Willowbrook Nursing Center
Nacogdoches, Nacogdoches County, Texas · CCN 455700 · For-profit (LLC) · part of Hmg Healthcare (31 facilities, chain average 3.1 stars)
CMS rates Willowbrook Nursing Center 3 of 5 overall as of August 2026. 166 certified beds, 102 residents a day on average. 23 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $153,439.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★☆☆ 3 of 5 |
|---|---|
| Health inspections | ★★★☆☆ 3 of 5 |
| Staffing | ★☆☆☆☆ 1 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
| Quality: long-stay / short-stay | 5 / 5 of 5 |
Staffing
| Total nurse staffing | 3.21111 hours per resident per day |
|---|---|
| Registered nurses | 0.26041 hours per resident per day |
| Weekend total | 2.79326 hours per resident per day |
| Nursing staff turnover | 52% |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-07-09 complaint survey |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-07-10 |
| 2025-07-09 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-07-10 |
| 2025-07-09 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-10 |
| 2025-07-09 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-10 |
| 2025-07-09 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-10 |
| 2025-07-09 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · tag F0805 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-10 |
| 2025-05-28 complaint survey |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-15 |
| 2025-03-19 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2025-03-20 |
| 2024-06-19 | 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. Resident Rights Deficiencies · tag F0584 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-07-05 |
| 2024-06-19 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-07-05 |
| 2024-06-19 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-07-05 |
| 2024-06-19 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · tag F0925 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-07-05 |
| 2024-06-19 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · tag F0636 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-07-05 |
| 2024-06-19 | 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. Quality of Life and Care Deficiencies · tag F0693 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-07-05 |
| 2024-06-19 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-07-05 |
| 2024-06-19 complaint survey |
Keep all essential equipment working safely. Environmental Deficiencies · tag F0908 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-07-05 |
| 2024-06-19 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · tag F0919 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-07-05 |
| 2024-06-19 complaint survey |
Post nurse staffing information every day. Nursing and Physician Services Deficiencies · tag F0732 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2024-07-05 |
| 2023-04-19 | 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. Resident Rights Deficiencies · tag F0584 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-05-05 |
| 2023-04-19 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-05-05 |
| 2023-04-19 | Have policies on smoking. Environmental Deficiencies · tag F0926 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-05-05 |
| 2023-04-19 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-05-05 |
| 2023-04-19 | 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. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-05-05 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2025-03-19 | Fine | $153,439 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Cibc Bank USA Organization | 5% or greater direct ownership interest | — | 2018-04-01 |
| Forvis Mazars LLP Organization | 5% or greater direct ownership interest | — | 2018-04-01 |
| Zions Bancorporation Organization | 5% or greater direct ownership interest | — | 2018-04-01 |
| Cibc Bank USA Organization | adp of the snf | — | 2018-04-01 |
| Forvis Mazars LLP Organization | adp of the snf | — | 2018-04-01 |
| Zions Bancorporation Organization | adp of the snf | — | 2018-04-01 |
| Cibc Bank USA Organization | operational/managerial control | — | 2021-04-01 |
| Forvis Mazars LLP Organization | operational/managerial control | — | 2018-04-01 |
| Hmg Park Manor Of Willowbrook LLC Organization | operational/managerial control | — | 2020-01-01 |
| Hmg Partners II LLC Organization | operational/managerial control | — | 2020-01-01 |
| Zions Bancorporation Organization | operational/managerial control | — | 2021-04-01 |
| Balsamo, Krystal Individual | adp of the snf | — | 2018-04-01 |
| Benavides, Rhonda Individual | adp of the snf | — | 2001-08-20 |
| Casper, Andrea Individual | adp of the snf | — | 2022-08-30 |
| Culp, Roland Individual | adp of the snf | — | 2018-04-01 |
| Daspit, Laurence Individual | adp of the snf | — | 2018-04-01 |
| Dohn, William Individual | adp of the snf | — | 2018-04-01 |
| Lindemann, Carey Individual | adp of the snf | — | 2018-04-01 |
| Pico, Ana Individual | adp of the snf | — | 2018-04-01 |
| Prince, Derek Individual | adp of the snf | — | 2018-04-01 |
| Reinarz, Christian Individual | adp of the snf | — | 2018-04-01 |
| Sanders, James Individual | adp of the snf | — | 2023-04-03 |
| Stanbridge, Norma Individual | adp of the snf | — | 2018-04-01 |
| Stramecki, Anthony Individual | corporate director | — | 2016-11-01 |
| Way, George Individual | corporate director | — | 2005-06-27 |
| Murrell, Edward Individual | corporate officer | — | 2012-11-01 |
| Rollo, Jeffery Individual | corporate officer | — | 2012-11-01 |
| Stramecki, Anthony Individual | corporate officer | — | 2016-11-01 |
| Prince, Derek Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-09-12 |
| Balsamo, Krystal Individual | operational/managerial control | — | 2018-04-01 |
| Benavides, Rhonda Individual | operational/managerial control | — | 2001-08-20 |
| Casper, Andrea Individual | operational/managerial control | — | 2022-08-30 |
| Culp, Roland Individual | operational/managerial control | — | 2018-04-01 |
| Daspit, Laurence Individual | operational/managerial control | — | 2018-04-01 |
| Dohn, William Individual | operational/managerial control | — | 2018-04-01 |
| Murrell, Edward Individual | operational/managerial control | — | 2018-04-01 |
| Pico, Ana Individual | operational/managerial control | — | 2018-04-01 |
| Prince, Derek Individual | operational/managerial control | — | 2018-04-01 |
| Reinarz, Christian Individual | operational/managerial control | — | 2018-04-01 |
| Rollo, Jeffery Individual | operational/managerial control | — | 2018-04-01 |
| Sanders, James Individual | operational/managerial control | — | 2023-04-03 |
| Stramecki, Anthony Individual | operational/managerial control | — | 2018-04-01 |
| Vratis, Kacey Individual | operational/managerial control | — | 2018-04-01 |
| Way, George Individual | operational/managerial control | — | 2018-04-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Willowbrook Nursing Center.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Nacogdoches County.