Wisteria Place
3202 S Willis St · Abilene, TX · 79605 · 3256926145
123 certified beds For profit - Limited Liability company Chain: The Ensign Group Hospital-based
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection results are getting worse cycle over cycle, not better.
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.
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: 3 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.40 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.37 | 0.55–0.75 |
| Weekend hours / resident-day | 3.06 | ≈ weekday level |
| Nursing turnover / year | 37% | median 45% |
| Fines (3-yr window) | 1 · $21,645 |
Inspection citations (18 in the current record)
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Potential for harm · D March 4, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 18, 2026 · Resident Assessment and Care Planning
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Immediate jeopardy · J October 31, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected November 1, 2025 · Resident Rights
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Potential for harm · D October 31, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected November 1, 2025 · Pharmacy Service
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Potential for harm · E July 30, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected September 12, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E July 30, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 12, 2025 · Resident Assessment and Care Planning
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Potential for harm · E July 30, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 12, 2025 · Nutrition and Dietary
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No harm found · C July 30, 2025
Hire a qualified full-time social worker in a facility with more than 120 beds.
Corrected September 12, 2025 · Administration
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Potential for harm · D June 26, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 27, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 26, 2024 · 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 27, 2024 · Pharmacy Service
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No harm found · C June 26, 2024 · found via complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected June 27, 2024 · Administration
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Potential for harm · D November 1, 2023 · found via complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected December 15, 2023 · Resident Rights
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Potential for harm · D June 3, 2023 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected June 4, 2023 · Resident Rights
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Potential for harm · D April 12, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 15, 2023 · Quality of Life and Care
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Potential for harm · D April 12, 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 15, 2023 · Pharmacy Service
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Potential for harm · E April 12, 2023
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected May 15, 2023 · Nutrition and Dietary
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Potential for harm · E April 12, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 15, 2023 · Nutrition and Dietary
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Potential for harm · D April 12, 2023
Provide and implement an infection prevention and control program.
Corrected May 15, 2023 · Infection Control
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No harm found · C April 12, 2023
Hire a qualified full-time social worker in a facility with more than 120 beds.
Corrected May 15, 2023 · Administration
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 31, 2025 | Fine | $21,645 |
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 675593 · certified since July 1, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.