GoodStanding

Nursing home report

WINDSOR GARDENS

LANCASTER, TX · Medicare-certified · 150 beds

Needs attention
For-profitChain member
4 of 5 overall

Windsor Gardens in Lancaster, TX has an overall rating of 4 out of 5 stars, with strong quality measures but weaker staffing at 3.32 resident hours per day versus the 4.1 federal benchmark. It also has a recent federal penalty, $13,877 in fines over the last 24 months, and inspection citations involving care planning, accident hazards, and pressure ulcer care.

Facility ratings

Health inspections

Staffing

3.3211 hrs/resident/day

Quality measures

Last inspection: December 8, 2025Penalties, last 24 months: $13,877recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3211.

Staffing detail

Registered nurses
0.32
Licensed practical nurses
1.16
Nurse aides
1.84
Weekend nursing
2.88

Hours per resident per day.

Total staff turnover: 55%
Registered nurse turnover: 47%

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

2.2%3.6%Worsening

Residents with a fall causing major injury

1.4%0%Improving

Residents with pressure ulcers (bedsores)

0%1.1%Worsening

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

1.9%0%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

7.4%15.3%Worsening

Residents whose ability to walk got worse

7.7%

Long-stay residents on antianxiety or sleep medication

3.3%4.3%Worsening

Short-stay residents newly given an antipsychotic

0%0%No change

Residents with a long-term catheter

0%1%Worsening

Residents with new or worsening incontinence

0%10.9%Worsening

Residents with depressive symptoms

0%0%No change

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%100%No change

Short-stay residents given the seasonal flu vaccine

98.4%

Short-stay residents given the pneumonia vaccine

96%100%Improving

What the inspectors found

The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited June 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: J

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2024 — 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 proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited May 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 686 — 42 CFR §483.25(b) — S/S: E

The home failed to properly label and securely store medications and biologicals. Cited November 2024 — limited pattern, potential for harm.

View the original federal record

F-Tag 761 — 42 CFR §483.45(g) — 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 November 2024 — limited pattern, potential for harm.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — 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 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  5. PENALTY

    A federal fine of $13,877 was recorded.

Penalties & enforcement

On record with Medicare: 1 fine · $13,877 in total fines.

  • Federal fine

    Jun 11, 2024

    $13,877

Operator & ownership

Ownership
For profit - Corporation
Chain
Part of CANTEX CONTINUING CARE · 38 homes · 3.2 stars avg
Occupancy
101.4 residents on an average day (68% of 150 beds)
Medicare history
Certified for 36 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.