WINDSOR NURSING AND REHABILITATION CENTER OF DUVAL
5301 W DUVAL RD, AUSTIN, TX 78727 · CCN 675956
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- Government - Hospital district
- Certified beds
- 206
- Avg residents/day
- 204.6
- Phone
- 5123451805
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 | 2025-04-02 | 9 | 9.1 | 9.5 | -0.1 better |
| 2 | 2024-01-27 | 13 | 9.4 | 9.8 | +3.6 worse |
| 3 | 2022-11-17 | 8 | 8.1 | 9.3 | -0.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 1 |
| Resident assessment and care planning | 1 |
| Resident rights | 1 |
| Nutrition and dietary | 3 |
| Environmental | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 2.84 | 40.2% |
| RN staffing (reported) | 0.37 | 28.6% |
| Total nurse staffing (adjusted) | 2.99 | — |
Fines & penalties
- Total fines
- $23,341
- Number of fines
- 2
- Number of penalties
- 2
- Payment denials
- 0
Chain
- Chain
- WELLSENTIAL HEALTH
- Facilities in chain
- 67
- Chain avg overall
- 2.80 / 5
Inspection citations (30)1 immediate jeopardy1 actual harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-06-27 · Health · corrected 2025-06-28
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-04-02 · Health · corrected 2025-04-03
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.2025-04-02 · Health · corrected 2025-04-03
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-04-02 · Health · corrected 2025-04-03
Potential for more than minimal harm
- EF0803Ensure 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.2025-04-02 · Health · corrected 2025-04-03
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-04-02 · Health · corrected 2025-04-03
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-04-02 · Health · corrected 2025-04-03
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-04-02 · Health · corrected 2025-04-03
Potential for more than minimal harm
- EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-04-02 · Health · corrected 2025-04-03
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-09-19 · Health · corrected 2024-09-20
Potential for more than minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-09-09 · Health · corrected 2024-08-06
Actual harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-05-18 · Health · corrected 2024-05-19
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-01-27 · Health · corrected 2024-01-28
Potential for more than minimal harm
- DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2024-01-27 · Health · corrected 2024-01-28
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-01-27 · Health · corrected 2024-01-28
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-01-27 · Health · corrected 2024-01-28
Potential for more than minimal harm
- EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-01-27 · Health · corrected 2024-01-28
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2024-01-27 · Health · corrected 2024-01-28
Potential for more than minimal harm
- DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-01-27 · Health · corrected 2024-01-28
Potential for more than minimal harm
- LF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-01-27 · Health · corrected 2024-01-28
Immediate jeopardy
- EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2024-01-27 · Health · corrected 2024-01-28
Potential for more than minimal harm
- DF0926Have policies on smoking.2024-01-27 · Health · corrected 2024-01-28
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-12-01 · Health · corrected 2023-12-07
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-10-04 · Health · corrected 2023-10-05
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-05-31 · Health · corrected 2023-06-02
Potential for more than minimal harm
- EF0692Provide enough food/fluids to maintain a resident's health.2023-03-01 · Health · corrected 2023-03-02
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-11-17 · Health · corrected 2022-11-18
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.2022-11-17 · Health · corrected 2022-11-18
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-11-17 · Health · corrected 2022-11-18
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-11-17 · Health · corrected 2022-11-18
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| VAL VERDE COUNTY HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-04-01 |
| REGENCY IHS OF WINDSOR DUVAL LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-04-01 |
| REGENCY INTEGRATED HEALTH SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-04-01 |
| VAL VERDE COUNTY HOSPITAL DISTRICT | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-04-01 |
| DEKOWSKI, DONOVAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-04-01 |
| HELMCAMP, TERRELL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2012-02-06 |
| JURADO, JORGE | Individual | CORPORATE OFFICER | — | 2023-10-13 |
Other facilities in AUSTIN
| Name | Overall | Beds |
|---|---|---|
| THE CENTER AT PARMER | ★★★★★ | 80 |
| LONGHORN VILLAGE | ★★★★★ | 60 |
| THE ARBOUR AT WESTMINSTER MANOR | ★★★★★ | 90 |
| GRACY WOODS II LIVING CENTER | ★★★★★ | 110 |
| SEDONA TRACE HEALTH AND WELLNESS CENTER | ★★★★☆ | 119 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.