Starfile / Texas

WINDSOR REHABILITATION AND HEALTHCARE

250 W BRITISH FLYING SCHOOL BLVD, TERRELL, TX 75160 · CCN 675808

Inspection history vs Texas & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$0

Number of fines

0

Number of penalties

0

Payment denials

0

Chain

Chain

THE ENSIGN GROUP

Facilities in chain

329

Chain avg overall

3.20 / 5

Inspection citations (31)

1. DF0583Keep residents' personal and medical records private and confidential.2024-11-21 · Health · corrected 2024-12-30

   Potential for more than minimal harm

2. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-11-21 · Health · corrected 2024-12-30

   Potential for more than minimal harm

3. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-11-21 · Health · corrected 2024-12-30

   Potential for more than minimal harm

4. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-11-21 · Health · corrected 2024-12-30

   Potential for more than minimal harm

5. EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-11-21 · Health · corrected 2024-12-30

   Potential for more than minimal harm

6. DF0759Ensure medication error rates are not 5 percent or greater.2024-11-21 · Health · corrected 2024-12-30

   Potential for more than minimal harm

7. DF0760Ensure that residents are free from significant medication errors.2024-11-21 · Health · corrected 2024-12-30

   Potential for more than minimal harm

8. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-11-21 · Health · corrected 2024-12-30

   Potential for more than minimal harm

9. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-11-21 · Health · corrected 2024-12-30

   Potential for more than minimal harm

10. DF0880Provide and implement an infection prevention and control program.2024-11-21 · Health · corrected 2024-12-30

    Potential for more than minimal harm

11. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2023-09-27 · Health · corrected 2023-10-30

    Potential for more than minimal harm

12. DF0641Ensure each resident receives an accurate assessment.2023-09-27 · Health · corrected 2023-10-31

    Potential for more than minimal harm

13. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-09-27 · Health · corrected 2023-10-31

    Potential for more than minimal harm

14. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2023-09-27 · Health · corrected 2023-10-31

    Potential for more than minimal harm

15. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-09-27 · Health · corrected 2023-10-31

    Potential for more than minimal harm

16. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-09-27 · Health · corrected 2023-10-31

    Potential for more than minimal harm

17. EF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2023-09-27 · Health · corrected 2023-10-31

    Potential for more than minimal harm

18. DF0880Provide and implement an infection prevention and control program.2023-09-27 · Health · corrected 2023-10-31

    Potential for more than minimal harm

19. EF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2022-07-27 · Health · corrected 2022-09-19

    Potential for more than minimal harm

20. 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.2022-07-27 · Health · corrected 2022-09-19

    Potential for more than minimal harm

21. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-07-27 · Health · corrected 2022-09-19

    Potential for more than minimal harm

22. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2022-07-27 · Health · corrected 2022-09-20

    Potential for more than minimal harm

23. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-07-27 · Health · corrected 2022-09-19

    Potential for more than minimal harm

24. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-07-27 · Health · corrected 2022-09-19

    Potential for more than minimal harm

25. DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-07-27 · Health · corrected 2022-09-20

    Potential for more than minimal harm

26. DF0761Ensure 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.2022-07-27 · Health · corrected 2022-09-19

    Potential for more than minimal harm

27. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2022-07-27 · Health · corrected 2022-09-19

    Potential for more than minimal harm

28. DF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.2022-07-27 · Health · corrected 2022-09-19

    Potential for more than minimal harm

29. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-07-27 · Health · corrected 2022-09-19

    Potential for more than minimal harm

30. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-07-27 · Health · corrected 2022-09-19

    Potential for more than minimal harm

31. EF0880Provide and implement an infection prevention and control program.2022-07-27 · Health · corrected 2022-09-19

    Potential for more than minimal harm

Ownership

Other facilities in TERRELL

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.