Willowbrook Nursing Center
227 Russell Blvd · Nacogdoches, TX · 75965 · 9365644596
166 certified beds For profit - Limited Liability company Chain: Hmg Healthcare
- 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 prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
$153,439 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.23 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.14 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.23 | 0.55–0.75 |
| Weekend hours / resident-day | 2.74 | ≈ weekday level |
| Nursing turnover / year | 53% | median 45% |
| Fines (3-yr window) | 1 · $153,439 |
Inspection citations (23 in the current record)
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Potential for harm · D July 9, 2025
Ensure each resident receives an accurate assessment.
Corrected July 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 9, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected July 10, 2025 · Quality of Life and Care
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Potential for harm · D July 9, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 10, 2025 · Quality of Life and Care
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Potential for harm · D July 9, 2025
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected July 10, 2025 · Nutrition and Dietary
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Potential for harm · E July 9, 2025
Provide and implement an infection prevention and control program.
Corrected July 10, 2025 · Infection Control
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Potential for harm · E July 9, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 10, 2025 · Resident Rights
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Potential for harm · D May 28, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 15, 2025 · Pharmacy Service
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Immediate jeopardy · J March 19, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 20, 2025 · Quality of Life and Care
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Potential for harm · E June 19, 2024
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected July 5, 2024 · Resident Rights
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Potential for harm · D June 19, 2024
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected July 5, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 19, 2024
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected July 5, 2024 · Quality of Life and Care
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Potential for harm · D June 19, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected July 5, 2024 · Pharmacy Service
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Potential for harm · E June 19, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 5, 2024 · Nutrition and Dietary
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Potential for harm · D June 19, 2024
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected July 5, 2024 · Environmental
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Potential for harm · E June 19, 2024
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected July 5, 2024 · Environmental
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Potential for harm · E June 19, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 5, 2024 · Quality of Life and Care
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Potential for harm · D June 19, 2024 · found via complaint
Keep all essential equipment working safely.
Corrected July 5, 2024 · Environmental
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No harm found · C June 19, 2024 · found via complaint
Post nurse staffing information every day.
Corrected July 5, 2024 · Nursing and Physician Services
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Potential for harm · E April 19, 2023
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected May 5, 2023 · Resident Rights
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Potential for harm · D April 19, 2023
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected May 5, 2023 · Quality of Life and Care
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Potential for harm · D April 19, 2023
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 May 5, 2023 · Pharmacy Service
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Potential for harm · E April 19, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 5, 2023 · Nutrition and Dietary
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Potential for harm · E April 19, 2023
Have policies on smoking.
Corrected May 5, 2023 · Environmental
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 19, 2025 | Fine | $153,439 |
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455700 · certified since April 28, 1987. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.