Windsor Gardens
2535 W Pleasant Run · Lancaster, TX · 75146 · 9722288029
150 certified beds For profit - Corporation Chain: Cantex Continuing Care
- Inspection results have improved across recent cycles.
Red flags
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.32 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.32 | 0.55–0.75 |
| Weekend hours / resident-day | 2.88 | ≈ weekday level |
| Nursing turnover / year | 55% | median 45% |
| Fines (3-yr window) | 1 · $13,877 |
Inspection citations (19 in the current record)
-
Potential for harm · D December 8, 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 December 12, 2025 · Pharmacy Service
-
Potential for harm · D August 23, 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 September 30, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D August 23, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 30, 2025 · Quality of Life and Care
-
Potential for harm · D August 23, 2025 · found via complaint
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected September 30, 2025 · Quality of Life and Care
-
Potential for harm · D May 21, 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 June 23, 2025 · Resident Assessment and Care Planning
-
Potential for harm · E May 21, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 23, 2025 · Quality of Life and Care
-
Potential for harm · E November 7, 2024
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 November 15, 2024 · Pharmacy Service
-
Potential for harm · E November 7, 2024
Provide and implement an infection prevention and control program.
Corrected November 15, 2024 · Infection Control
-
Potential for harm · D November 7, 2024
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected November 15, 2024 · Environmental
-
Potential for harm · D November 7, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected November 15, 2024 · Resident Rights
-
Potential for harm · E November 7, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 15, 2024 · Nutrition and Dietary
-
Potential for harm · D August 28, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 23, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D August 26, 2024 · found via complaint
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected September 23, 2024 · Quality of Life and Care
-
Immediate jeopardy · J June 22, 2024 · 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 July 19, 2024 · Resident Assessment and Care Planning
-
Immediate jeopardy · J June 22, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 19, 2024 · Quality of Life and Care
-
Potential for harm · D June 11, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected July 10, 2024 · Pharmacy Service
-
Potential for harm · D October 5, 2023 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 20, 2023 · Nutrition and Dietary
-
Potential for harm · D July 14, 2023 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected August 29, 2023 · Resident Assessment and Care Planning
-
Potential for harm · D August 17, 2022
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected August 20, 2022 · Quality of Life and Care
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 11, 2024 | Fine | $13,877 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455832 · certified since August 2, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.