For profit - Limited Liability company · 114 certified beds · CMS number 675274
Willis Nursing and Rehabilitation, Willis, TX
CMS records 13 health deficiencies at Willis Nursing and Rehabilitation in Willis, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Aug 21, 2025. The highest severity cited is G (actual harm (not immediate jeopardy)). CMS lists 1 fine totaling $7,443 in the last three years.
- 13deficiencies, 3 cycles (TX median 25)
- 3in the latest cycle (TX median 8)
- Ghighest severity · Actual harm
- $7,443fines, last 3 years
- 4CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Willis Nursing and Rehabilitation as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Willis Nursing and Rehabilitation may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (3 deficiencies)
Standard inspection Aug 21, 2025. CMS counts 3 health deficiencies and 3 fire safety deficiencies in this cycle.
Dec 3, 2025 · Complaint inspection
1 deficiency, highest D
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 Dec 31, 2025
Aug 21, 2025 · Standard inspection
2 deficiencies, highest D
F925 · Pest control
Requirement cited (CMS): Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 18, 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 Sep 18, 2025
Previous cycle: 1 deficiency (standard inspection Jun 28, 2024)
Standard inspection Jun 28, 2024. CMS counts 1 health deficiency and 2 fire safety deficiencies in this cycle.
Jun 28, 2024 · Standard inspection
1 deficiency, highest E
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 Jul 23, 2024
Earlier cycle: 9 deficiencies (standard inspection May 11, 2023)
Standard inspection May 11, 2023. CMS counts 9 health deficiencies and 3 fire safety deficiencies in this cycle.
Oct 20, 2023 · Complaint inspection
2 deficiencies, highest G
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 Nov 30, 2023
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
- G Actual harm (not immediate jeopardy), isolated
- Status
- Past non-compliance (fixed before the inspection), Oct 20, 2023
Oct 19, 2023 · Complaint inspection
4 deficiencies, highest D
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 Nov 30, 2023
F693 · Feeding tube use and care
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 30, 2023
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 Nov 30, 2023
F557 · Respect and personal belongings
Requirement cited (CMS): Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 30, 2023
May 11, 2023 · Standard inspection
3 deficiencies, highest E
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 22, 2023
F553 · Taking part in care planning
Requirement cited (CMS): Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 22, 2023
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 22, 2023
Tags cited in more than one inspection
1 tag cited on more than one inspection date at Willis Nursing and Rehabilitation; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F880 Infection prevention and control program | 2 | Dec 3, 2025; Oct 19, 2023 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Oct 19, 2023 | Fine | $7,443 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 2.77 h (below the Texas median of 3.27 h)
- RN hours per resident per day
- 0.37 h (about the same as the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.20 h
- Nursing staff turnover
- 40.0% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 4 of 5
- Health inspection rating
- 5 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 4 of 5
CMS figures for Willis Nursing and Rehabilitation, copied as published; Texas medians are ours.
Facility details
- Address
- 3000 N. Danville St., Willis, TX 77378
- Phone
- (936) 856-4312
- County
- Montgomery
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Chain (CMS)
- SLP Operations
- Certified beds
- 114
- Average residents per day
- 49.5
- In Medicare/Medicaid since
- Feb 2, 1994
- Inside a hospital
- No
- 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 do staff track and report infections among residents? (F880, cited 2 times)
- How do staff learn about and respect each resident's personal routines and choices? (F550, cited 1 time)
- How often are care plan meetings held, and can family members attend? (F553, cited 1 time)
- What personal items and furniture can residents bring for their rooms? (F557, cited 1 time)
Other nursing homes in Willis and the same chain
- The Oaks at Radford Hills Healthcare Center
Abilene · 49 deficiencies - Seabreeze Nursing and Rehabilitation
Texas City · 41 deficiencies - Diboll Nursing and Rehab
Diboll · 33 deficiencies - Lynwood Nursing and Rehabilitation
Levelland · 31 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.