Elder Care Record

Texas › Montgomery County › Willis

Willis Nursing and Rehabilitation

3000 N. Danville St., Willis, TX 77378

CCN 675274 · For-profit, limited liability company · 114 certified beds · chain Slp Operations

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Willis Nursing and Rehabilitation, in Willis, Texas, is certified for 114 beds under for-profit, limited liability company ownership and belongs to the Slp Operations chain.

CMS gives it 4 of 5 stars overall, above the Texas median of 3; the health inspection rating is 5, staffing 1 and quality measures 4.

Inspectors recorded 13 health deficiencies across the three most recent survey cycles (3, 1, 9 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 11.4 per 100 beds, fewer than the state median of 22.5.

CMS lists 1 penalty in the period covered: fines totalling $7K.

Reported nurse staffing is 2.8 hours per resident per day (0.4 RN), close to the Texas median of 3.3; nursing staff turnover is 40.0%.

13health deficiencies, 3 survey cycles1 at actual harm or worse
$7Kfines listed by CMS1 penalty in period
2.8nurse hours per resident per daystate median 3.3
43%occupancy (residents ÷ beds)50 residents a day

Compared with county, state and nation

MeasureThis facilityMontgomery Co. medianTexas medianUS average
Overall star rating4333.0
Health citations, 3 cycles13202528.7
Citations per 100 beds11.414.022.526.8
Total nurse hours per resident day2.83.53.33.9
RN hours per resident day0.40.40.40.7
Nursing staff turnover40.0%52.6%52.1%45.8%
Fines listed$7,443$14,020$16,801—

County and state figures are medians across facilities (12 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)3
Cycle 21
Cycle 39

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 21 Aug 2025, 28 Jun 2024.

Severity mix: G ×1 D ×9 E ×3

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
3 Dec 2025F0880Provide and implement an infection prevention and control program.DComplaint investigation31 Dec 2025
21 Aug 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey18 Sep 2025
21 Aug 2025F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.DStandard survey18 Sep 2025
28 Jun 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey23 Jul 2024
20 Oct 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation20 Oct 2023
20 Oct 2023F0761Ensure 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.DComplaint investigation30 Nov 2023
19 Oct 2023F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DComplaint investigation30 Nov 2023
19 Oct 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation30 Nov 2023
19 Oct 2023F0693Ensure 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.DComplaint investigation30 Nov 2023
19 Oct 2023F0880Provide and implement an infection prevention and control program.DComplaint investigation30 Nov 2023
11 May 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard survey22 Jun 2023
11 May 2023F0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.EStandard survey22 Jun 2023
11 May 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey22 Jun 2023

Penalties

DateTypeAmountDetail
19 Oct 2023Fine$7,443

Staffing

Total nursing2.77 h
Nurse aides1.35 h
LPN1.04 h
RN0.37 h
Weekend total2.2 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 40.0%, RNs —; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityTexas medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay10.2%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay8.7%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay7.5%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay27.8%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay4.7%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay7.8%8.3%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: Slp Willis Llc. Chain: Slp Operations (7 facilities).

OrganisationRole in the CMS recordInterestSince
Slp Omega Operations, LLC5% or greater direct ownership interest100%06/01/2023
Senior Living Properties LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED06/01/2023
Slp Management Holdings, LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED06/01/2023
Slp Operations, LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED06/01/2023
Willis Texas Aviv LLC5% or greater security interestNOT APPLICABLE08/01/2020
Willis Texas Aviv LLCAdp of the snfNOT APPLICABLE08/01/2020

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Montgomery County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Park Manor of ConroeConroe12555175.6$14K25 Nov 2025
Park Manor of the WoodlandsThe Woodlands124443129.7—5 Feb 2026
The Heights On Valley RanchPorter1224431613.1—15 May 2025
The BrightpointeConroe150333138.7$21K30 May 2024
The Broadmoor At Creekside ParkThe Woodlands1123222925.9$47K13 Mar 2026
The Woodlands Nursing and Rehabilitation CenterThe Woodlands2143223014.0$24K4 Jun 2026
Conroe Health Care CenterConroe1082222018.5$13K11 Apr 2025
Kingwood Rehabilitation and Healthcare CenterKingwood1941112914.9$73K29 Jun 2025

All 12 facilities in Montgomery County

Questions and answers

How many deficiencies has Willis Nursing and Rehabilitation been cited for?

13 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.

Has Willis Nursing and Rehabilitation been fined?

Yes. CMS lists fines totalling $7K in the period covered.

How does staffing at Willis Nursing and Rehabilitation compare?

Reported total nurse staffing is 2.8 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.

Who operates Willis Nursing and Rehabilitation?

It is part of the Slp Operations chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Slp Omega Operations, LLC, Senior Living Properties LLC and Slp Management Holdings, LLC. Individual owners and managers are not listed on this site.

When was Willis Nursing and Rehabilitation last inspected?

The most recent survey or investigation in the CMS record is dated 3 Dec 2025; the most recent standard health survey was 21 Aug 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.