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Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 200 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
This facility has areas of concern that warrant careful consideration. Registered Nurse hours are 50% of the EveryPlace reference benchmark; ask how RN coverage is allocated across shifts. The latest standard survey recorded 13 findings, above the TX average of 9.1. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
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
Concerns
Rating Trends
Tap a year to see what changed
Distribution · 225 analyzed
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.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
16
measures
1
measures
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Residents who lost too much weight
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
Detailed Medicare record · up to 3-year lookback
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
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.
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.
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.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
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.
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.
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.
Federal Penalties
Fine
Jun 11, 2024
$13,877
Dallas County Hospital District
for profit
WINDSOR PLACE HEALTH CARE CENTER LTD CO
NIKITA JOHNSON
Cantex Continuing Care
37 facilities nationwide
Chain avg rating: 3.2/5 · Rank 19 of 37
Owners
Dallas County Hospital District
Owner · Organization
Key personnel
Contact this facility directly and verify the details that matter most to your family.
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Google Reviews
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Official Website
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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. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. 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.
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