Willow Rehab & Nursing
1901 Whippoorwill · Kilgore, TX · 75662 · 9039837775
118 certified beds For profit - Limited Liability company Chain: Advanced Healthcare Solutions Hospital-based
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $228,569 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
$228,569 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
Total nurse staffing below 3.0 hours per resident-day
2.98 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 2.98 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.30 | 0.55–0.75 |
| Weekend hours / resident-day | 2.72 | ≈ weekday level |
| Nursing turnover / year | 54% | median 45% |
| Fines (3-yr window) | 2 · $228,569 |
Inspection citations (33 in the current record)
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Potential for harm · D April 1, 2026
Reasonably accommodate the needs and preferences of each resident.
Corrected April 6, 2026 · Resident Rights
-
Potential for harm · D April 1, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 6, 2026 · Quality of Life and Care
-
Potential for harm · D April 1, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 6, 2026 · Quality of Life and Care
-
Potential for harm · E April 1, 2026
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected April 6, 2026 · Pharmacy Service
-
Potential for harm · D April 1, 2026
Provide and implement an infection prevention and control program.
Corrected April 6, 2026 · Infection Control
-
Immediate jeopardy · J June 13, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 30, 2025 · Quality of Life and Care
-
Potential for harm · D January 30, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected February 28, 2025 · Resident Rights
-
Potential for harm · D January 30, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected February 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 30, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 28, 2025 · Quality of Life and Care
-
Potential for harm · E January 30, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 28, 2025 · Quality of Life and Care
-
Potential for harm · D January 30, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 28, 2025 · Quality of Life and Care
-
Potential for harm · D January 30, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected February 28, 2025 · Pharmacy Service
-
Potential for harm · D January 30, 2025
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected February 28, 2025 · Pharmacy Service
-
Potential for harm · E January 30, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 28, 2025 · Nutrition and Dietary
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Potential for harm · E January 30, 2025
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected February 28, 2025 · Nutrition and Dietary
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Potential for harm · D January 30, 2025
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected February 28, 2025 · Administration
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Potential for harm · E January 30, 2025
Provide and implement an infection prevention and control program.
Corrected February 28, 2025 · Infection Control
-
Potential for harm · E January 30, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected February 28, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K December 12, 2024 · found via complaint
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected December 13, 2024 · Resident Rights
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Immediate jeopardy · J December 12, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 13, 2024 · Quality of Life and Care
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Potential for harm · D December 12, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 11, 2024 · Resident Rights
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Potential for harm · D December 12, 2023
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected January 11, 2024 · Resident Assessment and Care Planning
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Potential for harm · D December 12, 2023
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected January 11, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D December 12, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 11, 2024 · Quality of Life and Care
-
Potential for harm · D December 12, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 11, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 13, 2025 | Fine | $26,685 |
| December 12, 2024 | Fine | $201,884 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676007 · certified since March 3, 2004. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.