• 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.
Keep residents' personal and medical records private and confidential.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Ensure medication error rates are not 5 percent or greater.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ensure that residents are free from significant medication errors.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Provide and implement an infection prevention and control program.
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.
Ensure each resident receives an accurate assessment.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
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.
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.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Provide and implement an infection prevention and control program.
Ensure residents have reasonable access to and privacy in their use of communication methods.
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.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide safe and appropriate respiratory care for a resident when needed.
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.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
+ 1 more deficiencies
No penalties on record.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| EASTLAND MEMORIAL HOSPITAL DISTRICT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Mar 1, 2024 |
| BUFFALO CREEK HEALTHCARE LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Mar 1, 2024 |
| BURNAM, SOON | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Mar 1, 2024 |
| GROVER, KENNETH | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Mar 1, 2024 |
| BURNAM, SOON | CORPORATE OFFICER | Individual | N/A | Mar 1, 2024 |
| WRIGHT, LABAN | CORPORATE OFFICER | Individual | N/A | Mar 1, 2024 |
| GROVER, KENNETH | CONTRACTED MANAGING EMPLOYEE | Individual | N/A | Mar 1, 2024 |
This chain operates 324 facilities. View all →