Deficiency Index

Willow Park Rehabilitation and Care Center

Willow Park, Texas · CCN 676365

21 surveys since 2015, 3 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
63
Surveys
21
Harm or worse
3
Immediate jeopardy
3
The record, 2015–2026
’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy3

Findings at the most serious level CMS records.

Beyond CMS’s monthly file12/21

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
125
Ownership
For profit - Corporation
Chain
NEXION HEALTH
County
Parker
Medicare-certified since
2014

CMS ratings

Overall
2
Health inspection
3
Staffing
1
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded fewer weighted findings than most of its peer group.

Weighted by harm level, against 377 for-profit facilities of 100–127 beds in Texas.

Last survey on record

Jun 17, 2026

145 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.493.25
Registered-nurse hours per resident day0.26—
Annual nurse turnover75.0%54.0%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1751.5%E1133.3%F39.1%
No harm, potential for minimalA—B13.0%C13.0%
CMS’s current file: 33 of the 63 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8123×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F5582×

    Reasonably accommodate the needs and preferences of each resident.

  • F6412×

    Ensure each resident receives an accurate assessment.

  • F7322×

    Post nurse staffing information every day.

  • F7552×

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

In the surveyor’s words

From the most serious findings on record at Willow Park Rehabilitation and Care Center, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Jun 17, 2026

    Based on observation, interview, and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for food and nutrition services and 2 of 2 resident nourishment rooms reviewed for sanitary conditions.1. The facility failed to ensure a trash barrel containing raw egg shells and other waste was covered in the kitchen.2. The facility failed to ensure meat was not being thawed in a sink on the morning of 6/14/2026.3. The facility failed to ensure foods were in sealed containers and were labeled and dated in the walk-in refrigerator and the non-perishable food storage room on the morning of 6/14/2026.4. […]

  • No harm, potential for more than minimal, widespreadF919May 23, 2025

    Based on observation, interview, and record review the facility failed to ensure it was adequately equipped to allow residents to call for staff assistance through a communication system which relays the call directly to a staff member or to a centralized staff work area from each resident's bedside and toilet and bathing facilities for 2 of 2 nurse's stations (Hall 100/200 station and Hall 300/400 station). Resident's emergency call light was not audible at either the Hall 100/200 or Hall 300/400 nurse's stations. This failure placed residents at risk of not receiving timely care/assistance, falls, fall related injuries, head trauma, and hospitalization . Findings included: During observation on 5/23/25 at 5:00am, surveyor was standing at the nurse's station for Halls 100 and 200. […]

  • No harm, potential for more than minimal, widespreadF812Dec 15, 2022

    Based on observation, interview, and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in one of one kitchen reviewed. 1. The floors were soiled with food particles and grease beneath the appliances and stainless-steel shelf units throughout the kitchen. 2. The stainless-steel shelf units were soiled with spilled spices, food crumbs, and dried liquids. 3. The appliance surfaces were soiled with dust and grease build-up. These failures could place residents at risk for foodborne illness and a decline in health status. […]

  • No harm, potential for more than minimal, widespreadF880Aug 31, 2021

    Based on observation, review of the facility's COVID-19 Daily Screening Logs, and staff interviews, the facility failed to ensure staff and visitors were consistently screened for COVID-19 prior to entering the facility. This deficient practice had the potential to affect all residents in the facility. Findings include: On 08/29/21 at 9:15 AM the surveyor entered the facility for the first time through the main entrance. Just as the surveyor reached the door between the foyer and the main lobby, the Hospitality Aide (HA) 24 took the surveyor's temperature and asked no questions. The surveyor informed him she was at the facility to do a survey and asked him if he needed to complete any papers or answer any questions. […]

  • No harm, potential for more than minimal, patternF656Jun 17, 2026

    Based on interview and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident that included measurable objectives and time frames to meet the residents' medical, nursing, mental, and psychosocial needs, for 9 of 18 residents (Residents #4, #5, #8, #9, #35, #46, #65, #69, and #77 ) reviewed for care plans.1.The facility did not develop and implement a comprehensive person-centered care plan to address Resident #4's hearing difficulty.2.The facility did not develop and implement a comprehensive person-centered care plan to address Resident #5's skin condition and skin tears.3.The facility did not develop and implement a comprehensive person-centered care plan to address Resident #8's assistance with activities of daily living,… […]

Read 23 findings in full →The most serious and the most recent: 23 of 63 on record.

Every survey on record

FindingsAt actual harm or above

  • Jun 17, 2026Standard9 findings
  • Jan 13, 2026Complaint1 finding
  • May 23, 2025Complaint2 findings
  • Apr 17, 2025Complaint1 finding
  • Apr 9, 2025Standard4 findings
  • Oct 29, 2024Complaint4 findings
  • Feb 15, 2024Standard6 findings
  • Sep 7, 2023Complaint1 finding
Show the 13 earlier surveys
  • Dec 15, 2022Standard5 findings
  • Oct 14, 2021Standard1 finding
  • Aug 31, 2021Complaint2 findings
  • Sep 1, 2020Complaint1 finding
  • Jul 15, 2020Complaint1 finding
  • Jan 24, 2020Standard and complaint3 findings
  • Oct 25, 2019Complaint1 finding
  • Feb 1, 2019Standard9 findings
  • Sep 22, 2018Complaint4 findings · 3 harm
  • Apr 26, 2018Complaint1 finding
  • Jan 19, 2018Standard2 findings
  • May 30, 2017Complaint2 findings
  • Oct 8, 2015Standard3 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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