Total staff
184
Employees
102
Contractors
82
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Prime Care Hospice
Nursing Home & Hospice Care · Longview, TX
CMS overall rating
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Prime Care Hospice
Nursing Home & Hospice Care · Longview, TX
CMS overall rating
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Prime Care Hospice accepts Medicare, Medicaid, and private pay.
Overview of Prime Care Hospice
Prime Care Hospice, located at 707 Hollybrook Drive in Longview, Texas (Gregg County), operates a 115-bed nursing home focused on hospice care and short-term Medicare rehabilitation. The facility holds a 1-star overall CMS rating.
Health inspection performance is a primary driver of that rating, as is staffing adequacy. Both categories carry 1-star designations, placing Prime Care significantly below state benchmarks.
The facility has incurred substantial federal penalties over recent years. In February and March 2024 alone, CMS imposed $190,000 and $73,000 in civil money penalties, contributing to a total penalty history of $291,000, which is more than three times the Texas average of $80,000 for facilities with fines. Five separate penalty actions have been taken, compared to a state average of 2.5.
Nursing staff provides 3 hours 26 minutes of care per resident daily; +slightly below the Texas average. The staffing model relies heavily on contractor licensed practical nurses; 78 of the facility’s 97 LPNs are contractors rather than employees. Direct staff-to-resident ratio is 1.6:1, marginally above state average, but this conceals the structural reliance on temporary labor.
Long-stay residents experience urinary tract infections at 4.9%, more than six times the Texas rate. Pressure ulcers in high-risk residents reach 9.5%, double the state average. Functional decline in walking ability occurs in 20.5% of residents, 26 percent worse than the state average. Antipsychotic medication use runs 54 percent higher than the Texas average.
The facility accepts Medicare and private pay; occupancy is 55.2%, below the state average. Walk score is 33.
Prime Care serves patients and families seeking hospice and end-of-life care in a short-term model, with current admissions split between Medicare rehabilitation patients and private-pay residents.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 167th out of 289 homes in Texas for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 167th out of 289 homes in Texas for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 26m per day
Rank #167 / 289Nurse hours — State benchmarkedThis home is ranked 167th out of 289 homes in Texas. Shows adjusted nurse hours per resident per day benchmarked to the Texas average, with a ranking across 289 Texas facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Texas avg
-5%
Standout metric
Weekend RN is +24% above state avg
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 28m per day | ▲ 11% State avg: 25m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 5m per day | ▲ 14% State avg: 57m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 4m per day | ■ Avg State avg: 2h 1m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 35m per day | ▲ 19% State avg: 3h 0m per day · National avg: 3h 27m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 2m per day | ▼ 58% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 25m per day | ▲ 24% State avg: 20m per day · National avg: 29m per day |
Capacity and availability
This home usually has availability
Occupancy rate
55.2%
Rank #220 / 297Occupancy rate — State benchmarkedThis home is ranked 220th out of 297 homes in Texas. Shows this facility's occupancy rate versus the Texas average, with its Statewide rank out of 297. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
98 days
Walk Score: 33 / 100 Rank #884 / 1391Walk Score — State benchmarkedThis home is ranked 884th out of 1391 homes in Texas. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Texas facilities. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
About this community
AccreditationsACHC Accredited
Accept Medicare
Rehabilitation Services
Respite Care
Specific ProgramsPhysician Services, Social Work Services, Home Health Aide Care, Chaplain Services, Volunteer Services, Medications Related to Terminal Illness/Disease, Physical, Speech, & Occupational Therapy, Medical Supplies, Medical Equipment, Routine Home Care, Inpatient Care, Continuous/Crisis Care, Respite for Caregivers
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Staff to resident ratio
1.60 : 1
8% more staff per resident than Texas average
Avg staff/day
32
Average shift
8.4 hours
0% compared with Texas average
Total staff hours (quarter)
24,805
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
All 4 RN Staff are full-time employees. No contractors work on this role.
4
All 4 RN Staff are full-time employees. No contractors work on this role.
4
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hoursLicensed Practical Nurse
Assists with medical care and medications.
LPN Staff
97 total: 19 full-time employees and 78 contractors.
97
97 total: 19 full-time employees and 78 contractors.
97
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursCertified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
45 total: 43 full-time employees and 2 contractors.
45
45 total: 43 full-time employees and 2 contractors.
45
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursContractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
11.8%
2,927 contractor hours this quarter
Licensed Practical Nurse: 78
Certified Nursing Assistant: 2
Medical Director: 1
Occupational Therapy Assistant: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 43 | 2 | 45 | 11,318 | 92 | 100% | 9 |
| Licensed Practical Nurse | 19 | 78 | 97 | 5,469 | 92 | 100% | 9.2 |
| Registered Nurse | 4 | 0 | 4 | 1,784 | 83 | 90% | 9.9 |
| Physical Therapy Aide | 6 | 0 | 6 | 858 | 67 | 73% | 7 |
| RN Director of Nursing | 5 | 0 | 5 | 794 | 76 | 83% | 7.5 |
| Speech Language Pathologist | 4 | 0 | 4 | 783 | 71 | 77% | 5.8 |
| Medication Aide/Technician | 3 | 0 | 3 | 621 | 58 | 63% | 8.5 |
| Dietitian | 1 | 0 | 1 | 583 | 65 | 71% | 9 |
| Mental Health Service Worker | 1 | 0 | 1 | 487 | 61 | 66% | 8 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 485 | 32 | 35% | 10.7 |
| Administrator | 2 | 0 | 2 | 472 | 59 | 64% | 8 |
| Nurse Practitioner | 2 | 0 | 2 | 448 | 56 | 61% | 8 |
| Qualified Social Worker | 2 | 0 | 2 | 293 | 70 | 76% | 3.8 |
| Physical Therapy Assistant | 2 | 0 | 2 | 186 | 67 | 73% | 2.7 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 161 | 63 | 68% | 2.6 |
| Other Dietary Services Staff | 1 | 0 | 1 | 24 | 2 | 2% | 12.2 |
| Medical Director | 0 | 1 | 1 | 24 | 8 | 9% | 3 |
| Qualified Activities Professional | 1 | 0 | 1 | 11 | 4 | 4% | 2.9 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 4 | 1 | 1% | 4 |
45 Certified Nursing Assistant
% of Days
100%
97 Licensed Practical Nurse
% of Days
100%
4 Registered Nurse
% of Days
90%
6 Physical Therapy Aide
% of Days
73%
5 RN Director of Nursing
% of Days
83%
4 Speech Language Pathologist
% of Days
77%
3 Medication Aide/Technician
% of Days
63%
1 Dietitian
% of Days
71%
1 Mental Health Service Worker
% of Days
66%
4 Clinical Nurse Specialist
% of Days
35%
2 Administrator
% of Days
64%
2 Nurse Practitioner
% of Days
61%
2 Qualified Social Worker
% of Days
76%
2 Physical Therapy Assistant
% of Days
73%
2 Respiratory Therapy Technician
% of Days
68%
1 Other Dietary Services Staff
% of Days
2%
1 Medical Director
% of Days
9%
1 Qualified Activities Professional
% of Days
4%
1 Occupational Therapy Assistant
% of Days
1%
Penalties and fines
Includes penalties issued in 2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$291K Rank #283 / 294Federal fines — State benchmarkedThis home is ranked 283rd out of 294 homes in Texas. Shows this facility's cumulative CMS federal fine dollars versus the Texas average among facilities with fines, and where it ranks among 294 facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
262% higher than Texas averageTexas average: $80K
Number of fines
5
101% more fines than Texas averageTexas average: 2.5
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Texas averageTexas average: 0.2
Fines amount comparison
Fines amount comparison
This facility
$291K
Texas average
$80K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 29, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 29, 2024
$190K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 15, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 15, 2024
$73K
Last updated: Jan 2026
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.5
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.5
22% worse than Texas averageTexas average: 8.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.8
In line with Texas averageTexas average: 16.0
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
18.6%
Percent of long-stay residents whose need for help with daily activities has increased
18.6%
15% worse than Texas averageTexas average: 16.2%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
20.5%
Percent of long-stay residents whose ability to move independently worsened
20.5%
26% worse than Texas averageTexas average: 16.2%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
8.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
8.4%
47% better than Texas averageTexas average: 15.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.7%
Percent of long-stay residents experiencing one or more falls with major injury
2.7%
18% better than Texas averageTexas average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
9.5%
Percent of long-stay high risk residents with pressure ulcers
9.5%
114% worse than Texas averageTexas average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
4.9%
Percent of long-stay residents with a urinary tract infection
4.9%
510% worse than Texas averageTexas average: 0.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
1.3%
Percent of long-stay residents who lose too much weight
1.3%
62% better than Texas averageTexas average: 3.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
2.9%
Percent of long-stay residents who have depressive symptoms
2.9%
In line with Texas averageTexas average: 2.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
12.2%
Percent of long-stay residents who received an antipsychotic medication
12.2%
54% worse than Texas averageTexas average: 7.9%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Texas averageTexas average: 97.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.1%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.1%
In line with Texas averageTexas average: 97.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
11% better than Texas averageTexas average: 90.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Texas averageTexas average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.8%
8% better than Texas averageTexas average: 88.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Breakdown by payment type
Medicare
49% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
49% of new residents, often for short stays.
Typical stay
3 - 4 months
Medicaid
1% of new residents, often for long-term daily care.
Typical stay
8 - 9 years
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
115
Medicare
83
72.2% of residents
Medicaid
32
27.8% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for Prime Care Hospice based on CMS SNF Cost Reports.
Occupancy Rate
55.2%
↓ 2.3pp vs 2022
Net Income
-$106.0K
↓ ~$714.6K vs 2022
Total Payroll
$3.2M
↓ ~$504.2K vs 2022
Profit Margin
-2.4%
↓ 9.4pp vs 2022
Finances and operations
Governmental community
Operated by county authorities.
Home revenue
$4.5M
Operating deficit
-$106.0K
Governmental community
Operated by county authorities.
Home revenue
$4.5M Rank #284 / 297Revenue — State benchmarkedThis home is ranked 284th out of 297 homes in Texas. Shows this facility's annual revenue compared to the Texas average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating deficit
-$106.0K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #252 / 297Payroll — State benchmarkedThis home is ranked 252nd out of 297 homes in Texas. Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$3.2M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #252 / 297Payroll — State benchmarkedThis home is ranked 252nd out of 297 homes in Texas. Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.4M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$4.6M
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
John Givens serves as the Executive Director at Prime Care Hospice, leading the North Region team. He oversees administrative operations to ensure high-quality hospice care and support for patients and families. John is dedicated to fostering a compassionate and professional environment within the community.
Places of interest near Prime Care Hospice
2.9 miles from city center
Estimated distance in miles from Longview's city center to Prime Care Hospice's address, calculated via Google Maps.
— 0.14 miles to nearest hospital (Longview Regional Medical Center)
Calculate Travel Distance to Prime Care Hospice
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Financial Assistance for
Nursing Home in Texas
Prime Care Hospice is located in Longview, Texas.
Here are the financial assistance programs available to residents in Texas.
Frequently Asked Questions about Prime Care Hospice
Is Prime Care Hospice in a walkable area?
Prime Care Hospice has a walk score of 33. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Are there photos of Prime Care Hospice?
Yes — there are 12 photos of Prime Care Hospice in the photo gallery on this page.
What is the phone number of Prime Care Hospice?
(800) 279-5975 will put you in contact with the team at Prime Care Hospice.
Is Prime Care Hospice Medicare or Medicaid certified?
Yes — Prime Care Hospice is a CMS-certified provider of Medicare and Medicaid.
Guides for Better Senior Living
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