Crestwood Health and Rehabilitation Center

Name: Crestwood Health and Rehabilitation Center
Address: 1448 HOUSTON ST, Wills Point, TX, 75169, US
Telephone: 9038735400

1448 Houston St, Wills Point, TX 75169 · Van Zandt County · 117 certified beds · avg 85 residents/day · certified since May 29, 1996

Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.48

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (10)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jan 7, 2026	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Jan 7, 2026	D · Potential for harm, one-off	The facility did not provide timely, quality laboratory tests to meet residents' needs.
Jan 7, 2026	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Oct 16, 2024	E · Potential for harm, repeated	The facility did not give residents the required written notice of their rights, the facility's rules, the services offered, and what those services cost.
Aug 30, 2024	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Aug 23, 2023	E · Potential for harm, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Aug 23, 2023	E · Potential for harm, repeated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Aug 23, 2023	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Aug 23, 2023	C · Minimal risk, facility-wide	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Aug 23, 2023	B · Minimal risk, repeated	The facility did not keep residents' personal and medical information private and confidential. · from a complaint

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (1 → 3).

Year	Citations	Worst severity that year
2023	5	E
2024	2	E
2026	3	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.48	3.46	3.95	top 36% in Texas; bottom 36% in the U.S.
Registered Nurse hours	0.50	0.44	0.69	top 27% in Texas; bottom 37% in the U.S.
Weekend total nurse staffing	3.25	3.04	3.50	top 26% in Texas; bottom 45% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.30	0.34	0.48	top 49% in Texas; bottom 31% in the U.S.
Total nursing staff turnover (%)	50.0	55.3	45.8	top 44% in Texas; bottom 38% in the U.S.
RN turnover (%)	20.0	54.6	42.9	top 6% in Texas; top 13% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.29, RN 0.47, weekend 3.07. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: 3/5

Who owns this facility

For profit - Partnership

Owner / manager	Type	Role	Stake	Since
Eastland Memorial Hospital District	Organization	5% or Greater Direct Ownership Interest	—	12/01/2019
The Ensign Group INC	Organization	5% or Greater Direct Ownership Interest	—	12/01/2019
Appaloosa Healthcare, INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	12/01/2019
Appaloosa Healthcare, INC.	Organization	ADP of the SNF	NOT APPLICABLE	08/11/2025
Bluebird Creek Health Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/01/2019
Burnam, Soon	Individual	Corporate Officer	NOT APPLICABLE	12/01/2019
Ensign Services INC	Organization	ADP of the SNF	NOT APPLICABLE	08/19/2019
Jensen, Kevin	Individual	Managing Control - Governing Body	NOT APPLICABLE	11/01/2024
Jensen, Kevin	Individual	Operational/Managerial Control	NOT APPLICABLE	11/01/2024
Jensen, Kevin	Individual	ADP of the SNF	NOT APPLICABLE	11/01/2024
Keetch, Chad	Individual	Corporate Officer	NOT APPLICABLE	03/01/2011
Rojas, Jorge	Individual	Managing Control - Governing Body	NOT APPLICABLE	12/01/2019
Rojas, Jorge	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2019
Rojas, Jorge	Individual	ADP of the SNF	NOT APPLICABLE	12/01/2019
Standard Bearer Healthcare Op, LP	Organization	ADP of the SNF	NOT APPLICABLE	12/01/2019
Taylor, Stephen	Individual	Corporate Officer	NOT APPLICABLE	07/01/2025
The Ensign Group INC	Organization	ADP of the SNF	NOT APPLICABLE	12/01/2019

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
"How quickly are lab tests done and results acted on when a resident's doctor orders them?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can I get a written copy of resident rights, house rules, and a full list of services and charges today?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Canton Oaks	13.6 mi	Canton, TX	★★★★☆	4/5
Avir at Grand Saline	16.3 mi	Grand Saline, TX	★★☆☆☆	2/5
Countryview Nursing & Rehabilitation	16.3 mi	Terrell, TX	★☆☆☆☆	1/5	abuse
Azalea Trail Nursing and Rehabilitation Center	16.8 mi	Grand Saline, TX	★★★★☆	5/5
Terrell Healthcare Center	16.8 mi	Terrell, TX		—/5	SFF
Avir at Bradburn	17.1 mi	Grand Saline, TX	★☆☆☆☆	2/5
Emory Health and Rehab	18.6 mi	Emory, TX	★★★☆☆	4/5
Sunflower Park Health Care	18.9 mi	Kaufman, TX	★★☆☆☆	1/5
Windsor Rehabilitation and Healthcare	19.1 mi	Terrell, TX	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Wills Point →

Facility data as of CMS processing date 2026-08-01. CCN 675597.

The Care File

Visit checklist — Crestwood Health and Rehabilitation Center

1448 Houston St, Wills Point, TX 75169 · 9038735400

Health inspection rating 5/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
☐ "How quickly are lab tests done and results acted on when a resident's doctor orders them?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can I get a written copy of resident rights, house rules, and a full list of services and charges today?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 675597 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)