Texas › Kaufman County › Terrell
Windsor Rehabilitation and Healthcare
250 W. British Flying School Blvd, Terrell, TX 75160
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Windsor Rehabilitation and Healthcare, in Terrell, Texas, is certified for 108 beds under for-profit, limited liability company ownership and belongs to the The Ensign Group chain.
CMS gives it 2 of 5 stars overall, below the Texas median of 3; the health inspection rating is 2, staffing 2 and quality measures 4.
Inspectors recorded 39 health deficiencies across the three most recent survey cycles (21, 10, 8 by cycle, most recent first), none at the actual-harm level. That is 36.1 per 100 beds, more than the state median of 22.5.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.6 hours per resident per day (0.3 RN), close to the Texas median of 3.3; nursing staff turnover is 42.9%.
Compared with county, state and nation
| Measure | This facility | Kaufman Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 39 | 41 | 25 | 28.7 |
| Citations per 100 beds | 36.1 | 36.7 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.6 | 3.4 | 3.3 | 3.9 |
| RN hours per resident day | 0.3 | 0.5 | 0.4 | 0.7 |
| Nursing staff turnover | 42.9% | 59.5% | 52.1% | 45.8% |
| Fines listed | $0 | $79,953 | $16,801 | — |
County and state figures are medians across facilities (8 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 27 Feb 2026, 21 Nov 2024.
Severity mix: D ×26 E ×13
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 27 Feb 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 1 Apr 2026 |
| 27 Feb 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 1 Apr 2026 |
| 27 Feb 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Standard survey | 1 Apr 2026 |
| 27 Feb 2026 | F0803 | Ensure 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. | E | Standard survey | 1 Apr 2026 |
| 27 Feb 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 1 Apr 2026 |
| 27 Feb 2026 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Standard survey | 1 Apr 2026 |
| 27 Feb 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 1 Apr 2026 |
| 27 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 1 Apr 2026 |
| 27 Feb 2026 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 1 Apr 2026 |
| 27 Feb 2026 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 1 Apr 2026 |
| 27 Feb 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 1 Apr 2026 |
| 27 Feb 2026 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 1 Apr 2026 |
| 27 Feb 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 1 Apr 2026 |
| 27 Feb 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 1 Apr 2026 |
| 27 Feb 2026 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 1 Apr 2026 |
| 27 Feb 2026 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 1 Apr 2026 |
| 27 Feb 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 1 Apr 2026 |
| 27 Feb 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 1 Apr 2026 |
| 27 Feb 2026 | F0761 | Ensure 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. | D | Standard survey | 1 Apr 2026 |
| 27 Feb 2026 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 1 Apr 2026 |
| 27 Feb 2026 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 1 Apr 2026 |
| 21 Nov 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Standard survey | 30 Dec 2024 |
| 21 Nov 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 30 Dec 2024 |
| 21 Nov 2024 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 30 Dec 2024 |
| 21 Nov 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 30 Dec 2024 |
| 21 Nov 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 30 Dec 2024 |
| 21 Nov 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 30 Dec 2024 |
| 21 Nov 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 30 Dec 2024 |
| 21 Nov 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 30 Dec 2024 |
| 21 Nov 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 30 Dec 2024 |
| 21 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 30 Dec 2024 |
| 27 Sep 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 31 Oct 2023 |
| 27 Sep 2023 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | E | Standard survey | 31 Oct 2023 |
| 27 Sep 2023 | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Standard survey | 30 Oct 2023 |
| 27 Sep 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 31 Oct 2023 |
| 27 Sep 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 31 Oct 2023 |
| 27 Sep 2023 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard survey | 31 Oct 2023 |
| 27 Sep 2023 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Standard survey | 31 Oct 2023 |
| 27 Sep 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 31 Oct 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 42.9%, RNs 50.0%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 33.8% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.3% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.7% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 42.1% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.8% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 3.4% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Eastland Memorial Hospital District. Chain: The Ensign Group (342 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Eastland Memorial Hospital District | 5% or greater direct ownership interest | 100% | 03/01/2024 |
| Buffalo Creek Healthcare LLC | Operational/managerial control | NOT APPLICABLE | 03/01/2024 |
| Ensign Services Inc | Adp of the snf | NOT APPLICABLE | 05/01/2021 |
| Standard Bearer Healthcare Op, LP | Adp of the snf | NOT APPLICABLE | 03/01/2024 |
| The Ensign Group Inc | Adp of the snf | NOT APPLICABLE | 03/01/2024 |
| Western Edge Health Holdings LLC | Adp of the snf | NOT APPLICABLE | 03/01/2024 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Kaufman County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Mabank Nursing Center | Mabank | 90 | 3 | 3 | 3 | 33 | 36.7 | $31K | 21 May 2026 |
| Ridgecrest Healthcare and Rehabilitation Center | Forney | 116 | 3 | 3 | 4 | 31 | 26.7 | — | 14 May 2026 |
| Avir At Kaufman | Kaufman | 115 | 2 | 3 | 1 | 41 | 35.7 | $8K | 9 Feb 2026 |
| Kemp Care Center | Kemp | 124 | 2 | 2 | 1 | 41 | 33.1 | $256K | 2 Jul 2025 |
| Sunflower Park Health Care | Kaufman | 92 | 2 | 1 | 1 | 52 | 56.5 | $191K | 7 Jan 2026 |
| Countryview Nursing & Rehabilitationabuse icon | Terrell | 115 | 1 | 1 | 2 | 51 | 44.3 | $80K | 15 Aug 2025 |
| Terrell Healthcare CenterSFF | Terrell | 94 | — | — | — | 93 | 98.9 | $339K | 3 Apr 2026 |
All 8 facilities in Kaufman County
Questions and answers
How many deficiencies has Windsor Rehabilitation and Healthcare been cited for?
39 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Windsor Rehabilitation and Healthcare been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Windsor Rehabilitation and Healthcare compare?
Reported total nurse staffing is 3.6 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Windsor Rehabilitation and Healthcare?
It is part of the The Ensign Group chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Eastland Memorial Hospital District and Buffalo Creek Healthcare LLC. Individual owners and managers are not listed on this site.
When was Windsor Rehabilitation and Healthcare last inspected?
The most recent survey or investigation in the CMS record is dated 27 Feb 2026; the most recent standard health survey was 27 Feb 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.