Federal inspection record · CMS data as of October 1, 2026

Willow Rehab & Nursing

1901 Whippoorwill, Kilgore, TX · (903) 983-7775

CMS overall rating

2 of 5

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Certified beds
118
Residents per day
88
Ownership
For-Profit
Chain
Advanced Healthcare Solutions
Medicare / Medicaid
Medicare + Medicaid
Certified since
March 3, 2004

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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    2 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Texas homes

Willow Rehab & Nursing carries 102.5 inspection points. That is fewer than 35% of Texas's 1,166 rated homes.

5★4★3★2★1★+35 homes above 292.505102550100200inspection points → fewer is better on the leftThis home · 102.5 pts · 2★

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

33 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 2 50 pts
K 1 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 19 4 pts
E 9 8 pts
F 2 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

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 (3)

  1. J

    Provide safe and appropriate respiratory care for a resident when needed.

    June 13, 2025 · Complaint inspection · Quality of Life and Care · F695 · Corrected June 30, 2025

  2. K

    Prepare residents for a safe transfer or discharge from the nursing home.

    December 12, 2024 · Complaint inspection · Resident Rights · F624 · Corrected December 13, 2024

  3. J

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    December 12, 2024 · Complaint inspection · Quality of Life and Care · F689 · Corrected December 13, 2024

Everything else, by area of care

Quality of Life and Care8E
  1. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    April 1, 2026 · Standard · F689 · Corrected April 6, 2026

  2. D

    Provide safe and appropriate respiratory care for a resident when needed.

    April 1, 2026 · Standard · F695 · Corrected April 6, 2026

  3. E

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    January 30, 2025 · Standard · F689 · Corrected February 28, 2025

  4. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    January 30, 2025 · Standard · F677 · Corrected February 28, 2025

  5. D

    Provide safe and appropriate respiratory care for a resident when needed.

    January 30, 2025 · Standard · F695 · Corrected February 28, 2025

  6. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    December 12, 2023 · Standard · F677 · Corrected January 11, 2024

  7. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    December 12, 2023 · Standard · F689 · Corrected January 11, 2024

  8. E

    Provide safe, appropriate pain management for a resident who requires such services.

    October 16, 2023 · Complaint · F697 · Corrected November 17, 2023

Resident Assessment and Care Planning5E
  1. D

    PASARR screening for Mental disorders or Intellectual Disabilities

    January 30, 2025 · Standard · F645 · Corrected February 28, 2025

  2. D

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    December 12, 2023 · Standard · F644 · Corrected January 11, 2024

  3. D

    PASARR screening for Mental disorders or Intellectual Disabilities

    December 12, 2023 · Standard · F645 · Corrected January 11, 2024

  4. E

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    October 16, 2023 · Complaint · F842 · Corrected November 17, 2023

  5. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    October 16, 2023 · Complaint · F656 · Corrected November 17, 2023

Pharmacy Service4E
  1. E

    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.

    April 1, 2026 · Standard · F761 · Corrected April 6, 2026

  2. D

    Ensure medication error rates are not 5 percent or greater.

    January 30, 2025 · Standard · F759 · Corrected February 28, 2025

  3. 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.

    January 30, 2025 · Standard · F761 · Corrected February 28, 2025

  4. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    December 12, 2023 · Standard · F755 · Corrected January 11, 2024

Resident Rights3D
  1. D

    Reasonably accommodate the needs and preferences of each resident.

    April 1, 2026 · Standard · F558 · Corrected April 6, 2026

  2. D

    Reasonably accommodate the needs and preferences of each resident.

    January 30, 2025 · Standard · F558 · Corrected February 28, 2025

  3. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    December 12, 2023 · Standard · F550 · Corrected January 11, 2024

Infection Control3E
  1. D

    Provide and implement an infection prevention and control program.

    April 1, 2026 · Standard · F880 · Corrected April 6, 2026

  2. E

    Provide and implement an infection prevention and control program.

    January 30, 2025 · Standard · F880 · Corrected February 28, 2025

  3. D

    Provide and implement an infection prevention and control program.

    December 12, 2023 · Standard · F880 · Corrected January 11, 2024

Nutrition and Dietary3F
  1. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    January 30, 2025 · Standard · F812 · Corrected February 28, 2025

  2. E

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    January 30, 2025 · Standard · F813 · Corrected February 28, 2025

  3. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    December 12, 2023 · Standard · F812 · Corrected January 11, 2024

Administration2F
  1. D

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    January 30, 2025 · Standard · F849 · Corrected February 28, 2025

  2. F

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    December 12, 2023 · Standard · F851 · Corrected January 11, 2024

Freedom from Abuse, Neglect, and Exploitation1E
  1. E

    Protect each resident from the wrongful use of the resident's belongings or money.

    January 30, 2025 · Complaint · F602 · Corrected February 28, 2025

Nursing and Physician Services1E
  1. E

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    December 12, 2023 · Standard · F727 · Corrected January 11, 2024

Inspection history

  1. 2026-04-01

    5 health deficiencies · 2 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

  2. 2025-01-30

    15 health deficiencies · 4 fire-safety deficiencies

    Top issue: Quality of Life and Care (5 deficiencies)

  3. 2023-12-12

    13 health deficiencies · 2 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (4 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 13 min of nursing staff time a day, 19 min of it from a registered nurse.

This home

3 h 13 min

Texas average

3 h 25 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 33% of nursing staff and 20% 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

$219,229 in federal fines on record over the past three years.

DatePenaltyAmount
2025-06-13Fine$17,345
2024-12-12Fine$201,884

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident daysAbout the same2.02.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better1.82.01.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better100.0%96.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better100.0%97.0%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.3 pts better2.9%3.2%3.2%
Percentage of long-stay residents who have depressive symptoms1.4 pts better0.9%2.3%13.5%
Percentage of long-stay residents who lose too much weight1.4 pts worse4.3%2.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication3.7 pts worse21.5%17.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication7.5 pts better2.3%9.8%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened6.6 pts better6.3%12.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased7 pts better8.8%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better0.0%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection0.2 pts better0.6%0.8%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.6 pts better9.9%12.5%18.3%
Percentage of long-stay residents with pressure ulcers0.6 pts worse4.3%3.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.6 pts better98.3%88.7%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit0.9 pts better11.3%12.2%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better0.0%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine14.6 pts better100.0%85.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission7.1 pts worse32.6%25.5%23.4%

·

Who owns and runs it

9 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Faulkner, GarrelAdp Of The SNF · Individual0%2 facilities
Gold Tx TrustAdp Of The SNF · Organization0%5 facilities
Hooper, GradyCorporate Officer · Individual0%61 facilities
Jensen, KevinAdp Of The SNF · Individual0%2 facilities
Red Brass Holdco LLCAdp Of The SNF · Organization0%4 facilities
Scheiner, EliezerOperational/Managerial Control · Individual0%32 facilities
Silberstein, AriOperational/Managerial Control · Individual0%26 facilities
Silver Tx TrustAdp Of The SNF · Organization0%5 facilities
Willow Hc LLCAdp Of The SNF · Organization0%1 facilities

·

Fire safety

8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke8F
  1. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    April 1, 2026 · K321 · Corrected April 5, 2026

  2. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    April 1, 2026 · K372 · Corrected April 5, 2026

  3. F

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    January 30, 2025 · K321 · Corrected February 28, 2025

  4. E

    Provide properly protected cooking facilities.

    January 30, 2025 · K324 · Corrected February 28, 2025

  5. E

    Install an approved automatic sprinkler system.

    January 30, 2025 · K351 · Corrected February 28, 2025

  6. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    January 30, 2025 · K372 · Corrected February 28, 2025

  7. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    December 12, 2023 · K321 · Corrected April 8, 2024

  8. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    December 12, 2023 · K372 · Corrected April 8, 2024

·

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