Texas › Nacogdoches County › Nacogdoches
Willowbrook Nursing Center
227 Russell Blvd, Nacogdoches, TX 75965
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.
Willowbrook Nursing Center, in Nacogdoches, Texas, is certified for 166 beds under for-profit, limited liability company ownership and belongs to the Hmg Healthcare chain.
CMS gives it 3 of 5 stars overall, equal to the Texas median; the health inspection rating is 3, staffing 1 and quality measures 5.
Inspectors recorded 23 health deficiencies across the three most recent survey cycles (6, 12, 5 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 13.9 per 100 beds, fewer than the state median of 22.5.
CMS lists 1 penalty in the period covered: fines totalling $153K.
Reported nurse staffing is 3.2 hours per resident per day (0.3 RN), close to the Texas median of 3.3; nursing staff turnover is 52.0%.
Compared with county, state and nation
| Measure | This facility | Nacogdoches Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 23 | 24 | 25 | 28.7 |
| Citations per 100 beds | 13.9 | 20.8 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.2 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.3 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | 52.0% | 45.7% | 52.1% | 45.8% |
| Fines listed | $153,439 | $52,951 | $16,801 | — |
County and state figures are medians across facilities (4 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 9 Jul 2025, 19 Jun 2024.
Severity mix: J ×1 D ×12 E ×9 C ×1
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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 9 Jul 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 10 Jul 2025 |
| 9 Jul 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 10 Jul 2025 |
| 9 Jul 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 10 Jul 2025 |
| 9 Jul 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 10 Jul 2025 |
| 9 Jul 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 10 Jul 2025 |
| 9 Jul 2025 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard survey | 10 Jul 2025 |
| 28 May 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 15 Jun 2025 |
| 19 Mar 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 20 Mar 2025 |
| 19 Jun 2024 | F0584 | 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. | E | Standard survey | 5 Jul 2024 |
| 19 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 5 Jul 2024 |
| 19 Jun 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 5 Jul 2024 |
| 19 Jun 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard survey | 5 Jul 2024 |
| 19 Jun 2024 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 5 Jul 2024 |
| 19 Jun 2024 | F0693 | 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. | D | Standard survey | 5 Jul 2024 |
| 19 Jun 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 5 Jul 2024 |
| 19 Jun 2024 | F0908 | Keep all essential equipment working safely. | D | Complaint investigation | 5 Jul 2024 |
| 19 Jun 2024 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 5 Jul 2024 |
| 19 Jun 2024 | F0732 | Post nurse staffing information every day. | C | Complaint investigation | 5 Jul 2024 |
| 19 Apr 2023 | F0584 | 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. | E | Standard survey | 5 May 2023 |
| 19 Apr 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 5 May 2023 |
| 19 Apr 2023 | F0926 | Have policies on smoking. | E | Standard survey | 5 May 2023 |
| 19 Apr 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 5 May 2023 |
| 19 Apr 2023 | F0761 | 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. | D | Standard survey | 5 May 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 19 Mar 2025 | Fine | $153,439 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 52.0%, RNs —; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 9.3% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.9% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 5.8% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.2% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 7.8% | 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: Winnie-Stowell Hospital District. Chain: Hmg Healthcare (31 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Cibc Bank USA | 5% or greater direct ownership interest | NO PERCENTAGE PROVIDED | 04/01/2018 |
| Forvis Mazars LLP | 5% or greater direct ownership interest | NO PERCENTAGE PROVIDED | 04/01/2018 |
| Cibc Bank USA | Operational/managerial control | NOT APPLICABLE | 04/01/2021 |
| Forvis Mazars LLP | Operational/managerial control | NOT APPLICABLE | 04/01/2018 |
| Hmg Park Manor of Willowbrook LLC | Operational/managerial control | NOT APPLICABLE | 01/01/2020 |
| Cibc Bank USA | Adp of the snf | NOT APPLICABLE | 04/01/2018 |
| Forvis Mazars LLP | Adp of the snf | NOT APPLICABLE | 04/01/2018 |
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 Nacogdoches County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Stallings Court Nursing and Rehabilitation | Nacogdoches | 120 | 5 | 4 | 3 | 25 | 20.8 | — | 28 May 2026 |
| Garrison Nursing Home & Rehabilitation Center | Garrison | 93 | 3 | 3 | 2 | 13 | 14.0 | $53K | 30 Jul 2025 |
| Westward Trails Nursing and Rehabilitation | Nacogdoches | 108 | 3 | 4 | 1 | 24 | 22.2 | $25K | 20 Nov 2025 |
All 4 facilities in Nacogdoches County
Questions and answers
How many deficiencies has Willowbrook Nursing Center been cited for?
23 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 Willowbrook Nursing Center been fined?
Yes. CMS lists fines totalling $153K in the period covered.
How does staffing at Willowbrook Nursing Center compare?
Reported total nurse staffing is 3.2 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Willowbrook Nursing Center?
It is part of the Hmg Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Cibc Bank USA, Forvis Mazars LLP and Cibc Bank USA. Individual owners and managers are not listed on this site.
When was Willowbrook Nursing Center last inspected?
The most recent survey or investigation in the CMS record is dated 9 Jul 2025; the most recent standard health survey was 9 Jul 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.