WINDCREST NURSING AND REHABILITATION
8800 FOURWINDS DR, WINDCREST, TX 78239 · CCN 455533
Abuse icon
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★★☆ 4
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 180
- Avg residents/day
- 76.9
- Phone
- 2106372700
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-08-14 | 16 | 9.1 | 9.5 | +6.9 worse |
| 2 | 2024-06-28 | 16 | 9.4 | 9.8 | +6.6 worse |
| 3 | 2023-04-14 | 9 | 8.1 | 9.3 | +0.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Quality of life and care | 4 |
| Resident assessment and care planning | 3 |
| Nursing and physician services | 1 |
| Resident rights | 1 |
| Nutrition and dietary | 2 |
| Pharmacy service | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 2.91 | 61.6% |
| RN staffing (reported) | 0.28 | 57.1% |
| Total nurse staffing (adjusted) | 3.06 | — |
Fines & penalties
- Total fines
- $211,423
- Number of fines
- 5
- Number of penalties
- 6
- Payment denials
- 1
Chain
- Chain
- CARADAY HEALTHCARE
- Facilities in chain
- 9
- Chain avg overall
- 2.60 / 5
Inspection citations (41)5 immediate jeopardy1 actual harm
- DF0584Honor 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.2025-08-14 · Health · corrected 2025-08-29
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2025-08-14 · Health · corrected 2025-08-29
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-08-14 · Health · corrected 2025-08-29
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-08-14 · Health · corrected 2025-08-29
Potential for more than minimal harm
- EF0727Have 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.2025-08-14 · Health · corrected 2025-08-29
Potential for more than minimal harm
- EF0761Ensure 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.2025-08-14 · Health · corrected 2025-08-29
Potential for more than minimal harm
- DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2025-08-14 · Health · corrected 2025-08-29
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-08-14 · Health · corrected 2025-08-29
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-08-14 · Health · corrected 2025-08-29
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-08-14 · Health · corrected 2025-08-29
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-07-31 · Health · corrected 2025-06-04
Immediate jeopardy
- JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-03-03 · Health · corrected 2025-03-04
Immediate jeopardy
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-03-03 · Health · corrected 2025-03-04
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-03-03 · Health · corrected 2025-03-04
Potential for more than minimal harm
- JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-03-03 · Health · corrected 2024-10-16
Immediate jeopardy
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-03-03 · Health · corrected 2025-03-04
Potential for more than minimal harm
- DF0584Honor 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.2024-06-28 · Health · corrected 2024-08-02
Potential for more than minimal harm
- EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-06-28 · Health · corrected 2024-08-02
Potential for more than minimal harm
- EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-06-28 · Health · corrected 2024-08-02
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-06-28 · Health · corrected 2024-08-02
Potential for more than minimal harm
- DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2024-06-28 · Health · corrected 2024-08-02
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-06-28 · Health · corrected 2024-08-02
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-06-28 · Health · corrected 2024-08-02
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-06-28 · Health · corrected 2024-08-02
Potential for more than minimal harm
- EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-06-28 · Health · corrected 2024-08-02
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2024-06-28 · Health · corrected 2024-08-02
Potential for more than minimal harm
- EF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2024-06-28 · Health · corrected 2024-08-02
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-06-24 · Health · corrected 2024-06-25
Potential for more than minimal harm
- JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-05-30 · Health · corrected 2024-06-01
Immediate jeopardy
- DF0602Protect each resident from the wrongful use of the resident's belongings or money.2024-05-30 · Health · corrected 2024-06-01
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-05-30 · Health · corrected 2024-06-01
Potential for more than minimal harm
- JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-05-30 · Health · corrected 2024-02-24
Immediate jeopardy
- DF0551Give the resident's representative the ability to exercise the resident's rights.2023-11-07 · Health · corrected 2023-11-17
Potential for more than minimal harm
- EF0567Honor the resident's right to manage his or her financial affairs.2023-11-07 · Health · corrected 2023-11-17
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-11-07 · Health · corrected 2023-11-17
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-11-07 · Health · corrected 2023-11-17
Potential for more than minimal harm
- DF0772Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.2023-11-07 · Health · corrected 2023-11-17
Potential for more than minimal harm
- DF0840Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.2023-11-07 · Health · corrected 2023-11-17
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-05-25 · Health · corrected 2023-07-12
Actual harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-05-25 · Health · corrected 2023-06-09
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-05-25 · Health · corrected 2023-07-20
Potential for more than minimal harm
Ownership
No ownership records.
Other facilities in WINDCREST
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.