Wisteria Place
3202 S Willis St, Abilene, TX 79605 · Taylor County · 123 certified beds · avg 81 residents/day · certified since Jul 1, 1996 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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, one-off · Oct 31, 2025 · F-0580 · triggered by a complaint
The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Why it matters: A family could learn about a serious injury or decline days later, after the chance to act has passed.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Nov 1, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (19)
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 20, 2026 | 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 |
| May 20, 2026 | 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 |
| Mar 4, 2026 | 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 |
| Oct 31, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Oct 31, 2025 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Jul 30, 2025 | E · Potential for harm, repeated | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. |
| Jul 30, 2025 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Jul 30, 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. |
| Jul 30, 2025 | C · Minimal risk, facility-wide | The facility has more than 120 beds but did not hire a qualified full-time social worker as required. |
| Jun 26, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Jun 26, 2024 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Jun 26, 2024 | C · Minimal risk, facility-wide | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · from a complaint |
| Nov 1, 2023 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · from a complaint |
| Apr 12, 2023 | E · Potential for harm, repeated | 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. |
| Apr 12, 2023 | 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. |
| Apr 12, 2023 | D · Potential for 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. |
| Apr 12, 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. |
| Apr 12, 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. |
| Apr 12, 2023 | C · Minimal risk, facility-wide | The facility has more than 120 beds but did not hire a qualified full-time social worker as required. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 7 | 0 | E |
| 2024 | 3 | 0 | D |
| 2025 | 6 | 1 | J ▲ |
| 2026 | 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 $14,069.
| Date | Type | Amount / length |
|---|---|---|
| Oct 31, 2025 | Fine | $14,069 |
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) | 3.18 | 3.46 | 3.95 | bottom 37% in Texas; bottom 21% in the U.S. |
| Registered Nurse hours | 0.46 | 0.44 | 0.69 | top 32% in Texas; bottom 32% in the U.S. |
| Weekend total nurse staffing | 2.79 | 3.04 | 3.50 | bottom 39% in Texas; bottom 21% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.19 | 0.34 | 0.48 | bottom 18% in Texas; bottom 10% in the U.S. |
| Total nursing staff turnover (%) | 36.4 | 55.3 | 45.8 | top 14% in Texas; top 27% in the U.S. |
| RN turnover (%) | 25.0 | 54.6 | 42.9 | top 11% in Texas; top 20% 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 3.13, RN 0.45, weekend 2.75. 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: 4/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Eastland Memorial Hospital District | Organization | 5% or Greater Direct Ownership Interest | 100% | 02/01/2015 |
| Burnam, Soon | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2011 |
| Caretrust GP LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2011 |
| Caretrust Reit INC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2011 |
| Ctr Partnership LP | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2011 |
| Ensign Services INC | Organization | ADP of the SNF | NOT APPLICABLE | 11/23/2010 |
| Gillis, Eric | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2011 |
| Gillis, Eric | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2011 |
| Gillis, Eric | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2011 |
| Hudman, Eugene | Individual | Managing Control - Governing Body | NOT APPLICABLE | 11/10/2021 |
| Hudman, Eugene | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/10/2021 |
| Hudman, Eugene | Individual | ADP of the SNF | NOT APPLICABLE | 11/10/2021 |
| Keetch, Chad | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2011 |
| Southern Oaks Healthcare, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/01/2015 |
| Southern Oaks Healthcare, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 08/13/2025 |
| Taylor, Stephen | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2025 |
| Wisteria Health Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2011 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Do you have a full-time social worker on staff, and how would they work with my family member?"
- "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 |
|---|---|---|---|---|---|
| Willowcreek Rehab and Nursing | 2.5 mi | Abilene, TX | ★★☆☆☆ | 2/5 | |
| Windcrest Health & Rehabilitation | 2.8 mi | Abilene, TX | ★★★☆☆ | 3/5 | |
| Wesley Court Health Center | 2.8 mi | Abilene, TX | ★★★★★ | 4/5 | |
| Mesa Springs Healthcare Center | 3.4 mi | Abilene, TX | ★★☆☆☆ | 3/5 | |
| Brightpointe at Lytle Lake | 3.9 mi | Abilene, TX | ★☆☆☆☆ | 1/5 | abuse |
| The Oaks at Radford Hills Healthcare Center | 4.0 mi | Abilene, TX | ★★☆☆☆ | 1/5 | |
| Avir at Coronado | 4.1 mi | Abilene, TX | ★★☆☆☆ | 2/5 | |
| Hendrick Skilled Nursing Facility | 4.6 mi | Abilene, TX | ★★★★★ | 5/5 | |
| Northern Oaks Living & Rehabilitation Center | 5.0 mi | Abilene, TX | ★★★☆☆ | 4/5 | |
| Silver Spring | 6.0 mi | Abilene, TX | ★☆☆☆☆ | 1/5 | |
| Merkel Nursing Center | 15.4 mi | Merkel, TX | ★☆☆☆☆ | 1/5 | abuseSFF |
| Clyde Nursing Center | 16.1 mi | Clyde, TX | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 675593.