| Willowbrook Nursing Center | |
| 227 Russell Blvd, Nacogdoches, Texas 75965 | |
| (936) 564-4596 | |
| Name | Willowbrook Nursing Center |
|---|---|
| Location | 227 Russell Blvd, Nacogdoches, Texas |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 166 |
| Occupancy Rate | 61.63% |
| Medicare ID (CCN) | 455700 |
| Legal Business Name | Winnie-stowell Hospital District |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Hmg Healthcare (31 nursing homes) |
| Chain Average Overall Rating | 3.1 out of 5 |
| NPI Number | 1851938112 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Winnie-stowell Hospital District |
| Doing Business As | Willowbrook Nursing Center |
| Address | 227 Russell Blvd, Nacogdoches, TX 75965 |
| Phone Number | 936-564-4596 |
| NPI Number | 1114196771 |
| Match | Possible same name, address or phone number |
| Organization Name | Nacogdoches Csnhc Enterprises, LLC |
| Doing Business As | Willowbrook Nursing Center |
| Address | 227 Russell Blvd, Nacogdoches, TX 75965 |
| Phone Number | 936-564-4596 |
| NPI Number | 1760484968 |
| Match | Possible same name, address or phone number |
| Organization Name | Cascade Nacogdoches Health Services, Ltd |
| Doing Business As | Willowbrook |
| Address | 227 Russell Blvd, Nacogdoches, TX 75965 |
| Phone Number | 936-564-4596 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.21 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.26 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.03 | 0.86 |
| Nurse aide hours per resident per day | 1.92 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 2.79 | 3.42 |
| RN hours per resident per day on the weekend | 0.2 | 0.48 |
| Physical therapist hours per resident per day | 0.05 | 0.07 |
| Total nursing staff turnover | 52% | 45.8% |
| Registered nurse turnover | Not available: the staffing data did not meet CMS's criteria for this measure | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $153,439 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jul 9, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Jul 10, 2025 |
| Jul 9, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Jul 10, 2025 |
| Jul 9, 2025 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jul 10, 2025 |
| Jul 9, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jul 10, 2025 |
| Jul 9, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jul 10, 2025 |
| Jul 9, 2025 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. F0805, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Jul 10, 2025 |
| May 28, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by Jun 15, 2025 |
| Mar 19, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Immediate jeopardy, isolated | Corrected by Mar 20, 2025 |
| Jun 19, 2024 | 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. F0584, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Jul 5, 2024 |
| Jun 19, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Jul 5, 2024 |
| Jun 19, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Jul 5, 2024 |
| Jun 19, 2024 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925, Environmental, Standard inspection | Potential for harm, pattern | Corrected by Jul 5, 2024 |
| Jun 19, 2024 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. F0636, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jul 5, 2024 |
| Jun 19, 2024 | 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. F0693, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jul 5, 2024 |
| Jun 19, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jul 5, 2024 |
| Jun 19, 2024 | Keep all essential equipment working safely. F0908, Environmental, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Jul 5, 2024 |
| Jun 19, 2024 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919, Environmental, Standard inspection | Potential for harm, isolated | Corrected by Jul 5, 2024 |
| Jun 19, 2024 | Post nurse staffing information every day. F0732, Nursing and Physician Services, Standard inspection, Complaint inspection | Minimal harm potential, widespread | Corrected by Jul 5, 2024 |
| Apr 19, 2023 | 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. F0584, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by May 5, 2023 |
| Apr 19, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by May 5, 2023 |
| Apr 19, 2023 | Have policies on smoking. F0926, Environmental, Standard inspection | Potential for harm, pattern | Corrected by May 5, 2023 |
| Apr 19, 2023 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 5, 2023 |
| Apr 19, 2023 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by May 5, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.32 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 3.79 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 2.75 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.95 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.63 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 78.87 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 5.77 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.8 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.33 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 2.24 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 8.49 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 7.82 | 15.38 |
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