deficiencies":58,"serious":3,"ij":3,"open":0,"fines_total":49719,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-455575","ccn":"455575","name":"Windsor Nursing and Rehabilitation Center of Morga","address":"2322 Morgan Ave","city":"Corpus Christi","state":"TX","zip":"78405","beds":176,"overall":2,"inspections":12,"last_inspection":"2026-07-16","deficiencies":37,"serious":5,"ij":1,"open":0,"fines_total":19013,"abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-455599","ccn":"455599","name":"Heritage Park Rehabilitation and Skilled Nursing C","address":"2806 Real St","city":"Austin","state":"TX","zip":"78722","beds":197,"overall":2,"inspections":15,"last_inspection":"2026-02-20","deficiencies":52,"serious":5,"ij":3,"open":1,"fines_total":56007,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-455662","ccn":"455662","name":"Windsor Nursing and Rehabilitation Center of Mcall","address":"900 S 12th St","city":"Mcallen","state":"TX","zip":"78501","beds":110,"overall":3,"inspections":10,"last_inspection":"2025-12-03","deficiencies":21,"serious":1,"ij":0,"open":0,"fines_total":24083,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-455715","ccn":"455715","name":"Monument Hill Nursing and Rehabilitation Center","address":"120 State Loop 92","city":"La Grange","state":"TX","zip":"78945","beds":104,"overall":2,"inspections":10,"last_inspection":"2026-08-06","deficiencies":31,"serious":1,"ij":1,"open":0,"fines_total":8281,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-455757","ccn":"455757","name":"Spindletop Hill Nursing and Rehabilitation Center","address":"1020 S 23rd St","city":"Beaumont","state":"TX","zip":"77707","beds":148,"overall":1,"inspections":14,"last_inspection":"2026-08-05","deficiencies":44,"serious":3,"ij":3,"open":0,"fines_total":83259,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-455796","ccn":"455796","name":"Town and Country Nursing and Rehabilitation Center","address":"625 N Main St","city":"Boerne","state":"TX","zip":"78006","beds":126,"overall":3,"inspections":18,"last_inspection":"2026-07-31","deficiencies":76,"serious":3,"ij":3,"open":0,"fines_total":150922,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-455797","ccn":"455797","name":"Pearsall Nursing and Rehabilitation Center","address":"169 Medical Dr","city":"Pearsall","state":"TX","zip":"78061","beds":150,"overall":4,"inspections":9,"last_inspection":"2026-07-16","deficiencies":28,"serious":1,"ij":1,"open":0,"fines_total":14255,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_chain_total":66,"same_site_review":[],"nearby":[{"id":"cms-455678","ccn":"455678","name":"Avir at Longview","address":"301 Hollybrook Dr.","city":"Longview","state":"TX","zip":"75605","beds":115,"overall":1,"inspections":19,"last_inspection":"2026-08-13","deficiencies":65,"serious":7,"ij":4,"open":0,"fines_total":262731,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":1},{"id":"cms-455569","ccn":"455569","name":"Heritage at Longview Healthcare Center","address":"112 Ruthlynn Dr","city":"Longview","state":"TX","zip":"75605","beds":140,"overall":2,"inspections":9,"last_inspection":"2026-04-28","deficiencies":40,"serious":2,"ij":1,"open":1,"fines_total":81752,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":1.4},{"id":"cms-675379","ccn":"675379","name":"The Oaks at Longview","address":"111 Ruthlynn Dr.","city":"Longview","state":"TX","zip":"75601","beds":108,"overall":3,"inspections":8,"last_inspection":"2025-12-11","deficiencies":37,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":1.4},{"id":"cms-676368","ccn":"676368","name":"Treviso Transitional Care","address":"1154 East Hawkins Parkway","city":"Longview","state":"TX","zip":"75605","beds":140,"overall":1,"inspections":12,"last_inspection":"2026-06-10","deficiencies":59,"serious":4,"ij":4,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":1.6},{"id":"cms-676167","ccn":"676167","name":"Buckner Westminster Place","address":"2201 Horseshoe Ln","city":"Longview","state":"TX","zip":"75605","beds":20,"overall":4,"inspections":8,"last_inspection":"2026-07-15","deficiencies":23,"serious":4,"ij":2,"open":0,"fines_total":29716,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility"],"distance_km":1.6},{"id":"cms-675386","ccn":"675386","name":"Whispering Pines Lodge","address":"2131 Alpine Road","city":"Longview","state":"TX","zip":"75601","beds":116,"overall":1,"inspections":16,"last_inspection":"2026-02-20","deficiencies":73,"serious":12,"ij":12,"open":0,"fines_total":494425,"sff":"SFF Candidate","status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":3.2},{"id":"cms-675133","ccn":"675133","name":"Highland Pines Nursing Home","address":"1100 N 4th Street","city":"Longview","state":"TX","zip":"75601","beds":171,"overall":2,"inspections":10,"last_inspection":"2026-01-14","deficiencies":55,"serious":1,"ij":1,"open":0,"fines_total":17629,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":3.3},{"id":"cms-675177","ccn":"675177","name":"Pine Tree Lodge Nursing Center","address":"2711 Pine Tree Rd","city":"Longview","state":"TX","zip":"75604","beds":92,"overall":1,"inspections":14,"last_inspection":"2026-06-25","deficiencies":59,"serious":4,"ij":4,"open":0,"fines_total":232525,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":7.1}]}}