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Nursing homeFAID #12160

Willowbrook Nursing Center

227 RUSSELL BLVD, NACOGDOCHES, TX, 75965

(936) 564-4596

www.willowbrooknursingcenter.com

166 licensed beds

CMS rates Willowbrook Nursing Center 3 out of 5 overall. Federal inspectors issued 27 citations across 10 inspections in the last three years, with $153,439 in fines. Listing last updated 2026-11-06.

★★★★★3/5CMS Five-Star overall3/5 health inspections1/5 staffing5/5 quality measuresSource: CMS Care Compare

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Photo via Google · Willowbrook Nursing Center

Address

227 Russell Blvd

Nacogdoches, TX 75965

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Public record summary

What we can show you for free.

Bed capacity

166

CMS facility ID

455700

Care type

Nursing home

County

Nacogdoches

Facility name

Willowbrook Nursing Center

Street address

227 RUSSELL BLVD

City / state / ZIP

Nacogdoches, TX 75965

Phone

(936) 564-4596

Website

www.willowbrooknursingcenter.com

About this facility — Willowbrook Nursing Center

Willowbrook Nursing Center is a Medicare/Medicaid-certified skilled nursing facility in Nacogdoches, Texas. It is licensed for 166 beds — above the median for skilled nursing facilities in Texas (120 beds).

It is one of 5 senior care facilities in Nacogdoches and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Hmg Healthcare, a group of 31 facilities on this site.

Federal inspectors have cited Willowbrook Nursing Center 27 times across 10 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $153,439 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Hmg Healthcare

Ownership type

For profit - Limited Liability company

Registered owners & officers

Balsamo, Krystal

Operational control · Additional disclosable party — since 2018

Benavides, Rhonda

Operational control · Additional disclosable party — since 2001

Casper, Andrea

Operational control · Additional disclosable party — since 2022

Cibc Bank Usa

Direct owner · Operational control · Additional disclosable party — since 2018

Culp, Roland

Operational control · Additional disclosable party — since 2018

Daspit, Laurence

Operational control · Additional disclosable party — since 2018

Dohn, William

Operational control · Additional disclosable party — since 2018

Forvis Mazars Llp

Direct owner · Operational control · Additional disclosable party — since 2018

Hmg Park Manor of Willowbrook Llc

Operational control — since 2020

Hmg Partners Ii Llc

Operational control — since 2020

Lindemann, Carey

Additional disclosable party — since 2018

Murrell, Edward

Officer · Operational control — since 2012

Pico, Ana

Operational control · Additional disclosable party — since 2018

Prince, Derek

Operational control · Owner of a disclosable party · Additional disclosable party — since 2018

Reinarz, Christian

Operational control · Additional disclosable party — since 2018

Rollo, Jeffery

Officer · Operational control — since 2012

Sanders, James

Operational control · Additional disclosable party — since 2023

Stanbridge, Norma

Additional disclosable party — since 2018

Stramecki, Anthony

Director · Officer · Operational control — since 2016

Vratis, Kacey

Operational control — since 2018

Way, George

Director · Operational control — since 2005

Zions Bancorporation

Direct owner · Operational control · Additional disclosable party — since 2018

Regulatory standing

Federal court records

1 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1987-04-28

CMS overall rating

3 of 5 stars

Health deficiencies

6 at the last standard inspection

Federal fines

$153,439 total

Last standard inspection

2025-07-09

Nurse staffing

3.2 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges

$323 per day (≈ $9,820/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

72% Medicaid · 6% Medicare · 21% private/other

Occupancy

62% (fiscal year 2024)

Vs. state median

17% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

166

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.

2025-07-09Health inspectionComplaint-triggered6 citations

F-0550

E · No harm foundFrom a complaint

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-07-10

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2025-07-10

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-07-10

F-0689

D · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-07-10

F-0805

D · No harm foundFood safety

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2025-07-10

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-07-10

2025-05-28Health inspectionComplaint-triggered1 citation

F-0755

D · No harm foundFrom a complaint

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-06-15

5 earlier / fire-safety inspections (20 citations)

2025-03-19Health inspectionComplaint-triggered1 citation

F-0689

J · Immediate jeopardyFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-03-20

2024-06-19Health inspectionComplaint-triggered10 citations

F-0584

E · No harm found

Honor 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.

Corrected 2024-07-05

F-0636

D · No harm found

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2024-07-05

F-0689

E · No harm foundFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-07-05

F-0693

D · No harm found

Ensure 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.

Corrected 2024-07-05

F-0732

C · No harm foundFrom a complaint

Post nurse staffing information every day.

Corrected 2024-07-05

F-0755

D · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-07-05

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-07-05

F-0908

D · No harm foundFrom a complaint

Keep all essential equipment working safely.

Corrected 2024-07-05

F-0919

D · No harm found

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2024-07-05

F-0925

E · No harm found

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2024-07-05

2023-04-19Health inspection5 citations

F-0584

E · No harm found

Honor 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.

Corrected 2023-05-05

F-0690

D · No harm found

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2023-05-05

F-0761

D · No harm found

Ensure 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.

Corrected 2023-05-05

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-05-05

F-0926

E · No harm found

Have policies on smoking.

Corrected 2023-05-05

2024-06-19Fire-safety inspection3 citations

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-08-29

K-0511

E · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2024-08-29

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-08-29

2023-04-19Fire-safety inspection1 citation

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-06-27

Federal penalties

2025-03-19Fine$153,439

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 455700.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 32% of nursing homes in the state

State median: 33

Federal fines, 3 years

$153,439

More than 92% of nursing homes in the state

State median: $15,642

Nurse staffing, hours per resident per day

3.2

Higher than 37% of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

52%

Higher than 54% of nursing homes in the state

State median: 50%

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 12 and worse on 2. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	10.4%	15.8%	13.5%	Better than state
Lose too much weight	3.5%	2.9%	5.1%	Worse than state
With a catheter inserted and left in their bladder	0.0%	0.3%	0.7%	Better than state
With a urinary tract infection	0.0%	0.8%	1.5%	Better than state
Have depressive symptoms	2.5%	2.3%	13.5%	Near state average
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	5.0%	3.2%	3.2%	Worse than state
Assessed and appropriately given the pneumococcal vaccine	97.9%	96.4%	93.7%	Near state average
Ability to walk independently worsened	7.2%	12.9%	12.7%	Better than state
Received an antianxiety or hypnotic medication	10.7%	17.8%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	98.0%	97.0%	95.3%	Near state average
With pressure ulcers	2.0%	3.7%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	10.6%	12.5%	18.3%	Better than state
Received an antipsychotic medication	7.9%	9.8%	15.4%	Better than state
Hospitalizations per 1000 long-stay resident days	2.10	2.05	1.81	Near state average
Outpatient emergency department visits per 1000 long-stay resident days	0.66	1.97	1.69	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	81.9%	88.7%	82.3%	Near state average
Newly received an antipsychotic medication	0.0%	1.4%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	80.7%	85.4%	80.1%	Near state average
Were rehospitalized after a nursing home admission	27.9%	25.5%	23.4%	Near state average
Had an outpatient emergency department visit	4.3%	12.2%	11.8%	Better than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0689 3 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0755 2 inspections. Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F-0584 2 inspections. Honor 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.
F-0812 2 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

What its owners also hold

Forvis Mazars Llp has an ownership stake on file at 295 nursing homes, averaging 3.1 of 5 on CMS's overall rating.
Cibc Bank Usa has an ownership stake on file at 208 nursing homes, averaging 2.9 of 5 on CMS's overall rating.
Zions Bancorporation has an ownership stake on file at 24 nursing homes, averaging 3.4 of 5 on CMS's overall rating.

Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

Licensing: Texas Health and Human Services
File a complaint: 800-458-9858 · Online
Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Nacogdoches Medical Center, about 0.1 miles. CMS rating 3 of 5.
Nacogdoches Memorial Hospital, about 2.8 miles. CMS rating 2 of 5.
Chi St Lukes Health Memorial Lufkin, about 22 miles. CMS rating 2 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Stallings Court Nursing and Rehabilitation, Nacogdoches, about 0.4 miles. CMS rating 5 of 5.
Westward Trails Nursing and Rehabilitation, Nacogdoches, about 2.1 miles. CMS rating 3 of 5.
Garrison Nursing Home & Rehabilitation Center, Garrison, about 15 miles. CMS rating 3 of 5.
Wells Ltc Nursing & Rehabilitation, Wells, about 20 miles. CMS rating 1 of 5.
Southland Rehabilitation and Healthcare Center, Lufkin, about 22 miles. CMS rating 3 of 5.

Visitor reviews

What people say on Google.

3.940 ratings on Google

★★★Me “SOMEBODY #6,222,222,222” · 2026-08-07 · via Google
“As a resident for a month, I can give my opinion of Willowbrook. The building itself is nice. The rooms are nice and spacious with room for visitors to come sit down as it’s nicely furnished. The aids are just OK. I’m at their mercy to come and help me.”

★Patricia Gilbert · 2023-08-29 · via Google
“I have a family member in Willowbrook for physical therapy after knee replacement surgery. The facility is nice and clean and employees are very nice. My problem with this facility is the quality of the food that is served. Kitchen has been told all she needs to eat is protein no starches, just meat and vegetables. They keep serving her pasta, potatoes, breads, stuff she's not supposed to eat. The…”

★★★★★Ebonney Brown · 2022-12-02 · via Google
“I visited the facility today because I’m a hairstylist and I was going to do a clients hair. Upon my arrival the receptionist was very nice, she walked me through how to check in then directed me on where to go. All the staff were super nice! The salon was very clean and all the products were in place. All the residents I could see looked very well kept and happy!”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

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The 27 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered