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 HHS 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 HHS licensing registry · as of April 16, 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 HHS 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.