1/5
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.
1/5
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, 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.
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 174th out of 296 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.
| 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 |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
8% more staff per resident than Texas average
0% compared with 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 4 RN Staff are full-time employees. No contractors work on this role.
4
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.9 hoursAssists with medical care and medications.
97 total: 19 full-time employees and 78 contractors.
97
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursHelps with daily care and mobility.
45 total: 43 full-time employees and 2 contractors.
45
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,927 contractor hours this quarter
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 |
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)
262% higher than Texas averageTexas average: $80K
101% more 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 29, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 15, 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.
10.5
22% worse than Texas averageTexas average: 8.6
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
Percent of long-stay residents whose need for help with daily activities has increased
18.6%
15% worse than Texas averageTexas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
20.5%
26% worse than Texas averageTexas average: 16.2%
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%
Percent of long-stay residents experiencing one or more falls with major injury
2.7%
18% better than Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
9.5%
114% worse than Texas averageTexas average: 4.4%
Percent of long-stay residents with a urinary tract infection
4.9%
510% worse than Texas averageTexas average: 0.8%
Percent of long-stay residents who lose too much weight
1.3%
62% better than Texas averageTexas average: 3.5%
Percent of long-stay residents who have depressive symptoms
2.9%
In line with Texas averageTexas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
12.2%
54% 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%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.1%
In line with Texas averageTexas average: 97.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
11% better than Texas averageTexas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Texas averageTexas average: 1.4%
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.
49% of new residents, usually for short-term rehab.
49% of new residents, often for short stays.
1% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
115Residents meet regularly to discuss policies, care quality, and activities
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 Prime Care Hospice from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 09/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #259 / 304Payroll — State benchmarkedThis home is ranked 259th out of 304 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.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #15 / 304Payroll % — State benchmarkedThis home is ranked 15th out of 304 homes in Texas. Shows payroll as a percentage of revenue versus the Texas average. Well-run Texas facilities typically land around 51–63% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
New residents most often arrive under Medicare (49% of admissions), and a typical Medicare stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
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)
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The information below is reported by the Texas Health and Human Services Commission.
| Highland Pines Nursing and Rehabilitation Center | NH PC | Longview | 171
Facility
171
TX AVG
80
Rank
#36 / 988 |
64.2%
Facility
64.2%
TX AVG
63.5%
Rank
#170 / 304 | +1% | 3.75
Facility
3.75
TX AVG
3.63
Rank
#93 / 296 | +1% | +3% | $17.6k
Facility
$17.6k
TX AVG
$81.8k
Rank
#129 / 301 | 48
Facility
48
TX AVG
25.9
Rank
#273 / 299 | 6.9
Facility
6.9
TX AVG
3.7
Rank
#292 / 299 | 1 | 95 | - |
53
Facility
53
TX AVG
41
Rank
#433 / 1391 | Hp Nursing & Rehab LLC | $9.4M
Facility
$9.4M
TX AVG
$8.4M
Rank
#148 / 304 | $5.0M
Facility
$5.0M
TX AVG
$3.5M
Rank
#113 / 304 | 53.2%
Facility
53.2%
TX AVG
47%
Rank
#90 / 304 | 675133 | ||||
| Prime Care Hospice | NH HC PC RC | Longview | 115
Facility
115
TX AVG
80
Rank
#284 / 988 |
55.2%
Facility
55.2%
TX AVG
63.5%
Rank
#226 / 304 | -13% | 3.44
Facility
3.44
TX AVG
3.63
Rank
#174 / 296 | -71% | -5% | $262.7k
Facility
$262.7k
TX AVG
$81.8k
Rank
#292 / 301 | 50
Facility
50
TX AVG
25.9
Rank
#279 / 299 | 4.6
Facility
4.6
TX AVG
3.7
Rank
#254 / 299 | 8 | 63 | - |
33
Facility
33
TX AVG
41
Rank
#884 / 1391 | Joshua Leonard | $5.3M
Facility
$5.3M
TX AVG
$8.4M
Rank
#291 / 304 | $2.5M
Facility
$2.5M
TX AVG
$3.5M
Rank
#259 / 304 | 48.1%
Facility
48.1%
TX AVG
47%
Rank
#15 / 304 | 455678 | ||||
| Longview Hill Nursing Center and Rehabilitation | NH HC MC PC RC | Longview (Pegues Estates) | 198
Facility
198
TX AVG
80
Rank
#13 / 988 |
62.1%
Facility
62.1%
TX AVG
63.5%
Rank
#183 / 304 | -2% | 3.85
Facility
3.85
TX AVG
3.63
Rank
#93 / 296 | -7% | +6% | $256.6k
Facility
$256.6k
TX AVG
$81.8k
Rank
#291 / 301 | 69
Facility
69
TX AVG
25.9
Rank
#296 / 299 | 6.9
Facility
6.9
TX AVG
3.7
Rank
#292 / 299 | 7 | 115 | A+ |
42
Facility
42
TX AVG
41
Rank
#682 / 1391 | Regency Ihs Of Longview LLC | $8.7M
Facility
$8.7M
TX AVG
$8.4M
Rank
#182 / 304 | $5.5M
Facility
$5.5M
TX AVG
$3.5M
Rank
#72 / 304 | 63.5%
Facility
63.5%
TX AVG
47%
Rank
#22 / 304 | 455684 |
Prime Care Hospice is located in Longview, Texas.
Here are the financial assistance programs available to residents in Texas.
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.
Prime Care Hospice's occupancy is 55.2%.
Prime Care Hospice is a government-operated nursing facility.
Yes — there are 12 photos of Prime Care Hospice in the photo gallery on this page.
Prime Care Hospice is located at 707 Hollybrook Dr #404, Longview, TX 75605.
(800) 279-5975 will put you in contact with the team at Prime Care Hospice.
Yes — Prime Care Hospice is a CMS-certified provider of Medicare and Medicaid.
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