Deficiency Index

Longmeadow Healthcare Center

Justin, Texas · CCN 675185

44 surveys since 2011, 16 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
128
Surveys
44
Harm or worse
16
Immediate jeopardy
10
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy10

Findings at the most serious level CMS records. 2 of these were recorded as past non-compliance — corrected before the survey.

Beyond CMS’s monthly file35/44

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

The facility

Certified beds
120
Ownership
For profit - Limited Liability company
Chain
CREATIVE SOLUTIONS IN HEALTHCARE
County
Denton
Medicare-certified since
1993

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 more weighted findings than most of its peer group.

Weighted by harm level, against 377 for-profit facilities of 100–127 beds in Texas.

Last survey on record

Jul 1, 2026

131 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 day2.703.25
Registered-nurse hours per resident day0.26—
Annual nurse turnover85.9%54.0%

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

Enforcement

Fines
$17,616 across 1 penalty

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 jeopardyJ36.5%K510.9%L—
Actual harmG—H—I—
No harm, potential for more than minimalD2452.2%E1430.4%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 46 of the 128 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8804×

    Provide and implement an infection prevention and control program.

  • F8123×

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

  • F5582×

    Reasonably accommodate the needs and preferences of each resident.

  • F5842×

    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.

  • F6002×

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

In the surveyor’s words

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

  • Immediate jeopardy, patternF580Jul 27, 2023

    Based on observation, interview, and record review, the facility failed to ensure the physician was consulted immediately when a there was a an accident involving the resident which resulted in injury and had the potential for requiring physician intervention and a significant change in the resident's physical status that is a deterioriation in health one (Resident #1) of eleven residents reviewed for change of condition. The facility failed to consult with Resident #1's physician when Resident #1 showed signs and symptoms of pain after a fall. Resident #1 was determined to have a fracture of the right femur and hip and required hospitalization and surgical intervention. An Immediate Jeopardy was identified on 07/25/23. […]

  • Immediate jeopardy, patternF600Jul 27, 2023

    Based on observation, interview, and record review, the facility failed to ensure the right to be free from abuse for one (Resident #1) of eleven residents reviewed for abuse. The facility failed to ensure Resident #1 was free from deprivation of goods and services by staff regarding help with pain, assessing the resident as needed, and consulting with the physician from 07/16/23 midnight until 07/17/23 at 5:30 PM when Resident #1 was transported to the hospital. An Immediate Jeopardy was identified on 07/25/23, The Immediate Jeopardy template was provided to the facility on [DATE] at 5:38 PM. […]

  • Immediate jeopardy, patternF607Jul 27, 2023

    Based on observation, interview, and record review, the facility failed to implement written policies and procedures that prohibit and prevent abuse/neglect of a resident for one (Resident #1) of eleven residents reviewed for abuse. The facility failed to ensure Resident #1 was free from deprivation of goods and services by staff when they failed to: pain management, assess the resident as needed, and consult with the physician from 07/16/23 midnight until 07/17/23 at 5:30 PM when Resident #1 was transferred to the hospital. An Immediate Jeopardy was identified on 07/25/23, The Immediate Jeopardy template was provided to the facility on [DATE] at 5:38 PM. […]

  • Immediate jeopardy, patternF684Jul 27, 2023

    Based on observation, interview and record review, the facility failed to ensure the residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for one (Resident #1) of eleven residents reviewed for quality of care. LVN A and LVN B failed to address pain, complete an assessment, contact the physician, and provide effective pain treatment, for Resident #1 when she showed signs and symptoms of significant pain from midnight on 07/16/23 until 07/17/23 at 5:30 PM when Resident #1 was transported to the hospital after x-rays revealed the resident had a fracture to the right femur and hip at 3:30 PM on 07/17/23. An Immediate Jeopardy was identified on 07/25/23. […]

  • Immediate jeopardy, patternF697Jul 27, 2023

    Based on interview, observation, and record review the facility failed to ensure that pain management was provided to residents who require such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for one (Resident #1) of eleven residents reviewed for pain. The facility failed to address when Resident #1 screamed out in pain when her leg was moved, complete assessment, contact physician, and provide effective pain treatment, for Resident #1 when she showed signs and symptoms of significant pain from midnight on 07/16/23 until 07/17/23 at 5:30 PM when Resident #1 was transported to the hospital after x-rays revealed the resident had a fracture to the right femur and hip at 3:30 PM on 07/17/23,… […]

Read 35 findings in full →The most serious and the most recent: 35 of 128 on record.

Every survey on record

FindingsAt actual harm or above

  • Jul 1, 2026Standard11 findings
  • May 6, 2025Standard5 findings
  • Apr 17, 2025Complaint2 findings
  • Dec 27, 2024Complaint1 finding · 1 harm
  • Mar 28, 2024Standard and complaint11 findings
  • Oct 19, 2023Complaint1 finding · 1 harm
  • Sep 14, 2023Complaint3 findings
  • Jul 27, 2023Complaint7 findings · 6 harm
Show the 36 earlier surveys
  • May 24, 2023Complaint1 finding · 1 harm
  • Feb 14, 2023Standard and complaint5 findings
  • Jan 5, 2023Complaint2 findings · 1 harm
  • Dec 3, 2022Complaint1 finding · 1 harm
  • Sep 21, 2022Infection control2 findings
  • Aug 11, 2022Complaint1 finding
  • Jul 12, 2022Infection control3 findings
  • Jun 30, 2022Complaint1 finding
  • Mar 8, 2022Infection control1 finding
  • Dec 17, 2021Standard6 findings
  • Oct 13, 2021Complaint1 finding
  • Apr 30, 2021Complaint3 findings
  • Dec 1, 2020Infection control1 finding
  • Nov 25, 2020Infection control6 findings
  • Sep 23, 2020Standard2 findings
  • Nov 21, 2019Complaint3 findings
  • Nov 12, 2019Complaint4 findings · 4 harm
  • Aug 22, 2019Complaint4 findings
  • Feb 21, 2019Standard5 findings
  • Apr 4, 2018Complaint2 findings
  • Jan 26, 2018Standard4 findings
  • Nov 17, 2017Complaint1 finding
  • Feb 10, 2017Standard2 findings
  • May 20, 2016Complaint3 findings
  • Jan 26, 2016Complaint2 findings
  • Feb 2, 2015Standard4 findings
  • Aug 13, 2014Complaint1 finding
  • Mar 8, 2013—1 finding
  • Sep 10, 2012—4 findings · 1 harm
  • Aug 9, 2012—1 finding
  • Aug 1, 2012—1 finding
  • Jun 12, 2012—1 finding
  • Mar 30, 2012—5 findings
  • Jan 23, 2012—1 finding
  • Jul 20, 2011—1 finding
  • Apr 22, 2011—1 finding

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.

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction