See every facility — official ratings, family reviews, no referral fees.
Nursing HomeMedicaid Investigative

Highland Pines Nursing Home

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

1100 N 4th Street, Longview, TX 75601171 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 179 Google reviews

5
4
3
2
1
Highland Pines Nursing Home Nursing Home in Longview, TX — Street View
Street View

Watch Highland Pines Nursing Home

Get an email when new inspections, ratings, or penalties are published for this facility.

We’ll only email you about this — no spam, unsubscribe anytime.

7/ 10
critical Risk

Quality Concerns Identified

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

  • Abuse citation on record
  • Low overall rating (2/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (9 vs median 8.0)
  • High staff turnover (52%)

Below average in Texas · Critically understaffed (RN) · Above average staffing · $17,629 in fines · Abuse citation

Source: Medicare data

What this means for your family

This facility is an excellent choice for patients focused on physical rehabilitation, as the therapy team is frequently cited as a major strength. However, families should closely monitor responsiveness to call lights and ensure that communication with the nursing staff remains consistent, as some reviewers have noted delays in care during certain shifts.

Google Reviews

Google Reviews

179 reviews analyzed
Highland Pines is highly regarded for its exceptional physical therapy and rehabilitation services, with many families noting significant recovery progress. While the nursing and administrative staff are frequently praised for being warm and welcoming, some reviewers have raised serious concerns regarding inconsistent care quality, specifically regarding responsiveness to patient needs and potential neglect during certain shifts.

Quality Themes

Tap a score for details
Food5.0Staff9.0Clean9.0Activities8.0MedsN/AMemoryN/AComms6.0ValueN/A

Strengths

  • Exceptional physical therapy and rehab team
  • Warm and welcoming administrative staff
  • Clean and well-maintained facility
  • Compassionate nursing and CNA care

Concerns

  • Inconsistent responsiveness to call lights/patient needs (mentioned by 3 reviewers)
  • Staffing shortages affecting CNA workload (mentioned by 2 reviewers)
  • Issues with facility odors

Rating Trends

Tap a year to see what changed

234'16(1)'18(4)'20(6)'22(28)'24(35)'26(11)

Distribution

5
135
4
15
3
4
2
1
1
19
19 reviews posted between Oct 5, 2022Oct 8, 2022 · 19 were 5-star

How They Respond to Reviews

0%response rate
Defensive

The owner uses templated language and attempts to discredit negative reviewers by questioning their credibility or relevance. While they acknowledge the reviews, they often deflect blame rather than addressing the specific allegations of poor care.

Questions for Your Tour

  • 1We've heard wonderful things about your physical therapy and rehab team; could you tell us more about how they work with residents to regain their strength?
  • 2The administrative staff seems very welcoming to families; how often are we able to check in and communicate with the leadership team?
  • 3How do you ensure that call lights are answered promptly, especially during the busier shifts or when the nursing team is managing multiple needs?
  • 4What steps are being taken to maintain a fresh and clean environment throughout the facility, particularly in the common areas?
  • 5Could you walk us through the protocol for handling a medical emergency or a sudden change in a resident's condition during the night?
  • 6What kind of daily activities or social outings do you have planned to keep the residents engaged and connected with one another?

Personalized based on this facility's data


Key Review Excerpts

The Therapy team worked with me and helped me gain my strength back. So love the way they pushed me and now I’ve gain all my strength back.

Rehab patient · 2025★★★★★

The staff and nurses have always been so caring and friendly. I know he’s well taken care of and that his care is their top priority.

Long-term resident's family · 2025★★★★★

The Therapists are the best in Longview! My 89-yr-old mother broke her hip in November and was there for two weeks. We private paid for my Daddy to be there with her and the experience, as well, was the best.

Long-term resident's family · 2017★★★★★
Source: 179 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.37hrs
49%
Registered nurses for medical care
Total Nursing
3.88hrs
95%
All nurses + aides combined
Staff Turnover
52%
Lower is better (< 30% = good)
RN Turnover
38%
Lower is better (< 30% = good)

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

13

measures

Worse Than Avg

1

measures

Mixed Results

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.3%
Better than Avg
Here
0.3%
US
12.1%
TX
2.5%
Gregg
1.7%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility15.7%
Worse than Avg
Here
15.7%
US
15.4%
TX
9.4%
Gregg
5.8%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility9.6%
Better than Avg
Here
9.6%
US
19.4%
TX
14.2%
Gregg
10.0%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility8.2%
Better than Avg
Here
8.2%
US
15.3%
TX
14.9%
Gregg
13.4%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.2%
Better than Avg
Here
99.2%
US
93.4%
TX
96.9%
Gregg
97.7%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility21.3%
Mixed vs Avgs
Here
21.3%
US
19.5%
TX
18.4%
Gregg
25.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility98.9%
Better than Avg
Here
98.9%
US
79.7%
TX
88.0%
Gregg
86.5%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.7%
Better than Avg
Here
99.7%
US
81.8%
TX
89.2%
Gregg
88.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.4%
Better than Avg
Here
0.4%
US
1.6%
TX
1.5%
Gregg
0.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

8deficiencies
2penalties
Near state avg (9.1)
22 complaint-triggered
$17,629 in fines

Highland Pines has a concerning pattern with 55 deficiencies across seven surveys, including 22 complaint-triggered violations where families reported serious issues. The facility has recurring problems with medication management, care planning, and infection control that persist across multiple inspections. While the provider reports correcting deficiencies, the repeated violations in the same areas—particularly medication errors and inadequate care planning—suggest systemic issues that warrant careful consideration before placement.

Jan 14, 2026Routine
10
0372ModerateCorrected

Smoke Deficiencies

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

0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0645MinorCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0655MinorCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0656MinorCorrected

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.

0755MinorCorrected

Pharmacy Service Deficiencies

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

0761MinorCorrected

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.

0812MinorCorrected

Nutrition and Dietary Deficiencies

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

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0521Minor

Services Deficiencies

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

Mar 4, 2025Complaint
1
0600Minor

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Oct 17, 2024Routine
18
0695ModerateCorrected

Quality of Life and Care Deficiencies

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

0686ModerateCorrected

Quality of Life and Care Deficiencies

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

0690ModerateCorrected

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.

0813ModerateCorrected

Nutrition and Dietary Deficiencies

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0757MinorCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0645MinorCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0755MinorCorrected

Pharmacy Service Deficiencies

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

0582MinorCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0646MinorCorrected

Resident Assessment and Care Planning Deficiencies

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

0656MinorCorrected

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.

0677MinorCorrected

Quality of Life and Care Deficiencies

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

0758MinorCorrected

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.

0759MinorCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0760MinorCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0761MinorCorrected

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.

0521Minor

Services Deficiencies

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

Oct 17, 2024Complaint
2
0600ModerateCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0609MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Sep 9, 2024Complaint
1
0656MinorCorrected

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.

Sep 4, 2024Complaint
1
0689MinorCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Federal Penalties

Fine

Aug 1, 2024

$17,629

Payment Denial

Aug 1, 2024

11-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Frio Hospital District

Organization Type

for profit

Management Company

HP NURSING & REHAB LLC

Administrator

MATTHEW MEWBORN

Chain Affiliation

Chain Name

Opco Skilled Management

Chain Size

64 facilities nationwide

Chain avg rating: 2.2/5 · Rank 12 of 24

Ownership & Management

Owners

Frio Hospital District

Owner · Organization

100%

Gurwitz, Solomon

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Hagins, Elizabeth

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Kaplan, Esther

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Kaplan, Mordechai

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Mindle, Adam

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Unger, Jeffrey

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Ruff, MichaelOfficer / DirectorHansen Hunter LLCManagerHp Nursing & Rehab LLCManagerGaretz, DavidManager1100 Fourth Street M Tic, LLCAdp of the Snf
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.

Call