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Nursing HomeMedicaid Investigative

Windsor Nursing and Rehabilitation Center of Duval

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

5301 W Duval Rd, Mesa Park · Austin, TX 78727206 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.4/5

based on 70 Google reviews

5
4
3
2
1
Windsor Nursing and Rehabilitation Center of Duval Nursing Home in Austin, TX — Street View
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4/ 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)
  • Above-median deficiencies (9 vs median 8.0)

Below average in Texas · Critically understaffed (RN) · Below chain average · $23,341 in fines

Source: Medicare data

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 details
Food4.0Staff6.0Clean3.0Activities8.0MedsN/AMemoryN/AComms3.0Value7.0

Strengths

  • 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

234'13(1)'16(2)'18(6)'20(1)'22(11)'24(10)'26(2)

Distribution · 70 analyzed

5
36
4
7
3
2
2
2
1
23

How They Respond to Reviews

100%response rate
Good

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.

Rehab patient · 2025★★★★★

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.

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

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.

Long-term resident's family · 2024★★★★★
Source: 70 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.35hrs
47%
Registered nurses for medical care
Total Nursing
2.82hrs
69%
All nurses + aides combined
Staff Turnover
40%
Lower is better (< 30% = good)
RN Turnover
31%
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
4/ 5
Better Than Avg

11

measures

Worse Than Avg

2

measures

Mixed Results

4

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility25.4%
Worse than Avg
Here
25.4%
US
19.4%
TX
14.2%
Travis
17.8%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.0%
Better than Avg
Here
1.0%
US
12.1%
TX
2.5%
Travis
2.6%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility22.4%
Mixed vs Avgs
Here
22.4%
US
14.4%
TX
16.1%
Travis
22.6%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility12.8%
Better than Avg
Here
12.8%
US
15.3%
TX
14.9%
Travis
20.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.6%
Better than Avg
Here
98.6%
US
93.4%
TX
96.9%
Travis
93.0%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility97.1%
Mixed vs Avgs
Here
97.1%
US
95.5%
TX
98.0%
Travis
92.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility94.9%
Better than Avg
Here
94.9%
US
81.8%
TX
89.2%
Travis
79.4%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility93.1%
Better than Avg
Here
93.1%
US
79.7%
TX
88.0%
Travis
79.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility3.2%
Worse than Avg
Here
3.2%
US
1.6%
TX
1.5%
Travis
1.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

9deficiencies
2penalties
Near state avg (9.1)
17 complaint-triggered
$23,341 in fines

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, 2025Complaint
1
0609Potential for harm · IsolatedCorrected

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, 2025Routine
9
0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0919Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

0803Potential for harm · PatternCorrected

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0657Potential for harm · IsolatedCorrected

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.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Sep 19, 2024Complaint
1
0756Potential for harm · IsolatedCorrected

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, 2024Complaint
1
0600Actual harm · IsolatedResolved (past non-compliance)

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, 2024Complaint
1
0609Potential for harm · IsolatedCorrected

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, 2024Complaint
10
0921Immediate jeopardy · WidespreadCorrected

Environmental Deficiencies

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

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

0756Potential for harm · PatternCorrected

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.

0925Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0578Potential for harm · IsolatedCorrected

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.

0655Potential for harm · IsolatedCorrected

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

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0806Potential for harm · IsolatedCorrected

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.

0926Potential for harm · IsolatedCorrected

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

Owner / Operator

Val Verde County Hospital District

Organization Type

for profit

Management Company

REGENCY IHS OF WINDSOR DUVAL, LLC

Administrator

TERRELL J HELMCAMP

Chain Affiliation

Chain Name

Wellsential Health

Chain Size

68 facilities nationwide

Chain avg rating: 2.8/5 · Rank 57 of 67

Ownership & Management

Owners

Val Verde County Hospital District

Owner · Organization

100%

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

Baird, DanielManaging Control - Governing BodyCarvajal, AntonioManaging Control - Governing BodyClapp, BarbaraManaging Control - Governing BodyCortese, DarenManaging Control - Governing BodyDiaz, CrisManaging Control - Governing Body
Source: Medicare provider data

Contact

Get in Touch

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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.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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