Nursing home report
NACOGDOCHES, TX · Medicare-certified · 166 beds
WILLOWBROOK NURSING CENTER has an overall rating of 3 out of 5 stars. Its staffing is a major concern at 1 out of 5 stars, with reported nurse staffing of 3.14 hours per resident per day below the federal benchmark of 4.1, and it has had $153,439 in fines in the last 24 months plus a recent federal penalty.
Health inspections
Staffing
3.1362 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1362.
Hours per resident per day.
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited July 2025 — limited pattern, potential for harm.
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited July 2025 — limited pattern, potential for harm.
F-Tag 550 — 42 CFR §483.10(a) — S/S: E
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited June 2024 — limited pattern, potential for harm.
F-Tag 584 — 42 CFR §483.10 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2024 — limited pattern, potential for harm.
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 6 health deficiencies.
Health inspection found 1 health deficiency.
A federal fine of $153,439 was recorded.
Health inspection found 1 health deficiency.
On record with Medicare: 1 fine · $153,439 in total fines.
Federal fine
Mar 19, 2025
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.
