Willow Rehab & Nursing
1901 WHIPPORWILL LANE, Kilgore, TX, 75662
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Advanced Healthcare Solutions
- Certified beds
- 118 · avg 91 residents/day
- Total nursing staff turnover
- 57.1% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 71.4% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $228,569 total
State licensing & capacity
- License number
- 311856
- Service type
- Medicare/medicaid
- Licensed capacity
- 118 beds
- Bed type breakdown
- 18 Medicare-only · 100 Medicaid/Medicare
- Current license effective
- March 1, 2024
- Current license expires
- March 1, 2027
- Initial license date
- March 3, 2004
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Hamilton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Willow Hc Llc
- Administrator
- Garrel A Faulkner
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Advanced Healthcare Solutions chain — 30 facilities. Chain-wide average overall rating 3.2 / 5.
Disclosed owners (9 on record)
- Garrel Faulkner
Adp of The Snf · since 2025
- Gold tx Trust
Adp of The Snf · since 2025
- Kevin Scott Jensen
Adp of The Snf · since 2025
- Red Brass Holdco Llc
Adp of The Snf · since 2025
- Silver tx Trust
Adp of The Snf · since 2025
- Willow hc Llc
Adp of The Snf · since 2025
+ 3 additional owners on the federal record.
Recent change of ownership
March 2024 (2 years ago) · acquired from Willow Rehab & Nursing
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 46)
- J0695·Jun 13, 2025Complaint
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- E0602·Jan 30, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
- E0880·Jan 30, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0849·Jan 30, 2025
Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
- E0813·Jan 30, 2025
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- E0812·Jan 30, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0761·Jan 30, 2025
Pharmacy Service Deficiencies
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.
- D0759·Jan 30, 2025
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Federal penalties
By year
- 20251 fine · $27K
- 20241 fine · $202K
Most recent events
- Jun 13, 2025Fine · $27K
- Dec 12, 2024Fine · $202K
Largest single fine on record: $202K.
Fire-safety citations
7 Life-Safety-Code citations on file. Most recent: Jan 30, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Willow Rehab & Nursing is a 118-bed Medicare/Medicaid nursing home in Kilgore, Texas, managed by Willow HC LLC under a hospital district license. CMS rates it 2 stars overall, with 1-star ratings on both health inspections and staffing. Two fines totaling $228,569 have been issued — more than 10 times the Texas median fine amount. Quality-of-care measures rate 5 stars, a sharp contrast to the inspection and staffing scores.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the lowest tier, shared by roughly 38% of Texas nursing homes. Residents receive about 180 minutes of total nursing care per day, 61 minutes less than at a 4-star-staffing facility in Texas. Registered nurses account for only 19 of those minutes. Residents here also require more hands-on daily care than at a typical facility — more dependent or medically complex on average — so those already-limited hours stretch thinner than the raw numbers suggest.
RN turnover runs high: roughly 7 in 10 registered nurses left in the past year. A long-stay resident will likely go through several primary RNs over a 12-month period. Total nursing staff turnover data did not produce a separate signal, so the elevated figure applies specifically to the RN layer.
Two CMS fines have been issued totaling $228,569. The Texas median fine total across penalized facilities is $20,699 — this facility's total is roughly 11 times that figure. About 30% of Texas nursing homes have received no fines at all.
One administrator has turned over in the past year. At the elevated tier, this signals some leadership instability above the day-to-day staff level.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Behind the $228,000 in fines
Ask what specific deficiencies triggered the two CMS fines totaling $228,569 and what corrective steps have been completed or are still underway.
RN staffing on nights and weekends
With 19 daily RN minutes per resident and a 70% RN turnover rate, ask how many registered nurses are on duty during overnight and weekend shifts specifically.
Why quality measures rate so differently
CMS rates quality-of-care outcomes at 5 stars while health inspections rate 1 star — ask how the facility explains that gap and which inspection deficiencies remain open.
Administrator continuity going forward
An administrator left within the past year — ask how long the current administrator has been in the role and whether that person is expected to remain long-term.
Staffing levels on a typical day
Weekend nursing hours average 2.7 hours per resident versus 3.0 on weekdays — ask how staffing is scheduled across all seven days and how call-outs are covered.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.