WINDSOR QUAIL VALLEY POST-ACUTE HEALTHCARE
3640 HAMPTON DR, MISSOURI CITY, TX 77459 · CCN 676371
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★☆ 4
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- Government - Hospital district
- Certified beds
- 120
- Avg residents/day
- 101.4
- Phone
- 2817785144
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 | 2025-03-06 | 3 | 9.1 | 9.5 | -6.1 better |
| 2 | 2024-01-25 | 3 | 9.4 | 9.8 | -6.4 better |
| 3 | 2022-10-18 | 9 | 8.1 | 9.3 | +0.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Pharmacy service | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 2.90 | 52.3% |
| RN staffing (reported) | 0.38 | 60.0% |
| Total nurse staffing (adjusted) | 3.00 | — |
Fines & penalties
- Total fines
- $52,036
- 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 (15)4 immediate jeopardy
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-12-03 · Health · corrected 2026-01-02
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-03-06 · Health · corrected 2025-03-11
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-03-06 · Health · corrected 2025-03-11
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.2024-08-22 · Health · corrected 2024-08-29
Potential for more than minimal harm
- JF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-07-19 · Health · corrected 2024-07-16
Immediate jeopardy
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-04-29 · Health · corrected 2024-05-17
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.2024-02-29 · Health · corrected 2024-03-01
Immediate jeopardy
- JF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-02-29 · Health · corrected 2024-03-01
Immediate jeopardy
- JF0610Respond appropriately to all alleged violations.2024-02-29 · Health · corrected 2024-03-01
Immediate jeopardy
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-02-29 · Health · corrected 2024-03-01
Potential for more than minimal harm
- DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2024-01-12 · Health · corrected 2024-01-25
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-10-18 · Health · corrected 2022-11-11
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-10-18 · Health · corrected 2022-11-11
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2022-10-18 · Health · corrected 2022-11-11
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2022-10-18 · Health · corrected 2022-11-11
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| OAKBEND MEDICAL CENTER | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2015-01-28 |
| OAKBEND MEDICAL CENTER | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2015-02-28 |
| REGENCY IHS OF WINDSOR QUAIL VALLEY, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2015-02-28 |
| REGENCY INTEGRATED HEALTH SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2015-02-28 |
| DEKOWSKI, DONOVAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2015-02-28 |
| JOHNSON, DEMON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-10-11 |
| FREUDENBERGER, JOSEPH | Individual | CORPORATE OFFICER | — | 2015-01-28 |
Other facilities in MISSOURI CITY
| Name | Overall | Beds |
|---|---|---|
| PARADIGM AT FIRST COLONY | ★☆☆☆☆ | 150 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.