Willis Nursing and Rehabilitation

Name: Willis Nursing and Rehabilitation
Address: 3000 N. Danville St., Willis, TX, 77378, US
Telephone: 9368564312

3000 N. Danville St., Willis, TX 77378 · Montgomery County · 114 certified beds · avg 50 residents/day · certified since Feb 2, 1994

Part of chain: SLP OPERATIONS (7 facilities, chain avg rating 2.1★)

5/5

Health inspection rating (on-site)

Serious findings on record

$7,443

Fines, last 3 years

2.98

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: 4/5

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Oct 20, 2023 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Oct 20, 2023 (Past Non-Compliance)

All citations in the current public record (13)

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
Dec 3, 2025	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. · from a complaint
Aug 21, 2025	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 21, 2025	D · Potential for harm, one-off	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests.
Jun 28, 2024	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Oct 20, 2023	▲ G · Actual harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Oct 20, 2023	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint
Oct 19, 2023	D · Potential for harm, one-off	The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. · from a complaint
Oct 19, 2023	D · Potential for harm, one-off	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. · from a complaint
Oct 19, 2023	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · from a complaint
Oct 19, 2023	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. · from a complaint
May 11, 2023	E · Potential for harm, repeated	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
May 11, 2023	E · Potential for harm, repeated	The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences.
May 11, 2023	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (1 → 2).

Year	Citations	Serious (G–L)	Worst severity that year
2023	9	1	G ▲
2024	1	0	E
2025	3	0	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)

1 fine totaling $7,443.

Date	Type	Amount / length
Oct 19, 2023	Fine	$7,443

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)	2.98	3.46	3.95	bottom 22% in Texas; bottom 13% in the U.S.
Registered Nurse hours	0.40	0.44	0.69	top 47% in Texas; bottom 22% in the U.S.
Weekend total nurse staffing	2.37	3.04	3.50	bottom 9% in Texas; bottom 6% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.31	0.34	0.48	top 45% in Texas; bottom 34% in the U.S.
Total nursing staff turnover (%)	40.0	55.3	45.8	top 20% in Texas; top 36% in the U.S.
RN turnover (%)	0.0	54.6	42.9	—

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 2.77, RN 0.37, weekend 2.20. Staffing rating: 1/5.

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: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Boswell, Darren	Individual	5% or Greater Indirect Ownership Interest	—	06/01/2023
Eden, James	Individual	5% or Greater Indirect Ownership Interest	—	06/01/2023
Senior Living Properties LLC	Organization	5% or Greater Indirect Ownership Interest	—	06/01/2023
SLP Management Holdings, LLC	Organization	5% or Greater Indirect Ownership Interest	—	06/01/2023
SLP Omega Operations, LLC	Organization	5% or Greater Direct Ownership Interest	100%	06/01/2023
SLP Operations, LLC	Organization	5% or Greater Indirect Ownership Interest	—	06/01/2023
Whitworth, Gary	Individual	5% or Greater Indirect Ownership Interest	—	06/01/2023
Guerrero, Milton	Individual	Operational/Managerial Control	NOT APPLICABLE	03/25/2013
Guerrero, Milton	Individual	ADP of the SNF	NOT APPLICABLE	03/25/2013
Leonard, Joshua	Individual	Corporate Officer	NOT APPLICABLE	10/01/2024
Leonard, Joshua	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2024
Simmons, Laronda	Individual	ADP of the SNF	NOT APPLICABLE	02/18/2021
Willis Texas Aviv LLC	Organization	5% or Greater Security Interest	NOT APPLICABLE	08/01/2020
Willis Texas Aviv LLC	Organization	ADP of the SNF	NOT APPLICABLE	08/01/2020

Questions to ask on your visit

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

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"How is pest control handled here, and when was the last treatment or inspection?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"How do you train staff to treat residents with dignity, and how do you protect residents' personal belongings?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"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
Conroe Health Care Center	7.1 mi	Conroe, TX	★★☆☆☆	2/5
Woodland Manor Nursing and Rehabilitation	7.9 mi	Conroe, TX	★☆☆☆☆	1/5
The Brightpointe	10.5 mi	Conroe, TX	★★★☆☆	3/5
Park Manor of Conroe	10.6 mi	Conroe, TX	★★★★★	5/5
Park Manor of the Woodlands	15.6 mi	The Woodlands, TX	★★★★☆	4/5
Ridgewood at the Woodlands	18.1 mi	The Woodlands, TX	★☆☆☆☆	2/5
The Heights of Magnolia	18.6 mi	Magnolia, TX		—/5
The Woodlands Nursing and Rehabilitation Center	18.7 mi	The Woodlands, TX	★★★☆☆	2/5
Huntsville Health Care Center	18.8 mi	Huntsville, TX	★★★★☆	4/5
Focused Care at Huntsville	18.9 mi	Huntsville, TX	★★☆☆☆	2/5	abuse
MRC Creekside	19.5 mi	Huntsville, TX	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in Willis →

Facility data as of CMS processing date 2026-08-01. CCN 675274.

The Care File

Visit checklist — Willis Nursing and Rehabilitation

3000 N. Danville St., Willis, TX 77378 · 9368564312

Health inspection rating 5/5 · CMS overall 4/5· Fines (3y): $7,443

Most serious findings on record:

▲ Oct 20, 2023 (F-0689, Actual harm, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "How is pest control handled here, and when was the last treatment or inspection?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "How do you train staff to treat residents with dignity, and how do you protect residents' personal belongings?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "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 675274 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)