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Nursing HomeMedicaid Investigative

Heritage at Longview Healthcare Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

112 Ruthlynn Drive, Longview, TX 75605140 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
2.9/5

based on 29 Google reviews

5
4
3
2
1

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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (9 vs median 8.0)

Below average in Texas · Critically understaffed (RN) · Below chain average · $81,327 in fines

Source: Medicare data

What this means for your family

This facility presents significant risks regarding resident safety and hygiene, with documented instances of severe neglect. While the physical building and rehab equipment appear well-maintained, the frequent reports of understaffing and unprofessionalism mean you must closely monitor your loved one's daily care and hygiene personally.

Google Reviews

Google Reviews

29 reviews on Google
Families should exercise extreme caution due to serious allegations of severe neglect, including untreated bedsores and lack of basic hygiene care. While some residents benefit from a friendly atmosphere and decent food, there are frequent reports of critical understaffing and unprofessional behavior from certain staff members.

Quality Themes

Tap a score for details
Food3.0Staff2.0Clean4.0ActivitiesN/AMedsN/AMemoryN/AComms2.0Value3.0

Strengths

  • Clean and well-maintained facility
  • Friendly front desk and office staff
  • Impressive rehab gym equipment
  • Home-style meal quality

Concerns

  • Severe neglect and lack of hygiene care (mentioned by 2 reviewers)
  • Critical understaffing and slow response times (mentioned by 3 reviewers)
  • Unprofessional or rude staff behavior (mentioned by 3 reviewers)
  • Lack of meal variety and resident choice (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2343.62023(9)2.62024(16)4.02025(4)2.02026(4)

Distribution · 33 analyzed

5
11
4
5
3
3
2
0
1
14

How They Respond to Reviews

31%response rate
Generic

The owner uses highly repetitive, templated responses that follow a nearly identical structure for every review. While they acknowledge the reviewer by name, they fail to address any of the specific, serious allegations—such as bedsores, staff rudeness, or malnutrition—offering only a standardized redirection to a customer care line.

Questions for Your Tour

  • 1I've heard great things about the quality of the home-style meals here; could you tell me more about how much variety and choice residents have in their daily menus?
  • 2Since the rehab gym equipment is such a standout feature of this facility, how often do residents participate in physical therapy or specialized exercises?
  • 3With the front desk and office staff being so welcoming, what is the best way for our family to maintain consistent and clear communication with the nursing team?
  • 4How does the care team ensure that personal hygiene and daily grooming needs are met promptly for every resident throughout the shift?
  • 5In the event of a medical emergency during the night, what specific protocols are in place to ensure a rapid response from the clinical staff?
  • 6Beyond the clinical care, what kind of social activities or daily outings are available to help residents stay engaged with the community?

Personalized based on this facility's data


Key Review Excerpts

Family member literally has bed sores from not being taken care of or cleaned. Gapping holes in their body. Flesh rotten. She was left in her room to die until we caught it.

Family member of resident · 2024☆☆☆☆

I spent several weeks at Heritage. I have to say the rehab was poor. I left because I could have better one on one rehab at home. But I must say the food was yummy and reminded me of things my mom and grandma used to make.

Rehab patient · 2024★★★★

I visited Heritage this week. It was exceptionally clean, the ladies at the front were very sweet, and their rehab gym is most impressive- staff and equipment.

Visitor · 2023★★★★★
Source: 29 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.23hrs
30%
Registered nurses for medical care
Total Nursing
2.51hrs
61%
All nurses + aides combined

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

11

measures

Worse Than Avg

4

measures

Mixed Results

2

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility2.9%
Better than Avg
Here
2.9%
US
19.4%
TX
14.2%
Gregg
10.6%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility11.7%
Better than Avg
Here
11.7%
US
19.5%
TX
18.4%
Gregg
26.3%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility26.5%
Worse than Avg
Here
26.5%
US
14.4%
TX
16.1%
Gregg
15.8%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.6%
Better than Avg
Here
1.6%
US
12.1%
TX
2.5%
Gregg
1.6%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Gregg
97.6%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility9.8%
Mixed vs Avgs
Here
9.8%
US
15.4%
TX
9.4%
Gregg
6.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.7%
TX
88.0%
Gregg
86.4%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
TX
89.2%
Gregg
88.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.5%
Mixed vs Avgs
Here
1.5%
US
1.6%
TX
1.5%
Gregg
0.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

9deficiencies
2penalties
Near state avg (9.1)
6 complaint-triggered
$81,327 in fines

Families have filed complaints leading to deficiencies, including a recent serious pressure ulcer case and failure to properly report suspected abuse. The facility shows recurring problems with care planning, medication management, and respiratory care across multiple surveys from 2022-2025. While all deficiencies report correction dates, the pattern of repeated issues in core care areas and ongoing family complaints raises concerns about sustained quality improvement.

Jul 2, 2025Complaint
1
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Feb 19, 2025Complaint
4
0686Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Jun 5, 2024Routine
9
0697Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0521Minimal · Widespread

Services Deficiencies

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

May 22, 2024Complaint
1
0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Apr 26, 2023Routine
8
0372Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0222Potential for harm · PatternCorrected

Egress Deficiencies

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.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0521Minimal · Widespread

Services Deficiencies

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

0918Minimal · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Mar 9, 2022Routine
9
0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

0521Minimal · Widespread

Services Deficiencies

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

Federal Penalties

Fine

Feb 19, 2025

$70,019

Fine

May 22, 2024

$11,733

Ownership & Operations

Who Operates This Facility

Owner / Operator

Nacogdoches County Hospital District

Organization Type

for profit

Management Company

LONGVIEW IV ENTERPRISES, LLC

Administrator

DAVID WINBURNE

Chain Affiliation

Chain Name

Creative Solutions in Healthcare

Chain Size

149 facilities nationwide

Chain avg rating: 2.7/5 · Rank 92 of 148

Ownership & Management

Key personnel

Lange, TylerW-2 Managing EmployeeLindsey, LynnOfficer / DirectorSouthwest Ltc - Longview LLCManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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