Nursing home
Willowbrook Nursing Center
227 Russell Blvd, Nacogdoches, TX 75965 · Map
For profit - Limited Liability company · Part of Hmg Healthcare (33 facilities) · 166 certified beds
Willowbrook Nursing Center is a Medicare-certified nursing home in Nacogdoches, Texas. CMS rates it 2 out of 5 stars overall (1/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.00 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Jul 9, 2025 cited 8 deficiencies.
- 1 fine totaling $153,439In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Willowbrook Nursing Center compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.00 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.20 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.76 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 51.9% | 51.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 8.0 | 9.1 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the July 9, 2025 inspection was corrected by July 10, 2025
Penalties in CMS records: 1 fine totaling $153,439, 1 total penalty.
What inspectors found at Willowbrook Nursing Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Jul 9, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jul 9, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · Jul 9, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jul 9, 2025 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Jul 9, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Jul 9, 2025 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · May 28, 2025 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Mar 19, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jun 19, 2024 · Full report (PDF) - Potential for harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Jun 19, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jun 19, 2024 · Full report (PDF) - Potential for harm
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 · Jun 19, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 227 Russell Blvd
Nacogdoches, TX 75965 - CMS certification #
- 455700
- Ownership
- For profit - Limited Liability company
- Certified beds
- 166
- Avg residents/day
- 112.0
- Provider type
- Medicare and Medicaid
- First certified
- 1987-04-28
- Chain
- Hmg Healthcare (33 facilities)
- Setting
- Rural
Part of Hmg Healthcare
Hmg Healthcare operates 33 nursing facilities across the United States. View all Hmg Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Willowbrook Nursing Center using Google Maps.
Other public records
- Staff pay 1 federal wage case with violations found, since 2009
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Jun 23, 2009 to Jun 20, 2011. Violations found: Overtime. Back wages: $22,438 owed to 114 employees. DOL marked the employer as a repeat violator. Employer as DOL recorded it: Willowbrook Nursing Home (Nacogdoches CSNHC Enterprises, LLC). Case 1610027.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Nacogdoches Medical Center, Nacogdoches. 0.1 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Stallings Court Nursing and Rehabilitation, Nacogdoches. 0.4 miles away, straight line.
- Nearest home health agency office
- Accentcare Home Health Of Texas, Nacogdoches. 0.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walmart Pharmacy. 0.3 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 75965 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Dci Dialysis Care Services,Inc, Nacogdoches, 0.2 miles away, straight line (CMS rating 3 of 5 stars)
Nacogdoches Dialysis Center, Nacogdoches, 1.5 miles away, straight line (CMS rating 1 of 5 stars)
I Dialysis, LLC, Nacogdoches, 12.7 miles away, straight line - Hospice
- 11 Medicare hospices tell CMS they serve ZIP code 75965.
Heart To Heart Hospice Of Lufkin LLC, office in Lufkin, 21.6 miles away, straight line (CMS family survey rating 4 of 5 stars)
Hospice In The Pines, office in Lufkin, 22.6 miles away, straight line (CMS family survey rating 5 of 5 stars)
Harbor Hospice 26 Lp, office in Lufkin, 22.9 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- Baylor College Of Medicine, The Woodlands. 110.9 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively low, inland flooding relatively moderate, wildfire very low, tornado very high, heat wave relatively high, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
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Frequently asked questions
Is Willowbrook Nursing Center a good nursing home?
CMS gives Willowbrook Nursing Center an overall rating of 2 out of 5 stars, including 1/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Willowbrook Nursing Center staffed?
Willowbrook Nursing Center reports 3.00 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Willowbrook Nursing Center had inspection problems?
Its most recent CMS inspection cited 8 deficiencies.
How many beds does Willowbrook Nursing Center have?
Willowbrook Nursing Center is certified for 166 beds.