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F
Critical

WILLOWBROOK NURSING CENTER

227 RUSSELL BLVD · NACOGDOCHES, TX 75965

9365644596 · For profit - Limited Liability company

166 beds112 residents127 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
D
Poor
Total Staff
F
Critical
RN Staff
F
Critical
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

WILLOWBROOK NURSING CENTER receives an overall staffing grade of F (Critical). With 2.9976 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.2016 HPRD, below the recommended 0.75. It is 0.90 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 15.03% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (3)

⚠️Had 1 day with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.
🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 2.9976 HPRD — needs 0.48 more hours per resident per day.
⚠️RN staffing (0.2016 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅Low agency staff usage (0%) — mostly permanent, familiar staff
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
2.9976hrs/resident/day▼ 0.90
CMS benchmark: 3.48
RN HPRD
0.2016hrs/resident/day▼ 0.48
Recommended: 0.75
Weekend Drop-off
15.03%
3.1306 weekday → 2.66 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
1days this quarter
4+ days = auto 1-star
CNA HPRD
1.5617hrs/resident/day
Direct care aides
LPN HPRD
1.0346hrs/resident/day
Licensed practical nurses
Consistency
0.2668std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Nacogdoches County Average-0.57 HPRD
3.57
03.00 HPRD
vs. Texas State Average-0.41 HPRD
3.40
03.00 HPRD
vs. National Average-0.90 HPRD
3.90
03.00 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
WILLOWBROOK NURSING CENTER ★
NACOGDOCHES · This facility
—
F
2.99760.2016★★☆☆☆
PARKWOOD IN THE PINES
LUFKIN
22.3 mi
F
3.30950.2205★★☆☆☆
Kennedy Health & Rehab
Lufkin
22.8 mi
F
2.99590.1952★☆☆☆☆
Avir at Center
CENTER
30.4 mi
D
3.42190.3213★★★☆☆
THE ARBORS HEALTHCARE AND REHABILITATION CENTER
RUSK
30.8 mi
C
3.20880.4415★★★★☆
OAK BROOK HEALTH CARE CENTER
WHITEHOUSE
51.1 mi
D
3.63260.3958★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
23
Total Deficiencies
$153,439
Fines Assessed
Jul 9, 2025Health
6 deficiencies cited
▼
May 28, 2025Health
1 deficiency cited
▼
Mar 19, 2025Health
1 deficiency cited· Includes actual harm
▼
Jun 19, 2024Health
10 deficiencies cited
▼
Apr 19, 2023Health
5 deficiencies cited
▼

Penalty History

Mar 19, 2025Fine
$153,439
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.