For profit - Limited Liability company · 118 certified beds · CMS number 676007

Willow Rehab & Nursing, Kilgore, TX

CMS records 33 health deficiencies at Willow Rehab & Nursing in Kilgore, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Apr 1, 2026. The highest severity cited is K (immediate jeopardy to resident health or safety). 3 citations were at the immediate jeopardy level. CMS lists 2 fines totaling $219,229 in the last three years.

Inspections and deficiencies

CMS findings for Willow Rehab & Nursing as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Willow Rehab & Nursing may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (5 deficiencies)

Standard inspection Apr 1, 2026. CMS counts 5 health deficiencies and 2 fire safety deficiencies in this cycle.

Apr 1, 2026 · Standard inspection

5 deficiencies, highest E

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 6, 2026

F761 · Drug labeling and secure storage

Requirement cited (CMS): 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.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Apr 6, 2026

F695 · Respiratory and oxygen care

Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 6, 2026

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 6, 2026

F558 · Accommodating individual needs and preferences

Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 6, 2026
Previous cycle: 15 deficiencies (standard inspection Jan 30, 2025)

Standard inspection Jan 30, 2025. CMS counts 15 health deficiencies and 4 fire safety deficiencies in this cycle.

Jun 13, 2025 · Complaint inspection

1 deficiency, highest J

F695 · Respiratory and oxygen care

Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.

Severity
J Immediate jeopardy to resident health or safety, isolated
Status
Correction date Jun 30, 2025

Jan 30, 2025 · Standard + complaint inspection

12 deficiencies, highest E

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Feb 28, 2025

F849 · Hospice services

Requirement cited (CMS): Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 28, 2025

F813 · Food brought in by visitors

Requirement cited (CMS): Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Feb 28, 2025

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Feb 28, 2025

F761 · Drug labeling and secure storage

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 28, 2025

F759 · Medication error rate under 5 percent

Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 28, 2025

F695 · Respiratory and oxygen care

Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 28, 2025

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Feb 28, 2025

F677 · Help with daily care

Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 28, 2025

F645 · Pre-admission screening for mental disorder or intellectual disability

Requirement cited (CMS): PASARR screening for Mental disorders or Intellectual Disabilities

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 28, 2025

F602 · Protecting residents' money and belongings

Requirement cited (CMS): Protect each resident from the wrongful use of the resident's belongings or money.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Feb 28, 2025

F558 · Accommodating individual needs and preferences

Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 28, 2025

Dec 12, 2024 · Complaint inspection

2 deficiencies, highest K

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
J Immediate jeopardy to resident health or safety, isolated
Status
Correction date Dec 13, 2024

F624 · Preparing residents for a move

Requirement cited (CMS): Prepare residents for a safe transfer or discharge from the nursing home.

Severity
K Immediate jeopardy to resident health or safety, pattern
Status
Correction date Dec 13, 2024
Earlier cycle: 13 deficiencies (standard inspection Dec 12, 2023)

Standard inspection Dec 12, 2023. CMS counts 13 health deficiencies and 2 fire safety deficiencies in this cycle.

Dec 12, 2023 · Standard inspection

10 deficiencies, highest F

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 11, 2024

F851 · Reporting staffing data to CMS

Requirement cited (CMS): Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Severity
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date Jan 11, 2024

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date Jan 11, 2024

F755 · Pharmacy services and a consultant pharmacist

Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 11, 2024

F727 · RN coverage and director of nursing

Requirement cited (CMS): Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jan 11, 2024

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 11, 2024

F677 · Help with daily care

Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 11, 2024

F645 · Pre-admission screening for mental disorder or intellectual disability

Requirement cited (CMS): PASARR screening for Mental disorders or Intellectual Disabilities

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 11, 2024

F644 · Coordinating with PASARR screening

Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 11, 2024

F550 · Dignity and the right to exercise rights

Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 11, 2024

Oct 16, 2023 · Complaint inspection

3 deficiencies, highest E

F842 · Complete, confidential medical records

Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Nov 17, 2023

F697 · Pain management

Requirement cited (CMS): Provide safe, appropriate pain management for a resident who requires such services.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Nov 17, 2023

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Nov 17, 2023

Tags cited in more than one inspection

8 tags cited on more than one inspection date at Willow Rehab & Nursing; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F689 Accident prevention and supervision4Apr 1, 2026; Jan 30, 2025; Dec 12, 2024; Dec 12, 2023
F695 Respiratory and oxygen care3Apr 1, 2026; Jun 13, 2025; Jan 30, 2025
F880 Infection prevention and control program3Apr 1, 2026; Jan 30, 2025; Dec 12, 2023
F558 Accommodating individual needs and preferences2Apr 1, 2026; Jan 30, 2025
F645 Pre-admission screening for mental disorder or intellectual disability2Jan 30, 2025; Dec 12, 2023
F677 Help with daily care2Jan 30, 2025; Dec 12, 2023
F761 Drug labeling and secure storage2Apr 1, 2026; Jan 30, 2025
F812 Food safety and sanitation2Jan 30, 2025; Dec 12, 2023

Fines and payment denials

DateTypeAmount / length
Jun 13, 2025Fine$17,345
Dec 12, 2024Fine$201,884

Staffing and CMS ratings

Total nurse staff hours per resident per day
3.16 h (about the same as the Texas median of 3.27 h)
RN hours per resident per day
0.30 h (below the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
2.81 h
Nursing staff turnover
43.8% (Texas median 52.1%)
Administrators who left
0
CMS overall rating
3 of 5
Health inspection rating
2 of 5
Staffing rating
2 of 5
Quality measure rating
5 of 5

CMS figures for Willow Rehab & Nursing, copied as published; Texas medians are ours.

Facility details

Address
1901 Whippoorwill, Kilgore, TX 75662
Phone
(903) 983-7775
County
Gregg
Accepts
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Chain (CMS)
Advanced Healthcare Solutions
Certified beds
118
Average residents per day
93.4
In Medicare/Medicaid since
Mar 3, 2004
Inside a hospital
Yes
Continuing care retirement community
No
Resident and family council
Resident
Sprinklers in all required areas
Yes

Questions to ask on a visit

Based on the tags cited most often here.

  • How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 4 times)
  • How are oxygen equipment and breathing treatments managed and checked? (F695, cited 3 times)
  • How do staff track and report infections among residents? (F880, cited 3 times)
  • How does the home adapt rooms and routines for residents with limited mobility, vision, or hearing? (F558, cited 2 times)

Other nursing homes in Kilgore and the same chain

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

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