Nursing home in Willis, Texas
Willis Nursing and Rehabilitation
Medicare and Medicaid
3000 N. Danville St., Willis, TX 77378
(936) 856-4312
CMS star ratings
CMS gives this nursing home an overall star rating of 4 out of 5. Each rating is compared with the mean of rated nursing homes in Texas (1,165 for the overall rating) and in the U.S. (14,565). How to read an inspection report.
Overall rating
- This nursing home4
- Texas average2.7 (1,165 rated)
- U.S. average3.0 (14,565 rated)
Health inspections
- This nursing home5
- Texas average2.8 (1,165 rated)
- U.S. average2.8 (14,565 rated)
Staffing
- This nursing home1
- Texas average1.9 (1,163 rated)
- U.S. average2.9 (14,494 rated)
Quality measures
- This nursing home4
- Texas average3.7 (1,162 rated)
- U.S. average3.6 (14,495 rated)
Health inspections
Most recent standard health inspection (rating cycle 1): Aug 21, 2025. CMS counts 3 health deficiencies in rating cycle 1.
- This nursing home3
- Texas average9.4 (1,171 with data)
- U.S. average9.2 (14,652 with data)
Rating cycle 1 health deficiencies. Averages include every nursing home with a count in the CMS file; fewer is better.
Deficiencies since Sep 30, 2023
Inspectors cited 10 health deficiencies on 5 inspection dates since Sep 30, 2023. By level of harm: 1 actual harm, 9 potential for harm.
- 0 Immediate jeopardy to resident health or safety
- 1 Actual harm
- 9 No actual harm, potential for more than minimal harm
- 0 No actual harm, potential for minimal harm
| Date | Tag | Deficiency | Scope and severity | Inspection type | Status |
|---|---|---|---|---|---|
| Dec 3, 2025 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Dec 31, 2025 |
| Aug 21, 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Sep 18, 2025 |
| Aug 21, 2025 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.Environmental Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Sep 18, 2025 |
| Jun 28, 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Jul 23, 2024 |
| Oct 20, 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies | G Actual harm, isolated | Complaint | Past Non-Compliance Oct 20, 2023 |
| Oct 20, 2023 | F0761 | 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.Pharmacy Service Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Nov 30, 2023 |
| Oct 19, 2023 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.Resident Rights Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Nov 30, 2023 |
| Oct 19, 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Nov 30, 2023 |
| Oct 19, 2023 | F0693 | 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.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Nov 30, 2023 |
| Oct 19, 2023 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Nov 30, 2023 |
Staffing
Total nurse staffing
Reported hours per resident per day.
- This nursing home2.77 hours
- Texas average3.39 hours (1,148 with data)
- U.S. average3.86 hours (14,351 with data)
Registered nurse staffing
Reported hours per resident per day.
- This nursing home0.37 hours
- Texas average0.43 hours (1,148 with data)
- U.S. average0.69 hours (14,351 with data)
Nursing staff turnover
Share of nursing staff who left during the year, as reported to CMS.
- This nursing home40.0%
- Texas average55.3% (1,051 with data)
- U.S. average45.8% (13,538 with data)
Penalties
CMS lists 1 penalty for this nursing home: 1 fine totaling $7,443, and 0 payment denials. CMS counts penalties from the last 3 years.
Facility details
| Certified beds | 114 |
|---|---|
| Average residents per day | 49.5 |
| Ownership | For profit - Limited Liability company |
| Provider type | Medicare and Medicaid |
| Inside a hospital | No |
| Continuing care retirement community | No |
| Resident and family council | Resident |
| Automatic sprinklers in all required areas | Yes |
| Chain | Slp Operations (7 facilities) |
| Legal business name | SLP WILLIS LLC |
| First approved for Medicare and Medicaid | Feb 2, 1994 |
| County | Montgomery |
| CMS certification number | 675274 |