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Skilled nursing facility · CMS certification number 675177

Pine Tree Lodge Nursing Center

Longview, Texas · Medicare and Medicaid · 92 certified beds in Care Compare

Download Pine Tree Lodge Nursing Center’s record (CSV, each figure with its worksheet, line and column)

In Care Compare’s provider information: Penalties: 2 · Fines: 2 · Fines, total amount: $232,525.00 · Payment denials: 0. The most recent penalty on file: March 25, 2026, Fine, $21,925. Every penalty on file ↓

Pine Tree Lodge Nursing Center: its citable report, full history — $295 · an email when it changes — $99/month

What stands out

  • Its latest cost report on file is for fiscal year 2024, covering October 1, 2023 to September 30, 2024 (365 days), and CMS processed it on November 13, 2025.
  • Net patient revenue fell from $5.6M in fiscal year 2023 to $5.5M in fiscal year 2024.
  • Its result from service to patients: −$73K (2022), −$409K (2023), −$481K (2024).
  • Its cost reports on file run from fiscal year 1997 to fiscal year 2024.
  • Its net patient revenue of $5.5M ranks 423rd of the 681 nursing facilities in Texas whose latest cost report on file is fiscal year 2024.
  • 3 of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2024, also report a loss on service to patients.

Pine Tree Lodge Nursing Center: Medicare cost reports

Cost reports on form CMS-2540-10, fiscal years 2011 to 2024
Form CMS-2540-102024 · report 14423562023 · report 14040712022 · report 13443362021 · report 13287992020 · report 13011522019 · report 12640562018 · report 12425802017 · report 12092312016 · report 11688272015 · report 11376772014 · report 11026822013 · report 11087912012 · report 10808082011 · report 1015297
Period beganOctober 1, 2023October 1, 2022May 1, 2022January 1, 2021January 1, 2020January 1, 2019January 1, 2018January 1, 2017January 1, 2016January 1, 2015January 1, 2014January 1, 2013January 1, 2012January 1, 2011
Period endedSeptember 30, 2024September 30, 2023September 30, 2022December 31, 2021December 31, 2020December 31, 2019December 31, 2018December 31, 2017December 31, 2016December 31, 2015December 31, 2014December 31, 2013December 31, 2012December 31, 2011
Days, where not a full year——152———————————
Report statusreopenedsettledsettledsettledsettledsettledsettledsettledsettledsettledsettledsettledsettledsettled
Processed by CMSNovember 13, 2025February 21, 2025March 14, 2023August 3, 2022September 27, 2021August 18, 2020August 27, 2019August 21, 2018July 17, 2017July 25, 2016July 24, 2015August 26, 2015November 22, 2014October 26, 2012
Total patient revenue$5,922,352$6,355,082$2,687,251$7,133,270$7,561,577$6,997,657$7,026,584$6,216,659$4,721,599$5,570,619$5,598,526$5,364,368$5,934,144$4,848,835
Contractual allowances and discounts$373,463$730,685$277,107$1,003,359$1,326,575$1,424,353$1,502,174$1,033,354$607,894$825,996$547,680$543,347$639,656−$56,659
Net patient revenue$5,548,889$5,624,397$2,410,144$6,129,911$6,235,002$5,573,304$5,524,410$5,183,305$4,113,705$4,744,623$5,050,846$4,821,021$5,294,488$4,905,494
Total operating expenses$6,029,424$6,033,606$2,482,965$5,907,058$5,707,339$5,399,871$5,211,002$5,099,037$4,546,280$4,957,278$4,958,693$4,955,907$5,171,851$4,806,975
Net income from service to patients−$480,535−$409,209−$72,821$222,853$527,663$173,433$313,408$84,268−$432,575−$212,655$92,153−$134,886$122,637$98,519
Total other income$327,271$902,924$215,495$440,220$697,588$3,162−$9,052$34,130$5,678$4,937$3,515$3,319$14,872$13,607
Net income after other income−$153,264$493,715$142,674$663,073$1,225,251$176,595$304,356$118,398−$426,897−$207,718$95,668−$131,567$137,509$112,126
Net income−$153,264$493,715$142,674$663,073$1,225,251$176,595$304,356$118,398−$426,897−$207,718$95,668−$131,567$137,509$112,126
Total facility beds, all components9292929292929292929292929292
Bed days available, all components33,672—————————————
Medicare (Title XVIII) patient days2,343—————————————
Medicaid (Title XIX) patient days23,525—————————————
Other-payer patient days9,154—————————————
Total patient days, all components35,02224,1889,88823,38626,26526,24526,37524,23722,17724,47526,89728,78428,35025,348
Medicare discharges61—————————————
Medicaid discharges134—————————————
Other-payer discharges194—————————————
Total discharges, all components389230103272217203221205154129131163144127
Average length of stay, Medicare, in days38.4154.4460.549.8650.8354.447.0844.6642.3661.5263.2848.9264.8775.26
Average length of stay, Medicaid, in days175.56173.19160.89217.41307.04365.33422.34371.69327.47358.15375.08270471.2439.71
Average length of stay, all patients, in days90.03105.179685.98121.04129.29119.34118.23144.01189.73205.32176.59196.88199.59

Net income, fiscal years 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.

Cost reports on form CMS-2540-96, fiscal years 1997 to 2010
Form CMS-2540-962010 · report 4150992009 · report 3861332008 · report 3569862007 · report 3145132006 · report 2913172005 · report 2614322004 · report 2272882003 · report 1937262002 · report 1979032001 · report 1978852000 · report 1991661999 · report 658711998 · report 658691997 · report 65867
Period beganJanuary 1, 2010January 1, 2009January 1, 2008January 1, 2007January 1, 2006January 1, 2005January 1, 2004July 1, 2003January 1, 2002January 1, 2001January 1, 2000January 1, 1999January 1, 1998May 29, 1997
Period endedDecember 31, 2010December 31, 2009December 31, 2008December 31, 2007December 31, 2006December 31, 2005December 31, 2004December 31, 2003December 31, 2002December 31, 2001December 31, 2000December 31, 1999December 31, 1998December 31, 1997
Days, where not a full year———————183—————216
Report statussettledsettledsettledas submittedsettledsettledsettledsettledsettledsettledsettledas submittedsettledsettled
Processed by CMSAugust 10, 2011August 24, 2010September 21, 2009June 16, 2008August 7, 2007August 17, 2006July 12, 2005September 1, 2004October 25, 2004October 25, 2004November 8, 2004September 25, 2000August 21, 2000September 30, 1999
Net patient revenue$5,103,959$5,390,823$4,322,835$4,347,376$4,312,538$2,831,309$4,209,993$1,916,589$3,857,450$3,729,185$3,088,051$2,496,695$2,607,345$1,323,951
Total operating expenses$4,818,595$4,667,659$3,813,387$3,750,837$3,953,120$3,943,442$3,893,867$1,890,884$3,520,359$3,178,699$2,903,212$2,471,374$2,599,186$1,400,323
Net income from service to patients$285,364$723,164$509,448$596,539$359,418−$1,112,133$316,126$25,705$337,091$550,486$184,839$25,321$8,159−$76,372
Total other income$962$687$1,035$1,043$1,112$166$42$1,205$814$1,051$763$759$2,697$3,033
Net income$286,326$723,851$510,483$597,582$360,530−$1,111,967$316,168$26,910$337,905$551,537$185,602$26,080$10,856−$73,339
Total facility beds, all components9292929292929292929292929292
Total patient days, all components27,56929,75930,80032,21132,36929,39632,74315,73331,31930,37729,88428,99729,40717,042
Total discharges, all components1767710415114717617812619320820118312753
Average length of stay, Medicare, in days48.15115.1348.8667.856.439.839.6539.3939.7828.8428.9233.3599.26140.83
Average length of stay, Medicaid, in days442.411,194.5615.94270.32314.12313.84271.43271.88269.9286.88303.39205.1378.79337.46
Average length of stay, all patients, in days156.64386.48296.15213.32220.2167.02183.95124.87162.27146.04148.68158.45231.55321.55

Net income, fiscal years 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2003, 2002, 2001, 2000, 1999, 1998, 1997. Checked against the form’s own arithmetic: what that check shows.

Pine Tree Lodge Nursing Center: nurse staffing hours by quarter →

Who owns Pine Tree Lodge Nursing Center, as filed with CMS

Care Compare

  • 5% OR GREATER DIRECT OWNERSHIP INTEREST: LIBERTY COUNTY HOSPITAL DISTRICT NO 1 (organization), 100%%, since 05/01/2022
  • ADP OF THE SNF: BLAKE, GARY (individual), NOT APPLICABLE, since 05/01/2022; BLAKE, MALISA (individual), NOT APPLICABLE, since 05/01/2022; LONGVIEW I ENTERPRISES, LLC (organization), NOT APPLICABLE, since 05/01/2022; SHEN, HONG-I (individual), NOT APPLICABLE, since 04/11/2025; TOWNSON, NATALIE (individual), NOT APPLICABLE, since 04/11/2025
  • CORPORATE DIRECTOR: HUGGINS, LINDA (individual), NOT APPLICABLE, since 05/01/2022; WILLIG, ZACHARY (individual), NOT APPLICABLE, since 01/01/2025
  • CORPORATE OFFICER: STRATTON, CHARLES (individual), NOT APPLICABLE, since 05/01/2005
  • MANAGING CONTROL - GOVERNING BODY: FREGIA, MILTON (individual), NOT APPLICABLE, since 05/07/2022; GARDNER, SHANNON (individual), NOT APPLICABLE, since 08/22/2022; GARDZINA, MARGARET (individual), NOT APPLICABLE, since 02/26/2024; HENRY, PAUL (individual), NOT APPLICABLE, since 05/09/2009; STRATTON, CHARLES (individual), NOT APPLICABLE, since 05/01/2005
  • OPERATIONAL/MANAGERIAL CONTROL: BLAKE, GARY (individual), NOT APPLICABLE, since 05/01/2022; BLAKE, MALISA (individual), NOT APPLICABLE, since 05/01/2022; LONGVIEW I ENTERPRISES, LLC (organization), NOT APPLICABLE, since 05/01/2022

Medicare enrollment

As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of LIBERTY COUNTY HOSPITAL DISTRICT NO 1 (enrollment ID O20220830001443).

  • 5% OR GREATER DIRECT OWNERSHIP INTEREST: LIBERTY COUNTY HOSPITAL DISTRICT NO 1 (organization), 100.00%, since 05/01/2022
  • ADP OF THE SNF: GARY R BLAKE (individual), since 05/01/2022; HONG-I SHEN (individual), since 04/11/2025; LONGVIEW I ENTERPRISES, LLC (organization), since 05/01/2022; MALISA A BLAKE (individual), since 05/01/2022; NATALIE TOWNSON (individual), since 04/11/2025
  • CORPORATE DIRECTOR: LINDA F HUGGINS (individual), 0.00%, since 05/01/2022; ZACHARY WILLIG (individual), 0.00%, since 01/01/2025
  • CORPORATE OFFICER: CHARLES BRUCE STRATTON (individual), 0.00%, since 05/01/2005
  • MANAGING CONTROL - GOVERNING BODY: CHARLES BRUCE STRATTON (individual), since 05/01/2005; MARGARET GARDZINA (individual), since 02/26/2024; MILTON FREGIA (individual), since 05/07/2022; PAUL HENRY (individual), since 05/09/2009; SHANNON GARDNER (individual), since 08/22/2022
  • OPERATIONAL/MANAGERIAL CONTROL: GARY R BLAKE (individual), 50.00%, since 05/01/2022; LONGVIEW I ENTERPRISES, LLC (organization), 100.00%, since 05/01/2022; MALISA A BLAKE (individual), 50.00%, since 05/01/2022

Paused by CMS: Form CMS-855A, December 11, 2025.

Private equity company, real estate investment trust and holding company: No: LIBERTY COUNTY HOSPITAL DISTRICT NO 1; LONGVIEW I ENTERPRISES, LLC; LONGVIEW I ENTERPRISES, LLC.

Private equity company, real estate investment trust and holding company: Paused by CMS: GARY R BLAKE; HONG-I SHEN; MALISA A BLAKE; NATALIE TOWNSON; LINDA F HUGGINS; ZACHARY WILLIG; CHARLES BRUCE STRATTON; CHARLES BRUCE STRATTON; MARGARET GARDZINA; MILTON FREGIA; PAUL HENRY; SHANNON GARDNER; GARY R BLAKE; MALISA A BLAKE.

Changes in ownership

  • July 1, 2025, enrollment ownership file; no longer listed: LINDA F HUGGINS (W-2 MANAGING EMPLOYEE); first listed: ZACHARY WILLIG (CORPORATE DIRECTOR), associated since January 1, 2025; MARGARET GARDZINA (MANAGING CONTROL - GOVERNING BODY), associated since February 26, 2024; NATALIE TOWNSON (ADP OF THE SNF), associated since April 11, 2025; MILTON FREGIA (MANAGING CONTROL - GOVERNING BODY), associated since May 7, 2022; LONGVIEW I ENTERPRISES, LLC (ADP OF THE SNF), associated since May 1, 2022; PAUL HENRY (MANAGING CONTROL - GOVERNING BODY), associated since May 9, 2009; HONG-I SHEN (ADP OF THE SNF), associated since April 11, 2025; LINDA F HUGGINS (CORPORATE DIRECTOR), associated since May 1, 2022; CHARLES BRUCE STRATTON (MANAGING CONTROL - GOVERNING BODY), associated since May 1, 2005; SHANNON GARDNER (MANAGING CONTROL - GOVERNING BODY), associated since August 22, 2022; GARY R BLAKE (ADP OF THE SNF), associated since May 1, 2022; MALISA A BLAKE (ADP OF THE SNF), associated since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
  • February 15, 2023, enrollment ownership file; no longer listed: CREATIVE SOLUTIONS IN HEALTHCARE INC (OPERATIONAL/MANAGERIAL CONTROL); HONOR X ENTERPRISES, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST); LINDA F HUGGINS (W-2 MANAGING EMPLOYEE); GARY R BLAKE (OPERATIONAL/MANAGERIAL CONTROL); GARY R BLAKE (5% OR GREATER INDIRECT OWNERSHIP INTEREST); MALISA A BLAKE-DEANE (OPERATIONAL/MANAGERIAL CONTROL); MALISA A BLAKE-DEANE (5% OR GREATER INDIRECT OWNERSHIP INTEREST); first listed: CHARLES BRUCE STRATTON (OFFICER), associated since May 1, 2005; GARY R BLAKE (OPERATIONAL/MANAGERIAL CONTROL), associated since May 1, 2022; MALISA A BLAKE-DEANE (OPERATIONAL/MANAGERIAL CONTROL), associated since May 1, 2022; LONGVIEW I ENTERPRISES, LLC (OPERATIONAL/MANAGERIAL CONTROL), associated since May 1, 2022; LIBERTY COUNTY HOSPITAL DISTRICT NO 1 (5% OR GREATER DIRECT OWNERSHIP INTEREST), associated since May 1, 2022; LINDA F HUGGINS (W-2 MANAGING EMPLOYEE), associated since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv

Inspections of Pine Tree Lodge Nursing Center

  • Cycle 1: health March 25, 2026 (13 deficiencies), fire safety March 25, 2026 (7)
  • Cycle 2: health January 15, 2025 (14 deficiencies), fire safety January 15, 2025 (3)
  • Cycle 3: health December 20, 2023 (17 deficiencies), fire safety December 20, 2023 (5)

Deficiencies cited at Pine Tree Lodge Nursing Center

44 deficiencies on file, by tag, newest citation first

every one from a health inspection; 15 cited from a complaint, marked below. Letter after a date: scope and severity grade.

  • F 0880, infection control: June 25, 2026 (E, from a complaint, Deficient, Provider has date of correction, corrected June 26, 2026); March 25, 2026 (E, Deficient, Provider has date of correction, corrected March 26, 2026); January 15, 2025 (D, Deficient, Provider has date of correction, corrected February 4, 2025); December 20, 2023 (E, from a complaint, Deficient, Provider has date of correction, corrected December 21, 2023).
  • F 0550, resident rights: May 28, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected May 29, 2026); July 31, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected August 5, 2024).
  • F 0677, quality of life and care: May 28, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected May 29, 2026); June 19, 2024 (E, from a complaint, Deficient, Provider has date of correction, corrected June 20, 2024); January 23, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected January 24, 2024).
  • F 0557, resident rights: March 25, 2026 (D, Deficient, Provider has date of correction, corrected March 26, 2026).
  • F 0584, resident rights: March 25, 2026 (D, Deficient, Provider has date of correction, corrected March 26, 2026).
  • F 0690, quality of life and care: March 25, 2026 (D, Deficient, Provider has date of correction, corrected March 26, 2026).
  • F 0693, quality of life and care: March 25, 2026 (D, Deficient, Provider has date of correction, corrected March 26, 2026); December 20, 2023 (D, Deficient, Provider has date of correction, corrected December 21, 2023).
  • F 0695, quality of life and care: March 25, 2026 (D, Deficient, Provider has date of correction, corrected March 26, 2026); January 15, 2025 (D, Deficient, Provider has date of correction, corrected February 4, 2025); December 20, 2023 (D, Deficient, Provider has date of correction, corrected December 21, 2023).
  • F 0697, quality of life and care: March 25, 2026 (K, Deficient, Provider has date of correction, corrected March 26, 2026).
  • F 0755, pharmacy service: March 25, 2026 (K, Deficient, Provider has date of correction, corrected March 26, 2026); January 15, 2025 (E, Deficient, Provider has date of correction, corrected February 4, 2025).
  • F 0761, pharmacy service: March 25, 2026 (D, Deficient, Provider has date of correction, corrected March 26, 2026); January 15, 2025 (E, Deficient, Provider has date of correction, corrected February 4, 2025).
  • F 0919, environmental: March 25, 2026 (D, Deficient, Provider has date of correction, corrected March 26, 2026).
  • F 0644, resident assessment and care planning: January 15, 2025 (D, Deficient, Provider has date of correction, corrected February 4, 2025).
  • F 0656, resident assessment and care planning: January 15, 2025 (D, Deficient, Provider has date of correction, corrected February 4, 2025); December 20, 2023 (D, Deficient, Provider has date of correction, corrected December 21, 2023).
  • F 0689, quality of life and care: January 15, 2025 (D, Deficient, Provider has date of correction, corrected February 4, 2025).
  • F 0698, quality of life and care: January 15, 2025 (E, Deficient, Provider has date of correction, corrected February 4, 2025).
  • F 0756, pharmacy service: January 15, 2025 (E, Deficient, Provider has date of correction, corrected February 4, 2025).
  • F 0804, nutrition and dietary: January 15, 2025 (E, Deficient, Provider has date of correction, corrected February 4, 2025).
  • F 0812, nutrition and dietary: January 15, 2025 (E, Deficient, Provider has date of correction, corrected February 4, 2025); October 3, 2024 (E, from a complaint, Deficient, Provider has date of correction, corrected October 4, 2024); December 20, 2023 (E, Deficient, Provider has date of correction, corrected December 21, 2023).
  • F 0883, infection control: January 15, 2025 (D, Deficient, Provider has date of correction, corrected February 4, 2025).
  • F 0688, quality of life and care: October 31, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected November 23, 2024).
  • F 0558, resident rights: January 23, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected January 24, 2024).
  • F 0583, resident rights: January 23, 2024 (D, from a complaint, Past Non-Compliance, corrected January 15, 2024).
  • F 0808, nutrition and dietary: January 23, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected January 24, 2024).
  • F 0641, resident assessment and care planning: December 20, 2023 (E, Deficient, Provider has date of correction, corrected December 21, 2023).
  • F 0657, resident assessment and care planning: December 20, 2023 (D, from a complaint, Deficient, Provider has date of correction, corrected December 21, 2023).
  • F 0760, pharmacy service: December 20, 2023 (D, Deficient, Provider has date of correction, corrected December 21, 2023); November 6, 2023 (K, from a complaint, Deficient, Provider has date of correction, corrected November 7, 2023).
  • F 0940, administration: December 20, 2023 (E, Deficient, Provider has date of correction, corrected December 21, 2023).
  • F 0580, resident rights: November 6, 2023 (K, from a complaint, Deficient, Provider has date of correction, corrected November 7, 2023).

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
March 25, 2026Fine$21,925138352
November 6, 2023Fine$210,600111817

From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.

Pine Tree Lodge Nursing Center in Care Compare

  • Ownership Type: Government - Hospital district
  • Legal Business Name: LIBERTY COUNTY HOSPITAL DISTRICT NO 1
  • Date First Approved to Provide Medicare and Medicaid Services: 1993-08-25
  • Provider Resides in Hospital: N
  • Continuing Care Retirement Community: N
  • Urban: Y
  • County/Parish: Gregg
  • Telephone Number: 9037593994
  • Chain Name: CREATIVE SOLUTIONS IN HEALTHCARE
  • Chain ID: 169
  • Provider Changed Ownership in Last 12 Months: N
  • With a Resident and Family Council: Resident
  • Automatic Sprinkler Systems in All Required Areas: Yes
  • Average Number of Residents per Day: 60.8
  • Overall Rating: 1
  • Health Inspection Rating: 1
  • QM Rating: 4
  • Long-Stay QM Rating: 4
  • Short-Stay QM Rating: 5

Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · penalties NH_Penalties_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.

Other nursing facilities in Longview and Texas

Report a figure on Pine Tree Lodge Nursing Center’s record that differs from its CMS file, quoting 675177.