See every facility — official ratings, family reviews, no referral fees.
Nursing HomeMedicaid Investigative

Arboretum Nursing and Rehabilitation Center of Winnie

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1215 Highway 124, Winnie, TX 77665120 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.6/5

based on 30 Google reviews

5
4
3
2
1
Arboretum Nursing and Rehabilitation Center of Winnie Nursing Home in Winnie, TX — Street View
Street View

Watch Arboretum Nursing and Rehabilitation Center of Winnie

Get an email when new inspections, ratings, or penalties are published for this facility.

We’ll only email you about this — no spam, unsubscribe anytime.

3/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Low staffing rating (2/5 stars)

Below average in Texas · Critically understaffed (RN) · $120,403 in fines

Source: Medicare data

What this means for your family

This facility is highly regarded for its rehabilitation services and the warmth of its nursing staff. However, if your loved one has complex dementia or requires intensive medical monitoring for infections, you should specifically ask how the facility manages UTIs and behavioral changes to ensure their needs will be met.

Google Reviews

Google Reviews

30 reviews analyzed
Families seeking rehabilitation services will find highly positive feedback regarding the attentive and caring nursing staff and the quality of physical therapy. While many long-term residents enjoy a vibrant social atmosphere with frequent activities, one critical review highlights serious concerns regarding the management of medical issues like UTIs and behavioral agitation in dementia patients.

Quality Themes

Tap a score for details
Food5.0Staff9.0Clean5.0Activities5.0Meds1.0MemoryN/ACommsN/AValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • High-quality rehabilitation and physical therapy
  • Engaging resident activities and social outings
  • Clean and inviting facility environment

Concerns

  • Failure to manage medical issues (UTIs) and behavioral agitation in dementia patients

Rating Trends

Tap a year to see what changed

2345.0'16(1)5.01.0'21(1)5.05.0'23(12)1.04.4'25(14)5.0'26(1)

Distribution

5
27
4
0
3
0
2
0
1
3
11 reviews posted between Mar 4, 2025Mar 5, 2025 · 11 were 5-star

How They Respond to Reviews

7%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1We've heard wonderful things about the compassion of your nursing staff; how do you ensure that level of attentive care is maintained during shift changes?
  • 2Can you walk us through your specific protocols for monitoring and managing sudden medical changes, such as infections or UTIs, for residents?
  • 3What is your process for ensuring medication is administered accurately and on schedule every day?
  • 4How does the team approach managing behavioral changes or agitation in residents living with dementia to ensure they feel calm and safe?
  • 5What kind of social outings or engaging group activities do you have planned for the residents this month?
  • 6We noticed the facility looks very clean and inviting; how do you involve the residents in keeping their living environment feeling like home?

Personalized based on this facility's data


Key Review Excerpts

They have a genuine and caring staff that went out of their way to insure he felt comfortable and were great with his special needs. It’s a clean facility and he even really enjoyed the prepared meals!

Rehab patient's family · 2025★★★★★

We interviewed residents at many facilities - with Arboretum residents having the most creative and happy responses - they loved the staff, the activities and how everyone seems like family.

Long-term resident's family · 2025★★★★★

Currently, my Aunt is a long term resident here. She is enjoying all the daily activities and outings they offer. She’s made so many friends and it’s nice knowing she always has company.

Long-term resident's family · 2025★★★★★
Source: 30 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.20hrs
26%
Registered nurses for medical care
Total Nursing
3.02hrs
74%
All nurses + aides combined
Staff Turnover
97%
Lower is better (< 30% = good)
RN Turnover
100%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

11

measures

Worse Than Avg

4

measures

Mixed Results

2

measures

Long-Stay Residents
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility29.6%
Worse than Avg
Here
29.6%
US
14.4%
TX
16.1%
Chambers
10.5%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility2.1%
Better than Avg
Here
2.1%
US
19.4%
TX
14.2%
Chambers
11.0%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.1%
Mixed vs Avgs
Here
1.1%
US
12.1%
TX
2.5%
Chambers
0.8%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility6.1%
Better than Avg
Here
6.1%
US
15.3%
TX
14.9%
Chambers
10.4%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Chambers
92.1%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility14.4%
Mixed vs Avgs
Here
14.4%
US
15.4%
TX
9.4%
Chambers
20.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.7%
TX
88.0%
Chambers
85.9%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
TX
89.2%
Chambers
83.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.5%
Worse than Avg
Here
2.5%
US
1.6%
TX
1.5%
Chambers
1.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

8deficiencies
2penalties
Near state avg (9.1)
4 complaint-triggered
$120,403 in fines

This facility has concerning patterns with families filing complaints that triggered inspections, including issues with accident prevention, care planning, resident rights, and reporting suspected abuse. Recurring problems span infection control, daily care assistance, dietary services, and safety hazards across multiple surveys from 2023-2025. While the facility reports correcting each deficiency, the persistence of similar issues across years suggests ongoing challenges with maintaining consistent quality standards.

Nov 20, 2025Routine
7
0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0580ModerateCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0644ModerateCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0688MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

0690MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0921MinorCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Aug 20, 2025Complaint
1
0689Moderate

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Aug 22, 2024Routine
12
0689SevereCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0712ModerateCorrected

Nursing and Physician Services Deficiencies

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

0755ModerateCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0761ModerateCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0849ModerateCorrected

Administration Deficiencies

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0585MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

0677MinorCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0690MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0695MinorCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0806MinorCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Aug 22, 2024Complaint
1
0657MinorCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Jun 28, 2023Routine
8
0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0558MinorCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0607MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0609MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0659MinorCorrected

Resident Assessment and Care Planning Deficiencies

Provide care by qualified persons according to each resident's written plan of care.

0677MinorCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0808MinorCorrected

Nutrition and Dietary Deficiencies

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

0321MinorCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

May 11, 2023Complaint
2
0550MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0609MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Federal Penalties

Fine

Aug 20, 2025

$9,110

Fine

Aug 22, 2024

$106,388

Ownership & Operations

Who Operates This Facility

Owner / Operator

Chambers County

Organization Type

government

Management Company

WINNIE I ENTERPRISES, LLC

Administrator

KAYLA KIKER

Ownership & Management

Owners

County of Chambers

Owner · Organization

100%

Key personnel

Rose, KaylaW-2 Managing EmployeeArboretum Nursing and Rehabilitation Center of Winnie, INC.ManagerBurris, ByronManagerBurris, QuintenManagerBurris, WalterManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Call