D64

Willow Park Rehabilitation Health Care Center

Grade D 64/100 composite score

For profit - Corporation

CMS Star Ratings

Overall
2/5
Health Insp.
2/5
Quality
2/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

110

Ownership

For profit - Corporation

Total Fines

$20,761

Last Survey

N/A

1000 FM 3220, Clifton, TX 76634
2546752828

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.35h
LPN
1.08h
CNA
2.72h
Total
4.15h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

WEST WHARTON COUNTY HOSPITAL DISTRICT

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Apr 2022

100%

NEXION HEALTH AT CLIFTON, INC.

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Apr 2022

FALLON, JOHN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2022

KIRLEY, FRANCIS

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2022

LEE, BRIAN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2022

MUNDEN, KIMBERLY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2022

OSWALD, JOHN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2022

RINER, MEERA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2022

MAK, DAVID

IndividualCORPORATE OFFICERSince Apr 2022

PIERCE, DANIEL

IndividualCORPORATE OFFICERSince Apr 2022

MUNDEN, KIMBERLY

IndividualW-2 MANAGING EMPLOYEESince Apr 2022

Penalties & Fines (2)

$20,761total fines
DateTypeDescriptionAmount
Jul 10, 2025Fine$12,740
Sep 27, 2024Fine$8,021

Health Inspection Deficiencies (19)

July 10, 2025Health2 deficiencies1 severe
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jul 11, 2025
0684JImmediate jeopardy, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Jul 11, 2025
October 21, 2024Health2 deficiencies
0600DMinimal harm, Isolated

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Oct 22, 2024
0842DMinimal harm, Isolated

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies

Corrected Oct 22, 2024
September 27, 2024Health5 deficiencies1 severe
0622DMinimal harm, Isolated

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Resident Rights Deficiencies

Corrected Sep 28, 2024
0657DMinimal harm, Isolated

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Sep 28, 2024
0756DMinimal harm, Isolated

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Pharmacy Service Deficiencies

Corrected Sep 28, 2024
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Sep 28, 2024
0678JImmediate jeopardy, Isolated

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Quality of Life and Care Deficiencies

Corrected Sep 28, 2024
July 27, 2023Health3 deficiencies
0584EMinimal harm, Pattern

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

Corrected Aug 4, 2023
0732EMinimal harm, Pattern

Post nurse staffing information every day.

Nursing and Physician Services Deficiencies

Corrected Aug 4, 2023
0925EMinimal harm, Pattern

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Environmental Deficiencies

Corrected Aug 4, 2023
July 21, 2023Health1 deficiency
0580DMinimal harm, Isolated

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Resident Rights Deficiencies

Corrected Aug 22, 2023
June 8, 2022Health6 deficiencies
0576DMinimal harm, Isolated

Ensure residents have reasonable access to and privacy in their use of communication methods.

Resident Rights Deficiencies

Corrected Jun 10, 2022
0603DMinimal harm, Isolated

Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jun 10, 2022
0656EMinimal harm, Pattern

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Jun 10, 2022
0742DMinimal harm, Isolated

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Quality of Life and Care Deficiencies

Corrected Jun 10, 2022
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Jun 10, 2022
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jun 10, 2022

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Frequently Asked Questions

What is the CareGrader rating for Willow Park Rehabilitation Health Care Center?

Willow Park Rehabilitation Health Care Center in Clifton, Texas has a CareGrader grade of D (Below Average), with a composite score of 63.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for Willow Park Rehabilitation Health Care Center?

Willow Park Rehabilitation Health Care Center has an overall CMS star rating of 2 out of 5, a health inspection rating of 2/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does Willow Park Rehabilitation Health Care Center have?

Willow Park Rehabilitation Health Care Center has 19 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has Willow Park Rehabilitation Health Care Center been fined?

Yes. Willow Park Rehabilitation Health Care Center has $20,761 in total fines from CMS enforcement actions across 2 penalties.

How many beds does Willow Park Rehabilitation Health Care Center have?

Willow Park Rehabilitation Health Care Center has 110 certified beds with approximately 82 current residents (75% occupancy). The facility is located at 1000 FM 3220, Clifton, Texas 76634. It is a for profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.