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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 Rehabilitation and Healthcare

Windsor Rehabilitation and Healthcare

250 W British Flying School Blvd, Terrell, TX 751609725510122
5/5Much Above Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
4/5
Staffing
2/5
Quality
5/5
Beds
108
certified

Key Findings

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

• Has 108 certified beds with an average of 85.7 residents per day (79% occupancy)

• Last health inspection found 10 deficiencies (inspected Nov 21, 2024)

• No fines on record

• Total nursing staff: 3.38 hours per resident per day

• Staff turnover rate: 52.9% (high)

• Part of the The Ensign Group chain (324 facilities)

Windsor Rehabilitation and Healthcare is a 5-star Medicare and Medicaid certified nursing home in Terrell, Texas with 108 certified beds. It has been operating since 1999. The facility scored above average compared to Texas facilities.

Beds
108
Avg Residents/Day
85.7
Ownership
Government - Hospital district
Provider Type
Medicare and Medicaid
In Hospital
Yes
First Approved
Sep 1, 1999
Sprinklers
Yes
Council
Resident
County
Kaufman
Last Inspection
Nov 21, 2024
Deficiencies (Cycle 1)
10
Weighted Score
46.0
Infection Citations
0

Deficiency Citations (31)

F0583Potential for Harm

Keep residents' personal and medical records private and confidential.

Survey: Nov 21, 2024Corrected: NoCycle: 1
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: Nov 21, 2024Corrected: NoCycle: 1
F0757Potential for Harm

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Survey: Nov 21, 2024Corrected: NoCycle: 1
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Nov 21, 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 21, 2024Corrected: NoCycle: 1
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Nov 21, 2024Corrected: NoCycle: 1
F0755Potential for Harm

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

Survey: Nov 21, 2024Corrected: NoCycle: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Nov 21, 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: Nov 21, 2024Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Nov 21, 2024Corrected: NoCycle: 1
F0622Potential for Harm

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.

Survey: Sep 27, 2023Corrected: NoCycle: 2
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Sep 27, 2023Corrected: NoCycle: 2
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: Sep 27, 2023Corrected: NoCycle: 2
F0694Potential for Harm

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

Survey: Sep 27, 2023Corrected: NoCycle: 2
F0726Potential for Harm

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.

Survey: Sep 27, 2023Corrected: NoCycle: 2
F0849Potential for Harm

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.

Survey: Sep 27, 2023Corrected: 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: Sep 27, 2023Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Sep 27, 2023Corrected: NoCycle: 2
F0576Potential for Harm

Ensure residents have reasonable access to and privacy in their use of communication methods.

Survey: Jul 27, 2022Corrected: NoCycle: 3
F0584Potential for Harm

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.

Survey: Jul 27, 2022Corrected: NoCycle: 3
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: Jul 27, 2022Corrected: NoCycle: 3
F0676Potential for Harm

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Survey: Jul 27, 2022Corrected: NoCycle: 3
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Jul 27, 2022Corrected: NoCycle: 3
F0689Potential for Harm

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

Survey: Jul 27, 2022Corrected: NoCycle: 3
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Jul 27, 2022Corrected: NoCycle: 3
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: Jul 27, 2022Corrected: NoCycle: 3
F0804Potential for Harm

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey: Jul 27, 2022Corrected: NoCycle: 3
F0808Potential for Harm

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Survey: Jul 27, 2022Corrected: NoCycle: 3
F0812Potential for Harm

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

Survey: Jul 27, 2022Corrected: NoCycle: 3
F0842Potential for Harm

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

Survey: Jul 27, 2022Corrected: NoCycle: 3

+ 1 more deficiencies

Total Fines
$0
Number of Fines
0
Payment Denials
0
Total Penalties
0

No penalties on record.

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

Nurse Aide2.04 hrs
National avg: 2.35 hrs
LPN1.10 hrs
National avg: 0.86 hrs
RN0.24 hrs
National avg: 0.68 hrs
Total Nursing3.38 hrs
National avg: 3.89 hrs
Weekend Total2.86 hrs
National avg: 0.00 hrs
Physical Therapist0.19 hrs
National avg: 0.07 hrs
Total Turnover
52.9%
RN Turnover
60.0%
Administrators Left
1

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

Ownership Type
Government - Hospital district
Recent Change
No

Owners & Managers (7)

NameRoleTypeOwnership %Since
EASTLAND MEMORIAL HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Mar 1, 2024
BUFFALO CREEK HEALTHCARE LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AMar 1, 2024
BURNAM, SOONOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMar 1, 2024
GROVER, KENNETHOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMar 1, 2024
BURNAM, SOONCORPORATE OFFICERIndividualN/AMar 1, 2024
WRIGHT, LABANCORPORATE OFFICERIndividualN/AMar 1, 2024
GROVER, KENNETHCONTRACTED MANAGING EMPLOYEEIndividualN/AMar 1, 2024

Nearby Nursing Homes

All Texas facilities

Terrell Healthcare Center

Terrell, TX · 94 beds

Not Rated
For profit$339,046 in fines
Health
Not Rated
Staffing
Not Rated
Quality
Not Rated
2.4 mi

Countryview Nursing & Rehabilitation

Terrell, TX · 115 beds

Government$94,108 in finesAbuse
Health
Staffing
Quality
3.1 mi

Frequently Asked Questions

What is the CMS rating for Windsor Rehabilitation and Healthcare?▾
Windsor Rehabilitation and Healthcare has an overall CMS rating of 5 out of 5 stars, with a health inspection rating of 4/5, staffing rating of 2/5, and quality measures rating of 5/5. This facility is rated above average.
Has Windsor Rehabilitation and Healthcare had any health inspection violations?▾
Windsor Rehabilitation and Healthcare had 10 deficiency citations in its most recent health inspection (Nov 21, 2024). The facility has no fines on record.
What are the staffing levels at Windsor Rehabilitation and Healthcare?▾
Windsor Rehabilitation and Healthcare provides 3.38 total nursing staff hours per resident per day, including 0.24 RN hours, 1.10 LPN hours, and 2.04 nurse aide hours. The total staff turnover rate is 52.9%.
How many beds does Windsor Rehabilitation and Healthcare have?▾
Windsor Rehabilitation and Healthcare has 108 certified beds with an average of 85.7 residents per day, resulting in approximately 79% occupancy. The facility is Government - Hospital district owned and is part of the The Ensign Group chain.
Are there other nursing homes near Windsor Rehabilitation and Healthcare?▾
Yes, there are 2 other nursing homes in Terrell, Texas with an average rating of 3/5. You can compare all facilities on the Terrell nursing homes page.

Part of The Ensign Group

This chain operates 324 facilities. View all →