The nursing home failed to prepare residents for a safe transfer or discharge. Cited December 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 624 — 42 CFR §483.15 — S/S: K
Nursing home report
WILLOW REHAB & NURSING
KILGORE, TX · Medicare-certified · 118 beds
Needs attention
For-profitChain member
2 of 5 overall
Willow Rehab & Nursing in Kilgore, TX has a 2-star overall rating, with very low health inspection and staffing ratings (1 star each) despite a 5-star quality measures rating. It also has recent federal penalties and $228,569 in fines over the last 24 months, and reported nurse staffing of 2.98 hours per resident per day is below the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
2.9782 hrs/resident/day
Quality measures
Last inspection: June 13, 2025Penalties, last 24 months: $228,569recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.9782.
Staffing detail
- Registered nurses
- 0.30
- Licensed practical nurses
- 0.77
- Nurse aides
- 1.91
- Weekend nursing
- 2.72
Hours per resident per day.
Total staff turnover: 54%
Registered nurse turnover: 50%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
2.1%Improving
Residents with a fall causing major injury
4.3%Improving
Residents with pressure ulcers (bedsores)
4.9%Improving
Residents with a urinary tract infection
1%Worsening
Residents who lost too much weight
3.7%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
11.1%Improving
Residents whose ability to walk got worse
11.1%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
25.3%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
13.6%Improving
Residents with depressive symptoms
0.7%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
85.5%Steady
Short-stay residents given the pneumonia vaccine
93%Improving
What the inspectors found
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited June 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 695 — 42 CFR §483.25(i) — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited December 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited October 2022 — isolated incident, actual harm.
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F-Tag 755 — 42 CFR §483.45 — S/S: G
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited October 2022 — isolated incident, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $26,685 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 12 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $201,884 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $228,569 in total fines.
- $26,685
Federal fine
Jun 13, 2025
- $201,884
Federal fine
Dec 12, 2024
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of ADVANCED HEALTHCARE SOLUTIONS · 30 homes · 3 stars avg
- Occupancy
- 93.4 residents on an average day (79% of 118 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 22 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.