Willow Park Rehabilitation Health Care Center
1000 FM 3220
Clifton, TX, 76634
2546752828
CCN: 675525
1
Overall1
Health3
Staffing2
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (1)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
HEALTH RESOURCES & REHAB CENTE
1128b8
Excluded 2005-01-19
Ownership
| Name | Role | % |
|---|---|---|
| WEST WHARTON COUNTY HOSPITAL DISTRICT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| MAK, DAVID | CORPORATE OFFICER | NOT APPLICABLE |
| PIERCE, DANIEL | CORPORATE OFFICER | NOT APPLICABLE |
| KIRLEY, FRANCIS | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| LEE, BRIAN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| OSWALD, JOHN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| RINER, MEERA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MUNDEN, KIMBERLY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| NEXION HEALTH AT CLIFTON, INC. | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FALLON, JOHN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MUNDEN, KIMBERLY | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
Penalties (4)
| Date | Type | Amount |
|---|---|---|
| 2025-12-19 | Fine | $44K |
| 2025-12-19 | Payment Denial | 13 days |
| 2025-07-10 | Fine | $13K |
| 2024-09-27 | Fine | $8K |
Health Deficiencies (26)
2025-12-19 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F740 · Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
D
F699 · Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F645 · Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
K
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
E
F583 · Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
D
F558 · Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
D
F552 · Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
2025-07-10 · Health
J
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2024-10-21 · Health
D
F842 · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-09-27 · Health
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F756 · Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
J
F678 · Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
F622 · Resident Rights Deficiencies
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
2023-07-27 · Health
E
F925 · Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
E
F732 · Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
E
F584 · Resident Rights Deficiencies
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.
2023-07-21 · Health
D
F580 · Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
3.64
RN Hrs/Resident/Day0.54
0.31
LPN Hrs/Resident/Day0.81
0.95
CNA Hrs/Resident/Day2.33
2.39
PT Hrs/Resident/Day0.12
0.01
Data as of 2026-03-01