Texas › Houston County › Crockett
Winfield Rehab & Nursing
1108 E Loop 304, Crockett, TX 75835
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.
Winfield Rehab & Nursing, in Crockett, Texas, is certified for 83 beds under for-profit, individual ownership and belongs to the Advanced Healthcare Solutions chain.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 1, staffing 1 and quality measures 4.
Inspectors recorded 48 health deficiencies across the three most recent survey cycles (11, 19, 18 by cycle, most recent first), 9 of them at the actual-harm or immediate-jeopardy level. That is 57.8 per 100 beds, more than the state median of 22.5.
CMS lists 5 penalties in the period covered: fines totalling $356K.
Reported nurse staffing is 3.2 hours per resident per day (0.2 RN), close to the Texas median of 3.3; nursing staff turnover is 62.1%.
Compared with county, state and nation
| Measure | This facility | Houston Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 48 | 22 | 25 | 28.7 |
| Citations per 100 beds | 57.8 | 19.5 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.2 | 3.0 | 3.3 | 3.9 |
| RN hours per resident day | 0.2 | 0.2 | 0.4 | 0.7 |
| Nursing staff turnover | 62.1% | 36.5% | 52.1% | 45.8% |
| Fines listed | $355,773 | $77,342 | $16,801 | — |
County and state figures are medians across facilities (3 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: 10 Dec 2025, 11 Sep 2024.
Severity mix: J ×6 K ×3 D ×18 E ×18 F ×3
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 |
|---|---|---|---|---|---|
| 10 Dec 2025 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Standard survey | 16 Jan 2026 |
| 10 Dec 2025 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard survey | 16 Jan 2026 |
| 10 Dec 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 16 Jan 2026 |
| 10 Dec 2025 | F0908 | Keep all essential equipment working safely. | E | Standard survey | 16 Jan 2026 |
| 10 Dec 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint investigation | 16 Jan 2026 |
| 10 Dec 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 16 Jan 2026 |
| 10 Dec 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 16 Jan 2026 |
| 10 Dec 2025 | 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 | 16 Jan 2026 |
| 10 Dec 2025 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Standard survey | 16 Jan 2026 |
| 10 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 16 Jan 2026 |
| 21 Nov 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 22 Nov 2025 |
| 1 May 2025 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | J | Complaint investigation | 28 Apr 2025 |
| 1 May 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 28 Apr 2025 |
| 9 Mar 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 3 Apr 2025 |
| 9 Mar 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 3 Apr 2025 |
| 9 Mar 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 4 Mar 2025 |
| 11 Sep 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 12 Sep 2024 |
| 11 Sep 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 8 Oct 2024 |
| 11 Sep 2024 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Standard survey | 8 Oct 2024 |
| 11 Sep 2024 | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E | Standard survey | 8 Oct 2024 |
| 11 Sep 2024 | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E | Standard survey | 8 Oct 2024 |
| 11 Sep 2024 | F0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | E | Standard survey | 8 Oct 2024 |
| 11 Sep 2024 | F0946 | Provide training in compliance and ethics. | E | Standard survey | 8 Oct 2024 |
| 11 Sep 2024 | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E | Standard survey | 8 Oct 2024 |
| 11 Sep 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 8 Oct 2024 |
| 11 Sep 2024 | F0926 | Have policies on smoking. | D | Standard survey | 8 Oct 2024 |
| 11 Sep 2024 | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | D | Standard survey | 8 Oct 2024 |
| 11 Sep 2024 | F0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | D | Standard survey | 8 Oct 2024 |
| 11 Sep 2024 | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | Complaint investigation | 8 Oct 2024 |
| 11 Sep 2024 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Standard survey | 8 Oct 2024 |
| 1 Jul 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Complaint investigation | 2 Jul 2024 |
| 1 Jul 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | K | Complaint investigation | 2 Jul 2024 |
| 1 Jul 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | K | Complaint investigation | 2 Jul 2024 |
| 1 Jul 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 2 Jul 2024 |
| 1 Jul 2024 | F0584 | Honor 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. | F | Complaint investigation | 25 Jul 2024 |
| 1 Jul 2024 | F0728 | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | E | Complaint investigation | 25 Jul 2024 |
| 1 Jul 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 25 Jul 2024 |
| 12 Jun 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | Complaint investigation | 6 Jun 2024 |
| 12 Jun 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 6 Jun 2024 |
| 2 Aug 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 4 Sep 2023 |
| 2 Aug 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 4 Sep 2023 |
| 2 Aug 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 4 Sep 2023 |
| 2 Aug 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 4 Sep 2023 |
| 2 Aug 2023 | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | E | Standard survey | 4 Sep 2023 |
| 2 Aug 2023 | F0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | E | Standard survey | 4 Sep 2023 |
| 2 Aug 2023 | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | Standard survey | 4 Sep 2023 |
| 2 Aug 2023 | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E | Standard survey | 4 Sep 2023 |
| 2 Aug 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 4 Sep 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 1 May 2025 | Fine | $16,891 | |
| 11 Sep 2024 | Fine | $104,562 | |
| 1 Jul 2024 | Fine | $201,416 | |
| 12 Jun 2024 | Fine | $16,452 | |
| 12 Jun 2024 | Fine | $16,452 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 62.1%, RNs 100.0%; 2 administrators 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 | 4.0% | 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 | 1.3% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.4% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 8.5% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.8% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 4.2% | 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, individual. Chain: Advanced Healthcare Solutions (28 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Coryell County Memorial Hospital Authority | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 04/01/2017 |
| Advanced Hcs LLC | Operational/managerial control | NOT APPLICABLE | 04/01/2017 |
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 Houston County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Crockett Health Care Associates, Inc. | Crockett | 90 | 4 | 5 | 1 | 15 | 16.7 | — | 4 Jun 2025 |
| Whitehall Rehab & Nursing | Crockett | 113 | 3 | 3 | 3 | 22 | 19.5 | $77K | 25 Feb 2026 |
All 3 facilities in Houston County
Questions and answers
How many deficiencies has Winfield Rehab & Nursing been cited for?
48 health deficiencies across the three most recent survey cycles, 9 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Winfield Rehab & Nursing been fined?
Yes. CMS lists fines totalling $356K in the period covered.
How does staffing at Winfield Rehab & Nursing compare?
Reported total nurse staffing is 3.2 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Winfield Rehab & Nursing?
It is part of the Advanced Healthcare Solutions chain. Ownership type is for-profit, individual. Organisations in the CMS ownership record include Coryell County Memorial Hospital Authority and Advanced Hcs LLC. Individual owners and managers are not listed on this site.
When was Winfield Rehab & Nursing last inspected?
The most recent survey or investigation in the CMS record is dated 10 Dec 2025; the most recent standard health survey was 10 Dec 2025.
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.