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Willow Ridge Wellness & Rehabilitation

8001 Western Hills Blvd, Fort Worth, TX 76108 · Tarrant County · (817) 246-4953

265 certified beds, about 92 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1973

Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 455416 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on July 24, 2025, inspectors cited 5 health deficiencies (the Texas average is 9.4, the national average 9.2).

Of 38 health citations since May 2023, 14 were rated as actual harm or immediate jeopardy to residents (11 immediate jeopardy).

CMS lists 7 fines totaling $321,244 in the last three years; the largest was $187,136, and the latest is dated August 15, 2025.

Nurses and nurse aides worked 3.05 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.32 of those hours.

CMS links it to Opco Skilled Management, an affiliated group of 68 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.

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 38 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
9J
2K
0L
Actual harm
2G
1H
0I
Potential for more than minimal harm
13D
10E
1F
Potential for minimal harm
0A
0B
0C
March 31, 2026Complaint inspection · 1 citation
  1. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 1, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure the resident environment remained as free of accident hazards as possible for 1 (adjacent hallway to the 300 Hall) out of 2 hallways reviewed for accidents and hazards.1. The facility failed to ensure that 3 of 3 mechanical lifts on the hallway adjacent to the 300 Hall were locked and secured when not in use. This failure could place residents, visitors and staff at risk of falls and/or injuries. Findings Included:Observation of the hallway adjacent to the 300 Hall on 03/29/26 at 4:36 PM revealed 3 unlocked and unsecured mechanical lifts parked on the hallway adjacent to the 300 Hall. Observation of the hallway adjacent to the 300 Hall on 03/29/26 at 7:01 PM revealed 3 unlocked and unsecured mechanical lifts parked on the hallway adjacent to the 300 Hall. [...]
January 29, 2026Complaint inspection · 1 citation
  1. D
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 30, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure residents had a right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and support for daily living safely for one (Resident #1) of seven residents reviewed for dignity. 1. Staff failed to ensure Resident # 1 was not laying directly on the sealed protective plastic packaging with her bare skin touching the plastic on 01/29/26. The failure could place residents at risk for skin irritation, poor sleep quality, and suffocation hazards.
August 15, 2025Complaint inspection · 1 citation
  1. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interview and record review, the facility failed to ensure that each resident received adequate supervision to provide an environment that was free of accident hazards for one (Resident #1) of five residents reviewed for accidents. -The facility failed to ensure the resident environment remained as free of accident hazards as possible and each resident received adequate supervision to prevent accidents when Resident #1 cut his wrist with a sharp object, had to be hospitalized with a 4cm laceration to his wrist and was admitted for a psychiatric evaluation. Resident #1 had diagnoses of mental illness and IDD, a history of having razors in his possession, and a history of aggressive behaviors. The non-compliance was identified as past non-compliance (PNC). The Immediate Jeopardy began on 8/12/25 and ended on 8/14/25. [...]
July 24, 2025Standard inspection · 5 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) July 25, 2025
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food safety in the facility's only kitchen observed for food safety. The facility failed to ensure the stand-by refrigerator free of personal food itemsThe facility failed to ensure the walk-in refrigerator food items were dated, labeled and securely stored. The facility failed to ensure the walk-in freezer food items were dated, labeled and securely stored. The facility failed to ensure the dry storage food items were dated, labeled and securely stored. The facility failed to ensure that canned good food items were free of dents. The facility failed to ensure that dishwashing protocol was followed. The facility failed to ensure that prepared foods were held correctly and maintained safe temperatures. [...]
  2. E
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 25, 2025
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to provide a clean and homelike environment for three of five residential halls (Hall 200, Hall 300, and Hall 400) reviewed for a safe, clean, comfortable, and homelike environment. The facility failed to ensure six air duct registers were free of small black spots, rust, paint chipping and securely fit into ceiling tiles. These failures could place residents at risk for decline in health and decreased quality of life due to living in unclean and non-homelike environment.
  3. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 25, 2025
    Inspectors wroteBased on observations, interview, and record review, the facility failed to ensure residents have a right to a dignified existence for one resident (unidentified resident) of one resident reviewed for resident rights. The facility failed to ensure one staff member was not on the phone while assisting one resident with their meal. This failure could cause residents to have a negative psychosocial outcome.
  4. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 25, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to implement a comprehensive person-centered care plan for each resident to meet a resident's medical, nursing, and mental and psychosocial needs in order attain or maintain the resident's highest practicable well-being for one resident (Resident #54) of seven residents reviewed for care plans. The facility failed to complete care plans addressing Resident #54's behavior of picking and scratching at wounds on her arm, or her skin condition. This failure could affect residents by placing them at risk for not receiving care and services to meet their needs.
  5. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 25, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that the resident environment remained free of accident hazards as is possible for 1 (Resident #42) of 15 residents and 6 residents on the south suits hall reviewed for accidents and hazards in that; 1. Resident #42 had an electrical extension cord and a multiple receptacle plug-in adaptor in his room.2. The facility failed to secure the exit door at the end of south suites hall. This failure could place residents at risk of harm due to wondering or elopement.1. [...]
June 9, 2025Complaint inspection · 1 citation
  1. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 14, 2025
    Inspectors wroteBased on observations and interviewsm the facility failed to maintain medical records on each resident that are accurate for 1 of 5 residents (Resident #1) reviewed for resident records. CNA A failed to accurately document in Resident #1's EHR on 06/06/25 when she documented her care using CNA B's log-in credentials. This failure could lead to incorrect documentation of resident care.
May 29, 2025Complaint inspection · 2 citations
  1. J
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 6, 2025
    Inspectors wroteBased on observations, interviews and record reviews, the facility failed to ensure that residents were free from abuse for two (Resident #1 and #2) of six residents reviewed for abuse and neglect. The facility failed to protect Resident #1 and #2 from abuse on 05/22/25 when both residents got into a physical altercation and fell to the ground. As a result, Resident #1 sustained a superior endplate fracture suspected at T4 vertebral body (top part of the T4 spinal bone is cracked/broken) and right periorbital hematoma (black right eye). An IJ was identified on 05/28/25. The IJ template was provided to the facility on [DATE] at 1:30 PM. [...]
  2. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 6, 2025
    Inspectors wroteBased on observations, interviews, and record review, the facility failed ensure each resident received adequate supervision and assistance devices to prevent accidents for 2 residents (Resident #1 and #2) of 6 residents reviewed for adequate supervision. The facility failed to provide adequate supervision to Resident #1 and Resident #2 when both residents got into a physical altercation and fell to the ground. As a result, Resident #1 sustained a superior endplate fracture suspected at T4 vertebral body (top part of the T4 spinal bone is cracked/broken) and right periorbital hematoma (black right eye). An IJ was identified on 05/28/25. The IJ template was provided to the facility on [DATE] at 5:05pm. [...]
May 8, 2025Complaint inspection · 2 citations
  1. H
    Protect each resident from the wrongful use of the resident's belongings or money.
    F602 · Freedom from Abuse, Neglect, and Exploitation · Actual harm, pattern · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interview and record review, the facility failed to ensure the right to be free from Misappropriation of Resident Property for 1 of 5 residents (Resident #1), reviewed for drug diversion. The facility failed to prevent the misappropriation of over 150 tablets of Norco (hydrocodone and acetaminophen an opioid which is a Schedule II controlled Substance), and 1 bottle of morphine (30 mL), by allowing the ADON (AP) to remove the medication from the nurses' cart, without authorization, for personal gain and never recovering the medication. Resident #1 experienced pain for two-three days at a level of 7-8, after his toe amputation, when his pain would have been relieved with Norco. This noncompliance was identified as a PNC. The noncompliance began on 4-14-2024 and ended on 4-28-2025. [...]
  2. G
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Actual harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interview, and record review, the facility failed to ensure residents were free from abuse for one of five residents (Resident #2) reviewed for abuse, neglect, and exploitation. The facility failed to ensure Resident #2 was free from staff to resident abuse when CMA A slapped a glass of water out of Resident #2's hand on 4-23-2025, causing her to cry experiencing psychosocial harm. This noncompliance was identified as a PNC. The noncompliance began on 4-23-2024 and ended on 4-30-2025. This failure could place residents at risk for decreased quality of life, decreased self-esteem, and mental anguish. Findings Included: [...]
February 28, 2025Complaint inspection · 3 citations
  1. G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 1, 2025
    Inspectors wroteBased on observation, record review, and interviews, the facility failed to ensure residents received necessary treatment and services, consistent with professional standards of practice, to promote wound healing, prevent infection, and prevent new ulcers from developing for 1 of 2 residents (Resident #1) reviewed for wound care services. The facility failed to enter the wound care physician's orders given on 2-10-2025 until 2-13-2025, did not put the physician's orders that were given on 2-17-2025 until 2-20-2025, according to the TAR. Treatment for the wound did not start until the dates the orders entered, according to the TAR. The facility failed to obtain orders for wound care when Resident #1 admitted to the facility on [DATE], from the hospital, with a stage II pressure injury to his buttocks. [...]
  2. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 1, 2025
    Inspectors wroteBased on interview and record review, the facility failed to immediately notify, consistent with his or her authority, the resident representative(s) when there was a significant change in the resident's physical, mental, or psychosocial status and/or a need to alter treatment significantly for 1 of 2 residents (Resident #2) reviewed for resident rights. The facility failed to notify Resident #2's representative and/or family, on 5-3-2025, as appropriate of a significant change in Resident #2's mental status. This failure could prevent their representative's authority from being notified or exercised preventing them from receiving competent choices.
  3. D
    Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
    F635 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 1, 2025
    Inspectors wroteBased on interview and record review, the facility failed to have physician orders for the resident's immediate care at the time a resident was admitted for 1 of 1 (Resident #1) resident reviewed for physician orders. The facility failed to obtain physician orders for immediate care when Resident #1 admitted to the facility on [DATE] with a pressure wound to receive orders for treatment. This failure could place residents at risk for delayed treatment causing a decline in health by not receiving treatment until two weeks later.
June 13, 2024Standard inspection · 9 citations
  1. E
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 10, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the resident had the right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences for three (Resident #1, #12, and #47) of nineteen residents reviewed for call lights. The facility failed to ensure Residents #1, #12, and #47 had cords attached to their call lights so that they could pull the call light switch to activate it when they needed assistance. This failure could place the residents at risk of falling, injury, and feelings of low self-worth due to not being able to call for help.
  2. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 10, 2024
    Inspectors wroteBased on observations, interviews and record reviews, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety in the facility's only kitchen. The facility failed on 06/11/2024 to ensure items found in the walk-in refrigerator, were labeled with the use by date. These failures could place resident at risk for food-borne illness and food contamination.
  3. E
    Have a policy regarding use and storage of foods brought to residents by family and other visitors.
    F813 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 10, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure storage of foods brought to residents by family and other visitors to ensure safe and sanitary storage, handling, and consumption for one (Suites Medication Room) of two medication rooms reviewed for storage and biologicals. The facility failed to store food brought in by family or visitors with labels of resident's names, expiration date, and stored in a way that was separated and distinguishable from residents, facilities, and staff's foods in the Suites Medication Room refrigerator on 06/12/24. This failure could affect residents by placing them at risk for food-borne illness.
  4. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 10, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to 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 disease and infection for 2 of 5 staff members (CNA A and RN F) reviewed for infection control. 1. The facility failed to ensure that the designated handwashing sink located in the facility kitchen had a functional soap dispenser. Dietary Aide A used the hand soap from a bag of soap located in the sink to wash her hands instead of using the soap dispenser. 2. While assisting Resident #13 with his breakfast, CNA A failed to wash her hands before assisting him with eating. CNA picked up 2 strips of bacon with her bare hands and handed them to the resident. 3. [...]
  5. E
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    F925 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 10, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain and effective pest control program to ensure the facility was free of pests for kitchen area. The facility failed to ensure an effective pest control program was implemented to prevent the presence of gnats and files in the kitchen area. This failure could place residents at risk for the potential spread of infection, cross-contamination, and decreased quality of life.
  6. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 10, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure each resident was treated with respect, dignity, and care in a manner and in an environment that promoted maintenance or enhancement of his or her quality of life for one (Resident #67) of three residents reviewed for resident rights and dignity. Facility failed to ensure Resident #67 had a privacy cover for his indwelling catheter while he was in therapy room at 09:58 AM and while he sat by the entrance area into the facility at 3:00 PM on 06/12/24. This failure could place resident at risk for a loss of dignity, decreased self- worth, and decreased self-esteem.
  7. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 10, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the comprehensive care plan was reviewed and revised by an interdisciplinary team after each assessment, including both the comprehensive and quarterly review assessments for 1 of 8 residents (Resident #13) reviewed for care plans. The facility failed to ensure Resident #13's care plan was revised to reflect the prescribed diet of regular texture, regular consistency, and double protein portions. These failures could place residents at risk of current needs not being met.
  8. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 10, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure the resident environment remains as free of accident hazards as is possible and each resident receives adequate supervision and assistance devices to prevent accidents for 1 of 8 resident (Resident #13) reviewed for accidents. CNA A and CNA C failed to keep Resident #13 free from accidents and were seen on camera performing a transfer from wheelchair to bed without the use of a gait belt or mechanical lift. The transfer resulted in Resident #13 falling to the floor on 06/13/24. This failure could place residents at risk of injury, mental anguish, and emotional distress.
  9. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 10, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to, in accordance with State and Federal laws, store all drugs and biologicals in locked compartments under proper temperature controls, and permit only authorized personnel to have access to the keys for one (South Suites Medication Cart) of 5 Medication Carts reviewed for security. LVN D failed to ensure Medication Cart was locked when unattended in South Suites hallway on 06/12/24 at 7:55 AM. This failure could cause accidental ingestion of medication by a resident not prescribed the medication and could cause access, loss, and diversion of medications.
April 27, 2024Complaint inspection · 2 citations
  1. K
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · Immediate jeopardy to resident health or safety, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 28, 2024
    Inspectors wroteBased on observation, interview and record review the facility failed to immediately inform the resident, consult with the resident's physician and notify consistent with his or her authority, the resident representative when there was a change in the resident's physical, mental, or psychosocial status for 1 resident (Resident #1) of 9 residents reviewed for notification of change of condition. The facility failed to ensure the MD and/or the Wound Care Doctor were consulted for direction on wound care orders for Resident #1 upon readmission to the facility on [DATE] with two small open wounds on the right and left buttock. The facility failed to ensure the MD and/or the Wound Care Doctor were consulted for direction on wound care orders on 04/11/2024 when a new wound developed on Resident #1's coccyx. [...]
  2. K
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · Immediate jeopardy to resident health or safety, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 28, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that residents receive care, consistent with professional standards of practice, to promote healing, prevent infection, and prevent new ulcers from developing for 1 (Resident #1) of 9 residents reviewed for pressure ulcers. The facility failed to ensure the MD and/or the Wound Care Doctor were consulted for direction on wound care orders for Resident #1 upon readmission to the facility on [DATE] with two small open wounds on the right and left buttock. The facility failed to ensure the MD and/or the Wound Care Doctor were consulted for direction on wound care orders on 04/11/2024 when a new wound developed on Resident #1's coccyx. Resident #1 was not seen by the Wound Care Doctor until 04/22/24 and was sent out to hospital with an unstageable wound on her sacrum, resulting in surgery to debride the wound. [...]
January 10, 2024Complaint inspection · 1 citation
  1. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 31, 2024
    Inspectors wroteBased on interview, and record review, the facility failed to provide pharmaceutical services, including procedures that assured the accurate accountability of controlled drugs for one (Suites Hall medication cart) of two medication carts reviewed for narcotic count documentation. The facility did not obtain nursing staff signatures for the Controlled Drugs-Count Record for the Suites Hall medication cart for 01/02/23 on the 3:00 PM - 11:00 PM shift. This failure could place residents receiving medications at risk for inadequate supply of medication, ineffective therapeutic outcomes, and drug diversion.
January 3, 2024Complaint inspection · 1 citation
  1. D
    Provide or get specialized rehabilitative services as required for a resident.
    F825 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 31, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to provide specialized rehabilitative services such as but not limited to physical therapy, speech-language pathology, occupational therapy, respiratory therapy, and rehabilitative services for mental illness and intellectual disability, or services of a lesser intensity for 1 of 3 residents (Resident #1) for residents reviewed for specialized rehabilitative services. The facility failed to ensure Resident #1 received a physical therapy evaluation and physical therapy services after a fall. This failure could place residents at risk of having a decline in activities for daily living.
October 14, 2023Complaint inspection · 4 citations
  1. J
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 23, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to consult with the physician when the resident experienced a change in condition for one (Resident #1) of nine residents reviewed for a change of condition: -The facility failed to notify the physician of a change in condition for Resident #1 after he exhibited unusual behaviors, became combative, and refused administration of insulin, which resulted in the resident having a fall and sustaining critical injuries. An Immediate Jeopardy was identified on 10/13/23. While the Immediate Jeopardy was removed on 10/14/23, the facility remained out of compliance at a scope of isolated and a severity level of actual harm that is not Immediate Jeopardy, due to the facility's continuation of in-servicing and monitoring the Plan of Removal. [...]
  2. J
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 23, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure the resident's right to be free from neglect for one (Resident #1) of nine residents reviewed for neglect. -The facility staff were aware of the goods and services Resident #1 required per his care plan and orders, and failed to provide them (insulin), without additional intervention by notifying the physician, and as a result the resident fell and sustained critical injuries. An Immediate Jeopardy was identified on 10/13/23. While the Immediate Jeopardy was removed on 10/14/23, the facility remained out of compliance at a scope of isolated and a severity level of actual harm that is not Immediate Jeopardy, due to the facility's continuation of in-servicing and monitoring the Plan of Removal. [...]
  3. J
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 23, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to develop and implement written policies and procedures that prohibit and prevent the neglect of residents for one resident (Resident #1) of nine residents reviewed for neglect. -The facility failed to implement the facility's written policies and procedures to prohibit and prevent neglect of Resident #1 by not providing him goods and services (insulin), without additional intervention by notifying the physician, and as a result the resident fell and sustained critical injuries. An Immediate Jeopardy was identified on 10/13/23. While the Immediate Jeopardy was removed on 10/14/23, the facility remained out of compliance at a scope of isolated and a severity level of actual harm that is not Immediate Jeopardy, due to the facility's continuation of in-servicing and monitoring the Plan of Removal. [...]
  4. J
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 23, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the resident's choices for one resident (Resident #1) of nine residents reviewed for change in physical, mental, or psychosocial status. -The facility failed to notify the physician of a change in condition for Resident #1 after he exhibited unusual behaviors, became combative, and refused administration of insulin, which resulted in the resident having a fall and sustaining critical injuries. An Immediate Jeopardy was identified on 10/13/23. [...]
May 12, 2023Standard inspection · 5 citations
  1. J
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · Corrected (the home has a date of correction) May 13, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the resident's choices for one (Resident #38) of 17 residents reviewed for labs and diagnostics. The facility failed to retrieve results of an x-ray order of Resident #38's right arm in a timely manner after he was noted to be grimacing in pain and unable to move his right arm, which resulted in delayed treatment of a fractured clavicle for approximately 24 hours. An Immediate Jeopardy was identified on 05/11/23. While the Immediate Jeopardy was removed on 05/12/23, the facility remained out of compliance at a scope of isolated and a severity level of actual harm that is not Immediate Jeopardy, due to the facility's continuation of in-servicing and monitoring the Plan or Removal. [...]
  2. J
    Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
    F777 · Administration · Immediate jeopardy to resident health or safety, isolated · Corrected (the home has a date of correction) May 13, 2023
    Inspectors wroteBased on observation, interview, and record review the facility failed to promptly notify the ordering physician of results that fell outside of clinical reference ranges in accordance with facility policies and procedures for one (Resident #38) of four residents reviewed diagnostic services. The facility failed to retrieve results of an x-ray order of Resident #38's right arm in a timely manner after he was noted to be grimacing in pain and unable to move his right arm, which resulted in delayed treatment of a fractured clavicle for approximately 24 hours. An Immediate Jeopardy was identified on 05/11/23. While the Immediate Jeopardy was removed on 05/12/23, the facility remained out of compliance at a scope of isolated and a severity level of actual harm that is not Immediate Jeopardy, due to the facility's continuation of in-servicing and monitoring the Plan or Removal. [...]
  3. E
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 1, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents, who were unable to carry out activities of daily living, received the necessary services for three (Residents #15, #48, and # 52) of eighteen residents reviewed for maintenance of grooming and personal hygiene. The facility failed to maintain the fingernails, toenails, and hair of Residents #15, #48, and #52. This failure placed residents at risk of injury, decreased self esteem, and risk of infection.
  4. E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 13, 2023
    Inspectors wroteBased on observations and interviews the facility failed to ensure medications on two of six carts and one medication room reviewed for medication storage were not expired in accordance with currently accepted professional principles, and in accordance with State and Federal laws The facility failed to ensure medications stocked on the Nurse's and Medication Aide carts for the Suites unit, Nurse medication cart and the Medication room for the Terrace unit were not expired. These failures placed the residents at risk of receiving medications that might not have their full effectiveness, or may have become toxic.
  5. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 30, 2023
    Inspectors wroteBased on observations and interviews the facility failed to 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 four (Residents #8, #34, #46, and #64) of six residents reviewed for infection control. MA-O failed to sanitized the re-useable blood pressure cuff between uses on Residents #8, #34, #46, and #64. This failure placed residents at risk of contracting an infecction from another resident.

Fire safety inspections

18 fire safety citations on file: 4 on July 24, 2025, 10 on June 13, 2024, 4 on May 12, 2023.

Every fire safety citation18 citations
  1. F
    Establish roles under a Waiver declared by secretary.
    E 26 · July 24, 2025 · Corrected (the home has a date of correction)
  2. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · July 24, 2025 · Corrected (the home has a date of correction)
  3. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · July 24, 2025 · Corrected (the home has a date of correction)
  4. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · July 24, 2025 · Corrected (the home has a date of correction)
  5. F
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · June 13, 2024 · Corrected (the home has a date of correction)
  6. E
    Meet other general requirements.
    K 200 · June 13, 2024 · Corrected (the home has a date of correction)
  7. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · June 13, 2024 · Corrected (the home has a date of correction)
  8. E
    Install an approved automatic sprinkler system.
    K 351 · June 13, 2024 · Corrected (the home has a date of correction)
  9. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · June 13, 2024 · Corrected (the home has a date of correction)
  10. E
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · June 13, 2024 · Corrected (the home has a date of correction)
  11. E
    Install corridor and hallway doors that block smoke.
    K 363 · June 13, 2024 · Corrected (the home has a date of correction)
  12. E
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · June 13, 2024 · Corrected (the home has a date of correction)
  13. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · June 13, 2024 · Corrected (the home has a date of correction)
  14. B
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · June 13, 2024 · Corrected (the home has a date of correction)
  15. E
    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
    K 362 · May 12, 2023 · Corrected (the home has a date of correction)
  16. D
    Meet other general requirements.
    K 200 · May 12, 2023 · Corrected (the home has a date of correction)
  17. D
    Provide properly protected cooking facilities.
    K 324 · May 12, 2023 · Corrected (the home has a date of correction)
  18. C
    Have properly located and lighted "Exit" signs.
    K 293 · May 12, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
August 15, 2025Fine $17,594
May 29, 2025Fine $62,192
May 8, 2025Fine $12,637
May 8, 2025Fine $14,742
February 28, 2025Fine $12,425
April 27, 2024Fine $187,136
October 14, 2023Fine $14,518

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeTexasUnited States
All nursing staff (RN, LPN and aides)3.053.393.86
Registered nurses0.320.430.69
All nursing staff on weekends2.652.983.42
Nurse aides1.72
Licensed practical nurses1.00
Nursing staff turnover (share who left in a year)not reported55.3%45.8%
Registered nurse turnovernot reported54.6%42.9%
Administrators who leftnot reported

CMS expects 4.35 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 3.21 on weekdays and 2.65 on weekends, 17% 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 3.41 in April to June 2025 to 3.05 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.050.323.212.65 0.0%0 of 9092
Oct to Dec 20253.270.413.412.92 0.0%1 of 9284
Jul to Sep 20253.150.543.302.79 1.7%1 of 9278
Apr to Jun 20253.410.623.602.93 0.0%0 of 9178
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Texas, Jan to Mar 20263.330.403.502.932.2%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. If you work here, your report helps start one.

Official wage estimates for Texas

JobMedianMiddle halfEmployed
Texas, all employers
CNAs (nursing assistants)$18.03$16.97 to $20.7188,680
LPNs and LVNs$29.92$27.46 to $32.8957,560
Registered nurses$46.14$38.06 to $50.53271,380
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

Work here? Share your pay anonymously

For Willow Ridge Wellness & Rehabilitation. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
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Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeTexasUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
6.715.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.30.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.00.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
6.63.33.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
9.51.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
5.214.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
0.83.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
26.59.615.4

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Willow Ridge Wellness & Rehabilitation's Medicare short-stay residents. How to read these, and what Medicare pays for.

Went home or back to the community

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

US median of homes 51.5% · Texas: 116 better, 50 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 13 eligible stays.

Potentially preventable readmissions

11.9% this home

No different from the national rate

US median of homes 10.7% · Texas: 0 better, 9 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 26 eligible stays.

Infections that led to a hospital stay

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

US median of homes 7.1% · Texas: 4 better, 11 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 10 eligible stays.

Self-care and mobility at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Texas57.3% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 11 residents counted.

Falls with major injury

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Texas0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 14 residents counted.

New or worsened pressure ulcers

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Texas1.3% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 14 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Texas98.5% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 4 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: OLNEY-HAMILTON HOSPITAL DISTRICT. CMS links this home to Opco Skilled Management, a group of 68 nursing homes averaging 2.3 stars overall.

NameRoleTypeShareSince
Olney-Hamilton Hospital District5% or greater direct ownership interestOrganization100%04/01/2018
Huff, MichaelCorporate officerIndividual04/01/2018
Willow Ridge Wellness & Rehabilitation, LLCOperational/managerial controlOrganization08/01/2025
Garetz, DavidOperational/managerial controlIndividual08/01/2025
Davidovich, NivIndividual is an owner, partner or trustee of any ADP of the SNFIndividual08/14/2025
Hagins, ElizabethIndividual is an owner, partner or trustee of any ADP of the SNFIndividual08/14/2025
Kaplan, EstherIndividual is an owner, partner or trustee of any ADP of the SNFIndividual08/14/2025
Mindle, AdamIndividual is an owner, partner or trustee of any ADP of the SNFIndividual08/14/2025
Sternshein, JenniferIndividual is an owner, partner or trustee of any ADP of the SNFIndividual08/14/2025
894 Leland Ave Mo LLCAdp of the SNFOrganization08/01/2025
Pimento Property Holdings LLCAdp of the SNFOrganization08/01/2025
Red Stone Advisors LLCAdp of the SNFOrganization08/01/2025
Villegas, RachelAdp of the SNFIndividual08/01/2025

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 11 problems in this area, most recently on March 31, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 8 problems in this area, most recently on January 29, 2026: "Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely."
  3. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 5 problems in this area, most recently on May 29, 2025: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on July 24, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.65 hours per resident per day, below the Texas average of 2.98.

Other nursing homes nearby

Texas contacts for a concern about a nursing home

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Common questions

What is Willow Ridge Wellness & Rehabilitation's Medicare star rating?
CMS rates Willow Ridge Wellness & Rehabilitation 1 out of 5 stars overall, with 1 for health inspections, 1 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Willow Ridge Wellness & Rehabilitation get at its last inspection?
5 health deficiencies at the standard inspection on July 24, 2025. The Texas average is 9.4.
Has Willow Ridge Wellness & Rehabilitation been fined?
Yes. CMS lists 7 fines totaling $321,244 in the last three years.
Does Willow Ridge Wellness & Rehabilitation 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 Willow Ridge Wellness & Rehabilitation?
CMS lists 13 owners and managers, and links the home to Opco Skilled Management. Legal business name: OLNEY-HAMILTON HOSPITAL DISTRICT.

Sources

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