Willowbrook Nursing Center
227 Russell Blvd, Nacogdoches, TX, 75965
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Order the reportFederal 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 June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Hmg Healthcare
- Certified beds
- 166 · avg 108 residents/day
- Total nursing staff turnover
- 52.9% — near the Texas averageTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 50% — near the Texas averageTexas avg: 52.8% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $153,439 total
Medicare certification
- CMS Certification Number
- 455700
- Certified beds
- 166 beds · avg 108 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Winnie-Stowell Hospital District
- Chain affiliation
- Hmg Healthcare
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Hmg Healthcare chain — 33 facilities across 2 states. Chain-wide average overall rating 3.3 / 5.
Disclosed owners (23 on record)
- James l Sanders
Operational/managerial Control · since 2023
- Andrea Casper
Adp of The Snf · since 2022
- Cibc Bank Usa
Operational/managerial Control · since 2021
- Zions Bancorporation
Operational/managerial Control · since 2021
- Hmg Park Manor of Willowbrook Llc
Operational/managerial Control · 100% · since 2020
- Hmg Partners ii Llc
Operational/managerial Control · since 2020
+ 17 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 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 23)
- E0550·Jul 9, 2025Complaint
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E0880·Jul 9, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0805·Jul 9, 2025
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- D0689·Jul 9, 2025
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0677·Jul 9, 2025
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D0641·Jul 9, 2025
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- D0755·May 28, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- J0689·Mar 19, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Federal penalties
By year
- 20251 fine · $153K
Most recent events
- Mar 19, 2025Fine · $153K
Fire-safety citations
4 Life-Safety-Code citations on file. Most recent: Jun 19, 2024. 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 Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Willowbrook Nursing Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.