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.

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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.

Score breakdown

Inspection record 30% of score 34
Serious harm & abuse 20% 58
Staffing 20% 47
Federal penalties 15% 40
Trend 10% 83
Context 5% 100

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-day2.983.48 min · 4.1 strong
RN hours / resident-day0.300.55–0.75
Weekend hours / resident-day2.72≈ weekday level
Nursing turnover / year54%median 45%
Fines (3-yr window)2 · $228,569

Inspection citations (33 in the current record)

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

DateTypeAmount / length
June 13, 2025Fine$26,685
December 12, 2024Fine$201,884

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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.