Windsor Rehabilitation and Healthcare
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 111 Google reviews
Watch Windsor Rehabilitation and Healthcare
Get an email when new inspections, ratings, or penalties are published for this facility.
We’ll only email you about this — no spam, unsubscribe anytime.
Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low staffing rating (2/5 stars)
- Above-median deficiencies (10 vs median 8.0)
- High staff turnover (53%)
- High RN turnover (60%)
Top 10% in Texas · Critically understaffed (RN) · Best in THE ENSIGN GROUP chain · No penalties on record
What this means for your family
This facility offers an excellent rehabilitation program and a very clean, pleasant environment that many families find comforting. However, you must be extremely vigilant regarding wound care and night-shift staffing, as multiple families have reported life-threatening neglect and pressure ulcers. If you choose this facility, establish a frequent visiting schedule to personally monitor skin integrity and medication administration.
Google Reviews
Google Reviews
111 reviews analyzed“Windsor Rehabilitation and Healthcare is highly regarded by many families for its exceptional therapy team and a warm, home-like atmosphere. However, there are extremely serious allegations regarding medical neglect, including reports of severe pressure ulcers and inadequate staffing during night shifts. Families should weigh the frequent praise for rehabilitation success against the critical reports of life-threatening lapses in care.”
Quality Themes
Tap a score for detailsStrengths
- Exceptional physical therapy and rehab services
- Clean and well-maintained facility
- Compassionate and friendly nursing staff
- Welcoming, home-like environment
Concerns
- Severe medical neglect and pressure ulcers (mentioned by 2 reviewers)
- Inadequate staffing levels, particularly at night (mentioned by 2 reviewers)
- Poor communication regarding medical updates or results (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
Responds to almost all reviews with personalized messages that mirror the specific praise found in the review. Addresses negative feedback with empathy and a commitment to resolution or corrective action.
Questions for Your Tour
- 1We've heard wonderful things about the physical therapy and rehab services here; could you tell us more about how the therapy team works with residents to reach their goals?
- 2It's great to see how much you value feedback from the community; how does the management team typically use resident and family input to make improvements?
- 3How do you ensure that medication is administered accurately and that there is a clear system in place for tracking any changes in a resident's prescriptions?
- 4What is the protocol for communicating important medical updates or test results to family members, especially during the overnight hours?
- 5How does the nursing team monitor skin integrity and prevent issues like pressure ulcers during routine care?
- 6What kind of daily activities or social events are organized to help residents enjoy that home-like environment you've created?
Personalized based on this facility's data
Key Review Excerpts
“Windsor is a great facility with a fantastic therapy team who really care and are committed to helping patients achieve their goals.”
“This place is responsible for my mother’s death. She was eating and rehabilitating in December and in January she was gone. Stage 4 bed ulcer and sepsis due to inadequate turning and failure to recognize signs of a severe infection.”
“The staff here is happy… and that translates into better care for the patients. Kudos to the administration for taking good care of their employee”
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 · 34 measures
22
measures
4
measures
8
measures
Residents whose walking got worse
Residents whose walking got worse
Residents needing more daily help over time
Residents needing more daily help over time
Residents on antipsychotic medication
Residents on antipsychotic medication
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
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, resulting in 7 complaint-related deficiencies. The most recurring problem areas are medication management, care planning and assessments, and infection control, which appear repeatedly across all three surveys from 2022 to 2024. While all deficiencies show correction dates, the persistence of issues in medication safety and care planning across multiple years suggests ongoing operational challenges families should carefully consider.
Feb 27, 2026Routine20
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
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
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
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
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.
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
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
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 treatment and care according to orders, resident’s preferences and goals.
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
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
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.
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
Implement a program that monitors antibiotic use.
Feb 27, 2026Complaint1
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nov 21, 2024Routine14
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary 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.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary 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.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
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
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
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
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Nov 21, 2024Complaint10
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
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
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.
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.
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 that residents are free from significant medication errors.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Sep 27, 2023Routine12
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.
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.
Resident Rights Deficiencies
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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 for the safe, appropriate administration of IV fluids for a resident when needed.
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Resident Rights Deficiencies
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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 for the safe, appropriate administration of IV fluids for a resident when needed.
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Sep 27, 2023Complaint4
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
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Ownership & Operations
Who Operates This Facility
Eastland Memorial Hospital District
for profit
NA
JAMES MIXON
Chain Affiliation
The Ensign Group
338 facilities nationwide
Chain avg rating: 2.9/5 · Rank 4 of 84 (Best)
Ownership & Management
Owners
Eastland Memorial 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
111 reviews from families & visitors
Official Website
Visit windsorrehabilitation.com
Medicare data downloads
Original nursing home datasets
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.
Terrell Scal LLC Colonial Lodge Assisted Living Terrell
< 1 miAssisted Living · Terrell, TX
Terrell Healthcare Center
1.8 miNursing Home · Terrell, TX
Countryview Nursing & Rehabilitation
3.2 miNursing Home · Terrell, TX
Hickory Square Retirement Center
8.5 miAssisted Living · Kaufman, TX
Sunflower Park Health Care
8.6 miNursing Home · Kaufman, TX
Avir at Kaufman
9.8 miNursing Home · Kaufman, TX