Federal inspection record · CMS data as of October 1, 2026
Willis Nursing and Rehabilitation
3000 N. Danville St., Willis, TX · (936) 856-4312
- Certified beds
- 114
- Residents per day
- 49
- Ownership
- For-Profit
- Chain
- Slp Operations
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 2, 1994
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
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Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Willis Nursing and Rehabilitation carries 21 inspection points. That is fewer than 92% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
13 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care4D
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
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
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Rights3E
- D
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Environmental1D
- D
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service1D
- D
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.
Inspection history
2025-08-21
3 health deficiencies · 3 fire-safety deficiencies
Top issue: Environmental (1 deficiency)
2024-06-28
1 health deficiencies · 2 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2023-05-11
9 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 58 min of nursing staff time a day, 21 min of it from a registered nurse.
This home
2 h 58 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 50% of nursing staff and 0% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$7,443 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2023-10-19 | Fine | $7,443 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.5 pts worse | 3.5 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.2 pts better | 0.8 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better | 100.0% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better | 100.0% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.8 pts worse | 7.0% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.3 pts better | 0.0% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.4 pts worse | 3.3% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.3 pts worse | 20.1% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.3 pts better | 7.5% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened16 pts worse | 28.9% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7.1 pts better | 8.7% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 0.0% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.5 pts better | 10.0% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.5 pts worse | 5.2% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine8.6 pts better | 97.3% | 88.7% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication3.9 pts worse | 5.3% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine11.7 pts better | 97.1% | 85.4% | 80.1% |
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Who owns and runs it
14 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Slp Omega Operations, LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 4 facilities |
| Boswell, Darren | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 8 facilities |
| Eden, James | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 7 facilities |
| Guerrero, Milton | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Guerrero, Milton | Adp Of The SNF · Individual | 0% | 2 facilities |
| Leonard, Joshua | Corporate Officer · Individual | 0% | 7 facilities |
| Leonard, Joshua | Operational/Managerial Control · Individual | 0% | 7 facilities |
| Senior Living Properties LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 4 facilities |
| Simmons, Laronda | Adp Of The SNF · Individual | 0% | 1 facilities |
| Slp Management Holdings, LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 4 facilities |
| Slp Operations, LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 4 facilities |
| Whitworth, Gary | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 7 facilities |
| Willis Texas Aviv LLC | 5% Or Greater Security Interest · Organization | 0% | 1 facilities |
| Willis Texas Aviv LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
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Fire safety
8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Services6F
- F
Have properly installed electrical wiring and gas equipment.
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D
Have properly installed electrical wiring and gas equipment.
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- C
Have properly installed electrical wiring and gas equipment.
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Smoke1D
- D
Install an approved automatic sprinkler system.
Egress1D
- D
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
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Other homes nearby
-
Conroe Health Care Center
Conroe, TX · Health Services Management
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 40 min
- Fines
- $12,860
-
Woodland Manor Nursing and Rehabilitation
Conroe, TX · Slp Operations
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h
- Fines
- $58,978
-
The Brightpointe
Conroe, TX · Purehealth
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 13 min
- Fines
- $0