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.
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).
Last yrNowTrend
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).
Last yrNowTrend
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
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
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.