Windcrest Nursing and Rehabilitation
8800 Fourwinds Dr · Windcrest, TX · 78239 · 2106372700
180 certified beds For profit - Corporation Chain: Caraday Healthcare
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $118,618 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$118,618 in federal fines in the last 24 months
3 fines — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.21 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.91 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 2.91 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.21 | 0.55–0.75 |
| Weekend hours / resident-day | 2.65 | ≈ weekday level |
| Nursing turnover / year | 56% | median 45% |
| Fines (3-yr window) | 4 · $199,073 |
Inspection citations (38 in the current record)
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Potential for harm · D August 14, 2025
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.
Corrected August 29, 2025 · Resident Rights
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Potential for harm · D August 14, 2025
Ensure each resident receives an accurate assessment.
Corrected August 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · E August 14, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 29, 2025 · Quality of Life and Care
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Potential for harm · D August 14, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 29, 2025 · Quality of Life and Care
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Potential for harm · E August 14, 2025
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected August 29, 2025 · Nursing and Physician Services
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Potential for harm · E August 14, 2025
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 August 29, 2025 · Pharmacy Service
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Potential for harm · D August 14, 2025
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected August 29, 2025 · Nutrition and Dietary
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Potential for harm · F August 14, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 29, 2025 · Nutrition and Dietary
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Potential for harm · D August 14, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected August 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · E August 14, 2025
Provide and implement an infection prevention and control program.
Corrected August 29, 2025 · Infection Control
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Immediate jeopardy · J July 31, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 4, 2025 · Quality of Life and Care
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Immediate jeopardy · J March 3, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J March 3, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 16, 2024 · Quality of Life and Care
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Potential for harm · D March 3, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 3, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 4, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 3, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 4, 2025 · Pharmacy Service
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Potential for harm · D June 28, 2024
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.
Corrected August 2, 2024 · Resident Rights
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Potential for harm · E June 28, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected August 2, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E June 28, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 2, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 28, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 2, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 28, 2024
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected August 2, 2024 · Quality of Life and Care
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Potential for harm · E June 28, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 2, 2024 · Quality of Life and Care
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Potential for harm · D June 28, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 2, 2024 · Quality of Life and Care
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Potential for harm · D June 28, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 2, 2024 · Quality of Life and Care
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Potential for harm · E June 28, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected August 2, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 31, 2025 | Fine | $9,113 |
| March 3, 2025 | Fine | $16,149 |
| March 3, 2025 | Fine | $93,356 |
| May 30, 2024 | Fine | $80,455 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455533 · certified since July 1, 1985. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.