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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasWindsor Gardens

Windsor Gardens

2535 W Pleasant Run, Lancaster, TX 751469722288029
3/5Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
3/5
Staffing
1/5
Quality
5/5
Beds
150
certified
1 fine(s) totaling $13,877

Key Findings

• CMS rates this facility 3/5 stars (average)

• Has 150 certified beds with an average of 99.1 residents per day (66% occupancy)

• Last health inspection found 11 deficiencies (inspected Nov 7, 2024)

• Has been fined a total of $13,877 across 1 fine(s)

• Total nursing staff: 3.41 hours per resident per day

• Staff turnover rate: 53.5% (high)

• Part of the Cantex Continuing Care chain (38 facilities)

Windsor Gardens is a 3-star Medicare and Medicaid certified nursing home in Lancaster, Texas with 150 certified beds. It has been operating since 1989. The facility scored at average compared to Texas facilities.

Beds
150
Avg Residents/Day
99.1
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Aug 2, 1989
Sprinklers
Yes
Council
None
County
Dallas
Last Inspection
Nov 7, 2024
Deficiencies (Cycle 1)
11
Weighted Score
82.3
Infection Citations
0

Deficiency Citations (20)

F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Dec 8, 2025Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Aug 23, 2025Corrected: NoCycle: 1
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Aug 23, 2025Corrected: NoCycle: 1
F0694Potential for Harm

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Survey: Aug 23, 2025Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: May 21, 2025Corrected: NoCycle: 1
F0686Potential for Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: May 21, 2025Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: Nov 7, 2024Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Nov 7, 2024Corrected: NoCycle: 1
F0921Potential for Harm

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Survey: Nov 7, 2024Corrected: NoCycle: 1
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Nov 7, 2024Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Nov 7, 2024Corrected: NoCycle: 1
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Aug 28, 2024Corrected: NoCycle: 2
F0693Potential for Harm

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.

Survey: Aug 26, 2024Corrected: NoCycle: 2
F0656Immediate Jeopardy

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Jun 22, 2024Corrected: NoCycle: 2
F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Jun 22, 2024Corrected: NoCycle: 2
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Jun 11, 2024Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Oct 5, 2023Corrected: NoCycle: 2
F0655Potential for Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey: Jul 14, 2023Corrected: NoCycle: 3
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Feb 21, 2023Corrected: NoCycle: 3
F0694Potential for Harm

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Survey: Aug 17, 2022Corrected: NoCycle: 3
Total Fines
$13,877
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineJun 11, 2024
$13,877

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.91 hrs
National avg: 2.35 hrs
LPN1.15 hrs
National avg: 0.86 hrs
RN0.35 hrs
National avg: 0.68 hrs
Total Nursing3.41 hrs
National avg: 3.89 hrs
Weekend Total3.00 hrs
National avg: 0.00 hrs
Physical Therapist0.05 hrs
National avg: 0.07 hrs
Total Turnover
53.5%
RN Turnover
53.3%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (5)

NameRoleTypeOwnership %Since
DALLAS COUNTY HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Feb 15, 2015
WINDSOR PLACE HEALTH CARE CENTER LTD COOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AFeb 15, 2015
JOHNSON, NIKITAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 10, 2023
CASTANEDA, EDMUNDOCORPORATE OFFICERIndividualN/AJan 10, 2022
CERISE, FREDERICKCORPORATE OFFICERIndividualN/AMar 24, 2014

Nearby Nursing Homes

All Texas facilities

Millbrook Healthcare and Rehabilitation Center

Lancaster, TX · 124 beds

For profit$13,565 in fines
Health
Staffing
Quality
3996 ft

Avir at Lancaster

Lancaster, TX · 110 beds

For profit$39,757 in finesAbuse
Health
Staffing
Quality
2.5 mi

Lancaster Nursing & Rehabilitation

Lancaster, TX · 120 beds

For profit$55,760 in fines
Health
Staffing
Quality
2.7 mi

Frequently Asked Questions

What is the CMS rating for Windsor Gardens?▾
Windsor Gardens has an overall CMS rating of 3 out of 5 stars, with a health inspection rating of 3/5, staffing rating of 1/5, and quality measures rating of 5/5. This facility is rated average.
Has Windsor Gardens had any health inspection violations?▾
Windsor Gardens had 11 deficiency citations in its most recent health inspection (Nov 7, 2024). The facility has been fined a total of $13,877 across 1 fine(s).
What are the staffing levels at Windsor Gardens?▾
Windsor Gardens provides 3.41 total nursing staff hours per resident per day, including 0.35 RN hours, 1.15 LPN hours, and 1.91 nurse aide hours. The total staff turnover rate is 53.5%.
How many beds does Windsor Gardens have?▾
Windsor Gardens has 150 certified beds with an average of 99.1 residents per day, resulting in approximately 66% occupancy. The facility is For profit - Corporation owned and is part of the Cantex Continuing Care chain.
Are there other nursing homes near Windsor Gardens?▾
Yes, there are 3 other nursing homes in Lancaster, Texas with an average rating of 1.8/5. You can compare all facilities on the Lancaster nursing homes page.

Part of Cantex Continuing Care

This chain operates 38 facilities. View all →