Federal inspection record · CMS data as of October 1, 2026
Willowcreek Rehab and Nursing
4934 S 7Th St, Abilene, TX · (325) 692-2172
- Certified beds
- 96
- Residents per day
- 73
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 20, 1994
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.
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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.
-
Quality measures
★★★★★+1 star
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
Willowcreek Rehab and Nursing carries 93.25 inspection points. That is fewer than 39% 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
23 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.
Harm and immediate-jeopardy citations (1)
-
K
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Resident Rights5E
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Keep residents' personal and medical records private and confidential.
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- E
Assure the security of all personal funds of residents deposited with the facility.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
Nutrition and Dietary5E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
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.
Resident Assessment and Care Planning4E
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- E
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Infection Control3E
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Pharmacy Service2E
- E
Ensure medication error rates are not 5 percent or greater.
- 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.
Quality of Life and Care2E
- E
Ensure the activities program is directed by a qualified professional.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Nursing and Physician Services1E
- E
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Inspection history
2026-05-06
7 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
2025-02-27
10 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2024-01-10
6 health deficiencies · 5 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 47 min of nursing staff time a day, 27 min of it from a registered nurse.
This home
2 h 47 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 61% of nursing staff and 50% of registered nurses left in the past year, along with 2 administrators.
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
$23,794 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-02-27 | Fine | $23,794 |
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 days0.3 pts better | 1.7 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts better | 1.3 | 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 injury0.1 pts worse | 3.3% | 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 weight1.2 pts better | 1.7% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.9 pts better | 15.9% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.4 pts worse | 13.2% | 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 worsened6.2 pts better | 6.7% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.3 pts better | 10.5% | 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 infection0.4 pts better | 0.4% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1 pts worse | 13.5% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.4 pts worse | 4.1% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.5 pts better | 98.2% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit12.2 pts better | 0.0% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine9.3 pts better | 94.7% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission7.8 pts better | 17.7% | 25.5% | 23.4% |
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Who owns and runs it
17 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 |
|---|---|---|---|
| Childress County Hospital District | 5% Or Greater Direct Ownership Interest · Organization | 100% | 11 facilities |
| 4934 S. 7th Street LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| 4934 S. 7th Street Tic LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Banes, Michael | Adp Of The SNF · Individual | 0% | 1 facilities |
| Evergreen Holdco LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Gamfal LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Gao, Min | Adp Of The SNF · Individual | 0% | 1 facilities |
| Gold Tx Trust | Operational/Managerial Control · Organization | 0% | 5 facilities |
| Holcomb, Holly | Corporate Officer · Individual | 0% | 12 facilities |
| Lichtschein Family 2012 Trust | Adp Of The SNF · Organization | 0% | 2 facilities |
| Scheiner Family 2012 Trust | Adp Of The SNF · Organization | 0% | 2 facilities |
| Scheiner Holdings LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Silberstein, Ari | Operational/Managerial Control · Individual | 0% | 26 facilities |
| Silver Tx Trust | Operational/Managerial Control · Organization | 0% | 5 facilities |
| Stratton, Emilee | Corporate Officer · Individual | 0% | 11 facilities |
| Willowcreek Rehab And Nursing LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Willowcreek Rehab And Nursing LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
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Fire safety
12 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Install corridor and hallway doors that block smoke.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Emergency Preparedness3F
- F
Implement emergency and standby power systems.
- 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
Have proper medical gas storage and administration areas.
Egress2E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
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Other homes nearby
-
Wisteria Place
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★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 18 min
- Fines
- $14,275
-
Avir at Coronado
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★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 9 min
- Fines
- $184,619
-
Northern Oaks Living & Rehabilitation Center
Abilene, TX · The Ensign Group
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 4 min
- Fines
- $0