Windmill Village Rehabilitation & Care Center faces challenges in its CMS ratings, earning a D grade with a score of 45/100. The facility ranks in the 50th percentile among Texas nursing homes, suggesting significant room for improvement.
With 3.12 total nurse hours per resident per day, Windmill Village Rehabilitation & Care Center 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 29 deficiencies at Windmill Village Rehabilitation & Care Center, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: have policies on smoking..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.12 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.39 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.77 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 1.97 | 2.4 | Below Average |
| Weekend Total Nursing | 2.80 | 3.8 | Below Average |
| Weekend RN Hours | 0.43 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0926 Severity DHave policies on smoking.Nov 24, 2025 · Environmental Deficiencies
- Tag 0644 Severity DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Aug 28, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0558 Severity EReasonably accommodate the needs and preferences of each resident.May 19, 2025 · Resident Rights Deficiencies
- Tag 0565 Severity EHonor the resident's right to organize and participate in resident/family groups in the facility.May 19, 2025 · Resident Rights Deficiencies
- Tag 0583 Severity EKeep residents' personal and medical records private and confidential.May 19, 2025 · Resident Rights 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 | 3.0% | 4.5% | Better |
| Falls with major injury | 3.3% | 3.0% | Average |
| On antipsychotic medication | 5.1% | 14.5% | Better |
| Urinary tract infections | 0.3% | 2.5% | Better |
| ADL decline (daily activities) | 14.7% | 14.0% | Average |
| Excessive weight loss | 1.1% | 7.5% | Better |
| New/worsened incontinence | 10.1% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of D is based on a score of 45 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 1★ → 4 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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