The nursing home failed to protect residents from abuse and neglect by others. Cited July 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
Windsor Nursing and Rehabilitation Center of Alice
Alice, TX · Medicare-certified · 136 beds
Needs attention
Abuse citationNon-profitChain member
1 of 5 overall
Windsor Nursing and Rehabilitation Center of Alice has an overall rating of 1 out of 5 stars, with a 1-star staffing rating and nurse staffing below the federal benchmark (3.13 vs. 4.1 hours per resident per day). It also has $31,463 in fines over the last 24 months and a recent abuse citation, while its quality measures rating is 4 stars.
Facility ratings
Health inspections
Staffing
3.1268 hrs/resident/day
Quality measures
Last inspection: March 3, 2026Penalties, last 24 months: $31,463recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1268.
Staffing detail
- Registered nurses
- 0.20
- Licensed practical nurses
- 1.05
- Nurse aides
- 1.87
- Weekend nursing
- 2.80
Hours per resident per day.
Total staff turnover: 35%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
1.5%Worsening
Residents with a fall causing major injury
2.8%Improving
Residents with pressure ulcers (bedsores)
4%Improving
Residents with a urinary tract infection
0.4%Steady
Residents who lost too much weight
6%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
14.6%Worsening
Residents whose ability to walk got worse
21.8%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
22.6%Worsening
Short-stay residents newly given an antipsychotic
1.7%Improving
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
16.8%Improving
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
98.2%Steady
Long-stay residents given the pneumonia vaccine
94.8%Improving
Short-stay residents given the seasonal flu vaccine
83.6%Steady
Short-stay residents given the pneumonia vaccine
88.4%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 home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2025 — widespread issue, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to keep essential equipment working safely. Cited December 2023 — widespread issue, potential for harm.
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F-Tag 908 — 42 CFR §483.90 — S/S: F
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited July 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 607 — 42 CFR §483.12 — 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 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $14,069 was recorded.
- PENALTY
A federal fine of $9,113 was recorded.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $8,281 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $31,463 in total fines.
- $14,069
Federal fine
Jul 3, 2025
- $9,113
Federal fine
Jul 3, 2025
- $8,281
Federal fine
Jan 3, 2025
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of WELLSENTIAL HEALTH · 68 homes · 2.6 stars avg
- Occupancy
- 73.8 residents on an average day (54% of 136 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 32 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.