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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.
Buckner Westminster Place is a 20-bed skilled nursing facility at 2201 Horseshoe Lane in Longview, Gregg County, Texas. Operated by the nonprofit Buckner Retirement Services, Inc., and managed by Executive Director Mr. David Ummel, the community admits Medicare and private-pay residents for short-term post-acute rehabilitation stays averaging 22 days. Current census stands at 14 residents, reflecting a 69% occupancy rate; higher than the Texas statewide average of 63.5%.
The facility carries a 1-star CMS Health Inspection rating, running 30.8% below state performance standards. Over the past two years, four health citations emerged at the facility compared to two for a typical Texas nursing home; a significant 100% elevation above average. Two of these citations were classified as serious violations, nearly four times the state norm for serious findings. Recent deficiencies in June 2025 involved resident rights compliance, infection prevention, pharmaceutical management, and nutrition administration.
Federal fines totaled $30,000 across two separate penalties between May 2024 and March 2025; considerably less than the state average of $80,000. The facility reported no Medicare payment denials.
Buckner Westminster provides 5 hours 20 minutes of nursing care daily per resident, meaningfully above the Texas average of 3 hours 47 minutes, and certified nursing assistants deliver 4 hours 5 minutes per day; double the state standard. Registered nurses average 48 minutes of direct oversight daily, 85% more than typical. Weekend staffing maintains 5 hours 24 minutes per resident per day, ensuring continuity when administrative support typically drops. Physical therapy averages 2 minutes per day, below state norms.
Short-stay discharge outcomes reflect effective rehabilitation. Eighty-two percent of residents maintain or improve their ability to perform self-care upon discharge, well above the state rate of 54%. Two in three successfully return home or to community settings. However, 27.6% of residents require hospital readmission within 30 days of discharge, marginally above state benchmarks.
Long-stay residents show excellent fall prevention and pressure ulcer management but demonstrate elevated urinary tract infection prevalence and above-average antipsychotic medication use.
Buckner Westminster Place suits residents pursuing intensive short-term rehabilitation with strong nursing support, positioned for discharge and community return.
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.
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.
This home is ranked 15th 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.
| 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.
| 48m per day | ▲ 85% State avg: 26m 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 12m per day | ▲ 26% 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.
| 4h 5m per day | ▲ 102% 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.
| 5h 24m per day | ▲ 81% State avg: 2h 59m per day · National avg: 3h 26m 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 | ▼ 50% 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.
| 40m per day | ▲ 100% State avg: 20m per day · National avg: 28m per day |
Higher than the Texas average: 63.5%Buckner Westminster Place is legally operated by Buckner Retirement Services, Inc., and administrated by Mr. David Ummel.
Key information about the people who lead and staff this community.
In Texas, the Health and Human Services Commission (HHSC) is the primary regulatory body that conducts unannounced inspections and publishes quality reports for all long-term care homes.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Texas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 6 | 6 | This facility has total citations in line with the Texas average (6 vs. TX avg 6).— At avg |
|
Health citations
Violations related to resident care, clinical practices, and day-to-day operations.
| 4 | 2 | This facility has 100% more health citations than a typical Texas nursing home (4 vs. TX avg 2).↑ 100% worse |
|
Life safety citations
Violations related to building safety — fire prevention, emergency egress, and similar.
| 2 | 6 | This facility has 67% fewer life safety citations than a typical Texas nursing home (2 vs. TX avg 6).↓ 67% better |
|
Citations per year
Average citations per year since 2024.
| 3 | 3 | This facility has citations per year in line with the Texas average (3 vs. TX avg 3).— At avg |
Inspections
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 2 | 1 | This facility has 100% more inspections with citations than a typical Texas nursing home (2 vs. TX avg 1).↑ 100% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Texas average 7.4
Last Health inspection on Jun 2025
Texas average 25.9
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
8 of 15 citations resulted from standard inspections; 4 of 15 resulted from complaint investigations; and 3 of 15 came from combined inspections (standard and complaint).
In line with Texas averageTexas average: 2
400% worse than Texas averageTexas average: 0.4
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
144% more staff per resident than Texas average
6% worse than Texas average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 2 RN Staff are full-time employees. No contractors work on this role.
2
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.4 hoursAssists with medical care and medications.
12 total: 4 full-time employees and 8 contractors.
12
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursHelps with daily care and mobility.
24 total: 16 full-time employees and 8 contractors.
24
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,152 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 16 | 8 | 24 | 5,384 | 92 | 100% | 8.4 |
| Licensed Practical Nurse | 4 | 8 | 12 | 1,982 | 92 | 100% | 8 |
| Medication Aide/Technician | 2 | 0 | 2 | 946 | 90 | 98% | 9.9 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Administrator | 1 | 0 | 1 | 448 | 56 | 61% | 8 |
| Speech Language Pathologist | 0 | 2 | 2 | 394 | 57 | 62% | 5 |
| Physical Therapy Assistant | 0 | 1 | 1 | 383 | 55 | 60% | 7 |
| Registered Nurse | 2 | 0 | 2 | 373 | 36 | 39% | 10.4 |
| Physical Therapy Aide | 0 | 2 | 2 | 316 | 57 | 62% | 3.5 |
| Qualified Social Worker | 0 | 1 | 1 | 288 | 56 | 61% | 5.1 |
| Dietitian | 1 | 0 | 1 | 277 | 56 | 61% | 4.9 |
| Mental Health Service Worker | 0 | 1 | 1 | 112 | 14 | 15% | 8 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 47 | 31 | 34% | 1.5 |
| Medical Director | 0 | 1 | 1 | 14 | 14 | 15% | 1 |
Includes penalties issued in 2024-2025
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)
63% lower than Texas averageTexas average: $80K
20% fewer fines than Texas averageTexas average: 2.5
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
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.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 11, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 9, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
0.8
91% better than Texas averageTexas average: 8.6
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
1.6%
65% better than Texas averageTexas average: 4.4%
Percent of long-stay residents with a urinary tract infection
13.0%
1526% worse than Texas averageTexas average: 0.8%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Texas averageTexas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
13.0%
66% worse than Texas averageTexas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Texas averageTexas average: 97.3%
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.8%
9% better than Texas averageTexas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
1.1%
22% better than Texas averageTexas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.1%
7% better than Texas averageTexas average: 88.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
27.6%
7% worse than Texas averageTexas average: 25.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
12.2%
In line with Texas averageTexas average: 12.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.8%
8% worse than Texas averageTexas average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
82.4%
54% better than Texas averageTexas average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
62.3%
23% better than Texas averageTexas average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
51% of new residents, usually for short-term rehab.
49% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
15Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
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.
Historical financial and operational data for Buckner Westminster Place based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #143 / 297Payroll — State benchmarkedThis home is ranked 143rd out of 297 homes in Texas for payroll. 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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Housing Options: Studio / 1 Bed / 2 Bed
Building Type: 3-story
Most residents typically stay for a few weeks or months before returning home or moving on.
David Ummel, D. Min, serves as the Executive Director at Buckner Westminster Place in Longview, Texas. He leads the community with a focus on providing a personal experience that inspires happiness and ensures residents are known by name. Under his leadership, the team is dedicated to delivering top-notch care and hospitality every day.
2.5 miles from city center
Estimated distance in miles from Longview's city center to Buckner Westminster Place's address, calculated via Google Maps.
— 0.7 miles to nearest hospital (Oceans Behavioral Hospital - Longview Intensive Outpatient Program)
Add your location
Buckner Westminster Place is located in Longview, Texas.
Here are the financial assistance programs available to residents in Texas.
The legal owner and operator of Buckner Westminster Place is Buckner Retirement Services, Inc..
Buckner Westminster Place has a walk score of 49. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to TX state health department records, Buckner Westminster Place's license number is 148317.
According to TX state health department records, Buckner Westminster Place's license expires on October 16, 2027.
Buckner Westminster Place's occupancy is 69%.
Mr. David Ummel is the administrator of Buckner Westminster Place.
Buckner Westminster Place has 20 beds.
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