Windsor Rehabilitation and Healthcare
250 W British Flying School Blvd · Terrell, TX · 75160 · 9725510122
108 certified beds For profit - Limited Liability company Chain: The Ensign Group
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
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
RN staffing in the bottom 10% nationally
0.23 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.45 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.23 | 0.55–0.75 |
| Weekend hours / resident-day | 2.98 | ≈ weekday level |
| Nursing turnover / year | 51% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (39 in the current record)
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Potential for harm · D February 27, 2026
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected April 1, 2026 · Resident Rights
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Potential for harm · D February 27, 2026
Ensure each resident receives an accurate assessment.
Corrected April 1, 2026 · Resident Assessment and Care Planning
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Potential for harm · E February 27, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 1, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 27, 2026
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected April 1, 2026 · Quality of Life and Care
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Potential for harm · D February 27, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 1, 2026 · Quality of Life and Care
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Potential for harm · D February 27, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 1, 2026 · Quality of Life and Care
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Potential for harm · E February 27, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 1, 2026 · Quality of Life and Care
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Potential for harm · D February 27, 2026
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 April 1, 2026 · Quality of Life and Care
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Potential for harm · E February 27, 2026
Provide enough food/fluids to maintain a resident's health.
Corrected April 1, 2026 · Quality of Life and Care
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Potential for harm · D February 27, 2026
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 April 1, 2026 · Quality of Life and Care
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Potential for harm · D February 27, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 1, 2026 · Quality of Life and Care
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Potential for harm · D February 27, 2026
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 April 1, 2026 · Pharmacy Service
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Potential for harm · E February 27, 2026
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected April 1, 2026 · Nutrition and Dietary
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Potential for harm · E February 27, 2026
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected April 1, 2026 · Nutrition and Dietary
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Potential for harm · E February 27, 2026
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected April 1, 2026 · Nutrition and Dietary
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Potential for harm · E February 27, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 1, 2026 · Nutrition and Dietary
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Potential for harm · D February 27, 2026
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected April 1, 2026 · Administration
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Potential for harm · E February 27, 2026
Provide and implement an infection prevention and control program.
Corrected April 1, 2026 · Infection Control
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Potential for harm · D February 27, 2026
Implement a program that monitors antibiotic use.
Corrected April 1, 2026 · Infection Control
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Potential for harm · E February 27, 2026
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected April 1, 2026 · Environmental
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Potential for harm · D February 27, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 1, 2026 · Pharmacy Service
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Potential for harm · D November 21, 2024
Keep residents' personal and medical records private and confidential.
Corrected December 30, 2024 · Resident Rights
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Potential for harm · D November 21, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected December 30, 2024 · Resident Assessment and Care Planning
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Potential for harm · E November 21, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected December 30, 2024 · Pharmacy Service
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Potential for harm · D November 21, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected December 30, 2024 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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 675808 · certified since September 1, 1999. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.