nursing home in Willis, TX
Willis Nursing and Rehabilitation
3000 N. Danville St., Willis, TX 77378 · (936) 856-4312
CMS overall star rating
- Health inspections★★★★★5
- Staffing★★★★★1
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Willis Nursing and Rehabilitation at a glance
Willis Nursing and Rehabilitation is a 114-bed for-profit nursing home in Willis, Texas (Montgomery County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Texas average of 2.7.
Residents receive about 2.8 hours of nursing care per day (0.4 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (August 21, 2025) found 3 health citations. The Texas average is 9.4.
Federal regulators fined it 1 time in the past three years, totaling $7,443.
Nursing staff turnover is 40% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 114
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Slp Operations
- Medicare-certified since
- February 2, 1994
- Resident/family council
- Resident
- County
- Montgomery County
- CMS Certification Number
- 675274
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 2.7 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 5 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.7 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 4 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 4 / 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) | 2.77 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.37 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.35 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.20 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 40% | 55.3% | 45.8% | Better |
| 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) | 3 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 21 | 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) | $7,443 | $44,141 | $30,972 | Better |
| 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 | 114 | 113 | 107 | |
| Average residents per day | 50 | 76 | 86 | |
| Occupancy | 43.4% | 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) | 8.7% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 4.7% | 3.8% | 4.6% | Average |
| 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) | 10.2% | 15.8% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 27.8% | 14% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 2.8% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 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) | 19.5% | 18% | 19.5% | Average |
| Long-stay residents with new or worse incontinence (lower is better) | 11.6% | 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) | 100% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 7.5% | 1.5% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 100% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 97.3% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 13 health deficiencies and 8 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| December 3, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected December 31, 2025 |
| August 21, 2025 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | F Potential harm, widespread | Corrected September 18, 2025 |
| August 21, 2025 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | D Potential harm, isolated | Corrected September 18, 2025 |
| August 21, 2025 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Corrected September 18, 2025 |
| August 21, 2025 Standard | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | D Potential harm, isolated | Corrected September 18, 2025 |
| August 21, 2025 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected September 18, 2025 |
| June 28, 2024 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected August 9, 2024 |
| June 28, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Corrected August 9, 2024 |
| June 28, 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 23, 2024 |
| October 20, 2023 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 | G Actual harm, isolated | Corrected October 20, 2023 |
| October 20, 2023 Complaint | 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 November 30, 2023 |
| October 19, 2023 Complaint | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Tag F0557 | D Potential harm, isolated | Corrected November 30, 2023 |
| October 19, 2023 Complaint | 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 November 30, 2023 |
| October 19, 2023 Complaint | 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 November 30, 2023 |
| October 19, 2023 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected November 30, 2023 |
| May 11, 2023 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | D Potential harm, isolated | Corrected June 22, 2023 |
| May 11, 2023 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Corrected June 22, 2023 |
| May 11, 2023 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | C No harm, widespread | Corrected June 22, 2023 |
| May 11, 2023 Standard | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · Tag F0553 | E Potential harm, pattern | Corrected June 22, 2023 |
| May 11, 2023 Standard | 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 June 22, 2023 |
| May 11, 2023 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected June 22, 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 $7,443 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| October 19, 2023 | Fine | $7,443 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| SLP OMEGA OPERATIONS, LLC Organization | 5% or greater direct ownership interest | 100% | 06/01/2023 |
| BOSWELL, DARREN Individual | 5% or greater indirect ownership interest | — | 06/01/2023 |
| EDEN, JAMES Individual | 5% or greater indirect ownership interest | — | 06/01/2023 |
| SENIOR LIVING PROPERTIES LLC Organization | 5% or greater indirect ownership interest | — | 06/01/2023 |
| SLP MANAGEMENT HOLDINGS, LLC Organization | 5% or greater indirect ownership interest | — | 06/01/2023 |
| SLP OPERATIONS, LLC Organization | 5% or greater indirect ownership interest | — | 06/01/2023 |
| WHITWORTH, GARY Individual | 5% or greater indirect ownership interest | — | 06/01/2023 |
| WILLIS TEXAS AVIV LLC Organization | 5% or greater security interest | NOT APPLICABLE | 08/01/2020 |
| GUERRERO, MILTON Individual | adp of the snf | NOT APPLICABLE | 03/25/2013 |
| SIMMONS, LARONDA Individual | adp of the snf | NOT APPLICABLE | 02/18/2021 |
| WILLIS TEXAS AVIV LLC Organization | adp of the snf | NOT APPLICABLE | 08/01/2020 |
| LEONARD, JOSHUA Individual | corporate officer | NOT APPLICABLE | 10/01/2024 |
| GUERRERO, MILTON Individual | operational/managerial control | NOT APPLICABLE | 03/25/2013 |
| LEONARD, JOSHUA Individual | operational/managerial control | NOT APPLICABLE | 10/01/2024 |
Other nursing homes near Willis Nursing and Rehabilitation
Conroe Health Care Center
2019 N Frazier, Conroe, TX 77301 · 7.1 mi
Non-profit · 108 beds · Part of Health Services Management
★★★★★2Below averageWoodland Manor Nursing and Rehabilitation
99 Rigby Owen Rd., Conroe, TX 77304 · 7.9 mi
For-profit · 146 beds · Part of Slp Operations
★★★★★1Much below averageThe Brightpointe
604 S. Conroe Medical Drive, Conroe, TX 77304 · 10.5 mi
For-profit · 150 beds · Part of Purehealth
★★★★★3Average- ★★★★★5Much above average
Park Manor of the Woodlands
1014 Windsor Lake Boulevard, The Woodlands, TX 77384 · 15.6 mi
For-profit · 124 beds · Part of Hmg Healthcare
★★★★★4Above averageRidgewood at the Woodlands
10450 Gosling Rd, The Woodlands, TX 77381 · 18.2 mi
Government · 126 beds · Part of Momentum Skilled Services
★★★★★1Much below average
Frequently asked questions
What is Willis Nursing and Rehabilitation's rating?
Willis Nursing and Rehabilitation has 4 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 Willis Nursing and Rehabilitation receive?
Its most recent standard health inspection found 3 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Willis Nursing and Rehabilitation 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 Willis Nursing and Rehabilitation?
It is for profit - limited liability company and part of Slp Operations. The ownership section on this page lists the owners and managers reported to CMS.
Where is Willis Nursing and Rehabilitation and how do I contact it?
Willis Nursing and Rehabilitation is at 3000 N. Danville St., Willis, TX 77378. Phone: (936) 856-4312.
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.