All states › Texas › Nacogdoches › Willowbrook Nursing Center
227 Russell Blvd Nacogdoches, TX 75965 · Nacogdoches County
All 3 nursing homes in Nacogdoches, TX (3 take Medicaid)
CMS certification number 455700 · See this home on Medicare Care Compare
Is Willowbrook Nursing Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Willowbrook Nursing Center as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.18 hours per resident per day at Willowbrook Nursing Center, below the Texas median of 3.30 (US median: 3.72). About 0.23 of those hours are from registered nurses. On weekends it falls to 2.75 hours, 14% below its all-week average. 51.5% of nursing staff left within a year (Texas median 50.2%).
About this nursing home
Paying for care at Willowbrook Nursing Center: Medicare and Medicaid
Willowbrook Nursing Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on July 9, 2025 and found 5 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 23 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 23 citations at Willowbrook Nursing Center across 5 inspection dates, 6 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on March 19, 2025 (complaint inspection). The most common areas cited were quality of life and care (6) and environmental (4). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level J, March 19, 2025).
July 9, 2025 · 6 citations · includes complaint inspection
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EProvide and implement an infection prevention and control program.
DEnsure each resident receives an accurate assessment.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
May 28, 2025 · 1 citation · includes complaint inspection
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
March 19, 2025 · 1 citation, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
June 19, 2024 · 10 citations · includes complaint inspection
EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
DEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DKeep all essential equipment working safely.
DMake sure that a working call system is available in each resident's bathroom and bathing area.
CPost nurse staffing information every day.
April 19, 2023 · 5 citations
EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EHave policies on smoking.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DEnsure 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.
Questions to ask on a tour of Willowbrook Nursing Center
- Inspectors cited the home at the immediate-jeopardy level on March 19, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $153,439 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Mar 19, 2025 | Fine | $153,439 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 3/5 | 1/5 | 5/5 |
| August 2026 | 3/5 | 3/5 | 1/5 | 5/5 |
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Location
Hospitals near Willowbrook Nursing Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.1 mi
Nacogdoches Medical Center NacogdochesEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 36m for patients treated and sent home
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2.9 mi
Nacogdoches Memorial Hospital NacogdochesEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 54m for patients treated and sent home
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22.5 mi
CHI St Lukes Health Memorial Lufkin LufkinEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 44m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Willowbrook Nursing Center › All nursing homes in Nacogdoches ›
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Affiliation comes from CMS's affiliated-entity data, October 2026. All 31 Hmg Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.