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Windsor Rehabilitation And Healthcare

250 W British Flying School Blvd, Terrell, TX 75160
9725510122
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Overall CMS Rating

5.0/5

vs State Average: 2.8 stars

4.0/5

Health Inspections

vs State Average: 2.8/5

2.0/5

Staffing Level

vs State Average: 2.1/5

5.0/5

Quality Measures

vs State Average: 3.8/5

0 penalties in last 3 years
Penalties
vs State Average: 1.8 penalties

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Ratings Deep Dive

Score
4.0
State Average
2.8
National Average
2.8
5 Deficiencies found in last inspections
0 Penalties in last 3 years
0 Fines issued
Citation Date Description Severity
Nov 21, 2024 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted D
Nov 21, 2024 Ensure each resident’s drug regimen must be free from unnecessary drugs. E
Nov 21, 2024 Ensure medication error rates are not 5 percent or greater. D
Nov 21, 2024 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E
Nov 21, 2024 Keep residents' personal and medical records private and confidential. D
Score
2.0
State Average
2.1
National Average
2.9
0.2 RN Hours / Resident / Day
3.4 Total Nurse Hours / Resident / Day
60.0% RN Turnover Rate
Score
5.0
State Average
3.8
National Average
3.6
5.0 Long-Stay QM Rating
5.0 Short-Stay QM Rating
85.7 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST EASTLAND MEMORIAL HOSPITAL DISTRICT
OPERATIONAL/MANAGERIAL CONTROL BUFFALO CREEK HEALTHCARE LLC
OPERATIONAL/MANAGERIAL CONTROL BURNAM, SOON
OPERATIONAL/MANAGERIAL CONTROL GROVER, KENNETH
CORPORATE OFFICER BURNAM, SOON
CORPORATE OFFICER WRIGHT, LABAN
CONTRACTED MANAGING EMPLOYEE GROVER, KENNETH
Recent Penalties

No penalty records found.

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