Willowbend Nursing and Rehabilitation Center
2231 Highway 80 E · Mesquite, TX · 75150 · 9722793601
162 certified beds For profit - Limited Liability company Chain: The Ensign Group Hospital-based
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
6 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
RN staffing in the bottom 10% nationally
0.25 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.59 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.25 | 0.55–0.75 |
| Weekend hours / resident-day | 3.19 | ≈ weekday level |
| Nursing turnover / year | 52% | median 45% |
| Fines (3-yr window) | 4 · $94,394 |
Inspection citations (39 in the current record)
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Potential for harm · D January 22, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 12, 2026 · Resident Rights
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Potential for harm · D January 22, 2026
Reasonably accommodate the needs and preferences of each resident.
Corrected February 12, 2026 · Resident Rights
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Potential for harm · E January 22, 2026
Keep residents' personal and medical records private and confidential.
Corrected February 12, 2026 · Resident Rights
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Potential for harm · E January 22, 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.
Corrected February 12, 2026 · Resident Rights
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Potential for harm · D January 22, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 12, 2026 · Resident Assessment and Care Planning
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Potential for harm · E January 22, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 12, 2026 · Quality of Life and Care
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Potential for harm · E January 22, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 12, 2026 · Quality of Life and Care
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Potential for harm · E January 22, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 12, 2026 · Quality of Life and Care
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Potential for harm · D January 22, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 12, 2026 · Pharmacy Service
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Potential for harm · E January 22, 2026
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.
Corrected February 12, 2026 · Pharmacy Service
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Potential for harm · E January 22, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 12, 2026 · Nutrition and Dietary
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Potential for harm · E January 22, 2026
Provide and implement an infection prevention and control program.
Corrected February 12, 2026 · Infection Control
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Potential for harm · D January 22, 2026
Have policies on smoking.
Corrected February 12, 2026 · Environmental
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Potential for harm · D November 20, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 21, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 5, 2025 · found via complaint
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.
Corrected November 21, 2025 · Resident Rights
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Potential for harm · D March 25, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 17, 2025 · Resident Rights
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Potential for harm · E March 25, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 17, 2025 · Quality of Life and Care
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Potential for harm · D March 25, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 17, 2025 · Quality of Life and Care
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Potential for harm · D February 7, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected March 5, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 7, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 5, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E October 16, 2024
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.
Corrected November 7, 2024 · Resident Rights
-
Potential for harm · D October 16, 2024
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.
Corrected November 7, 2024 · Pharmacy Service
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Potential for harm · D October 16, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 7, 2024 · Quality of Life and Care
-
Potential for harm · E October 16, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 7, 2024 · Nutrition and Dietary
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Immediate jeopardy · J January 17, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected December 18, 2023 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 17, 2024 | Fine | $16,801 |
| November 3, 2023 | Fine | $7,446 |
| September 15, 2023 | Fine | $46,168 |
| July 27, 2023 | Fine | $23,979 |
| July 27, 2023 | Payment Denial | 6 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675272 · certified since March 1, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.