nursing home in Nacogdoches, TX
Willowbrook Nursing Center
227 Russell Blvd, Nacogdoches, TX 75965 · (936) 564-4596
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★1
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Willowbrook Nursing Center at a glance
Willowbrook Nursing Center is a 166-bed for-profit nursing home in Nacogdoches, Texas (Nacogdoches County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Texas average of 2.7.
Residents receive about 3.2 hours of nursing care per day (0.3 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (July 9, 2025) found 6 health citations. The Texas average is 9.4.
Federal regulators fined it 1 time in the past three years, totaling $153,439.
Nursing staff turnover is 52% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 166
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Hmg Healthcare
- Medicare-certified since
- April 28, 1987
- Resident/family council
- Resident
- County
- Nacogdoches County
- CMS Certification Number
- 455700
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 2.7 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.7 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3.2 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.21 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.26 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.92 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.79 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 52% | 55.3% | 45.8% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 6 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 56.8 | 102 | 80.6 | Better |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $153,439 | $44,141 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 1 | 2 | 1 | Average |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 166 | 113 | 107 | |
| Average residents per day | 102 | 76 | 86 | |
| Occupancy | 61.6% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3.9% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 2.2% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 7.8% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 9.3% | 15.8% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 5.8% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 3.8% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 2.7% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 11.8% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 8.5% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 97.6% | 96.6% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 98.3% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 78.9% | 88.9% | 82% | Average |
Inspection citations
State inspectors cited this home for 23 health deficiencies and 4 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 9, 2025 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected July 10, 2025 |
| July 9, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected July 10, 2025 |
| July 9, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected July 10, 2025 |
| July 9, 2025 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected July 10, 2025 |
| July 9, 2025 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected July 10, 2025 |
| July 9, 2025 Standard | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Tag F0805 | D Potential harm, isolated | Corrected July 10, 2025 |
| May 28, 2025 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected June 15, 2025 |
| March 19, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected March 20, 2025 |
| June 19, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected August 29, 2024 |
| June 19, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected August 29, 2024 |
| June 19, 2024 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected August 29, 2024 |
| June 19, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected July 5, 2024 |
| June 19, 2024 Standard | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected July 5, 2024 |
| June 19, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected July 5, 2024 |
| June 19, 2024 Standard | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | E Potential harm, pattern | Corrected July 5, 2024 |
| June 19, 2024 Standard | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Tag F0636 | D Potential harm, isolated | Corrected July 5, 2024 |
| June 19, 2024 Complaint | Keep all essential equipment working safely. Environmental Deficiencies · Tag F0908 | D Potential harm, isolated | Corrected July 5, 2024 |
| June 19, 2024 Standard | 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. Quality of Life and Care Deficiencies · Tag F0693 | D Potential harm, isolated | Corrected July 5, 2024 |
| June 19, 2024 Standard | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Tag F0919 | D Potential harm, isolated | Corrected July 5, 2024 |
| June 19, 2024 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected July 5, 2024 |
| June 19, 2024 Complaint | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected July 5, 2024 |
| April 19, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected June 27, 2023 |
| April 19, 2023 Standard | Have policies on smoking. Environmental Deficiencies · Tag F0926 | E Potential harm, pattern | Corrected May 5, 2023 |
| April 19, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected May 5, 2023 |
| April 19, 2023 Standard | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected May 5, 2023 |
| April 19, 2023 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected May 5, 2023 |
| April 19, 2023 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected May 5, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $153,439 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| March 19, 2025 | Fine | $153,439 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| CIBC BANK USA Organization | 5% or greater direct ownership interest | — | 04/01/2018 |
| FORVIS MAZARS LLP Organization | 5% or greater direct ownership interest | — | 04/01/2018 |
| ZIONS BANCORPORATION Organization | 5% or greater direct ownership interest | — | 04/01/2018 |
| BALSAMO, KRYSTAL Individual | adp of the snf | NOT APPLICABLE | 04/01/2018 |
| BENAVIDES, RHONDA Individual | adp of the snf | NOT APPLICABLE | 08/20/2001 |
| CASPER, ANDREA Individual | adp of the snf | NOT APPLICABLE | 08/30/2022 |
| CIBC BANK USA Organization | adp of the snf | NOT APPLICABLE | 04/01/2018 |
| CULP, ROLAND Individual | adp of the snf | NOT APPLICABLE | 04/01/2018 |
| DASPIT, LAURENCE Individual | adp of the snf | NOT APPLICABLE | 04/01/2018 |
| DOHN, WILLIAM Individual | adp of the snf | NOT APPLICABLE | 04/01/2018 |
| FORVIS MAZARS LLP Organization | adp of the snf | NOT APPLICABLE | 04/01/2018 |
| LINDEMANN, CAREY Individual | adp of the snf | NOT APPLICABLE | 04/01/2018 |
| PICO, ANA Individual | adp of the snf | NOT APPLICABLE | 04/01/2018 |
| PRINCE, DEREK Individual | adp of the snf | NOT APPLICABLE | 04/01/2018 |
| REINARZ, CHRISTIAN Individual | adp of the snf | NOT APPLICABLE | 04/01/2018 |
| SANDERS, JAMES Individual | adp of the snf | NOT APPLICABLE | 04/03/2023 |
| STANBRIDGE, NORMA Individual | adp of the snf | NOT APPLICABLE | 04/01/2018 |
| ZIONS BANCORPORATION Organization | adp of the snf | NOT APPLICABLE | 04/01/2018 |
| STRAMECKI, ANTHONY Individual | corporate director | NOT APPLICABLE | 11/01/2016 |
| WAY, GEORGE Individual | corporate director | NOT APPLICABLE | 06/27/2005 |
| MURRELL, EDWARD Individual | corporate officer | NOT APPLICABLE | 11/01/2012 |
| ROLLO, JEFFERY Individual | corporate officer | NOT APPLICABLE | 11/01/2012 |
| STRAMECKI, ANTHONY Individual | corporate officer | NOT APPLICABLE | 11/01/2016 |
| PRINCE, DEREK Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 09/12/2025 |
| BALSAMO, KRYSTAL Individual | operational/managerial control | NOT APPLICABLE | 04/01/2018 |
| BENAVIDES, RHONDA Individual | operational/managerial control | NOT APPLICABLE | 08/20/2001 |
| CASPER, ANDREA Individual | operational/managerial control | NOT APPLICABLE | 08/30/2022 |
| CIBC BANK USA Organization | operational/managerial control | NOT APPLICABLE | 04/01/2021 |
| CULP, ROLAND Individual | operational/managerial control | NOT APPLICABLE | 04/01/2018 |
| DASPIT, LAURENCE Individual | operational/managerial control | NOT APPLICABLE | 04/01/2018 |
| DOHN, WILLIAM Individual | operational/managerial control | NOT APPLICABLE | 04/01/2018 |
| FORVIS MAZARS LLP Organization | operational/managerial control | NOT APPLICABLE | 04/01/2018 |
| HMG PARK MANOR OF WILLOWBROOK LLC Organization | operational/managerial control | NOT APPLICABLE | 01/01/2020 |
| HMG PARTNERS II LLC Organization | operational/managerial control | NOT APPLICABLE | 01/01/2020 |
| MURRELL, EDWARD Individual | operational/managerial control | NOT APPLICABLE | 04/01/2018 |
| PICO, ANA Individual | operational/managerial control | NOT APPLICABLE | 04/01/2018 |
| PRINCE, DEREK Individual | operational/managerial control | NOT APPLICABLE | 04/01/2018 |
| REINARZ, CHRISTIAN Individual | operational/managerial control | NOT APPLICABLE | 04/01/2018 |
| ROLLO, JEFFERY Individual | operational/managerial control | NOT APPLICABLE | 04/01/2018 |
| SANDERS, JAMES Individual | operational/managerial control | NOT APPLICABLE | 04/03/2023 |
Showing 40 of 44 records.
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Frequently asked questions
What is Willowbrook Nursing Center's rating?
Willowbrook Nursing Center has 3 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Willowbrook Nursing Center receive?
Its most recent standard health inspection found 6 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Willowbrook Nursing Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Willowbrook Nursing Center?
It is for profit - limited liability company and part of Hmg Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Willowbrook Nursing Center and how do I contact it?
Willowbrook Nursing Center is at 227 Russell Blvd, Nacogdoches, TX 75965. Phone: (936) 564-4596.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.