Crestwood Health And Rehabilitation Center
1448 HOUSTON STREET, Wills Point, TX, 75169
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: The Ensign Group
- Certified beds
- 117 · avg 67 residents/day
- Total nursing staff turnover
- 70.3% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 42.9% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 2 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 307661
- Service type
- Medicare/medicaid
- Licensed capacity
- 117 beds
- Bed type breakdown
- 24 Medicare-only · 93 Medicaid/Medicare
- Current license effective
- December 1, 2025
- Current license expires
- December 1, 2028
- Initial license date
- September 2, 1972
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Eastland Memorial Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Appaloosa Healthcare Llc
- Administrator
- Kendra Betz
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the The Ensign Group chain — 329 facilities across 17 states. Chain-wide average overall rating 3.2 / 5.
Disclosed owners (12 on record)
- Appaloosa Healthcare, Inc.
Adp of The Snf · since 2025
- Stephen c Taylor
Corporate Officer · since 2025
- Kevin Scott Jensen
Managing Control - Governing Body · since 2024
- Bluebird Creek Health Holdings Llc
Adp of The Snf · since 2019
- Eastland Memorial Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2019
- Jorge Rojas
Operational/managerial Control · since 2019
+ 6 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
Recent health-deficiency citations (most recent 8 of 10)
- E0572·Oct 16, 2024
Resident Rights Deficiencies
Give residents a notice of rights, rules, services and charges.
- D0609·Aug 30, 2024Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- B0583·Aug 23, 2023Complaint
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
- C0732·Aug 23, 2023
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
- D0695·Aug 23, 2023
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- E0677·Aug 23, 2023
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E0641·Aug 23, 2023
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- D0755·Jun 21, 2023Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Fire-safety citations
7 Life-Safety-Code citations on file. Most recent: Oct 16, 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
Crestwood Health and Rehabilitation Center is a 117-bed nursing home in Wills Point, Van Zandt County, licensed for Medicare and Medicaid. CMS rates it 5 stars overall — but that headline splits sharply: health inspections earn 5 stars while staffing earns 2 stars and long-stay quality measures earn 2 stars. The facility is running at roughly 57% of licensed capacity. Managed by Appaloosa Healthcare under licensee Eastland Memorial Hospital District.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 2 stars. Each resident receives about 200 minutes of nursing care per day — roughly 41 minutes less than at a 4-star-staffing facility in Texas, which sits at 241 minutes. About 32% of Texas nursing homes share this staffing rating, so it falls in the lower tier statewide.
Roughly 7 in 10 nursing staff left in the past year. Texas nursing homes at the 75th percentile of turnover reach 60%; 70% places this facility well above that threshold. A long-stay resident will likely cycle through two or three primary caregivers over the course of a year.
Two administrators have left in the past year. That level of leadership change creates organizational instability that filters down to day-to-day care routines.
The facility is operating at approximately 57% of its 117 licensed beds — about 67 residents on an average day. Paired with high staff turnover and administrator departures, that low occupancy is a concrete detail to explore when visiting.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
What's behind the staffing rating
With a 2-star staffing rating and about 200 nursing minutes per resident per day, ask how the facility plans to close that gap and whether hiring is currently underway.
Nursing staff turnover this past year
Seven in ten nursing staff left in the past year — ask which units saw the most departures and how long current staff in your parent's potential wing have been on the job.
Two administrators in twelve months
Two administrators have turned over in the past year; ask who is leading the building now and how long they have been in the role.
Why occupancy is at 57 percent
The facility averaged about 67 residents against 117 licensed beds — ask whether the low census reflects recent admissions slowdowns, staffing constraints, or a planned reduction.
Quality measures and care planning
Long-stay quality measures rate 2 stars despite a 5-star inspection score — ask how care plans are reviewed and updated when a resident's condition changes.
Management company's role on-site
Day-to-day operations are managed by Appaloosa Healthcare while the license is held by Eastland Memorial Hospital District — ask which entity sets staffing levels and handles complaints.
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.