Nursing homes across Gregg County, Texas, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Buckner Westminster Place runs a small 20-bed home in Longview, and its staffing is the standout: 5.28 nurse hours per resident day, well above the national average, with weekends dipping only slightly. Turnover sits at 30.8%, better than the typical nursing home. What pulls the record down is the inspection side, 15 deficiencies on file, four of them at harm or jeopardy level and one abuse-related, plus two fines totaling $29,716. The most recent inspection was June 2025. So you have a home that's well staffed and stable on paper, but with a history of serious survey findings. Worth asking about those directly.
Truman W Smith Children's Care Center runs 4.78 nurse hours per resident day, roughly a quarter more than the national average, and its staff turnover of 35% beats the 45.8% national figure. Weekend coverage dips about 14% below weekday levels, though, so care may thin out on Saturdays and Sundays. The home has 13 deficiencies on record, none involving harm or abuse, and it was inspected as recently as November 2025. What pulls the grade down is the staffing star rating of 2 out of 5, even as health inspections and quality measures both score 5.
Willow Rehab & Nursing is a for-profit LLC home in Kilgore with 118 certified beds, and its record shows real tension between care quality and staffing. The quality measure rating comes in at 5 out of 5, but nurse staffing sits at 3.16 hours per resident day, roughly 18% under the national average of 3.86, and weekends run about 11% thinner than weekdays, with a 2 out of 5 staffing rating to match. Its inspection history carries 33 deficiencies, three at harm or jeopardy level and one abuse-related, plus two fines totaling $219,229. Turnover at 43.8% is slightly better than the 45.8% national figure. The most recent inspection is dated April 1, 2026. Strong clinical measures, thin coverage, and a costly enforcement record.
The Oaks At Longview runs on thin nursing coverage: 2.65 nurse hours per resident per day against a national average of 3.86, and weekends drop roughly 15% below what the home already staffs on weekdays. That's the number behind its low staffing rating, and it matters most on Saturdays and Sundays when families tend to visit. Turnover sits at 48.5%, a few points above the national figure, so the aides and nurses working with your relative are likely to change. The 33 deficiencies on record include two tied to abuse, though none rose to the level of actual harm or jeopardy. Inspections were recent, and state surveyors rated the home well on health and quality measures, the gap here is who's on the floor and how long they stay.
Legend Oaks in Gladewater runs on 3.11 nursing hours per resident day, roughly a fifth below the national average, and weekends drop about 17% below what the home staffs on weekdays. Turnover sits at 42.6%, a touch better than the 45.8% national figure, so the problem isn't retention so much as how few hands are scheduled to begin with. The inspection record is where it gets harder to explain away: 39 deficiencies, 7 of them at harm or jeopardy level, 8 abuse-related, and six fines totaling $124,559, with the most recent inspection on April 15, 2026. Hospital district ownership doesn't change what those numbers describe.
Longview Hill is a hospital-district home with 198 beds, and the numbers show a building under real strain. Nurse staffing sits at 3.36 hours per resident day, about 13% under the national average, and weekends drop roughly another 10% below what the home itself provides on weekdays, so the thinnest coverage lands exactly when families tend to visit. Staff turnover near 50% means the aides and nurses caring for residents are often new to the job. The inspection record backs that up: 60 deficiencies, four serious enough to put residents in harm's way, three tied to abuse, and more than $225,000 in fines.
Treviso Transitional Care runs 140 beds in Longview under for-profit LLC ownership, and the numbers tell a story worth hearing. Nurse staffing sits at 3.23 hours per resident day against a national average of 3.86, roughly 16% thinner, and weekends drop about 12% below what the home itself staffs on weekdays. Annual turnover of 53.4% outpaces the 45.8% national figure. Its inspection record carries 52 deficiencies, four at harm or jeopardy level and six abuse-related, plus a $150,705 fine; the most recent inspection was August 26, 2025. Resident outcome measures score well, but the hands-on care and safety picture is where the concern lives.
Highland Pines is run by a hospital district, and its 171 beds get 3.70 nursing hours per resident day, about 4% under the national average, with weekends running roughly 16% lighter than weekdays. Staff turnover sits at 46.2%, right at the national figure, so this isn't a retention crisis; it's thin coverage that thins further when you're most likely to visit. The inspection record is the harder read: 48 deficiencies, including one at harm or jeopardy level and four tied to abuse, with a $17,629 fine and a survey completed January 14, 2026. Two stars on health inspections and one on staffing tell you where the weight lands.
Heritage at Longview runs 140 certified beds under corporate ownership, and its nurse staffing sits at 2.81 hours per resident each day, roughly 27 percent under the national average of 3.86. Weekends are thinner still, about 21 percent below what the home staffs on weekdays. The inspection record shows 26 deficiencies, including two at the level where harm or jeopardy occurred, one tied to abuse, and $81,752 in fines across two penalties. Its last inspection was June 5, 2024, so that record is recent. Staffing carries the lowest federal mark at 1 out of 5 stars, while inspections and quality measures each land at 3. The gap between those quality scores and the day-to-day staffing numbers is the thing worth asking about directly.
Pine Tree Lodge runs on 3.29 nurse hours per resident day, roughly 15% under the national average, and weekends drop about 11% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 93.8%, more than double the national figure, which means the aide who knows your mother's routine this month may be gone the next. The current record carries 43 deficiencies, four of them serious enough to endanger residents, plus $244,330 in fines. The hospital district that owns it isn't chasing profit, but that hasn't translated into stable hands-on care.
Avir At Longview runs on a hospital district's license with 115 certified beds, and the staffing numbers are the first thing to notice: 3.56 nurse hours per resident day, roughly 8% under the national average, with weekends dropping about 9% below its own weekday level. Staff turnover sits at 73.3% against a national 45.8%, which means the people caring for residents are, more often than not, new to the building. The inspection record backs that up, 55 deficiencies, 8 of them at harm or jeopardy level, 5 tied to abuse, and two fines totaling $262,731. The most recent inspection was May 2025. If you're considering this one, ask hard questions about who's actually on the floor on a Sunday.
Whispering Pines Lodge runs leaner on nursing hours than most homes in Texas and nationwide, and weekends are thinner still, roughly one-sixth less coverage than a weekday. Staff turnover is the number that should stop you: more than nine in ten caregivers left over the past year, against a national rate under half that. The inspection record backs it up, 60 deficiencies, a dozen serious enough to put residents in harm's way, and five tied to abuse, with over half a million dollars in fines. CMS has placed it in the Special Focus Facility program, its most intensive monitoring tier, following a January 2026 inspection.