B84

WILLIS NURSING AND REHABILITATION LP

Grade B 84/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
5/5
Health Insp.
5/5
Quality
4/5
Staffing
2/5
RN Staffing
Not rated

Certified Beds

114

Ownership

For profit - Limited Liability company

Total Fines

$7,443

Last Survey

N/A

3000 N DANVILLE ST, WILLIS, TX 77378
9368564312

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.42h
LPN
1.30h
CNA
1.58h
Total
3.30h
Facility
State Average

Turnover Rates

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

Ownership

SLP OMEGA OPERATIONS, LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jun 2023

100%

SENIOR LIVING PROPERTIES LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jun 2023

SLP MANAGEMENT HOLDINGS, LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jun 2023

SLP OPERATIONS, LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jun 2023

BOSWELL, DARREN

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jun 2023

EDEN, JAMES

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jun 2023

WHITWORTH, GARY

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jun 2023

GUERRERO, MILTON

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Mar 2013

LEONARD, JOSHUA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Oct 2024

LEONARD, JOSHUA

IndividualCORPORATE OFFICERSince Oct 2024

WILLIS TEXAS AVIV LLC

Organization5% OR GREATER SECURITY INTERESTSince Aug 2020

Penalties & Fines (1)

$7,443total fines
DateTypeDescriptionAmount
Oct 19, 2023Fine$7,443

Health Inspection Deficiencies (12)

August 21, 2025Health2 deficiencies
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Sep 18, 2025
0925DMinimal harm, Isolated

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

Environmental Deficiencies

Corrected Sep 18, 2025
June 28, 2024Health1 deficiency
0812EMinimal harm, Pattern

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 Jul 23, 2024
October 20, 2023Health2 deficiencies1 severe
0689GActual harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Oct 20, 2023
0761DMinimal harm, Isolated

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

Corrected Nov 30, 2023
October 19, 2023Health4 deficiencies
0557DMinimal harm, Isolated

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Resident Rights Deficiencies

Corrected Nov 30, 2023
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Nov 30, 2023
0693DMinimal harm, Isolated

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

Corrected Nov 30, 2023
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Nov 30, 2023
May 11, 2023Health3 deficiencies
0550EMinimal harm, Pattern

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected Jun 22, 2023
0553EMinimal harm, Pattern

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Resident Rights Deficiencies

Corrected Jun 22, 2023
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jun 22, 2023

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Frequently Asked Questions

What is the CareGrader rating for WILLIS NURSING AND REHABILITATION LP?

WILLIS NURSING AND REHABILITATION LP in WILLIS, Texas has a CareGrader grade of B (Good), with a composite score of 84.3 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 WILLIS NURSING AND REHABILITATION LP?

WILLIS NURSING AND REHABILITATION LP has an overall CMS star rating of 5 out of 5, a health inspection rating of 5/5, and a staffing rating of 2/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does WILLIS NURSING AND REHABILITATION LP have?

WILLIS NURSING AND REHABILITATION LP has 12 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 WILLIS NURSING AND REHABILITATION LP been fined?

Yes. WILLIS NURSING AND REHABILITATION LP has $7,443 in total fines from CMS enforcement actions across 1 penalty.

How many beds does WILLIS NURSING AND REHABILITATION LP have?

WILLIS NURSING AND REHABILITATION LP has 114 certified beds with approximately 45 current residents (39% occupancy). The facility is located at 3000 N DANVILLE ST, WILLIS, Texas 77378. It is a for profit - limited liability company 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.