Willis Nursing And Rehabilitation Lp earns a solid B grade from CMS data, with a score of 80/100. Performing above average across most metrics, this Willis facility ranks in the 89th percentile among Texas nursing homes.
With 3.10 total nurse hours per resident per day, Willis Nursing And Rehabilitation Lp falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent inspections identified 13 deficiencies at Willis Nursing And Rehabilitation Lp. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.10 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.39 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.22 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.48 | 2.4 | Below Average |
| Weekend Total Nursing | 2.54 | 3.8 | Below Average |
| Weekend RN Hours | 0.31 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0880 Severity DProvide and implement an infection prevention and control program.Dec 2, 2025 · Infection Control Deficiencies
- Tag 0695 Severity DProvide safe and appropriate respiratory care for a resident when needed.Aug 20, 2025 · Quality of Life and Care Deficiencies
- Tag 0925 Severity DMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.Aug 20, 2025 · Environmental Deficiencies
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Jun 27, 2024 · Nutrition and Dietary Deficiencies
- Tag 0689 Severity GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Oct 19, 2023 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 2.0% | 4.5% | Better |
| Falls with major injury | 6.8% | 3.0% | Worse |
| On antipsychotic medication | 14.8% | 14.5% | Average |
| Urinary tract infections | 0.6% | 2.5% | Better |
| ADL decline (daily activities) | 14.2% | 14.0% | Average |
| Excessive weight loss | 4.5% | 7.5% | Better |
| New/worsened incontinence | 10.6% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $7,443
How This Grade Was Calculated
This facility's grade of B is based on a score of 80 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 5★ → 40 pts (max 40)
- Health Inspection Rating: 5★ → 25 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -0 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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