Crestwood Health and Rehabilitation Center
1448 Houston St., Wills Point, TX 75169 · Van Zandt County · (903) 873-5400
117 certified beds, about 85 residents a day · For profit - Partnership · Medicare and Medicaid since 1996
Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
2 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 675597 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 7, 2026, inspectors cited 3 health deficiencies (the Texas average is 9.4, the national average 9.2).
None of its 10 health citations since August 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.29 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.47 of those hours.
50.0% of nursing staff left within the year CMS measured (Texas average 55.3%).
CMS links it to The Ensign Group, an affiliated group of 344 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
508/23
108/24
110/24
301/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 10 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
5D
3E
0F
Potential for minimal harm
0A
1B
1C
January 7, 2026Standard inspection · 3 citations
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on interview and record review, the facility failed to ensure the Preadmission Screening and Resident Review (PASRR) Level I assessment accurately reflected the resident's status for 1 of 5 residents (Resident #85) reviewed for PASRR Level I screenings. The facility failed to ensure the accuracy of the PASRR Level 1 screening for Resident #85. The PASRR 1 Level screening did not indicate a diagnosis of mental illness, although the diagnosis was present upon admission. This failure could place residents who had a mental illness at risk of not receiving a needed assessment (PASRR Evaluation), individualized care, or specialized services to meet their needs.
- D Provide timely, quality laboratory services/tests to meet the needs of residents.
Inspectors wroteBased on interview and record review, the facility failed to ensure laboratory services were obtained to meet the needs of 1 of 18 residents reviewed for laboratory services (Resident #9). The facility failed to obtain Resident #9's CBC (Complete Blood Count) and CMP (Comprehensive Metabolic Panel) every Monday for 4 weeks as ordered. This failure could place residents at risk of not receiving timely diagnoses, treatment, and services to meet their needs.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment, and to help prevent the development and transmission of communicable diseases and infections for 1 of 2 residents reviewed for infection control practices (Resident #60). The facility failed to ensure CNA C changed her gloves and performed hand hygiene appropriately while providing incontinent care for Resident #60. She touched Resident 60's arm, gown, and leg with her dirty gloves. This failure could place residents at risk of exposure to communicable diseases, cross-contamination, and infections.
October 16, 2024Standard inspection · 1 citation
- E Give residents a notice of rights, rules, services and charges.
Inspectors wroteBased on interview and record review, the facility failed to ensure residents were informed orally, of their rights, for 6 of 6 residents interviewed during a group meeting (Resident #13, #14, #21, #32, #49 and #53). Residents #13, #14, #21, #32, #49 and #53 were not orally informed of their rights, during their stay in the facility. This failure placed the residents at risk of a decreased quality of life, decreased awareness of their rights and decreased execution of their rights.
August 30, 2024Complaint inspection · 1 citation
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on observation, interview and record review the facility failed to report to state agency emergency situations that pose a threat to resident health and safety immediately, but not later than 24 hours after the incident occurs or is suspected for 1 of 1 secured locked unit reviewed for physical environment. The facility failed to report to the State Survey Agency on 8/29/24 immediately but no later than 24 hours after becoming aware the facility's roof collapsed on the secured locked unit. This failure could place residents at risk of further potential abuse or neglect.
August 23, 2023Standard inspection · 5 citations
- E Ensure each resident receives an accurate assessment.
Inspectors wroteBased on interview and record review, the facility failed to ensure an accurate MDS was completed for 12 of 18 residents (Resident #s 7, 9, 15, 18, 24, 32, 46, 49, 50, 51, 55, and 56) reviewed for MDS assessment accuracy. The facility did not accurately code Resident #s 7, 15, 32, 46, 49, 50, and 55's MDS for BIMS score (cognitive patterns), mood score, and daily routine and activity preferences. The facility did not accurately code Resident #s 9, 18, 24, 51, and 56's MDS assessment for BIMS score (cognitive patterns) and mood score. These failures could place residents at risk for not receiving the appropriate care and services to maintain the highest level of well-being.
- E Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents unable to conduct activities of daily living (ADLs) received the necessary services to maintain good grooming and personal hygiene that promotes maintenance or enhancement of his or her quality of life, for resident (Resident #51) review for quality of life. The facility failed to provide Resident #51 with personal grooming for nail care These failures could place residents at risk for poor hygiene, dignity issues, and decreased quality of life.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure that a resident who needs respiratory care, including tracheostomy care and tracheal suctioning is provided such care consistent with professional standards of practice, the comprehensive person-centered care plan and the residents goals and preferences for 2 of 2 residents (Resident #24 and #42) reviewed for oxygen therapy, in that: 1. The facility failed to ensure Resident #24's oxygen rate was set at 3-4 LPM (liters per minute) CONTINUOUS and not 2 LPM. 2. The facility failed to ensure monitoring of oxygen Saturation as ordered by the physician (maintain O2 saturation above 90%) 3. The facility failed to ensure there was an order for Resident #42 to receive oxygen. [...]
- C Post nurse staffing information every day.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that the daily nurse staffing was posted as required for 3 of 3 days (8/19/23, 8/20/23 and 8/21/23) reviewed for nursing services. The facility failed to update the daily staffing information posting. This failure could affect residents, their families, and facility visitors by placing them at risk of not having access to information regarding staffing data and facility census.
- B Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on interviews and record review the facility failed to ensure the residents received mail for 5 of 5 residents reviewed for resident rights. (Residents #2, #18, #37, #57 and #61). The facility did not ensure residents received their mail promptly. This failure could place the residents at risk of not receiving mail in a timely manner and a diminished quality of life.
Fire safety inspections
6 fire safety citations on file: 2 on January 7, 2026, 3 on October 16, 2024, 1 on August 23, 2023.
Every fire safety citation6 citations
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- C Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
- C Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- C Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Texas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.29 | 3.39 | 3.86 |
| Registered nurses | 0.47 | 0.43 | 0.69 |
| All nursing staff on weekends | 3.07 | 2.98 | 3.42 |
| Nurse aides | 1.95 | ||
| Licensed practical nurses | 0.87 | ||
| Nursing staff turnover (share who left in a year) | 50.0% | 55.3% | 45.8% |
| Registered nurse turnover | 20.0% | 54.6% | 42.9% |
| Administrators who left | 3 |
CMS expects 3.62 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.38 on weekdays and 3.07 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.56 in April to June 2025 to 3.29 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.29 | 0.47 | 3.38 | 3.07 | 0.0% | 0 of 90 | 85 |
| Oct to Dec 2025 | 3.29 | 0.48 | 3.42 | 2.96 | 0.0% | 0 of 92 | 79 |
| Jul to Sep 2025 | 3.34 | 0.35 | 3.47 | 3.02 | 0.0% | 0 of 92 | 67 |
| Apr to Jun 2025 | 3.56 | 0.33 | 3.79 | 2.99 | 3.2% | 4 of 91 | 61 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Texas, Jan to Mar 2026 | 3.33 | 0.40 | 3.50 | 2.93 | 2.2% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Texas
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Texas, all employers | |||
| CNAs (nursing assistants) | $18.03 | $16.97 to $20.71 | 88,680 |
| LPNs and LVNs | $29.92 | $27.46 to $32.89 | 57,560 |
| Registered nurses | $46.14 | $38.06 to $50.53 | 271,380 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Texas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 36.0 | 15.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.8 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.8 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 4.0 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 34.5 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.4 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 12.8 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 22.5 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.7 | 12.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.4 | 2.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 2.1 | 1.8 |
Owners and operators
Legal business name: EASTLAND MEMORIAL HOSPITAL DISTRICT. CMS links this home to The Ensign Group, a group of 344 nursing homes averaging 3.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Eastland Memorial Hospital District | 5% or greater direct ownership interest | Organization | 12/01/2019 | |
| The Ensign Group Inc | 5% or greater direct ownership interest | Organization | 12/01/2019 | |
| Jensen, Kevin | Managing control - governing body | Individual | 11/01/2024 | |
| Rojas, Jorge | Managing control - governing body | Individual | 12/01/2019 | |
| Burnam, Soon | Corporate officer | Individual | 12/01/2019 | |
| Keetch, Chad | Corporate officer | Individual | 03/01/2011 | |
| Taylor, Stephen | Corporate officer | Individual | 07/01/2025 | |
| Appaloosa Healthcare, Inc. | Operational/managerial control | Organization | 12/01/2019 | |
| Jensen, Kevin | Operational/managerial control | Individual | 11/01/2024 | |
| Rojas, Jorge | Operational/managerial control | Individual | 12/01/2019 | |
| Appaloosa Healthcare, Inc. | Adp of the SNF | Organization | 08/11/2025 | |
| Bluebird Creek Health Holdings LLC | Adp of the SNF | Organization | 12/01/2019 | |
| Ensign Services Inc | Adp of the SNF | Organization | 08/19/2019 | |
| Standard Bearer Healthcare Op, LP | Adp of the SNF | Organization | 12/01/2019 | |
| The Ensign Group Inc | Adp of the SNF | Organization | 12/01/2019 | |
| Jensen, Kevin | Adp of the SNF | Individual | 11/01/2024 | |
| Rojas, Jorge | Adp of the SNF | Individual | 12/01/2019 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on January 7, 2026: "PASARR screening for Mental disorders or Intellectual Disabilities"
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on October 16, 2024: "Give residents a notice of rights, rules, services and charges."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on August 23, 2023: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on January 7, 2026: "Provide timely, quality laboratory services/tests to meet the needs of residents."
- How long has the current administrator been here?CMS counts 3 administrators who left in the period it measured.
Other nursing homes nearby
- Canton Oaks Canton, 13.6 mi · 4 of 5 stars · 4 citations
- Avir at Grand Saline Grand Saline, 16.3 mi · 2 of 5 stars · 25 citations
- Countryview Nursing & Rehabilitation Terrell, 16.3 mi · 1 of 5 stars · 51 citations
- Azalea Trail Nursing and Rehabilitation Center Grand Saline, 16.8 mi · 4 of 5 stars · 2 citations
- Terrell Healthcare Center Terrell, 16.8 mi · not rated · 93 citations
- Avir at Bradburn Grand Saline, 17.1 mi · 1 of 5 stars · 18 citations
- Emory Health and Rehab Emory, 18.6 mi · 3 of 5 stars · 28 citations
- Sunflower Park Health Care Kaufman, 18.9 mi · 2 of 5 stars · 53 citations
Texas contacts for a concern about a nursing home
These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.
- Resident advocate: Texas Office of the State Long-Term Care Ombudsman, 800-252-2412. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is Crestwood Health and Rehabilitation Center's Medicare star rating?
- CMS rates Crestwood Health and Rehabilitation Center 5 out of 5 stars overall, with 5 for health inspections, 2 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Crestwood Health and Rehabilitation Center get at its last inspection?
- 3 health deficiencies at the standard inspection on January 7, 2026. The Texas average is 9.4.
- Has Crestwood Health and Rehabilitation Center been fined?
- CMS lists no fines in the last three years.
- Does Crestwood Health and Rehabilitation Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Crestwood Health and Rehabilitation Center?
- CMS lists 17 owners and managers, and links the home to The Ensign Group. Legal business name: EASTLAND MEMORIAL HOSPITAL DISTRICT.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.