Willowcreek Rehab And Nursing has received an F grade based on CMS data, with a score of 38/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Abilene facility should carefully review its inspection history and quality metrics.
With 2.71 total nurse hours per resident per day, Willowcreek Rehab And Nursing falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 21 deficiencies at Willowcreek Rehab And Nursing, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 2.71 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.51 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.51 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 1.69 | 2.4 | Below Average |
| Weekend Total Nursing | 2.43 | 3.8 | Below Average |
| Weekend RN Hours | 0.36 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Dec 18, 2025 · Nutrition and Dietary Deficiencies
- Tag 0842 Severity ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standarApr 29, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0880 Severity DProvide and implement an infection prevention and control program.Apr 29, 2025 · Infection Control Deficiencies
- Tag 0689 Severity KEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Feb 26, 2025 · Quality of Life and Care Deficiencies
- Tag 0680 Severity EEnsure the activities program is directed by a qualified professional.Feb 26, 2025 · 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 | 3.3% | 4.5% | Better |
| Falls with major injury | 5.1% | 3.0% | Worse |
| On antipsychotic medication | 6.1% | 14.5% | Better |
| Urinary tract infections | 0.5% | 2.5% | Better |
| ADL decline (daily activities) | 15.6% | 14.0% | Worse |
| Excessive weight loss | 2.0% | 7.5% | Better |
| New/worsened incontinence | 19.4% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $23,744
How This Grade Was Calculated
This facility's grade of F is based on a score of 38 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -2 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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