120 Meadowview Dr., Justin, TX 76247 · Denton County · (940) 648-2731
120 certified beds, about 98 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1993
CMS Care Compare ratings, data as of September 1, 2026 · CCN 675185 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on July 1, 2026, inspectors cited 11 health deficiencies (the Texas average is 9.4, the national average 9.2).
Of 34 health citations since September 2023, 2 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).
CMS lists 1 fine totaling $17,616 in the last three years; the largest was $17,616, and the latest is dated December 27, 2024.
Nurses and nurse aides worked 2.70 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.26 of those hours.
85.9% of nursing staff left within the year CMS measured (Texas average 55.3%).
CMS links it to Creative Solutions in Healthcare, an affiliated group of 149 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 34 health citations on file.
Inspectors wroteBased on observation and interview, the facility failed to right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences except when to do so would endanger the health or safety of the resident or other residents for 4 of 10 residents (Resident#24, Resident#28, Resident#39, Resident #62) reviewed for accommodation of needs. The facility failed on 06/29/2026 to ensure the call light system was accessible to a resident, lying on the floor in the shared residents' bathrooms located inside the residents' rooms for Resident#24, Resident#28, Resident#39, and Resident #62 This failure could place residents in the facility at risk of being unable to obtain timely assistance from staff.
Inspectors wroteBased on interview and record review the facility failed to ensure residents had the right to send and receive mail, and to receive letters, packages and other materials delivered to the facility for the resident through a means other than a postal service, including the right to privacy of such communications for 8 of 8 confidential resident reviewed for resident rights. The facility failed to deliver residents' mail on Saturdays. This deficient practice could result in residents not receiving their mail in a timely manner and diminished quality of life.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure the resident had a right to a safe, clean, comfortable, and homelike environment, including but not limited to receiving treatment and supports for daily living safely for 1 of 4 shower rooms (Shower room [ROOM NUMBER]) and 1 or 3 resident bed linens (Resident #300 ) reviewed for a clean homelike environment: The facility failed to provide clean bed linens for Resident #41 on 6/29/26 and 6/30/26. The facility failed to ensure Shower room [ROOM NUMBER] was free from debris and in good working condition on 6/30/26. These failures could place residents at risk of exposure to infectious diseases, other unsanitary health hazards and affect their sense of dignity. Findings Include: 1. Record review of Resident #41's face sheet, dated 7/1/26, reflected an [AGE] year-old female with an admission date of 10/1/25. [...]
Inspectors wroteBased on observation, interview and record review the facility failed to provide, based on the comprehensive assessment and care plan and the preferences of each resident, an ongoing program to support residents in their choice of activities, both facility sponsored group and individual activities and independent activities, designed to meet the interests of and support the physical, mental, and psychosocial well-being of each resident, encouraging both independence and interaction in the community for 8 of 8-confidential residents reviewed for activities. The facility failed to provide the residents with scheduled activities on their activities calendar on 6/30/26. This failure could place residents at risk for decline in quality of life, social and mental psychosocial well-being. Findings Include: [...]
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure that each resident received, and the facility provided at least three meals daily, at regular times comparable to normal mealtimes in the community for one (lunch on 06/29/26) of one meal observed for dietary services. The facility failed to serve the 06/29/26 lunch meal on time at the scheduled time based on the meal postings which resulted in residents receiving their meals. The scheduled lunch meal time was 400 hall-start service at 11:30 AM-in Hall@11:45 AM Dining room-12:00 PM 300-Hall-12:15 PM 200-Hall-12:30 PM 100-Hall-12:45 PM. The lunch meal was served at 12:30pm on the 400 hall, 12:40pm in the dining room, 1:11pm on the 200 hall and 1:30pm on the 100 hall. [...]
Inspectors wroteBased on observations, interviews and record review, the facility failed to store, prepare, and serve food in accordance with professional standards for food service safety for the facility's only kitchen in: 1. The facility failed to ensure the chest freezer was free of ice accumulation. 2. The facility failed to ensure sherbert and ice cream containers were sealed in the chest freezer. 3. The facility failed to ensure dish machine temperatures were at minimum of 120 degrees F. These failures could affect residents who received their meals from the facility's only kitchen, by placing them at risk for food-borne illness and food contamination.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure a resident who was unable to carry out activities of daily living received the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for 1 of 6 residents (Resident#60) reviewed for ADLs. The facility failed to ensure Resident #60's facial hair on her chin and upper lip was removed on 06/29/2026. This failure could place residents at risk of loss of dignity, risk of infections and a decreased quality of life.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure a resident with limited range of motion received appropriate treatment and services to increase range of motion and/or to prevent further decrease in range of motion for one of eight residents (Resident #13) reviewed for quality of care. The facility failed to ensure Resident # 13 had his splint for his contracture on his left hand on 06/29/26 and 06/30/26. This failure could place residents at risk for decline in range of motion, decreased mobility, pain and decreased quality of life.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure a resident who was incontinent of bladder received appropriate treatment and services to prevent urinary tract infections and to restore continence to the extent possible for one of three (Resident #85) residents reviewed for incontinence care. The facility failed to ensure CNA B provided appropriate perineal care for Resident #85 after an incontinent episode when she failed to clean the resident's scrotum and penis on 06/29/26. This failure could place residents at risk for the development and/or worsening of urinary tract infections.
Inspectors wroteBased on observation, interview, and record review the facility failed to label drugs and biologicals used in the facility in accordance with currently accepted professional principles, and include the appropriate accessory and cautionary instructions, and the expiration date when applicable for 2 medication carts (Medication Aide Cart Hall 200 and Nurses Medication Cart Hall 200) of 4 medication carts reviewed for pharmacy services in that: The facility failed to ensure:The blister pack for Resident #50's Tylenol codeine 300-30 mg tablet did not have 1 blister seal broken in the Medication Aide Cart Hall 200 on 6/29/26. Nurses Medication Cart Hall 200 did not have 1 insulin pen for Resident #77 with an open date. Observation of the pen reflected it was used. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to maintain an infection control program designed to prevent the development and transmission of infection for 2 residents (Resident #85 and Resident #7) of 3 residents observed for infection control. The facility failed to ensure:CNA B changed her gloves and completed hand hygiene during incontinent care for Resident #85 on 6/29/26. LVN E wore proper PPE while preforming wound care for Resident#7 who was on enhanced barrier precautions for a wound on 07/01/26. [...]
Inspectors wroteBased on observation, interview, and record review the facility failed to provide the necessary services for residents who are unable to carry out activities of daily living to maintain good grooming and personal hygiene for 4 residents (Resident #1, Resident #54, Resident #71, Resident #91) of 8 residents reviewed for ADLs. The facility failed to ensure: 1- Resident #1 had her fingernails cleaned and trimmed on 05/04/25. 2- Resident #54 had his fingernails cleaned and trimmed on both hands on 5/04/25. 3- Resident #71 had her fingernails cleaned and trimmed on both hands on 5/04/25. 4- Resident #91 had his fingernails cleaned and trimmed on 5/04/25. These failures could place residents who were dependent on staff for ADL care at risk for loss of dignity, risk for infections and a decreased quality of life.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for the facility's only kitchen. 1. The facility failed to ensure food item in the facility reach in refrigerator were dated, labeled, and covered. 2. The facility failed to ensure hot food was held above 135 Fahrenheit (F) or higher on the steam table during lunch service on 5/5/25. These failures could affect residents who received their meals from the facility's only kitchen, by placing them at risk for food-borne illness, and food contamination.
Inspectors wroteBased on observation, interview, and record review, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 2 residents (Resident #28 and Resident #57) of 5 residents observed for infection control. The facility failed to ensure: 1- LVN F and CNA G changed their gloves and performed hand hygiene while providing incontinence care to Resident #28 on 04/04/25. 2- CNA A changed his gloves, performed hand hygiene, and donned appropriate PPE when providing incontinent care for Resident #57 who supposed to be on EBP on 05/05/25. These failures could place residents at risk of cross-contamination and development of infections.
Inspectors wroteBased on observations, interviews and record review, the facility failed to ensure resident rooms were adequately equipped to allow residents to call for staff assistance through a communication system which relays the call directly to a staff member or to a centralized staff work area for two (Shower room hall 100 and 200 hall) of three shower rooms reviewed for resident call system 1. The facility failed to ensure the call light in shower room area of 100 hall shower room had cord so it can be reached. 2. The facility failed to ensure the call light in shower room area of 200 hall shower room was working. These failures placed resident at risk of a delay in receiving assistance from facility staff and being unable to obtain assistance in the event of an emergency.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident who was incontinent of bladder received appropriate treatment and services to prevent urinary tract infections for one (Resident #28) of three residents reviewed for incontinence care. The facility failed to ensure LVN F provided appropriate perineal care for Resident #28 after an incontinent episode when she failed to clean the resident's scrotum and penis on 05/04/25. This failure could place residents at risk for the development and/or worsening of urinary tract infections.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure residents were free from abuse for 1 (Resident #1) of 6 residents reviewed for abuse and neglect. The facility failed to notify Resident #1's attending physician and representative after Resident #2 reported CNA B raised her voice and used inappropriate language while caring for Resident #1 who was on Hospice. CNA B was in the room getting Resident #1 ready for bed. Resident #2 stated she heard CNA B say loudly shut the fuck up to Resident #1 on 03/13/2025. This failure could affect residents of the facility by not addressing their physical, mental, and psychosocial needs for each to attain or maintain their highest practicable physical, mental, and psychosocial outcome.
Inspectors wroteBased on observations, interviews and record review, the facility failed to review and revise the comprehensive person-centered care plan for each resident consistent with the residents rights' that included measurable objectives and time frames to meet the medical, physical, and psychosocial needs identified in the comprehensive assessment for 1 (Resident #1) of 6 residents reviewed for care plan reassessment and revision. The facility failed to review and revise Resident #1's comprehensive care plan after her roommate (Resident #2) reported CNA B raised her voice and used inappropriate language while caring for Resident #1 who was on Hospice. CNA B was in the room getting Resident #1 ready for bed. Resident #2 stated she heard CNA B say loudly shut the fuck up to Resident #1 on 03/13/2025. [...]
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure residents received adequate supervision and assistance devices to prevent accidents for one (Resident #1) of 105 residents reviewed for supervision. The facility failed to provide a lid which screwed onto the cup per Resident #1's care plan and failed to provide one-person supervision while eating per Resident #1's MDS assessment. This resulted in Resident #1 spilling coffee on himself, which went unwitnessed and unassessed for an undetermined amount of time and Resident #1 sustaining burns to his forearm, hip, and waist on 12/14/2024. The noncompliance was identified as Past Non-Compliance Immediate Jeopardy (IJ). The Immediate Jeopardy began on 12/14/24 and ended on 12/15/2024. The facility had corrected the noncompliance before the investigation began. [...]
Inspectors wroteBased on observation, interview and record review the facility failed to ensure that a resident who needs respiratory care was provided such care, consistent with professional standards of practice for 4 of 8 (Residents #15, #68, #58 and #30) residents reviewed for respiratory care, in that: 1- The facility failed to ensure Resident #15, and Resident #68 nasal cannula tubing and humidity bottle were labeled or dated. 2- The facility failed to ensure Resident #58, and Resident #30 nasal cannula was properly stored. These failures could place the residents at risk for respiratory infection and not having their respiratory needs met.
Inspectors wroteBased on observation, interviews, and record reviews the facility failed to ensure food was stored, prepared, distributed, and served in accordance with professional standards for food service safety for the facility's only kitchen, reviewed for food storage, labeling, dating, and kitchen sanitation. The facility failed to properly store scoops for the ice machine. The facility failed to ensure that food stored in the dry goods pantry as dated and closed/sealed properly. The facility failed to ensure that only non-expired foods were stored in the dry goods panty. These failures could place residents at risk for cross contamination, other air-borne illnesses, and food-borne illnesses.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences for one (Resident #76) of six residents reviewed for reasonable accommodation of needs. The facility failed to ensure the call light system in Residents #76's rooms was in a position that was accessible to the resident. This failure could place the residents at risk of being unable to obtain assistance when needed and help in the event of an emergency.
Inspectors wroteBased on interview and record review, the facility failed to ensure the resident had a right to manage his or her financial affairs for one (Resident#87) of three residents reviewed for trust funds. The facility failed to provide Resident #87 with money from her trust fund when she requested. Resident #87 was required to provide receipts for items purchased with her own money. This failure could place residents whose personal funds were managed by the facility at risk for not receiving their funds when they request.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure each resident had a right to a safe, clean, comfortable and homelike environment for 2 (Resident #40 and Resident #14) of 8 residents reviewed for safe and homelike environment. 1. The facility failed to ensure Resident #14 who resided on the secure unit had a homelike environment in her room. 2. The facility failed to ensure Resident #40 who resided on the secure unit had a homelike environment in her room. This failure could place residents at risk of living in an unsafe, unsanitary, and uncomfortable environment.
Inspectors wroteBased on observation, interviews, and record reviews, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights set forth that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that were identified in the comprehensive assessment for a resident for 3 of (Resident #100, Resident #30 and Resident #49) 7 residents reviewed for Care Plans. 1. The facility failed to ensure Resident #100 was care planned for oxygen administration. 2. The facility failed to ensure Resident #30 was care planned for dialysis. 3. The facility failed to ensure Resident #49 was care planned for his behavior concerns towards female residents. These failures could place residents at risk of not receiving necessary care and services.
Inspectors wroteBased on observation, interview and record review, the facility failed to provide appropriate treatment and services to prevent complications of enteral feeding for one (Resident #100) of one resident reviewed for feeding tubes. The facility failed to ensure Resident #100's medications were administered one by one via G-tube (a tube inserted through the abdomen that delivers nutrition directly to the stomach) as per policy. The facility failed to ensure Resident #100's feeding formula tubing was capped when detached from the G-tube port. The facility failed to ensure Resident #100's medications were fully dissolved before administering the medications. The facility failed to ensure Resident #100's syringe used for medication administration via G-tube was cleaned after use. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents who required dialysis received such services, consistent with professional standards of practice for one (Resident #30) of one resident undergoing dialysis. The facility failed to ensure Resident #30 had orders pertaining to dialysis. This failure could place the residents undergoing dialysis not receiving proper care and treatment to meet their dialysis needs and place them at risk for complications.
Inspectors wroteBased on observation, interview and record review, the facility failed to establish a system of records of receipt and disposition of all controlled drugs in sufficient detail to ensure that an account of all controlled drugs were maintained and reconciled for one (Resident #16) for three residents reviewed for controlled drug records. The facility failed to account for Resident #16's Fentanyl patches (pain medication) on 11/30/23. This failure placed residents at risk for decreased quality of life, unrelieved pain, and misappropriation of property.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure, based on the comprehensive assessment of a resident, residents who had not used psychotropic drugs were not given these drugs unless the medication was necessary to treat a specific condition as diagnosed and documented in the clinical record for 1 of 5 residents (Resident #84) reviewed for unnecessary psychotropic medications. The facility failed to provide an appropriate diagnosis for Resident #84's use of Paliperidone ER (Antipsychotic used to treat schizophrenia and schizoaffective disorder). These failures could put residents at risk of receiving unnecessary psychotropic medications.
Inspectors wroteBased observation, interview, and record review, the facility failed to maintain an Infection Prevention and Control Program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 2 (Resident #6 and Resident #32) of 6 residents observed for infection control. 1. The facility failed to ensure that CNA F changed her gloves and performed hand hygiene while providing incontinence care to Resident #6. 2. The facility failed to ensure CNA W changed his gloves and performed hand hygiene while providing incontinence care to Resident #32. These failures could place the residents at risk of cross-contamination and the development of infection.
Inspectors wroteBased on observations, interviews, and record reviews the facility failed to provide supervision and assistive devices to each resident to prevent avoidable accidents for 1 of 3 residents (Resident #1) reviewed for supervision. The facility failed to ensure the Memory Care unit of the facility was secure when Resident #1, who had a diagnosis of Alzheimer's disease with severely impaired cognition and a history of elopement and exit seeking behaviors, eloped from the facility on 10/09/23. The noncompliance was identified as PNC IJ. The IJ began on 10/09/23 and ended 10/09/23. The facility had corrected the noncompliance before the survey began. The Administrator was notified of the PNC IJ on 10/13/23 at 5:55 PM. The noncompliance was determined to be PNC because the facility corrected the issues with the door security and had monitoring in place to ensure Resident #1 did not elope again. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure an assessment accurately reflected a resident's status for 4 of 9 residents (Resident #3 #6, #17, and #21), reviewed for accuracy of MDS assessments). 1. The Quarterly MDS assessment of Resident #3 indicated that the resident did not have any behaviors. 2. The Quarterly MDS assessment of Resident #6 indicated that the resident did not have any, mood disorder, behaviors. 3. The Quarterly MDS assess for Resident # 17 did not document behaviors and oxygen use. 4. The Quarterly MDS assess for Resident # 21 did not document psychiatric conditions, medication use and oxygen use. [...]
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure the comprehensive care plan described the services that were to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being for 1 (Residents #21) of 6 residents reviewed for comprehensive care plans. The facility failed to document Resident #21's oxygen use and interventions were addressed on her comprehensive care plan. These failures could place residents at risk for possible adverse side effects, adverse consequences, and decreased quality of life and care and worsening of contractures.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure residents who needed respiratory care were provided such care, consistent with professional standards of practice for 2 of 9 residents (Resident #17 and Resident #21) reviewed for respiratory care in that: The facility failed to ensure Resident #17, and 21's oxygen tubing was labeled and dated. These deficient practices could affect residents who received oxygen therapy and could result in residents receiving incorrect or inadequate oxygen support and could result in a decline in health. Resident #17 A record Review of Resident #17 face sheet dated 09/13/2023 revealed a [AGE] year-old male that was admitted initially on 06/03/21 and again on and 09/07/23: His primary diagnosis included: [...]
9 fire safety citations on file: 2 on July 1, 2026, 6 on May 6, 2025, 1 on March 28, 2024.
| Date | Penalty | Amount or length |
|---|---|---|
| December 27, 2024 | Fine | $17,616 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Texas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 2.70 | 3.39 | 3.86 |
| Registered nurses | 0.26 | 0.43 | 0.69 |
| All nursing staff on weekends | 2.25 | 2.98 | 3.42 |
| Nurse aides | 1.45 | ||
| Licensed practical nurses | 0.99 | ||
| Nursing staff turnover (share who left in a year) | 85.9% | 55.3% | 45.8% |
| Registered nurse turnover | 83.3% | 54.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.50 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 2.88 on weekdays and 2.25 on weekends, 22% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.84 in April to June 2025 to 2.70 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 2.70 | 0.26 | 2.88 | 2.25 | 0.0% | 0 of 90 | 98 |
| Oct to Dec 2025 | 2.74 | 0.32 | 2.94 | 2.22 | 0.0% | 0 of 92 | 100 |
| Jul to Sep 2025 | 2.99 | 0.32 | 3.15 | 2.60 | 0.0% | 0 of 92 | 95 |
| Apr to Jun 2025 | 2.84 | 0.21 | 3.03 | 2.38 | 0.0% | 0 of 91 | 93 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Texas, Jan to Mar 2026 | 3.33 | 0.40 | 3.50 | 2.93 | 2.2% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Texas, all employers | |||
| CNAs (nursing assistants) | $18.03 | $16.97 to $20.71 | 88,680 |
| LPNs and LVNs | $29.92 | $27.46 to $32.89 | 57,560 |
| Registered nurses | $46.14 | $38.06 to $50.53 | 271,380 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Texas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 19.7 | 15.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.9 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 8.2 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.2 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 11.9 | 9.6 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 2.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Longmeadow Healthcare Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (28.2% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
28.2% this home
Worse than the national rate
US median of homes 51.5% · Texas: 116 better, 50 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 31 eligible stays.
12.0% this home
No different from the national rate
US median of homes 10.7% · Texas: 0 better, 9 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 57 eligible stays.
7.7% this home
No different from the national rate
US median of homes 7.1% · Texas: 4 better, 11 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 36 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Texas57.3% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 16 residents counted.
0.0% this home
Median of homes: Texas0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 22 residents counted.
8.8% this home
Median of homes: Texas1.3% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 22 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Texas98.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 4 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: FANNIN COUNTY HOSPITAL AUTHORITY. CMS links this home to Creative Solutions in Healthcare, a group of 149 nursing homes averaging 2.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Fannin County Hospital Authority | 5% or greater direct ownership interest | Organization | 100% | 10/01/2022 |
| Holt, Erin | Managing control - governing body | Individual | 02/25/2020 | |
| Keeton, Wendy | Managing control - governing body | Individual | 10/29/2012 | |
| Kissling, Monica | Managing control - governing body | Individual | 06/21/2017 | |
| McBean, Patricia | Managing control - governing body | Individual | 08/30/2021 | |
| Sanderson, Clark | Managing control - governing body | Individual | 10/29/2012 | |
| Trompler, Kelly | Managing control - governing body | Individual | 02/22/2022 | |
| Huggins, Linda | Corporate director | Individual | 10/01/2022 | |
| Willig, Zachary | Corporate director | Individual | 01/01/2025 | |
| Sanderson, Clark | Corporate officer | Individual | 10/29/2012 | |
| Justin I Enterprises, LLC | Operational/managerial control | Organization | 10/01/2022 | |
| Blake, Gary | Operational/managerial control | Individual | 10/01/2022 | |
| Blake, Malisa | Operational/managerial control | Individual | 10/01/2022 | |
| Justin I Enterprises, LLC | Adp of the SNF | Organization | 10/01/2022 | |
| Blake, Gary | Adp of the SNF | Individual | 10/01/2022 | |
| Tibbels, Jason | Adp of the SNF | Individual | 04/13/2025 | |
| Watson, Bradlee | Adp of the SNF | Individual | 04/13/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
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