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Nursing home report

Windcrest Nursing & Rehabilitation

Registered name: WINDCREST NURSING AND REHABILITATION

WINDCREST, TX · Medicare-certified · 180 beds

Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall

Windcrest Nursing & Rehabilitation has a 1-out-of-5 overall rating, with 1-star staffing and 2-star health inspection results despite a 4-star quality measures score. It also has a recent federal penalty, $118,618 in fines over the last 24 months, and reported nurse staffing of 2.90 hours per resident per day versus the 4.1-hour federal benchmark.

Facility ratings

Health inspections

Staffing

2.8965 hrs/resident/day

Quality measures

Last inspection: August 14, 2025Penalties, last 24 months: $118,618recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.8965.

Staffing detail

Registered nurses
0.22
Licensed practical nurses
1.00
Nurse aides
1.67
Weekend nursing
2.71

Hours per resident per day.

Total staff turnover: 59%
Registered nurse turnover: 60%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

5.1%12.8%Worsening

Residents with a fall causing major injury

4.3%8.7%Worsening

Residents with pressure ulcers (bedsores)

6.2%2.7%Improving

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

10.4%4.7%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

2.3%7.1%Worsening

Residents whose ability to walk got worse

15.6%13.4%Improving

Long-stay residents on antianxiety or sleep medication

16.7%11.4%Improving

Short-stay residents newly given an antipsychotic

0%0%No change

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

11.8%12.8%Worsening

Residents with depressive symptoms

4.3%9.8%Worsening

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

100%

Long-stay residents given the pneumonia vaccine

100%98.6%Worsening

Short-stay residents given the seasonal flu vaccine

92.2%

Short-stay residents given the pneumonia vaccine

90.1%91.7%Improving

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: J

The nursing home failed to protect residents from abuse and neglect by others. Cited March 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 600 — 42 CFR §483.12 — S/S: J

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited August 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 10 health deficiencies.

    See what inspectors found
  3. PENALTY

    A federal fine of $9,113 was recorded.

  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. PENALTY

    A federal fine of $93,356 was recorded.

  6. PENALTY

    A federal fine of $16,149 was recorded.

  7. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found
  8. PENALTY

    A federal fine of $80,455 was recorded.

Penalties & enforcement

On record with Medicare: 4 fines · $199,073 in total fines.

  • Federal fine

    Jul 31, 2025

    $9,113
  • Federal fine

    Mar 3, 2025

    $93,356
  • Federal fine

    Mar 3, 2025

    $16,149
  • Federal fine

    May 30, 2024

    $80,455

Operator & ownership

Recent ownership change · Sep 1, 2025

Now operated by Medina County Hospital District, previously Caraday Windcrest LLC.

Ownership
For profit - Corporation
Chain
Part of CARADAY HEALTHCARE · 9 homes · 2.8 stars avg
Occupancy
73 residents on an average day (41% of 180 beds)
Medicare history
Certified for 41 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.