Windsor Nursing and Rehabilitation Center of Duval
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 70 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)
- Above-median deficiencies (9 vs median 8.0)
Below average in Texas · Critically understaffed (RN) · Below chain average · $23,341 in fines
What this means for your family
This facility offers exceptional rehabilitation and compassionate end-of-life care from specific, highly-regarded nurses and therapists. However, families must be extremely vigilant regarding hygiene and staff responsiveness, as multiple reports indicate serious issues with neglect and poor communication during critical transitions.
Google Reviews
Google Reviews
70 reviews on Google“Families considering Windsor Nursing and Rehabilitation Center of Duval will find a facility with highly praised nursing and therapy staff, particularly noted for their compassion during end-of-life care and successful rehabilitation. However, there are significant, recurring allegations of neglect, including issues with hygiene, missed medical needs, and poor communication regarding resident status. While some residents enjoy the social activities and 'country store,' others report serious concerns regarding cleanliness and staff professionalism.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and dedicated nursing staff
- Effective rehabilitation and therapy services
- Engaging activities and social programs
- Helpful assistance with Medicaid billing and admissions
Concerns
- Allegations of resident neglect and physical mistreatment (mentioned by 3 reviewers)
- Poor communication from administration regarding resident status or death (mentioned by 2 reviewers)
- Issues with facility cleanliness and pests (mentioned by 2 reviewers)
- Unprofessional or rude communication from front-desk/admissions staff (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 70 analyzed
How They Respond to Reviews
The owner provides highly personalized and empathetic responses to positive reviews, often mentioning specific staff members by name. For negative reviews, they use a consistent template to acknowledge the issue and redirect the conversation to a private email address.
Questions for Your Tour
- 1I noticed the facility is very responsive to feedback from families; how does the administration currently work to keep families updated on a resident's daily health status?
- 2What specific steps are being taken to ensure the facility remains clean, comfortable, and well-maintained for the residents?
- 3We've heard great things about the therapy services here; can you tell us more about how the rehabilitation program supports a resident's recovery goals?
- 4Could you describe the daily social calendar and what types of engaging activities are available to help residents stay connected with one another?
- 5How does the nursing team handle medical emergencies or changes in a resident's condition during the overnight hours?
- 6What is the process for communicating with the front desk or admissions team if we have questions about a loved one's care or needs?
Personalized based on this facility's data
Key Review Excerpts
“A nurse named William managed to keep me alive until EMS arrived and took me to the hospital. Without William I wouldn't be alive today.”
“My loved one was treated with such dignity and respect during his final days, and the staff went above and beyond to ensure his comfort.”
“My dad has been there for a while and the mental improvement I've seen from his has been so amazing -- I'd like to especially thank Doris. My family often feels sad being so far away from him, but Doris has engaged with him in such a way where I feel like he's happier.”
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
2
measures
4
measures
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 needing more daily help over time
Residents whose walking got worse
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
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 18 complaints triggering federal inspections, revealing recurring issues in abuse prevention, medication management, and food safety. Multiple deficiencies appear across recent surveys, including repeated problems with reporting suspected abuse and neglect, medication error monitoring, and dietary services, suggesting some issues persist despite correction dates.
Jun 27, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Apr 2, 2025Routine9
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Sep 19, 2024Complaint1
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Sep 9, 2024Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
May 18, 2024Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Jan 27, 2024Complaint10
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
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 safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
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.
Environmental Deficiencies
Have policies on smoking.
Federal Penalties
Fine
Sep 9, 2024
$5,736
Fine
Jan 27, 2024
$17,605
Ownership & Operations
Who Operates This Facility
Val Verde County Hospital District
for profit
REGENCY IHS OF WINDSOR DUVAL, LLC
TERRELL J HELMCAMP
Chain Affiliation
Wellsential Health
68 facilities nationwide
Chain avg rating: 2.8/5 · Rank 57 of 67
Ownership & Management
Owners
Val Verde County Hospital District
Owner · Organization
Regency Ihs of Windsor Duval LLC
Owner · Organization
Dwd TX Holdings LLC
Owner (parent company) · Organization
Jack and Nancy Dwyer Workforce Development Center INC
Owner (parent company) · Organization
Reg Hg Opco I, LLC
Owner (parent company) · Organization
Reg Hg Opco LLC
Owner (parent company) · Organization
Reg Operator Holdco LLC
Owner (parent company) · Organization
Regency Integrated Health Services LLC
Owner (parent company) · Organization
Regency Texas Holdings LLC
Owner (parent company) · Organization
Key personnel
Contact
Get in Touch
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
70 reviews from families & visitors
Official Website
Visit wellsentialhealth.org
Medicare data downloads
Original nursing home datasets
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