Willow Rehab & Nursing has received an F grade based on CMS data, with a score of 20/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Kilgore facility should carefully review its inspection history and quality metrics.
With 3.00 total nurse hours per resident per day, Willow Rehab & 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 46 deficiencies at Willow Rehab & Nursing, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: provide safe and appropriate respiratory care for a resident when needed..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.00 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.32 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.79 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.89 | 2.4 | Below Average |
| Weekend Total Nursing | 2.72 | 3.8 | Below Average |
| Weekend RN Hours | 0.20 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0695 Severity JProvide safe and appropriate respiratory care for a resident when needed.Jun 12, 2025 · Quality of Life and Care Deficiencies
- Tag 0689 Severity EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Jan 29, 2025 · Quality of Life and Care Deficiencies
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Jan 29, 2025 · Nutrition and Dietary Deficiencies
- Tag 0813 Severity EHave a policy regarding use and storage of foods brought to residents by family and other visitors.Jan 29, 2025 · Nutrition and Dietary Deficiencies
- Tag 0880 Severity EProvide and implement an infection prevention and control program.Jan 29, 2025 · Infection Control 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 | 5.6% | 4.5% | Worse |
| Falls with major injury | 5.7% | 3.0% | Worse |
| On antipsychotic medication | 3.7% | 14.5% | Better |
| Urinary tract infections | 0.7% | 2.5% | Better |
| ADL decline (daily activities) | 12.4% | 14.0% | Better |
| Excessive weight loss | 4.7% | 7.5% | Better |
| New/worsened incontinence | 14.9% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $228,569
How This Grade Was Calculated
This facility's grade of F is based on a score of 20 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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