Windsor Rehabilitation And Healthcare earns a solid B grade from CMS data, with a score of 83/100. Performing above average across most metrics, this Terrell facility ranks in the 92th percentile among Texas nursing homes.
With 3.38 total nurse hours per resident per day, Windsor Rehabilitation And Healthcare falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent inspections identified 31 deficiencies at Windsor Rehabilitation And Healthcare. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.38 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.24 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.10 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.04 | 2.4 | Below Average |
| Weekend Total Nursing | 2.86 | 3.8 | Below Average |
| Weekend RN Hours | 0.18 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0757 Severity EEnsure each resident’s drug regimen must be free from unnecessary drugs.Nov 20, 2024 · Pharmacy Service Deficiencies
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nov 20, 2024 · Nutrition and Dietary Deficiencies
- Tag 0583 Severity DKeep residents' personal and medical records private and confidential.Nov 20, 2024 · Resident Rights Deficiencies
- Tag 0655 Severity DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedNov 20, 2024 · Resident Assessment and Care Planning Deficiencies
- Tag 0759 Severity DEnsure medication error rates are not 5 percent or greater.Nov 20, 2024 · Pharmacy Service 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 | 2.0% | 4.5% | Better |
| Falls with major injury | 2.3% | 3.0% | Better |
| On antipsychotic medication | 4.6% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 22.4% | 14.0% | Worse |
| Excessive weight loss | 1.4% | 7.5% | Better |
| New/worsened incontinence | 18.1% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of B is based on a score of 83 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 5★ → 40 pts (max 40)
- Health Inspection Rating: 4★ → 20 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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