Highland Pines Nursing Home
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 179 Google reviews

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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
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 detailsStrengths
- 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
Distribution
How They Respond to Reviews
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.”
“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.”
“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.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
13
measures
1
measures
3
measures
Residents with depression symptoms
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Residents whose walking got worse
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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, 2026Routine10
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
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
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Mar 4, 2025Complaint1
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, 2024Routine18
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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.
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Assessment and Care Planning Deficiencies
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
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.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
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.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
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.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Oct 17, 2024Complaint2
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.
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, 2024Complaint1
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, 2024Complaint1
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
Frio Hospital District
for profit
HP NURSING & REHAB LLC
MATTHEW MEWBORN
Chain Affiliation
Opco Skilled Management
64 facilities nationwide
Chain avg rating: 2.2/5 · Rank 12 of 24
Ownership & Management
Owners
Frio Hospital District
Owner · Organization
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
Contact
Get in Touch
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
179 reviews from families & visitors
Official Website
Visit hpnursing.com
Medicare data downloads
Original nursing home datasets
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