Nursing HomeInspections

Willowbrook Nursing Center

Nursing home in Nacogdoches, TX

Medicare & Medicaid certified3★ overall (CMS)

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Public-record details

Address
227 Russell Blvd, Nacogdoches, TX 75965
Phone
(936) 564-4596
Listed under
For-profit
Medicare CCN
455700
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
3 of 5
Staffing rating
1 of 5
Quality measures rating
5 of 5
Certified beds
166
Average residents per day
103
Ownership
For-profit, limited Liability company
Legal business name
Winnie-Stowell Hospital District
Chain
Hmg Healthcare (31 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Apr 28, 1987
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 455700. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Jul 9, 2025. CMS lists 23 health citations for this facility across its last three standard inspection cycles and complaint inspections (Apr 19, 2023 to Jul 9, 2025): 6 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Jul 9, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jul 9, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jul 9, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jul 9, 2025Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Jul 9, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection		E
Potential for more than minimal harm, pattern
Jul 9, 2025Provide and implement an infection prevention and control program.
Infection Control		E
Potential for more than minimal harm, pattern
May 28, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 19, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		J
Immediate jeopardy, isolated
Jun 19, 2024Post nurse staffing information every day.
Nursing and Physician Services · complaint inspection		C
Potential for minimal harm, widespread
Jun 19, 2024Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jun 19, 2024Ensure 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		D
Potential for more than minimal harm, isolated
Jun 19, 2024Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 23. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $153,439 in the last three years.

Mar 19, 2025Fine: $153,439

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.18 hours
Registered nurse (RN) time per resident per day
0.23 hours
Nurse aide time per resident per day
1.93 hours
Total nurse staffing on weekends
2.75 hours
Nursing staff turnover (yearly)
52%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Nacogdoches

Stallings Court Nursing and Rehabilitation4616 Ne Stallings Dr · Nacogdoches, TX 75965 · (936) 569-5600 · For-profit24 health citations in 3 inspection cycles · last standard inspection Feb 5, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)
Westward Trails Nursing and Rehabilitation3001 Westward Drive · Nacogdoches, TX 75964 · (936) 569-2631 · For-profit21 health citations in 3 inspection cycles · last standard inspection Aug 19, 2026 · $25,036 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)

All 3 in Nacogdoches →

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error