ElderGrade
F

28.4/100

Poor

Longmeadow Healthcare Center

120 Meadowview Dr, Justin, TX 76247

CMS 1/5 stars #16 of 18 in Denton County (940) 648-2731
Certified beds
120
Occupancy
82%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 8 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $50,595 in federal fines

    CMS has fined this facility across 3 penalty action(s).

  • Nursing staff turnover of 86%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

7.9/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -20 for 2 immediate-jeopardy citation(s) in the last 3 years
  • -2.1 for 23 total citations against a national median of 17

Staffing

6.5/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 2.96 total nurse hours per resident per day (national median 3.77)
  • 0.26 RN hours per resident per day
  • Weekend staffing drops 17% against weekdays

Staff stability

0/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 86% of nursing staff left in the last year

Resident outcomes

9/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 3 of 5 stars on the CMS quality-measure rating

Enforcement history

5/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $50,595 in federal fines across 3 action(s)

Grade ceiling applied

  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 2.70 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.26 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.25 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 85.90%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 35 citations

Last standard health inspection: May 6, 2025 (1 year ago).

E May 6, 2025 F0677

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

E May 6, 2025 F0812

Nutrition and Dietary Deficiencies

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

No actual harm, potential for more than minimal harm

E May 6, 2025 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

E May 6, 2025 F0919

Environmental Deficiencies

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

No actual harm, potential for more than minimal harm

D May 6, 2025 F0690

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

D Apr 17, 2025 F0600 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

No actual harm, potential for more than minimal harm

D Apr 17, 2025 F0657 From a complaint

Resident Assessment and Care Planning Deficiencies

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

No actual harm, potential for more than minimal harm

J Dec 27, 2024 F0689 From a complaint

Quality of Life and Care Deficiencies

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

Immediate jeopardy to resident health or safety

Who owns this home

Full record

Part of CREATIVE SOLUTIONS IN HEALTHCARE, which operates 149 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
HOLT, ERIN Individual MANAGING CONTROL - GOVERNING BODY
KEETON, WENDY Individual MANAGING CONTROL - GOVERNING BODY
KISSLING, MONICA Individual MANAGING CONTROL - GOVERNING BODY
MCBEAN, PATRICIA Individual MANAGING CONTROL - GOVERNING BODY
SANDERSON, CLARK Individual MANAGING CONTROL - GOVERNING BODY
TROMPLER, KELLY Individual MANAGING CONTROL - GOVERNING BODY
HUGGINS, LINDA Individual CORPORATE DIRECTOR
WILLIG, ZACHARY Individual CORPORATE DIRECTOR
SANDERSON, CLARK Individual CORPORATE OFFICER
JUSTIN I ENTERPRISES, LLC Organization OPERATIONAL/MANAGERIAL CONTROL
BLAKE, GARY Individual OPERATIONAL/MANAGERIAL CONTROL
BLAKE, MALISA Individual OPERATIONAL/MANAGERIAL CONTROL

What families say

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Common questions about Longmeadow Healthcare Center

What is the ElderGrade for Longmeadow Healthcare Center? +

Longmeadow Healthcare Center holds an ElderGrade of F (28.4 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Longmeadow Healthcare Center? +

Residents receive an average of 2.70 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Longmeadow Healthcare Center been cited for harming residents? +

Yes. 8 of the 35 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Longmeadow Healthcare Center accept Medicaid? +

Yes, Longmeadow Healthcare Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.