Willis Nursing And Rehabilitation
Willis, Montgomery County, Texas · CCN 675274 · For-profit (LLC) · part of Slp Operations (7 facilities, chain average 2.1 stars)
CMS rates Willis Nursing And Rehabilitation 4 of 5 overall as of August 2026. 114 certified beds, 50 residents a day on average. 13 citations on record from the current inspection cycles, 1 involving actual harm; 1 fine totalling $7,443.
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 | ★★★★☆ 4 of 5 |
|---|---|
| Health inspections | ★★★★★ 5 of 5 |
| Staffing | ★☆☆☆☆ 1 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 4 / 4 of 5 |
Staffing
| Total nurse staffing | 2.76734 hours per resident per day |
|---|---|
| Registered nurses | 0.37189 hours per resident per day |
| Weekend total | 2.20443 hours per resident per day |
| Nursing staff turnover | 40% |
| 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 |
|---|---|---|---|
| 2025-12-03 complaint survey |
Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-31 |
| 2025-08-21 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-18 |
| 2025-08-21 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · tag F0925 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-18 |
| 2024-06-28 | 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 2024-07-23 |
| 2023-10-20 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 |
G Actual harm that is not immediate jeopardy; isolated | Past Non-Compliance 2023-10-20 |
| 2023-10-20 complaint survey |
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 2023-11-30 |
| 2023-10-19 complaint survey |
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · tag F0557 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-30 |
| 2023-10-19 complaint survey |
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 2023-11-30 |
| 2023-10-19 complaint survey |
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 2023-11-30 |
| 2023-10-19 complaint survey |
Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-30 |
| 2023-05-11 | 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 2023-06-22 |
| 2023-05-11 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · tag F0553 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-06-22 |
| 2023-05-11 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-06-22 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2023-10-19 | Fine | $7,443 |
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 |
|---|---|---|---|
| Slp Omega Operations, LLC Organization | 5% or greater direct ownership interest | 100% | 2023-06-01 |
| Senior Living Properties LLC Organization | 5% or greater indirect ownership interest | — | 2023-06-01 |
| Slp Management Holdings, LLC Organization | 5% or greater indirect ownership interest | — | 2023-06-01 |
| Slp Operations, LLC Organization | 5% or greater indirect ownership interest | — | 2023-06-01 |
| Willis Texas Aviv LLC Organization | 5% or greater security interest | — | 2020-08-01 |
| Willis Texas Aviv LLC Organization | adp of the snf | — | 2020-08-01 |
| Boswell, Darren Individual | 5% or greater indirect ownership interest | — | 2023-06-01 |
| Eden, James Individual | 5% or greater indirect ownership interest | — | 2023-06-01 |
| Whitworth, Gary Individual | 5% or greater indirect ownership interest | — | 2023-06-01 |
| Guerrero, Milton Individual | adp of the snf | — | 2013-03-25 |
| Simmons, Laronda Individual | adp of the snf | — | 2021-02-18 |
| Leonard, Joshua Individual | corporate officer | — | 2024-10-01 |
| Guerrero, Milton Individual | operational/managerial control | — | 2013-03-25 |
| Leonard, Joshua Individual | operational/managerial control | — | 2024-10-01 |
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 Willis Nursing And Rehabilitation.
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 Montgomery County.