Windsor Nursing And Rehabilitation Center Of Alice faces challenges in its CMS ratings, earning a D grade with a score of 52/100. The facility ranks in the 58th percentile among Texas nursing homes, suggesting significant room for improvement.
With 3.22 total nurse hours per resident per day, Windsor Nursing And Rehabilitation Center Of Alice falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 21 deficiencies at Windsor Nursing And Rehabilitation Center Of Alice, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: provide and implement an infection prevention and control program..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.22 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.20 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.08 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.93 | 2.4 | Below Average |
| Weekend Total Nursing | 2.88 | 3.8 | Below Average |
| Weekend RN Hours | 0.15 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0880 Severity DProvide and implement an infection prevention and control program.Dec 8, 2025 · Infection Control Deficiencies
- Tag 0600 Severity JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Jul 2, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0689 Severity JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Jul 2, 2025 · Quality of Life and Care Deficiencies
- Tag 0607 Severity EDevelop and implement policies and procedures to prevent abuse, neglect, and theft.Jul 2, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Feb 25, 2025 · Nutrition and Dietary Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 3.1% | 4.5% | Better |
| Falls with major injury | 3.3% | 3.0% | Worse |
| On antipsychotic medication | 5.9% | 14.5% | Better |
| Urinary tract infections | 0.4% | 2.5% | Better |
| ADL decline (daily activities) | 12.0% | 14.0% | Better |
| Excessive weight loss | 5.3% | 7.5% | Better |
| New/worsened incontinence | 20.0% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $8,281
How This Grade Was Calculated
This facility's grade of D is based on a score of 52 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -0 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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