Willowbrook Nursing Center

    227 Russell Blvd, Nacogdoches, TX, 75965
    3.6 · 38 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    3.0

    Great therapy but inconsistent care

    I had a very mixed experience. The rehab, some nurses and therapists, and 24-hour care were excellent and attentive-several staff went above and beyond-yet care was wildly inconsistent: some aides were rude, neglectful, or unhelpful and communication from management was poor. The facility and meals were hit-or-miss-clean rooms and friendly reception but also shabby areas, maintenance problems, reports of roaches, and many cold/poor meals or ignored dietary needs. I can't wholeheartedly recommend it: great therapy and some outstanding staff, but inconsistent care, cleanliness, and food made it not worth the cost for us.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    3.63 · 38 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.4
    • Staff

      4.3
    • Meals

      2.8
    • Amenities

      3.2
    • Value

      1.0

    Pros

    • 24-hour care availability
    • Proactive nurse communication reported by some families
    • Skilled and effective physical/occupational therapy
    • Documented successful rehab outcomes and readmissions
    • Many friendly, professional, and attentive staff members
    • Exceptional nurses highlighted by multiple reviewers
    • Clean and well-maintained grounds
    • Clean shared rooms and individual closets noted
    • Walker-friendly environment and climate control
    • Entertainment and sitting areas available
    • Family dining option
    • Salon and grooming services in place
    • Receptionist and front-desk staff often friendly
    • Some improvements in food quality reported
    • Staff across departments sometimes work well together
    • Some staff go above and beyond for residents

    Cons

    • Inconsistent staff attitudes — reports of rude, lazy, or neglectful employees
    • Neglect in personal care (left in wet diaper, weeks without baths)
    • Serious safety incidents reported (infections, hospital transfers)
    • Poor and inconsistent cleanliness (reports of cockroaches, sticky/unclean floors)
    • Facility interior in disrepair (shabby furniture, floors need repairs)
    • Food quality highly variable (cold meals, hard/dry meat)
    • Dietary restrictions not consistently followed
    • Poor communication and scheduling discrepancies with management/charge nurses
    • Refusal by some staff to assist with basic needs or provide names
    • Some residents excluded from activities during rehab
    • Mismatch between rehab expectations and actual intensity for some
    • Reports of staff threats and poor management response
    • Insufficient smoking breaks reported
    • Care quality appears highly variable across shifts/units

    Summary review

    Overall sentiment across these review summaries is mixed and highly polarized: a substantial number of reviewers praise Willowbrook Nursing Center for strong nursing care, effective therapy/rehab services, friendly front-line staff, and a generally pleasant exterior and communal environment, while a significant minority report very serious problems including neglect, poor hygiene, and safety incidents. This creates an impression of uneven quality — some residents and families experienced attentive, high-quality care and good rehabilitation outcomes, while others experienced avoidable failures in basic care and facility management.

    Care quality and safety: Many reviewers emphasize strong clinical and rehabilitative care. Physical and occupational therapy receives repeated positive mentions — described as excellent, fast, and aligned with recovery goals, with several reviewers returning for subsequent admissions due to positive rehab outcomes. Nurses and many nursing assistants are frequently described as exceptional, attentive, and caring. Conversely, there are multiple, specific, and severe negative incidents: residents reportedly left in wet diapers overnight, weeks without baths, staff refusal to assist with toileting or simple requests, and at least one reviewer linking care to a serious infection and hospital transfer with organ-failure risk. Those latter reports raise important safety and neglect concerns. The pattern suggests variability in basic caregiving and infection-control practices that can materially affect resident health.

    Staff behavior and management/communication: Staffing-related themes are inconsistent. A large number of reviews praise friendly, helpful, and professional staff (receptionist, therapy, salon, and many caregivers), and reviewers describe staff who go above and beyond. However, substantial and repeated comments accuse some staff of being rude, lazy, mean, or neglectful. There are also reports of staff refusing to provide their names, threats by nurses, poor communication from the Director of Nursing, scheduling discrepancies, and at least one instance where management intervention was needed to correct information flow. Some reviewers note management improvements and better information conveyance after intervention. Altogether these comments point to uneven staff performance possibly depending on shift, unit, or individual employees, and to variable management responsiveness.

    Facilities and cleanliness: Several reviewers describe clean grounds, clean shared rooms, individual closets, climate control, and walker-friendly spaces including entertainment/sitting areas. The salon and some common areas receive positive feedback. Countering those positives are repeated complaints about interior maintenance and hygiene: shabby or unmatched furniture, floors in need of repair, sticky or unclean floors, and explicit mentions of cockroaches and a generally dirty building. These conflicting reports indicate that some parts of the facility or certain units are well-maintained, while others suffer from maintenance or pest-control problems.

    Dining and dietary practices: Dining experiences are frequently described as inconsistent. Some reviewers say meals are varied and well-cooked and note dietary improvements over time, while others report cold meals (e.g., cold sandwiches, cold hotdog at a holiday meal), hard or dry meat, and failure to follow dietary restrictions. A few people mention family dining as a positive feature. Overall, food quality and adherence to dietary needs are unpredictable according to these reviews.

    Activities and resident life: The facility offers entertainment areas and opportunities for socialization, and several reviewers describe a caring, “fun” environment. However, at least one reviewer said a resident was excluded from activities during rehab. Smoking breaks were mentioned as insufficient by one reviewer. These comments again point to variability in programming or enforcement across units or shifts.

    Patterns and likely root causes: The dominant pattern is inconsistency. Many positive comments focus on therapy, some nurses, and front-line professionalism; many negative comments center on basic caregiving failures, cleanliness, and communication breakdowns. This suggests the facility can and does deliver good care — especially in therapy/rehab — but that outcomes are uneven, possibly driven by staff turnover, differences between units or shifts, variable management oversight, or insufficient oversight of hygiene and dietary adherence. The most alarming reports involve neglect and infection, which should be prioritized for investigation by regulators or prospective families.

    Implications for prospective residents/families: Given the polarized reviews, an in-person visit is essential. Ask specific, targeted questions: which unit will my relative be in, what are staffing ratios on day vs. night shifts, what infection-control and pest-control measures are in place, how are dietary needs documented and enforced, and how does management handle complaints and staffing issues? Observe multiple meal services, a range of rooms/units, and speak directly with nursing leadership about any reports of neglect or serious incidents. For families seeking strong rehab outcomes, Willowbrook appears capable of providing effective therapy; for families prioritizing consistent daily personal care and facility upkeep, there appear to be real risks that should be confirmed or mitigated before admission.

    Summary judgment: Reviews indicate that Willowbrook Nursing Center can provide excellent and attentive nursing care and effective therapy for many residents, but that care quality and facility standards are inconsistent and, in some cases, dangerously poor. This mixed record means the facility may be appropriate for some residents (particularly those needing rehabilitative therapy) but warrants caution, close oversight, and direct inquiry by prospective residents and their families to ensure that specific needs and safety concerns will be reliably met.

    Location

    Map showing location of Willowbrook Nursing Center

    About Willowbrook Nursing Center

    Willowbrook Nursing Center welcomes residents to a homelike setting where licensed nurses, CNAs, therapists, and a fully staffed medical team work around the clock to make sure everyone gets the right care at all hours, and the place really does have a family feeling with home-cooked meals served each day, even certified Angus beef on the menu, and it's not unusual to see plenty of activities going on, like arts and crafts, music, pet therapy, and more, which help people stay engaged, and they plan cognitive activities for folks with memory care needs too. The center offers a broad range of services, including skilled nursing, memory care for people living with Alzheimer's or other dementias, short-term rehab, and long-term care, while therapists and physicians put together personalized recovery and therapy plans with supports like wound care, pain management, respiratory care, and hemodialysis, and a big, modern rehab gym is set up for one-on-one sessions and helps patients work on skills to return home or get stronger, which matters a lot especially for those moving here for short-term stays after a hospital discharge. Residents can count on help with eating, bathing, dressing, walking, and medication, and the staff teams up-from the nurses and counselors to the therapists and activity planners-to review every part of someone's daily life so plans stay up to date and match each person's needs, and regular care meetings keep families informed, along with programs built to help people regain independence if heading back home is the goal. Special services like mental health counseling, emotional support, and an ombudsman program for confidential help with complaints are in place, and the staff really does try to be compassionate and welcoming, paying close attention to safety, comfort, and working toward each person's best possible quality of life-there's advanced medical equipment and technologies throughout to meet a wide range of health needs, and residents get support for total wellness whether they're here for short or long-term care, with arrangements made for tours if anyone's interested in seeing the place first-hand. The center's values include teamwork, innovation, and fiscal responsibility, and everything centers around coordinated, individualized care delivered by a multidisciplinary team, so anyone living at Willowbrook tends to feel included and looked after no matter their health challenges.

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