Deficiency Index

Heritage at Longview Healthcare Center

Longview, Texas · CCN 455569

30 surveys since 2011, 11 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
164
Surveys
30
Harm or worse
11
Immediate jeopardy
4
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy4

Findings at the most serious level CMS records.

Beyond CMS’s monthly file23/30

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
140
Ownership
For profit - Limited Liability company
Chain
CREATIVE SOLUTIONS IN HEALTHCARE
County
Gregg
Medicare-certified since
1985

CMS ratings

Overall
1
Health inspection
2
Staffing
1
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.

Weighted by harm level, against 209 for-profit facilities with 128 or more beds in Texas.

Last survey on record

Apr 28, 2026

195 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day2.813.26
Registered-nurse hours per resident day0.32—

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$81,752 across 2 penalties

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ12.6%K—L—
Actual harmG12.6%H—I—
No harm, potential for more than minimalD2871.8%E717.9%F25.1%
No harm, potential for minimalA—B—C—
CMS’s current file: 39 of the 164 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6564×

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

  • F6953×

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

  • F7613×

    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.

  • F8123×

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

  • F8803×

    Provide and implement an infection prevention and control program.

In the surveyor’s words

From the most serious findings on record at Heritage at Longview Healthcare Center, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF686Feb 19, 2025

    Based on interviews and record review, the facility failed to ensure the necessary treatment and services, in accordance with comprehensive assessment and professional standards of practice, to prevent development of pressure injuries was provided for 1 of 3 Residents (Resident #1) reviewed for pressure injuries. The facility failed to implement interventions to prevent Resident #1 from developing a facility acquired unstageable pressure ulcer. The facility failed to identify and treat an unstageable pressure ulcer to Resident #1's sacral area. The facility failed to identify residents who are at risk for pressure ulcer development. An IJ was identified on 2/18/2025 at 3:49 PM. The IJ template was provided to the facility on [DATE] at 3:49 PM. […]

  • Immediate jeopardy, isolatedF656Apr 13, 2021

    Based on interview, and record review, the facility failed to develop and implement a comprehensive person-centered care plan that included measurable objectives and timeframes to meet residents mental and psychological needs1 of 3 residents reviewed for comprehensive resident assessment . (Resident # 1) The facility did not develop and implement an individualized comprehensive care plan for Resident #1 to address: *his impaired judgment and repeated unrealistic expressed desire to leave the facility and go see his wife; *a plan to facilitate a safe and adequately supervised method to visit his wife; *a plan to assist the resident with adjustment to the nursing home and absence from his wife; *the identification of Resident #1 as a vulnerable resident and at risk for making decisions that… […]

  • Immediate jeopardy, isolatedF684Apr 13, 2021

    Based on interview and record review, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice for 1 of 3 residents reviewed for quality of care. (Resident # 1) The facility did not: * administer Resident #1's physician prescribed medication prior to allowing him to sign out and leave the facility; *provide medications to Resident #1 with written or oral instructions on how to administer the medications for the period of time he would be away from the facility; *assess Resident #1's ability to care for himself when out of the facility; *assess the residents' behavior and develop an individualized comprehensive care plan for his impaired judgement and repeated unrealistic expressed desire to leave the facility and go see his… […]

  • Actual harm, isolatedF697Jun 5, 2024

    Based on observation, interview, and record review the facility failed to ensure pain management was provided to residents who require such services, consistent with professional standards of practice, pain management services for 1 of 16 residents reviewed for pain. (Resident #203) 1.The facility failed to effectively manage Resident #203's pain. 2.The facility failed to ensure Resident #203's low air loss mattress was plugged in, functioning, and fully inflated to prevent pain. 3.The facility failed to ensure LVN B notified Resident #203's physician after a family member requested a medication change to manage his pain related to muscle spasms. These failures could result in residents experiencing unnecessary pain and a decreased quality of life. […]

  • No harm, potential for more than minimal, widespreadF812Jul 2, 2025

    Based on observation, interview, and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for kitchen sanitation. 1. The facility failed to ensure food stored in the kitchen was labeled and dated on 06/30/25 and 07/01/25. 2. The facility failed to ensure cookware stored near the dishwasher area were free of carbon build up on 06/30/25. 3. The facility failed to ensure the apple juice, cranberry juice, and thickened water, connected to the drink dispenser were dated on 06/30/25. 4. The facility failed to ensure a large bin with small, beige grain, stored underneath a preparation table was labeled on 06/30/25. 5. […]

Read 29 findings in full →The most serious and the most recent: 29 of 164 on record.

Every survey on record

FindingsAt actual harm or above

  • Apr 28, 2026Complaint1 finding
  • Jul 2, 2025Standard and complaint14 findings
  • Feb 19, 2025Complaint4 findings · 1 harm
  • Jun 5, 2024Standard8 findings · 1 harm
  • May 22, 2024Complaint1 finding
  • Apr 26, 2023Standard4 findings
  • Mar 9, 2022Standard7 findings
  • Apr 13, 2021Complaint3 findings · 2 harm
Show the 22 earlier surveys
  • Feb 11, 2021Complaint6 findings
  • Aug 20, 2020Infection control1 finding
  • Aug 20, 2019Complaint2 findings
  • May 1, 2019Standard5 findings
  • May 11, 2018Standard and complaint13 findings · 1 harm
  • Nov 20, 2017Complaint1 finding
  • Jun 22, 2017Standard2 findings
  • Jul 19, 2016Complaint3 findings · 3 harm
  • Apr 27, 2016Standard7 findings
  • Feb 19, 2016Complaint3 findings
  • May 14, 2015Standard and complaint21 findings
  • Apr 15, 2015Complaint2 findings
  • Mar 18, 2015Complaint3 findings
  • Feb 18, 2015Complaint1 finding
  • Dec 13, 2014Complaint2 findings
  • Sep 30, 2014Complaint1 finding
  • Jun 26, 2014Standard and complaint22 findings
  • Apr 10, 2014Complaint4 findings · 3 harm
  • Apr 25, 2013—14 findings
  • Jun 7, 2012—3 findings
  • Dec 27, 2011—2 findings
  • Jul 27, 2011—4 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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