Nursing homes › Texas › Willowbend Nursing and Rehabilitation Center
2231 Highway 80 E, Mesquite, TX 75150 · 9722793601 · 162 certified beds
Per CMS filings, this facility is affiliated with The Ensign Group, a group operating 346 facilities in 17 states. Group record: average rating 3.2/5, 33 abuse citation icons, 9 facilities on the Special Focus list, $7,179,329 in federal fines. This facility rates below its group average (3.2/5).
Total nurse staffing: 3.51 (Texas median: 3.27). RN hours: 0.27. Weekend total: 3.13. Nursing staff turnover: 53%.
All-time on record: 36 deficiency citations, including 6 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-01-22 | Keep residents' personal and medical records private and confidential. | E | Health | corrected 2026-02-12 |
| 2026-01-22 | 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. | E | Health | corrected 2026-02-12 |
| 2026-01-22 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Health | corrected 2026-02-12 |
| 2026-01-22 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Health | corrected 2026-02-12 |
| 2026-01-22 | Provide safe and appropriate respiratory care for a resident when needed. | E | Health | corrected 2026-02-12 |
| 2026-01-22 | 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. | E | Health | corrected 2026-02-12 |
| 2026-01-22 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2026-02-12 |
| 2026-01-22 | Provide and implement an infection prevention and control program. | E | Health | corrected 2026-02-12 |
| 2026-01-22 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2026-02-12 |
| 2026-01-22 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2026-02-12 |
| 2026-01-22 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2026-02-12 |
| 2026-01-22 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2026-02-12 |
| 2026-01-22 | Have policies on smoking. | D | Health | corrected 2026-02-12 |
| 2025-11-20 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-11-21 |
| 2025-09-05 | 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. | D | complaint | corrected 2025-11-21 |
| 2025-03-25 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | complaint | corrected 2025-04-17 |
| 2025-03-25 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2025-04-17 |
| 2025-03-25 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-04-17 |
| 2025-02-07 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | complaint | corrected 2025-03-05 |
| 2025-02-07 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-03-05 |
| 2024-10-16 | 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. | E | Health | corrected 2024-11-07 |
| 2024-10-16 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | complaint | corrected 2024-11-07 |
| 2024-10-16 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2024-11-07 |
| 2024-10-16 | 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. | D | Health | corrected 2024-11-07 |
| 2024-01-17 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | complaint | corrected 2023-12-18 |
| 2024-01-17 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | complaint | corrected 2023-12-18 |
| 2023-11-03 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | complaint | corrected 2023-09-15 |
| 2023-11-03 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | complaint | corrected 2023-11-30 |
| 2023-09-15 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Health | corrected 2023-10-06 |
| 2023-09-15 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | corrected 2023-10-06 |
| 2023-09-15 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2023-10-06 |
| 2023-07-27 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | complaint | corrected 2023-09-06 |
| 2023-07-27 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | J | complaint | corrected 2023-09-06 |
| 2023-07-27 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2023-09-06 |
| 2023-07-27 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2023-09-06 |
| 2023-07-27 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | complaint | corrected 2023-09-06 |
| Date | Type | Amount |
|---|---|---|
| 2024-01-17 | Fine | $16,801 |
| 2023-11-03 | Fine | $7,446 |
| 2023-09-15 | Fine | $46,168 |
| 2023-07-27 | Fine | $23,979 |
| 2023-07-27 | Payment Denial | 6 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| EASTLAND MEMORIAL HOSPITAL DISTRICT | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 02/20/2015 |
| DAHESHPOUR, SEPEHR | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 03/01/2025 |
| NICCUM, KEVIN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 03/01/2007 |
| BURNAM, SOON | Corporate Officer | Individual | NOT APPLICABLE | since 02/09/2007 |
| KEETCH, CHAD | Corporate Officer | Individual | NOT APPLICABLE | since 03/01/2011 |
| TAYLOR, STEPHEN | Corporate Officer | Individual | NOT APPLICABLE | since 07/01/2025 |
| TOWN EAST HEALTHCARE, INC. | Operational/Managerial Control | Organization | NOT APPLICABLE | since 02/20/2015 |
| DAHESHPOUR, SEPEHR | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/01/2025 |
| NICCUM, KEVIN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/01/2007 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 675272. Corrections: data@carerecords.org.