Willowbrook Nursing Center
227 RUSSELL BLVD, Nacogdoches, TX, 75965
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 - Limited Liability company · Chain: Hmg Healthcare
- Certified beds
- 166 · avg 112 residents/day
- Total nursing staff turnover
- 51.9% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 50% — near the Texas averageTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $153,439 total
State licensing & capacity
- License number
- 307709
- Service type
- Medicare/medicaid
- Licensed capacity
- 166 beds
- Bed type breakdown
- 10 Medicare-only · 156 Medicaid/Medicare
- Current license effective
- January 1, 2026
- Current license expires
- January 1, 2029
- Initial license date
- April 28, 1987
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Winniestowell Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Hmg Park Manor Of Willowbrook, Llc
- Administrator
- James L Sanders
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Hmg Healthcare chain — 33 facilities across 2 states. Chain-wide average overall rating 3.2 / 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 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 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 Mar 1, 2026.
About this community
Willowbrook Nursing Center is a 166-bed nursing home in Nacogdoches, Texas, licensed since 1987 and managed by HMG Park Manor of Willowbrook, LLC under the HMG Healthcare chain. CMS rates it 2 stars overall, with 1-star staffing and a $153,439 fine on record. Quality-of-care measures score 5 stars — the highest rating. The facility is operating at roughly 67% of licensed beds, with 112 residents on an average day.
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 about 38% of Texas nursing homes. Each resident receives approximately 180 minutes of nursing care per day, roughly 61 minutes less than at a 4-star-staffing facility in Texas. Registered nurse coverage is particularly thin at 12 minutes per resident per day, compared to 37 minutes at a 4-star-staffing facility in the state. Residents here require more hands-on care than at a typical facility — sicker or less mobile on average — so those already-limited hours stretch thinner than the raw numbers suggest.
CMS recorded one fine totaling $153,439. The state median fine across Texas nursing homes is $20,699, and about 30% of facilities in Texas have no fines at all. A single fine at this dollar amount is substantially above the typical range.
Despite the staffing and fine record, CMS rates this facility 5 stars on quality measures — the highest available — for both long-stay and short-stay residents. That rating reflects outcomes such as rates of pressure wounds, falls, and hospital readmissions. A 5-star quality-measure score alongside 1-star staffing is an unusual combination; the underlying data supports both figures.
The facility is operating at approximately 67% of its 166 licensed beds, with an average of 112 residents per day. Paired with the staffing and fine signals, low occupancy at a nursing home can reflect referral patterns or reputation in the local market.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
CMS records 180 total nursing minutes per resident per day and only 12 RN minutes — ask how many nurses and aides are on duty overnight and on weekends specifically.
The $153,439 fine
A single CMS fine of this size is well above the Texas median of $20,699 — ask what the citation was for and what the facility changed in response.
How 5-star quality scores are maintained
CMS rates quality measures at 5 stars despite 1-star staffing — ask which specific processes the facility uses to track outcomes like falls, infections, and hospital transfers.
Current bed availability and waitlist
The facility runs at about 67% occupancy — ask whether specific wings or care levels have different availability and what the admission timeline looks like.
Role of the Resident Council
The facility has a Resident Council but no Family Council — ask how family members are informed of council discussions and how concerns are formally escalated.
Management company responsibilities
The facility is licensed under Winniestowell Hospital District but managed by HMG Park Manor — ask which entity sets staffing budgets and handles day-to-day care decisions.
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.