Arboretum Nursing and Rehabilitation Center of Winnie
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 30 Google reviews

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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
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 detailsStrengths
- 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
Distribution
How They Respond to Reviews
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!”
“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.”
“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.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
11
measures
4
measures
2
measures
Residents needing more daily help over time
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Residents whose walking got worse
Residents vaccinated for pneumonia
Residents on antipsychotic medication
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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, 2025Routine7
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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, 2025Complaint1
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, 2024Routine12
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nursing and Physician Services Deficiencies
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
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.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
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, 2024Complaint1
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, 2023Routine8
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Assessment and Care Planning Deficiencies
Provide care by qualified persons according to each resident's written plan of care.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
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.
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, 2023Complaint2
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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
Chambers County
government
WINNIE I ENTERPRISES, LLC
KAYLA KIKER
Ownership & Management
Owners
County of Chambers
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
30 reviews from families & visitors
Official Website
Visit winnienr.com
Medicare data downloads
Original nursing home datasets
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