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.

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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.

Score breakdown

Inspection record 30% of score 34
Serious harm & abuse 20% 30
Staffing 20% 41
Federal penalties 15% 20
Trend 10% 86
Context 5% 100

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-day2.913.48 min · 4.1 strong
RN hours / resident-day0.210.55–0.75
Weekend hours / resident-day2.65≈ weekday level
Nursing turnover / year56%median 45%
Fines (3-yr window)4 · $199,073

Inspection citations (38 in the current record)

  • 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

  • Potential for harm · D August 14, 2025

    Ensure each resident receives an accurate assessment.

    Corrected August 29, 2025 · Resident Assessment and Care Planning

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • Potential for harm · E August 14, 2025

    Provide and implement an infection prevention and control program.

    Corrected August 29, 2025 · Infection Control

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

DateTypeAmount / length
July 31, 2025Fine$9,113
March 3, 2025Fine$16,149
March 3, 2025Fine$93,356
May 30, 2024Fine$80,455

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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.