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Nursing home

Pine Tree Lodge Nursing Center

Longview, Texas · Gregg County

  • 2711 Pine Tree Rd, Longview, TX 75604 · Directions
  • (903) 759‑3994
  • Medicare overall rating: 1 of 5 starsMedicare overall rating
  • Ownership: Government – hospital district
  • 44 health citations in its last 3 inspection cycles (most serious: level K), $232,525 in fines. See the inspection record

Summary

Pine Tree Lodge Nursing Center is a Medicare-certified nursing home in Longview, Texas, with 92 certified beds. Medicare overall rating: 1 of 5 stars. Most recent standard health inspection: 2026-03-25, with 13 health deficiencies. Medicare lists 2 fines. Ownership: government – hospital district. Source: Medicare (CMS) Provider Information, data updated 2026-10-01.

What is a nursing home?

A nursing home (skilled nursing facility) gives 24-hour nursing care and help with daily activities. Some people stay for a short time to recover after a hospital stay (rehabilitation); others live there long term. The homes listed here are certified by Medicare and/or Medicaid and inspected by the state.

Official Medicare data

Everything on this page comes from Medicare (CMS) data updated 2026-10-01. It is information, not a recommendation. Call the nursing home and visit before you decide, and talk with your doctor.

In a medical emergency, call 911.

At a glance

Medicare overall rating: 1 of 5 starsMedicare overall rating
92Certified beds
Health inspections: 1 of 5 starsHealth inspections

Quick answers

Where is Pine Tree Lodge Nursing Center?
2711 Pine Tree Rd, Longview, TX 75604, in Gregg County, Texas.
What is the phone number of Pine Tree Lodge Nursing Center?
(903) 759-3994, as listed by Medicare (CMS).
What is the Medicare star rating of Pine Tree Lodge Nursing Center?
Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
Has Pine Tree Lodge Nursing Center been fined?
Medicare lists 2 fines totaling $232,525.
What did inspectors find at Pine Tree Lodge Nursing Center?
In its last three inspection cycles (November 6, 2023 to June 25, 2026), Medicare lists 44 health citations; the most serious was level K. 4 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).

Medicare ratings, explained

Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.

Overall rating
Overall rating: 1 of 5 stars
Medicare’s summary of the three ratings below, from 1 star (much below average) to 5 stars (much above average).
Health inspections
Health inspections: 1 of 5 stars
Based on state health inspections and complaint investigations of about the last three years, compared with other nursing homes in the same state.
Staffing
Staffing: 1 of 5 stars
Based on how many hours nurses and aides spend with each resident per day (from payroll records) and how often staff leave.
Quality of resident care
Quality of resident care: 4 of 5 stars
Based on how residents do on measures such as falls with injury, pressure sores, getting better at moving around and going back to the hospital.
Short-stay residents (rehab)
Short-stay residents (rehab): 5 of 5 stars
Quality rating for people who stay a short time, usually to recover after a hospital stay.
Long-stay residents
Long-stay residents: 4 of 5 stars
Quality rating for people who live in the nursing home.

Inspections, fines and staffing

In its last three inspection cycles (November 6, 2023 to June 25, 2026), Pine Tree Lodge Nursing Center had 44 health citations; the most serious was level K (immediate jeopardy to resident health or safety). 4 of them were level G or higher (actual harm or immediate jeopardy). It was fined $232,525 in total (2 fines, the latest on March 25, 2026). Nurse staffing is 3.10 hours per resident per day; the Texas average is 3.42 and the national average is 3.90.

Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.

Inspection history: last three cycles

State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.

What the letters A to L mean
Scope and severity letters
SeriousnessIsolated (a few residents)Pattern (some)Widespread (many)
No actual harm, potential for minimal harmABC
No actual harm, potential for more than minimal harmDEF
Actual harm to residentsGHI
Immediate jeopardy to resident health or safetyJKL

Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.

Most recent cycle: March 25, 2026 — 13 health citations

Inspections in this cycle: March 25, 2026 (standard health inspection); May 28, 2026 (complaint investigation); June 25, 2026 (complaint investigation).

  • F0697 Level K March 25, 2026 · corrected March 26, 2026

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

    immediate jeopardy to resident health or safety; pattern (some residents) · Quality of Life and Care Deficiencies

  • F0755 Level K March 25, 2026 · corrected March 26, 2026

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

    immediate jeopardy to resident health or safety; pattern (some residents) · Pharmacy Service Deficiencies

Show 11 less serious citations (levels A to F)
  • F0880 Level E June 25, 2026 · from a complaint · corrected June 26, 2026

    “Provide and implement an infection prevention and control program.”

  • F0880 Level E March 25, 2026 · corrected March 26, 2026

    “Provide and implement an infection prevention and control program.”

  • F0550 Level D May 28, 2026 · from a complaint · corrected May 29, 2026

    “Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”

  • F0677 Level D May 28, 2026 · from a complaint · corrected May 29, 2026

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

  • F0557 Level D March 25, 2026 · corrected March 26, 2026

    “Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.”

  • F0584 Level D March 25, 2026 · corrected March 26, 2026

    “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.”

  • F0690 Level D March 25, 2026 · corrected March 26, 2026

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

  • F0693 Level D March 25, 2026 · corrected March 26, 2026

    “Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.”

  • F0695 Level D March 25, 2026 · corrected March 26, 2026

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

  • F0761 Level D March 25, 2026 · corrected March 26, 2026

    “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.”

  • F0919 Level D March 25, 2026 · corrected March 26, 2026

    “Make sure that a working call system is available in each resident's bathroom and bathing area.”

Previous cycle: January 15, 2025 — 14 health citations

Inspections in this cycle: October 3, 2024 (complaint investigation); October 31, 2024 (complaint investigation); January 15, 2025 (standard health inspection).

Show 14 citations (levels A to F, no actual harm)
  • F0698 Level E January 15, 2025 · corrected February 4, 2025

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

  • F0755 Level E January 15, 2025 · corrected February 4, 2025

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

  • F0756 Level E January 15, 2025 · corrected February 4, 2025

    “Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.”

  • F0761 Level E January 15, 2025 · corrected February 4, 2025

    “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.”

  • F0804 Level E January 15, 2025 · corrected February 4, 2025

    “Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”

  • F0812 Level E January 15, 2025 · corrected February 4, 2025

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

  • F0812 Level E October 3, 2024 · from a complaint · corrected October 4, 2024

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

  • F0644 Level D January 15, 2025 · corrected February 4, 2025

    “Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.”

  • F0656 Level D January 15, 2025 · corrected February 4, 2025

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

  • F0689 Level D January 15, 2025 · corrected February 4, 2025

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

  • F0695 Level D January 15, 2025 · corrected February 4, 2025

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

  • F0880 Level D January 15, 2025 · corrected February 4, 2025

    “Provide and implement an infection prevention and control program.”

  • F0883 Level D January 15, 2025 · corrected February 4, 2025

    “Develop and implement policies and procedures for flu and pneumonia vaccinations.”

  • F0688 Level D October 31, 2024 · from a complaint · corrected November 23, 2024

    “Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.”

Earlier cycle: December 20, 2023 — 17 health citations

Inspections in this cycle: November 6, 2023 (complaint investigation); December 20, 2023 (complaint investigation); December 20, 2023 (standard health inspection); January 23, 2024 (complaint investigation); June 19, 2024 (complaint investigation); July 31, 2024 (complaint investigation).

  • F0580 Level K November 6, 2023 · from a complaint · corrected November 7, 2023

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

    immediate jeopardy to resident health or safety; pattern (some residents) · Resident Rights Deficiencies

  • F0760 Level K November 6, 2023 · from a complaint · corrected November 7, 2023

    “Ensure that residents are free from significant medication errors.”

    immediate jeopardy to resident health or safety; pattern (some residents) · Pharmacy Service Deficiencies

Show 15 less serious citations (levels A to F)
  • F0677 Level E June 19, 2024 · from a complaint · corrected June 20, 2024

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

  • F0641 Level E December 20, 2023 · corrected December 21, 2023

    “Ensure each resident receives an accurate assessment.”

  • F0812 Level E December 20, 2023 · corrected December 21, 2023

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

  • F0880 Level E December 20, 2023 · from a complaint · corrected December 21, 2023

    “Provide and implement an infection prevention and control program.”

  • F0940 Level E December 20, 2023 · corrected December 21, 2023

    “Develop, implement, and/or maintain an effective training program for all new and existing staff members.”

  • F0550 Level D July 31, 2024 · from a complaint · corrected August 5, 2024

    “Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”

  • F0558 Level D January 23, 2024 · from a complaint · corrected January 24, 2024

    “Reasonably accommodate the needs and preferences of each resident.”

  • F0583 Level D January 23, 2024 · from a complaint · past non-compliance (already fixed before the inspection) (January 15, 2024)

    “Keep residents' personal and medical records private and confidential.”

  • F0677 Level D January 23, 2024 · from a complaint · corrected January 24, 2024

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

  • F0808 Level D January 23, 2024 · from a complaint · corrected January 24, 2024

    “Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.”

  • F0656 Level D December 20, 2023 · corrected December 21, 2023

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

  • F0657 Level D December 20, 2023 · from a complaint · corrected December 21, 2023

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

  • F0693 Level D December 20, 2023 · corrected December 21, 2023

    “Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.”

  • F0695 Level D December 20, 2023 · corrected December 21, 2023

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

  • F0760 Level D December 20, 2023 · corrected December 21, 2023

    “Ensure that residents are free from significant medication errors.”

Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.

Full inspection reports on Medicare Care Compare →

Fire safety citations (15)
  • K0918 Level F March 25, 2026 · corrected March 25, 2026

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

  • K0293 Level E March 25, 2026 · corrected March 25, 2026

    “Have properly located and lighted "Exit" signs.”

  • K0321 Level E March 25, 2026 · corrected March 25, 2026

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

  • K0372 Level E March 25, 2026 · corrected March 25, 2026

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

  • K0511 Level D March 25, 2026 · corrected March 25, 2026

    “Have properly installed electrical wiring and gas equipment.”

  • K0521 Level C March 25, 2026 · no revisit needed

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

  • K0712 Level C March 25, 2026 · corrected March 25, 2026

    “Have simulated fire drills held at unexpected times.”

  • K0353 Level E January 15, 2025 · corrected January 28, 2025

    “Inspect, test, and maintain automatic sprinkler systems.”

  • K0511 Level D January 15, 2025 · corrected January 28, 2025

    “Have properly installed electrical wiring and gas equipment.”

  • K0521 Level C January 15, 2025 · waiver granted

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

  • K0353 Level E December 20, 2023 · corrected January 8, 2024

    “Inspect, test, and maintain automatic sprinkler systems.”

  • K0321 Level D December 20, 2023 · corrected January 5, 2024

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

  • K0372 Level D December 20, 2023 · corrected January 5, 2024

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

  • K0511 Level D December 20, 2023 · corrected January 12, 2024

    “Have properly installed electrical wiring and gas equipment.”

  • K0521 Level C December 20, 2023 · waiver granted

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

Fines and payment denials

Total fines over about the last three years: $232,525 (2 fines). A payment denial means Medicare stopped paying for new admissions for a time.

DatePenaltyAmount or length
March 25, 2026Fine$21,925
November 6, 2023Fine$210,600

Source: Medicare (CMS) Penalties file, data updated October 1, 2026.

Staffing

Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.

MeasureThis homeTexasNational
Registered nurse (RN) hours per resident per day0.310.440.69
Licensed practical nurse (LPN) hours per resident per day1.140.940.86
Nurse aide hours per resident per day1.652.032.35
Total nurse staff hours per resident per day3.103.423.90
Total nurse staff hours per resident per day on the weekend2.632.993.43
RN hours per resident per day on the weekend0.270.350.48
Nursing staff turnover (per year)54.1%50.8%45.3%
RN turnover (per year)70.0%49.8%42.5%
Administrators who left in the last year3.00.60.5

Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.

Owners and operator

Part of a group of 150 nursing homes: Creative Solutions in Healthcare.

Legal business name: Liberty County Hospital District No 1.

Owners and managers Medicare lists (2)
NameRoleShareSince
Liberty County Hospital District No 1Direct owner100%May 1, 2022
Longview I Enterprises, LLCManagement company (operational or managerial control)NOT APPLICABLEMay 1, 2022

Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.

Compare with other nursing homes

Key facts

TypeNursing home
Certified beds92
Average residents per day60.8
Takes part inMedicare and Medicaid
OwnershipGovernment – hospital district
Group or chain (affiliated entity)Creative Solutions in Healthcare
Legal business nameLiberty County Hospital District No 1
First approved by Medicare/Medicaid1993-08-25
Resident and family councilsResident council
Sprinklers in all required areasYes
Changed ownership in the last 12 monthsNo
Address2711 Pine Tree Rd, Longview, TX 75604
CountyGregg County
StateTexas
Phone(903) 759‑3994
CMS Certification Number675177
CorrectionsReport an error or suggest an update →

What to ask when you call or visit

A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.

  • Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
  • Can you see the latest state inspection report? Ask how any problems found were fixed.
  • How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
  • Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
  • What therapy (physical, occupational, speech) is offered, and how many days a week?
  • Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
  • What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
  • Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
  • Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
  • Visit more than once, including at a mealtime or in the evening, without an appointment.

Other nursing homes nearby

By straight-line distance (not driving distance).

Nearest hospital emergency rooms

Sources

  1. Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this provider
  3. Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  4. Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  5. Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
  6. Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
  7. State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
  8. Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
  9. Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
  10. Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13