Willis Nursing And Rehabilitation

Penalties

• Oct 19, 2023 — Fine ($7,443)

Inspection findings

1. Dec 3, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Dec 31, 2025 · CMS health inspection

2. Aug 21, 2025 Health · 5 findings
   • Not serious Scope/severity D

     F0695 Quality of Life and Care Deficiencies

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

     Corrected Sep 18, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0925 Environmental Deficiencies

     Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

     Corrected Sep 18, 2025 · CMS health inspection

   • Not serious Scope/severity D

     K0351 Smoke Deficiencies

     Install an approved automatic sprinkler system.

     Corrected Sep 18, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0511 Services Deficiencies

     Have properly installed electrical wiring and gas equipment.

     Corrected Sep 18, 2025 · CMS fire safety

   • Not serious Scope/severity C

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     Corrected Sep 18, 2025 · CMS fire safety

3. Jun 28, 2024 Health · 3 findings
   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

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

     Corrected Jul 23, 2024 · CMS health inspection

   • Not serious Scope/severity D

     K0511 Services Deficiencies

     Have properly installed electrical wiring and gas equipment.

     Corrected Aug 9, 2024 · CMS fire safety

   • Not serious Scope/severity C

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     Corrected Aug 9, 2024 · CMS fire safety

4. Oct 20, 2023 Health · 2 findings
   • Serious Scope/severity G Complaint

     F0689 Quality of Life and Care Deficiencies

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

     Corrected Oct 20, 2023 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0761 Pharmacy Service Deficiencies

     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 Nov 30, 2023 · CMS health inspection

5. Oct 19, 2023 Health · 4 findings
   • Not serious Scope/severity D Complaint

     F0557 Resident Rights Deficiencies

     Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

     Corrected Nov 30, 2023 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Nov 30, 2023 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0693 Quality of Life and Care Deficiencies

     Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

     Corrected Nov 30, 2023 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Nov 30, 2023 · CMS health inspection

6. May 11, 2023 Health · 6 findings
   • Not serious Scope/severity E

     F0550 Resident Rights Deficiencies

     Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

     Corrected Jun 22, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0553 Resident Rights Deficiencies

     Allow resident to participate in the development and implementation of his or her person-centered plan of care.

     Corrected Jun 22, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Jun 22, 2023 · CMS health inspection

   • Not serious Scope/severity D

     K0223 Egress Deficiencies

     Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

     Corrected Jun 22, 2023 · CMS fire safety

   • Not serious Scope/severity C

     K0511 Services Deficiencies

     Have properly installed electrical wiring and gas equipment.

     Corrected Jun 22, 2023 · CMS fire safety

   • Not serious Scope/severity C

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     Corrected Jun 22, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• BOSWELL, DARREN — 5% or greater indirect ownership interest, since 06/01/2023
• EDEN, JAMES — 5% or greater indirect ownership interest, since 06/01/2023
• GUERRERO, MILTON — adp of the snf, NOT APPLICABLE, since 03/25/2013
• GUERRERO, MILTON — operational/managerial control, NOT APPLICABLE, since 03/25/2013
• LEONARD, JOSHUA — operational/managerial control, NOT APPLICABLE, since 10/01/2024
• LEONARD, JOSHUA — corporate officer, NOT APPLICABLE, since 10/01/2024
• SIMMONS, LARONDA — adp of the snf, NOT APPLICABLE, since 02/18/2021
• WHITWORTH, GARY — 5% or greater indirect ownership interest, since 06/01/2023
• SENIOR LIVING PROPERTIES LLC — 5% or greater indirect ownership interest, since 06/01/2023
• SLP MANAGEMENT HOLDINGS, LLC — 5% or greater indirect ownership interest, since 06/01/2023
• SLP OMEGA OPERATIONS, LLC — 5% or greater direct ownership interest, 100%, since 06/01/2023
• SLP OPERATIONS, LLC — 5% or greater indirect ownership interest, since 06/01/2023
• WILLIS TEXAS AVIV LLC — 5% or greater security interest, NOT APPLICABLE, since 08/01/2020
• WILLIS TEXAS AVIV LLC — adp of the snf, NOT APPLICABLE, since 08/01/2020