Willowbrook Nursing Center — nursing home in Nacogdoches, TX

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 166 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 103.3 CMS, MDS-derived
CMS Certification Number: 455700
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Apr 28, 1987
Ownership type: For profit - Limited Liability company
Operator (legal business name): Winnie-Stowell Hospital District
CMS chain: Hmg Healthcare 31 facilities
Phone: (936) 564-4596
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

8

latest Jul 9, 2025

Citations

27

23 health · 4 fire

Harm or worse

1

1 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G·	H·	I·
Potential harm	D12	E12	F1
Minimal	A·	B·	C1

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

1

$153,439

Payment denials

0

Latest

Mar 19, 2025

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 455700
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 166
First approved: Apr 28, 1987
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Texas.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Jul 9, 2025	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Jul 9, 2025	Health	Health Complaint, Health Standard	6	Potential harm	—	Open →
May 28, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Mar 19, 2025	Health	Health Complaint	1	Immediate jeopardy	—	Open →
Jun 19, 2024	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Jun 19, 2024	Health	Health Complaint, Health Standard	10	Potential harm	—	Open →
Apr 19, 2023	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Apr 19, 2023	Health	Health Standard	5	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Mar 19, 2025	Civil money penalty (fine)	$153,439	—	455700\|Fine\|113709

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G·	H·	I·
Potential harm	D12	E12	F1
Minimal	A·	B·	C1

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jul 9, 2025	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jul 10, 2025	Complaint
Jul 9, 2025	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 10, 2025
Jul 9, 2025	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 10, 2025
Jul 9, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 10, 2025
Jul 9, 2025	F-0805	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Jul 10, 2025
Jul 9, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Jul 10, 2025
May 28, 2025	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jun 15, 2025	Complaint
Mar 19, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Corrected Mar 20, 2025	Complaint
Jun 19, 2024	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 29, 2024
Jun 19, 2024	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 29, 2024
Jun 19, 2024	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 29, 2024
Jun 19, 2024	F-0584	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jul 5, 2024
Jun 19, 2024	F-0636	Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 5, 2024
Jun 19, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jul 5, 2024	Complaint
Jun 19, 2024	F-0693	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 · Clinical care	D · Potential harm Isolated	Corrected Jul 5, 2024
Jun 19, 2024	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jul 5, 2024
Jun 19, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Jul 5, 2024
Jun 19, 2024	F-0908	Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 5, 2024	Complaint
Jun 19, 2024	F-0919	Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 5, 2024
Jun 19, 2024	F-0925	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 5, 2024
Jun 19, 2024	F-0732	Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision	C · Minimal Widespread	Corrected Jul 5, 2024	Complaint
Apr 19, 2023	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 27, 2023
Apr 19, 2023	F-0584	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected May 5, 2023
Apr 19, 2023	F-0690	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 5, 2023
Apr 19, 2023	F-0761	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 · Medication management	D · Potential harm Isolated	Corrected May 5, 2023
Apr 19, 2023	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected May 5, 2023
Apr 19, 2023	F-0926	Have policies on smoking. Environmental Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected May 5, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 2.8

Health inspectionsstate 2.8

Staffingstate 1.9

Quality measuresstate 3.8

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.18

State avg 3.42US avg 3.90

Registered nurse (RN)0.23

State avg 0.44US avg 0.69

Licensed practical nurse1.03

State avg 0.94US avg 0.86

Nurse aide1.93

State avg 2.03US avg 2.35

Weekend total nurse2.75

State avg 2.99US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.14 (case-mix index 1.42).

Staff turnover

Total nursing staff turnover51.5%

State avg 50.8%US avg 45.3%

Registered nurse turnoverNot reported

State avg 49.8%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jul 9, 2025
Cycle 1 health score: 32
Total weighted score: 56.75

Operating entity

Winnie-Stowell Hospital District

CMS legal business name of the certified provider. Operates 77 facilities.

VerifiedLinked by exact legal name

CMS chain

Hmg Healthcare

31 facilities in 2 states. CMS chain ID 272.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.2

Ownership disclosures

Disclosures

44

Organizations

5

Individuals

33

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Cibc Bank USA	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Apr 1, 2018
Forvis Mazars LLP	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Apr 1, 2018
Zions Bancorporation	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Apr 1, 2018

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Cibc Bank USA	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Apr 1, 2018
Forvis Mazars LLP	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Apr 1, 2018
Zions Bancorporation	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Apr 1, 2018
Derek Prince	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Sep 12, 2025
Cibc Bank USA	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2021
Forvis Mazars LLP	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2018
Hmg Park Manor of Willowbrook LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2020
Hmg Partners II LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2020
Zions Bancorporation	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2021
Krystal Balsamo	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2018
Rhonda Benavides	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 20, 2001
Andrea Casper	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 30, 2022
Roland Culp	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2018
Laurence Daspit	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2018
William Dohn	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2018
Edward Murrell	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2018
Ana Pico	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2018
Derek Prince	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2018
Christian Reinarz	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2018
Jeffery Rollo	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2018
James Sanders	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 3, 2023
Anthony Stramecki	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2018
Kacey Vratis	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2018
George Way	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2018
Anthony Stramecki	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Nov 1, 2016
George Way	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jun 27, 2005
Edward Murrell	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Nov 1, 2012
Jeffery Rollo	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Nov 1, 2012
Anthony Stramecki	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Nov 1, 2016
Cibc Bank USA	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2018
Forvis Mazars LLP	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2018
Zions Bancorporation	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2018
Krystal Balsamo	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2018
Rhonda Benavides	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Aug 20, 2001
Andrea Casper	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Aug 30, 2022
Roland Culp	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2018
Laurence Daspit	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2018
William Dohn	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2018
Carey Lindemann	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2018
Ana Pico	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2018
Derek Prince	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2018
Christian Reinarz	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2018
James Sanders	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 3, 2023
Norma Stanbridge	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2018

Other facilities operated by Winnie-Stowell Hospital District

All 76 →

Facility	Beds	Last inspection	Citations (window)	Fines
Copperas Cove Nursing & Rehabilitation 607 W. Ave. B, Copperas Cove, TX 76522 CCN 455515	123	Aug 19, 2026	472 IJ	$24k
Beaumont Health Care Center 795 Lindbergh Dr, Beaumont, TX 77707 CCN 455561	82	Jul 8, 2026	24	—
Avir at Town Creek 1816 Tile Factory Rd, Palestine, TX 75801 CCN 455565	102	Feb 18, 2026	302 harm	$49k
Marshall Manor Nursing & Rehabilitation Center 1007 S Washington Ave, Marshall, TX 75670 CCN 455646	179	Jul 29, 2026	31	—
Afton Oaks Nursing and Rehabilitation Center 7514 Kingsley St, Houston, TX 77087 CCN 455682SFF CandidateAbuse icon	169	Aug 28, 2026	468 IJ2 harm2 open	$72k
Monument Hill Nursing and Rehabilitation Center 120 State Loop 92, La Grange, TX 78945 CCN 455715	104	Aug 6, 2026	311 IJ	$8,281
Oak Brook Health Care Center 107 Stacy Dr., Whitehouse, TX 75791 CCN 455753	120	Jun 17, 2026	24	—
Spindletop Hill Nursing and Rehabilitation Center 1020 S 23rd St, Beaumont, TX 77707 CCN 455757	148	Aug 5, 2026	443 IJ	$83k

Same chain in Texas

All 30 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Mission Nursing and Rehabilitation Center 1013 S. Bryan Rd., Mission, TX 78572 CCN 455761	170	Apr 2, 2026	301 harm	—
Red Oak Health and Rehabilitation Center 101 Reese Dr., Red Oak, TX 75154 CCN 675431	144	Aug 20, 2026	251 IJ1 harm3 open	$30k
Holland Lake Rehabilitation and Wellness Center 1201 Holland Lake Dr., Weatherford, TX 76086 CCN 675633	120	Apr 12, 2026	25	—
Friendship Haven Healthcare and Rehabilitation Cen 1500 Sunset Dr, Friendswood, TX 77546 CCN 675744	150	Feb 20, 2026	171 harm	$8,018
Stonegate Nursing and Rehabilitation 4201 Stonegate Blvd., Fort Worth, TX 76109 CCN 675759	134	Feb 12, 2026	403 IJ	$17k
Park Manor of Cyfair 11001 Crescent Moon Dr, Houston, TX 77064 CCN 675818	120	May 1, 2026	13	—
Park Manor of South Belt 11902 Resource Pkwy, Houston, TX 77089 CCN 675819	120	Dec 12, 2025	16	—
Gulf Pointe Plaza 1008 Enterprise Blvd., Rockport, TX 78382 CCN 675892	120	Aug 14, 2026	171 open	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 227 Russell Blvd, Nacogdoches, TX 75965
ZIP: 75965
County: Nacogdoches County FIPS 48347
State: Texas
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Stallings Court Nursing and Rehabilitation 4616 NE Stallings Dr, Nacogdoches, TX 75965 CCN 676147	0.6 km	120		May 28, 2026	25	—
Westward Trails Nursing and Rehabilitation 3001 Westward Drive, Nacogdoches, TX 75964 CCN 455959	3.3 km	108		Aug 19, 2026	262 IJ	$25k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	455700	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	455700	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 455700

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction