ARBORETUM NURSING AND REHABILITATION CENTER OF WIN
WINNIE, TX · Medicare-certified · 120 beds
Needs attention
For-profit
★★★★★1 of 5 overall
1 of 5 stars overall. This home has a 1-star staffing rating with reported nurse staffing below the federal benchmark (3.02 vs 4.1 hours per resident per day), 2-star health inspections, and $115,498 in fines in the last 24 months, including a recent federal penalty.
Last inspection: November 20, 2025Penalties, last 24 months: $115,498recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0195.
Staffing detail
Registered nurses
0.20
Licensed practical nurses
0.96
Nurse aides
1.86
Weekend nursing
2.64
Hours per resident per day.
Total staff turnover: 97%
Registered nurse turnover: 100%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
14.4%Improving
Residents with a fall causing major injury
3.5%Improving
Residents with pressure ulcers (bedsores)
2.9%Improving
Residents with a urinary tract infection
3.8%Improving
Residents who lost too much weight
2.8%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
29.6%Worsening
Residents whose ability to walk got worse
6.1%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
16.4%Improving
Short-stay residents newly given an antipsychotic
2.5%Improving
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
2.1%Improving
Residents with depressive symptoms
1.1%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
100%Steady
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: K
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited November 2025 — widespread issue, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited November 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: E
The nursing home failed to coordinate resident assessments with required screening and make needed service referrals. Cited November 2025 — limited pattern, potential for harm.
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F-Tag 644 — 42 CFR §483.20 — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited August 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $9,110 was recorded.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal fine of $106,388 was recorded.
INSPECTION
Health inspection found 13 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $115,498 in total fines.
Federal fine
Aug 20, 2025
$9,110
Federal fine
Aug 22, 2024
$106,388
Operator & ownership
Ownership
For profit - Corporation
Occupancy
86.3 residents on an average day (72% of 120 beds)
Resident voice
Resident council
Medicare history
Certified for 26 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.