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.
