Texas › Milam County › Cameron
Winnie L Nursing & Rehabilitation
2104 N Karnes Ave, Cameron, TX 76520
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.
Certified for 105 beds, Winnie L Nursing & Rehabilitation serves Cameron in Milam County, Texas and has taken Medicare and Medicaid residents since 2006.
CMS gives it 2 of 5 stars overall, below the Texas median of 3; the health inspection rating is 2, staffing 1 and quality measures 5.
Inspectors recorded 34 health deficiencies across the three most recent survey cycles (10, 13, 11 by cycle, most recent first), 5 of them at the actual-harm or immediate-jeopardy level. That is 32.4 per 100 beds, more than the state median of 22.5.
CMS lists 3 penalties in the period covered: fines totalling $51K and 1 payment denial.
Reported nurse staffing is 3.3 hours per resident per day (0.2 RN), close to the Texas median of 3.3; nursing staff turnover is 87.5%.
Compared with county, state and nation
| Measure | This facility | Milam Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 34 | 23 | 25 | 28.7 |
| Citations per 100 beds | 32.4 | 22.1 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.3 | 2.9 | 3.3 | 3.9 |
| RN hours per resident day | 0.2 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | 87.5% | 50.0% | 52.1% | 45.8% |
| Fines listed | $51,479 | $8,018 | $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: 22 May 2025, 4 Apr 2024.
Severity mix: J ×4 H ×1 D ×16 E ×9 F ×3 B ×1
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 |
|---|---|---|---|---|---|
| 12 May 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. | E | Complaint investigation | 13 May 2026 |
| 12 May 2026 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 13 May 2026 |
| 12 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 13 May 2026 |
| 4 Dec 2025 | 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 | Complaint investigation | 5 Dec 2025 |
| 14 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | Past Non-Compliance |
| 22 May 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard survey | 23 May 2025 |
| 22 May 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 23 May 2025 |
| 22 May 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 23 May 2025 |
| 22 May 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 23 May 2025 |
| 22 May 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 23 May 2025 |
| 12 May 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 19 May 2025 |
| 12 May 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 19 May 2025 |
| 12 May 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 19 May 2025 |
| 1 Jul 2024 | F0760 | Ensure that residents are free from significant medication errors. | H | Complaint investigation | 22 Jul 2024 |
| 31 May 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 | 2 Jul 2024 |
| 31 May 2024 | F0659 | Provide care by qualified persons according to each resident's written plan of care. | J | Complaint investigation | 2 Jul 2024 |
| 31 May 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 2 Jul 2024 |
| 4 Apr 2024 | 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 | 26 Apr 2024 |
| 4 Apr 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 26 Apr 2024 |
| 4 Apr 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. | E | Standard survey | 3 May 2024 |
| 4 Apr 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 3 May 2024 |
| 4 Apr 2024 | 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. | E | Standard survey | 3 May 2024 |
| 4 Apr 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 3 May 2024 |
| 4 Apr 2024 | 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 | 3 May 2024 |
| 4 Apr 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 3 May 2024 |
| 4 Apr 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 3 May 2024 |
| 4 Apr 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 3 May 2024 |
| 16 Feb 2023 | 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 | 24 Mar 2023 |
| 16 Feb 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 24 Mar 2023 |
| 16 Feb 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 24 Mar 2023 |
| 16 Feb 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 24 Mar 2023 |
| 16 Feb 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 24 Mar 2023 |
| 16 Feb 2023 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 24 Mar 2023 |
| 16 Feb 2023 | F0732 | Post nurse staffing information every day. | B | Standard survey | 24 Mar 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 14 Aug 2025 | Fine | $10,549 | |
| 31 May 2024 | Payment denial | — | 20 days |
| 31 May 2024 | Fine | $40,930 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 87.5%, RNs 83.3%; 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 | 19.4% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 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 | 5.7% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.1% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 5.6% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.9% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 22.5% | 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, corporation. Legal business name: Winnie-Stowell Hospital District. Chain: Creative Solutions In Healthcare (149 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Cameron I Enterprises, L.L.C. | Operational/managerial control | NOT APPLICABLE | 08/01/2024 |
| Cameron I Enterprises, L.L.C. | Adp of the snf | NOT APPLICABLE | 04/12/2025 |
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 Milam County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Rockdale Estates & Rehabilitation | Rockdale | 84 | 3 | 4 | 2 | 13 | 15.5 | $8K | 16 Apr 2025 |
| Legacy Nursing and Rehabilitation | Cameron | 104 | 2 | 3 | 1 | 23 | 22.1 | — | 12 Feb 2026 |
All 3 facilities in Milam County
Questions and answers
How many deficiencies has Winnie L Nursing & Rehabilitation been cited for?
34 health deficiencies across the three most recent survey cycles, 5 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Winnie L Nursing & Rehabilitation been fined?
Yes. CMS lists fines totalling $51K in the period covered, plus 1 payment denial.
How does staffing at Winnie L Nursing & Rehabilitation compare?
Reported total nurse staffing is 3.3 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Winnie L Nursing & Rehabilitation?
It is part of the Creative Solutions In Healthcare chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Cameron I Enterprises, L.L.C.. Individual owners and managers are not listed on this site.
When was Winnie L Nursing & Rehabilitation last inspected?
The most recent survey or investigation in the CMS record is dated 12 May 2026; the most recent standard health survey was 22 May 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.