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Complaint Investigation

Willowcreek Rehab And Nursing

December 19, 2025 · Abilene, TX · 4934 S 7th St
Citations 1
CMS Rating 2/5
Beds 96
Provider ID 675350
Healthcare Facility
Willowcreek Rehab And Nursing
Abilene, TX  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

Willowcreek Rehab and Nursing in Abilene, TX — inspection on December 19, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0812
Nutrition and Dietary Deficiencies
Potential for More Than Minimal Harm

During an interview on 12/19/2025 at 2:23 p.m., the DON said she expected the expected the kitchen staff to follow policy and wash their hands when they first came on duty and if they left the kitchen, to wash their hands again upon return.

The DON said the not washing hands per policy did not meet her expectations and training and in-services would be completed.

The DON said not using proper hand washing protocol was the number one method of how germs were spread in the kitchen, which could cause illness to all residents and others who ate out of the kitchen.

During an interview on 12/19/2025 at 9:34 a.m., [NAME] B said she had been trained on appropriate hand washing and was aware that she did not wash her hands enough during the observation. [NAME] B said she was nervous and forgot. [NAME] B said she when she did not wash her hands and touched the inside of the residents' bowls, she could spread germs and cause illness. [NAME] B said she realized why all her hair should be inside her hair net and she would be more aware. [NAME] B said the purpose of wearing a hair net was to keep her hair from falling into the food. [NAME] B said if someone ate the contaminated food, they could become ill, or the food would be unappealing.

During an interview on 12/19/2025 at 10:53 a.m., the Interim Administrator said his expectation was for the facility to serve good food that met the nutritional needs of the residents.

The Interim Administrator said his expectation was for the kitchen staff to wash their hands appropriately and to follow the facility policies to prevent any illness with the facility.

Record review of the facility's policy, Food Safety and Sanitation Plan, dated 07/22/2021, revealed the facility basis of control for the policy would be personal hygiene practices.- Thorough hand washing was required, but not limited to, the following situations:A. starting a work shiftB. after using the restroomC. after handling raw food productsD. after touching hair or faceE. after the use of any chemicals

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Abilene, TX, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Willowcreek Rehab and Nursing or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.