Willowcreek Rehab and Nursing

4934 S 7th St · Abilene, TX · 79605 · 3256922172

96 certified beds Government - Hospital district

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results are getting worse cycle over cycle, not better.

Red flags

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

Total nurse staffing below 3.0 hours per resident-day

2.72 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

Score breakdown

Inspection record 30% of score 33
Serious harm & abuse 20% 70
Staffing 20% 47
Federal penalties 15% 71
Trend 10% 22
Context 5% 100

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: 1 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day2.723.48 min · 4.1 strong
RN hours / resident-day0.420.55–0.75
Weekend hours / resident-day2.42≈ weekday level
Nursing turnover / year55%median 45%
Fines (3-yr window)1 · $23,794

Inspection citations (21 in the current record)

  • Potential for harm · E December 19, 2025 · found via complaint

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

    Corrected January 12, 2026 · Nutrition and Dietary

  • Potential for harm · E April 30, 2025 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected May 12, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D April 30, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected May 12, 2025 · Infection Control

  • Immediate jeopardy · K February 27, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected February 28, 2025 · Quality of Life and Care

  • Potential for harm · D February 27, 2025

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected February 28, 2025 · Resident Rights

  • Potential for harm · D February 27, 2025

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected February 28, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E February 27, 2025

    Ensure the activities program is directed by a qualified professional.

    Corrected February 28, 2025 · Quality of Life and Care

  • Potential for harm · E February 27, 2025

    Ensure that the resident and his/her doctor meet face-to-face at all required visits.

    Corrected February 28, 2025 · Nursing and Physician Services

  • Potential for harm · D February 27, 2025

    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 28, 2025 · Pharmacy Service

  • Potential for harm · E February 27, 2025

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

    Corrected February 28, 2025 · Nutrition and Dietary

  • Potential for harm · E February 27, 2025 · found via complaint

    Assure the security of all personal funds of residents deposited with the facility.

    Corrected February 28, 2025 · Resident Rights

  • Potential for harm · E January 10, 2024 · found via complaint

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected February 7, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D January 10, 2024 · found via complaint

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected February 7, 2024 · Quality of Life and Care

  • Potential for harm · D January 10, 2024 · found via complaint

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Corrected February 7, 2024 · Nutrition and Dietary

  • Potential for harm · E January 10, 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 February 7, 2024 · Nutrition and Dietary

  • Potential for harm · D January 10, 2024 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected February 7, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E January 10, 2024 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected February 7, 2024 · Infection Control

  • Potential for harm · D September 27, 2023 · found via complaint

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected October 12, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D November 10, 2022

    Reasonably accommodate the needs and preferences of each resident.

    Corrected December 13, 2022 · Resident Rights

  • Potential for harm · E November 10, 2022

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected December 13, 2022 · Quality of Life and Care

  • Potential for harm · D November 10, 2022

    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 December 13, 2022 · Pharmacy Service

Federal penalties

DateTypeAmount / length
February 27, 2025Fine$23,794

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 675350 · certified since May 20, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.