WINDSOR MISSION OAKS
State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2024-05-08 — IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Staffing, from payroll records
Nursing hours / resident / day
2.34
state median 2.67
Weekend staffing gap
−15%
fewer nursing hours on weekends · state median −7%
RN hours / resident / day
0.15
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Nursing staff turnover
23%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
1 enforcement action(s), totaling $10,842 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-05-08 | Fine | $10,842 |
Ownership
Ownership type: Non profit - Other. Part of the WELLSENTIAL HEALTH chain.
Other facilities under the same ownership, with their CMS overall ratings:
- Laredo West Nursing and Rehabilitation Center (Laredo, TX) —
- Windsor Nursing and Rehabilitation Center of Morga (Corpus Christi, TX) —
- Heritage Park Rehabilitation and Skilled Nursing C (Austin, TX) —
- Windsor Nursing and Rehabilitation Center of Mcall (Mcallen, TX) —
- Longview Hill Nursing and Rehabilitation Center (Longview, TX) —
- Monument Rehabilitation and Nursing Center (La Grange, TX) —
- SPINDLETOP HILL NURSING & REHAB CENTER (BEAUMONT, TX) —
- Town and Country Nursing and Rehabilitation Center (Boerne, TX) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2025-06-27 | F0552 | Resident Rights Deficiencies | D | not recorded |
| 2025-06-27 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-06-27 | F0690 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-06-27 | F0693 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-06-27 | F0726 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2025-06-27 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-06-27 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2025-06-27 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2025-06-27 | F0921 | Environmental Deficiencies | E | not recorded |
| 2025-06-27 | F0925 | Environmental Deficiencies | E | not recorded |
| 2024-05-23 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-05-23 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-05-08 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2024-05-08 | F0583 | Resident Rights Deficiencies | D | not recorded |
| 2024-05-08 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2024-05-08 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-05-08 | F0726 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2024-05-08 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-05-08 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-05-08 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2024-05-08 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2024-05-08 | F0921 | Environmental Deficiencies | E | not recorded |
| 2024-05-08 | F0925 | Environmental Deficiencies | E | not recorded |
| 2024-05-08 | F0942 | Resident Rights Deficiencies | E | not recorded |
| 2024-05-08 | F0943 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2023-07-02 | F0760 | Pharmacy Service Deficiencies | E | not recorded |
| 2023-03-31 | F0578 | Resident Rights Deficiencies | E | not recorded |
| 2023-03-31 | F0583 | Resident Rights Deficiencies | D | not recorded |
| 2023-03-31 | F0640 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-03-31 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-03-31 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-03-31 | F0689 | Quality of Life and Care Deficiencies | E | not recorded |
| 2023-03-31 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-03-31 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2023-03-31 | F0814 | Nutrition and Dietary Deficiencies | C | not recorded |
| 2023-03-31 | F0849 | Administration Deficiencies | D | not recorded |
| 2023-03-31 | F0925 | Environmental Deficiencies | E | not recorded |