Windsor Gardens
Strong Medicare quality ratings; families often praise professional and compassionate nursing and therapy staff. Still worth an in-person visit.
based on 191 Google reviews
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What this means for your family
This facility shows a clear upward trend in organization and management quality, making it a much stronger option than in previous years. However, families should remain vigilant regarding the management of personal belongings and ensure that communication lines are open, as some residents still experience difficulty reaching staff during evening and weekend hours.
Google Reviews
Google Reviews
191 reviews on Google“Families will find a facility that has undergone significant recent improvements in organization, cleanliness, and management professionalism. While many recent visitors praise the warm, welcoming atmosphere and the dedicated therapy and nursing teams, there are persistent, serious reports regarding medication delays, lost personal belongings, and occasional lapses in hygiene and responsiveness during night shifts.”
Quality Themes
Tap a score for detailsStrengths
- Professional and compassionate nursing and therapy staff
- Clean and well-maintained facility environment
- Welcoming and friendly administrative and concierge services
- Effective and attentive rehabilitation/therapy department
Concerns
- Loss of residents' personal belongings and clothing (mentioned by 4 reviewers)
- Difficulty reaching staff or answering phones during off-hours/weekends (mentioned by 4 reviewers)
- Issues with hygiene, including odors or improper cleaning (mentioned by 3 reviewers)
- Staffing shortages leading to slow response times (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 215 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1We've heard wonderful things about the compassion of your nursing and therapy teams; how do you ensure that level of care remains consistent during shift changes?
- 2Since we want to make sure my loved one feels at home, what systems do you have in place to help residents keep track of their personal belongings and clothing?
- 3How do you manage communication with families during the weekends or evening hours if we have a quick question or concern?
- 4Could you tell us more about the medication management process and how you ensure everything is administered accurately and on time?
- 5What does a typical daily schedule look like here, and what kind of social activities or outings are available for residents?
- 6In the event of a medical emergency after hours, what is the protocol for notifying the family and coordinating with doctors?
Personalized based on this facility's data
Key Review Excerpts
“The staff is exceptional, proficient and caring.”
“The D.O.N and his team has been amazing in resolving client complaints. He initiated a training session just to correct a mistake that occurred and my loved one Miss Alice Lawrence whom l am advocating for felt happy and now can call Brentwood 2 a home.”
“My mother was in building 4, do NOT put your family member in there unless you can be there everyday making sure they are doing their jobs. They don’t answer when you push the call button, they never did therapy until I started complaining and then she had a sore on her bottom and it got so bad because they weren’t cleaning her good that it got infected.”
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
17
measures
Residents whose bladder or bowel control got worse
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents vaccinated for pneumonia
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
Windsor Gardens has significant concerns with families filing 15 complaints that triggered federal inspections, revealing ongoing problems with care planning, medication management, and resident safety. The facility shows recurring deficiencies in developing proper care plans (cited multiple times across recent years), pharmaceutical services, and maintaining safe conditions for residents. While all violations report correction dates, the pattern of repeated issues in core care areas and the high volume of family complaints suggest persistent quality problems that warrant careful consideration before placement.
Dec 8, 2025Complaint1
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Aug 23, 2025Complaint3
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
May 21, 2025Complaint2
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nov 7, 2024Routine4
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
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.
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.
Nov 7, 2024Complaint2
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
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Aug 28, 2024Complaint1
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Federal Penalties
Fine
Jun 11, 2024
$13,877
Ownership & Operations
Who Operates This Facility
Dallas County Hospital District
for profit
WINDSOR PLACE HEALTH CARE CENTER LTD CO
NIKITA JOHNSON
Chain Affiliation
Cantex Continuing Care
38 facilities nationwide
Chain avg rating: 3.2/5 · Rank 19 of 37
Ownership & Management
Owners
Dallas County Hospital District
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
191 reviews from families & visitors
Official Website
Visit brentwoodnursingcenter.com
Medicare data downloads
Original nursing home datasets
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