Willis Nursing and Rehabilitation — nursing home in Willis, TX

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 114 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: 48.7 CMS, MDS-derived
CMS Certification Number: 675274
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Feb 2, 1994
Ownership type: For profit - Limited Liability company
Operator (legal business name): Slp Willis LLC
CMS chain: Slp Operations 7 facilities
Phone: (936) 856-4312
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

9

latest Dec 3, 2025

Citations

21

13 health · 8 fire

Harm or worse

1

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D12	E3	F1
Minimal	A·	B·	C4

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

$7,443

Payment denials

0

Latest

Oct 19, 2023

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 675274
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 114
First approved: Feb 2, 1994
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
Dec 3, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Aug 21, 2025	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Aug 21, 2025	Health	Health Standard	2	Potential harm	—	Open →
Jun 28, 2024	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Jun 28, 2024	Health	Health Standard	1	Potential harm	—	Open →
Oct 20, 2023	Health	Health Complaint	2	Actual harm	—	Open →
Oct 19, 2023	Health	Health Complaint	4	Potential harm	—	Open →
May 11, 2023	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
May 11, 2023	Health	Health Standard	3	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
Oct 19, 2023	Civil money penalty (fine)	$7,443	—	675274\|Fine\|111613

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D12	E3	F1
Minimal	A·	B·	C4

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Dec 3, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Dec 31, 2025	Complaint
Aug 21, 2025	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 18, 2025
Aug 21, 2025	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 18, 2025
Aug 21, 2025	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 18, 2025
Aug 21, 2025	F-0925	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 18, 2025
Aug 21, 2025	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Sep 18, 2025
Jun 28, 2024	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 9, 2024
Jun 28, 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 23, 2024
Jun 28, 2024	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Aug 9, 2024
Oct 20, 2023	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	G · Actual harm Isolated	Past non-compliance Oct 20, 2023	Complaint
Oct 20, 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 Nov 30, 2023	Complaint
Oct 19, 2023	F-0557	Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Nov 30, 2023	Complaint
Oct 19, 2023	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 Nov 30, 2023	Complaint
Oct 19, 2023	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 Nov 30, 2023	Complaint
Oct 19, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Nov 30, 2023	Complaint
May 11, 2023	K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 22, 2023
May 11, 2023	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 Jun 22, 2023
May 11, 2023	F-0553	Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jun 22, 2023
May 11, 2023	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 22, 2023
May 11, 2023	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Jun 22, 2023
May 11, 2023	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Jun 22, 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 QMNot rated

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 staffing2.96

State avg 3.42US avg 3.90

Registered nurse (RN)0.36

State avg 0.44US avg 0.69

Licensed practical nurse1.09

State avg 0.94US avg 0.86

Nurse aide1.51

State avg 2.03US avg 2.35

Weekend total nurse2.39

State avg 2.99US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.16 (case-mix index 1.31).

Staff turnover

Total nursing staff turnover50.0%

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: Aug 21, 2025
Cycle 1 health score: 12
Total weighted score: 21

Operating entity

Slp Willis LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Slp Operations

7 facilities in 1 states. CMS chain ID 730.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.1

Ownership disclosures

Disclosures

14

Organizations

5

Individuals

8

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Slp Omega Operations, LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Jun 1, 2023
Senior Living Properties LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Jun 1, 2023
Slp Management Holdings, LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Jun 1, 2023
Slp Operations, LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Jun 1, 2023
Darren Boswell	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Jun 1, 2023
James Eden	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Jun 1, 2023
Gary Whitworth	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Jun 1, 2023

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
Slp Omega Operations, LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Jun 1, 2023
Senior Living Properties LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Jun 1, 2023
Slp Management Holdings, LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Jun 1, 2023
Slp Operations, LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Jun 1, 2023
Darren Boswell	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Jun 1, 2023
James Eden	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Jun 1, 2023
Gary Whitworth	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Jun 1, 2023
Milton Guerrero	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 25, 2013
Joshua Leonard	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 1, 2024
Joshua Leonard	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Oct 1, 2024
Willis Texas Aviv LLC	Organization	Mortgage / security interest	5% OR GREATER SECURITY INTEREST	not provided	Aug 1, 2020
Willis Texas Aviv LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Aug 1, 2020
Milton Guerrero	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Mar 25, 2013
Laronda Simmons	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 18, 2021

Same chain in Texas

All 6 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Lynwood Nursing and Rehabilitation 803 S. Alamo, Levelland, TX 79336 CCN 455871	120	Aug 20, 2026	381 IJ	$8,281
Llano Nursing and Rehabilitation Center 800 W Haynie St, Llano, TX 78643 CCN 675076	96	Aug 20, 2026	392 IJ1 harm	$40k
Seabreeze Nursing and Rehabilitation 6602 Memorial Dr, Texas City, TX 77590 CCN 675222Abuse icon	107	Mar 5, 2026	457 IJ1 harm	$146k
Woodland Manor Nursing and Rehabilitation 99 Rigby Owen Rd., Conroe, TX 77304 CCN 675229	146	Jun 16, 2026	333 IJ	$59k
The Oaks at Radford Hills Healthcare Center 725 Medical Dr, Abilene, TX 79601 CCN 675330	116	Mar 19, 2026	584 IJ	$164k
Diboll Nursing and Rehab 900 S. Temple Dr, Diboll, TX 75941 CCN 675907	82	Aug 27, 2025	502 IJ	—

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: 3000 N. Danville St., Willis, TX 77378
ZIP: 77378
County: Montgomery County FIPS 48339
State: Texas
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Conroe Health Care Center 2019 N Frazier, Conroe, TX 77301 CCN 675648	11.5 km	108		Apr 11, 2025	281 IJ1 harm	$13k
Woodland Manor Nursing and Rehabilitation 99 Rigby Owen Rd., Conroe, TX 77304 CCN 675229	12.7 km	146		Jun 16, 2026	333 IJ	$59k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	675274	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	675274	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 675274

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