Winfield Rehab & Nursing
1108 E Loop 304 · Crockett, TX · 75835 · 9365440150
83 certified beds For profit - Individual Chain: Advanced Healthcare Solutions Part of a CCRC
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $121,453 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
Red flags
9 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
3 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.
$121,453 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.14 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
64% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
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: 2 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.21 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.14 | 0.55–0.75 |
| Weekend hours / resident-day | 2.93 | ≈ weekday level |
| Nursing turnover / year | 64% | median 45% |
| Fines (3-yr window) | 5 · $355,773 |
Inspection citations (48 in the current record)
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Potential for harm · F December 10, 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 January 16, 2026 · Nursing and Physician Services
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Potential for harm · D December 10, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 16, 2026 · Pharmacy Service
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Potential for harm · D December 10, 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 January 16, 2026 · Pharmacy Service
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Potential for harm · E December 10, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 16, 2026 · Nutrition and Dietary
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Potential for harm · D December 10, 2025
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected January 16, 2026 · Nutrition and Dietary
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Potential for harm · F December 10, 2025
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected January 16, 2026 · Administration
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Potential for harm · D December 10, 2025
Provide and implement an infection prevention and control program.
Corrected January 16, 2026 · Infection Control
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Potential for harm · E December 10, 2025
Keep all essential equipment working safely.
Corrected January 16, 2026 · Environmental
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Potential for harm · D December 10, 2025 · found via complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected January 16, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 10, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 16, 2026 · Quality of Life and Care
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Potential for harm · D November 21, 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 November 22, 2025 · Pharmacy Service
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Immediate jeopardy · J May 1, 2025 · found via complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected April 28, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J May 1, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 28, 2025 · Quality of Life and Care
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Potential for harm · D March 9, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected April 3, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 9, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 3, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 9, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 4, 2025 · Quality of Life and Care
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Immediate jeopardy · J September 11, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 12, 2024 · Quality of Life and Care
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Potential for harm · D September 11, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected October 8, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E September 11, 2024
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected October 8, 2024 · Environmental
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Potential for harm · D September 11, 2024
Have policies on smoking.
Corrected October 8, 2024 · Environmental
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Potential for harm · E September 11, 2024
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected October 8, 2024 · Administration
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Potential for harm · D September 11, 2024
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected October 8, 2024 · Administration
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Potential for harm · D September 11, 2024
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Corrected October 8, 2024 · Resident Rights
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Potential for harm · E September 11, 2024
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected October 8, 2024 · Administration
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Potential for harm · E September 11, 2024
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Corrected October 8, 2024 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 1, 2025 | Fine | $16,891 |
| September 11, 2024 | Fine | $104,562 |
| July 1, 2024 | Fine | $201,416 |
| June 12, 2024 | Fine | $16,452 |
| June 12, 2024 | Fine | $16,452 |
Better-scoring options nearby
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 675976 · certified since July 11, 2003. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.