Federal inspection record · CMS data as of October 1, 2026
Willow Park Rehabilitation And Care Center
300 Crowne Point Blvd, Willow Park, TX · (817) 757-1200
- Certified beds
- 125
- Residents per day
- 85
- Ownership
- For-Profit
- Chain
- Nexion Health
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 4, 2014
1
How this home got 2 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.
-
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
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Willow Park Rehabilitation And Care Center carries 60 inspection points. That is fewer than 59% 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
27 health citations on record since 2024. 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning6E
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure each resident receives an accurate assessment.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Plan the resident's discharge to meet the resident's goals and needs.
- D
Ensure each resident receives an accurate assessment.
- D
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Nutrition and Dietary5F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- E
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights5D
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- D
Keep residents' personal and medical records private and confidential.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Quality of Life and Care4E
- E
Provide safe and appropriate respiratory care for a resident when needed.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Pharmacy Service2D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 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.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Environmental1F
- F
Make sure that a working call system is available in each resident's bathroom and bathing area.
Freedom from Abuse, Neglect, and Exploitation1E
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Nursing and Physician Services1B
- B
Post nurse staffing information every day.
Inspection history
2026-06-17
10 health deficiencies · 5 fire-safety deficiencies
Top issue: Infection Control (2 deficiencies)
2025-04-09
11 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2024-02-15
6 health deficiencies · 3 fire-safety deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 3 min of nursing staff time a day, 20 min of it from a registered nurse.
This home
2 h 3 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 84% of nursing staff and 95% 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
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 days0.1 pts better | 1.9 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.6 pts better | 1.4 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.2 pts better | 99.6% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.8 pts better | 98.8% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.4 pts better | 1.8% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.2 pts better | 2.1% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weightAbout the same | 2.9% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication13.2 pts worse | 31.0% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.8 pts worse | 10.6% | 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 worsened0.2 pts worse | 13.1% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.9 pts worse | 16.7% | 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 infection0.1 pts better | 0.7% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.6 pts better | 11.9% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.3 pts worse | 4.0% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine7.5 pts better | 96.2% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.4 pts worse | 17.6% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.7 pts better | 0.7% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine6.6 pts better | 92.0% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission9.3 pts better | 16.2% | 25.5% | 23.4% |
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Who owns and runs it
16 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 |
|---|---|---|---|
| Parker County Hospital District | 5% Or Greater Direct Ownership Interest · Organization | 100% | 5 facilities |
| Bacus, Randy | Corporate Officer · Individual | 0% | 5 facilities |
| Burnam, Soon | Corporate Officer · Individual | 0% | 353 facilities |
| Ensign Services Inc | Adp Of The SNF · Organization | 0% | 299 facilities |
| Home River Healthcare LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Home River Healthcare LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Keetch, Chad | Corporate Officer · Individual | 0% | 301 facilities |
| Niles, Richard | Managing Control - Governing Body · Individual | 0% | 2 facilities |
| Niles, Richard | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Niles, Richard | Adp Of The SNF · Individual | 0% | 2 facilities |
| Retama Pkwy Health Holdings LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Standard Bearer Healthcare Op, LP | Adp Of The SNF · Organization | 0% | 78 facilities |
| The Ensign Group Inc | Adp Of The SNF · Organization | 0% | 135 facilities |
| Wimmer, Calvin | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Wimmer, Calvin | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Wimmer, Calvin | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
11 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
Smoke3F
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F
Inspect, test, and maintain automatic sprinkler systems.
Emergency Preparedness2F
- F
Conduct testing and exercise requirements.
- F
Implement emergency and standby power systems.
Gas, Vacuum, and Electrical Systems2F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.
Egress1E
- E
Have properly located and lighted "Exit" signs.
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