Willowcreek Rehab and Nursing
4934 S 7th St, Abilene, TX 79605 · Taylor County · 96 certified beds · avg 76 residents/day · certified since May 20, 1994
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
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)
▲ Immediate jeopardy, repeated · Feb 27, 2025 · F-0689
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 (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Feb 28, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (24)
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 |
|---|---|---|
| May 6, 2026 | 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 6, 2026 | E · Potential for harm, repeated | The facility did not keep residents' personal and medical information private and confidential. |
| May 6, 2026 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| May 6, 2026 | E · Potential for harm, repeated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| May 6, 2026 | 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. |
| May 6, 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. |
| Dec 19, 2025 | 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. · from a complaint |
| Apr 30, 2025 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Apr 30, 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 |
| Feb 27, 2025 | ▲ K · Immediate jeopardy, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Feb 27, 2025 | E · Potential for harm, repeated | The facility did not properly protect the personal money residents deposited with it for safekeeping. · from a complaint |
| Feb 27, 2025 | E · Potential for harm, repeated | The facility's activities program was not run by a qualified professional. The person directing recreation and social activities must have proper training or credentials. |
| Feb 27, 2025 | E · Potential for harm, repeated | The facility did not make sure residents actually saw their doctor face-to-face at all required visits. Doctors must examine nursing home residents in person on a regular schedule. |
| Feb 27, 2025 | 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. |
| Feb 27, 2025 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. |
| Feb 27, 2025 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Feb 27, 2025 | 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. |
| Jan 10, 2024 | E · Potential for harm, repeated | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · from a complaint |
| Jan 10, 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. · from a complaint |
| Jan 10, 2024 | E · Potential for harm, repeated | 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 |
| Jan 10, 2024 | 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. · from a complaint |
| Jan 10, 2024 | D · Potential for harm, one-off | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · from a complaint |
| Jan 10, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Sep 27, 2023 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (8 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | D |
| 2024 | 6 | 0 | E |
| 2025 | 11 | 1 | K ▲ |
| 2026 | 6 | 0 | E |
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 $23,794.
| Date | Type | Amount / length |
|---|---|---|
| Feb 27, 2025 | Fine | $23,794 |
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) | 2.94 | 3.46 | 3.95 | bottom 20% in Texas; bottom 12% in the U.S. |
| Registered Nurse hours | 0.44 | 0.44 | 0.69 | top 37% in Texas; bottom 28% in the U.S. |
| Weekend total nurse staffing | 2.63 | 3.04 | 3.50 | bottom 24% in Texas; bottom 13% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.25 | 0.34 | 0.48 | bottom 39% in Texas; bottom 23% in the U.S. |
| Total nursing staff turnover (%) | 57.7 | 55.3 | 45.8 | bottom 37% in Texas; bottom 20% in the U.S. |
| RN turnover (%) | 57.1 | 54.6 | 42.9 | bottom 46% in Texas; bottom 26% 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 2.74, RN 0.41, weekend 2.44. 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: 5/5 · long-stay residents: 4/5 · short-stay residents: 5/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Childress County Hospital District | Organization | 5% or Greater Direct Ownership Interest | 100% | 04/01/2017 |
| 4934 S. 7th Street LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2023 |
| 4934 S. 7th Street Tic LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2023 |
| Banes, Michael | Individual | ADP of the SNF | NOT APPLICABLE | 12/09/2024 |
| Evergreen Holdco LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/14/2025 |
| Gamfal LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2023 |
| Gao, Min | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2011 |
| Gold TX Trust | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/14/2025 |
| Holcomb, Holly | Individual | Corporate Officer | NOT APPLICABLE | 05/29/2021 |
| Lichtschein Family 2012 Trust | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2023 |
| Scheiner Family 2012 Trust | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2023 |
| Scheiner Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2023 |
| Silberstein, Ari | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2023 |
| Silver TX Trust | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/15/2025 |
| Stratton, Emilee | Individual | Corporate Officer | NOT APPLICABLE | 03/18/2018 |
| Willowcreek Rehab and Nursing LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/14/2025 |
| Willowcreek Rehab and Nursing LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/14/2025 |
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?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "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 |
|---|---|---|---|---|---|
| Wisteria Place | 2.5 mi | Abilene, TX | ★★★☆☆ | 3/5 | |
| Avir at Coronado | 3.0 mi | Abilene, TX | ★★☆☆☆ | 2/5 | |
| Northern Oaks Living & Rehabilitation Center | 3.5 mi | Abilene, TX | ★★★☆☆ | 4/5 | |
| Hendrick Skilled Nursing Facility | 3.7 mi | Abilene, TX | ★★★★★ | 5/5 | |
| The Oaks at Radford Hills Healthcare Center | 4.2 mi | Abilene, TX | ★★☆☆☆ | 1/5 | |
| Brightpointe at Lytle Lake | 4.6 mi | Abilene, TX | ★☆☆☆☆ | 1/5 | abuse |
| Windcrest Health & Rehabilitation | 5.3 mi | Abilene, TX | ★★★☆☆ | 3/5 | |
| Wesley Court Health Center | 5.3 mi | Abilene, TX | ★★★★★ | 4/5 | |
| Mesa Springs Healthcare Center | 5.5 mi | Abilene, TX | ★★☆☆☆ | 3/5 | |
| Silver Spring | 5.5 mi | Abilene, TX | ★☆☆☆☆ | 1/5 | |
| Merkel Nursing Center | 13.8 mi | Merkel, TX | ★☆☆☆☆ | 1/5 | abuseSFF |
| Clyde Nursing Center | 17.5 mi | Clyde, TX | ★★★★★ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 675350.