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Nursing HomeMedicaid Investigative

Winfield Rehab & Nursing

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

1108 E Loop 304, Crockett, TX 7583583 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.7/5

based on 36 Google reviews

5
4
3
2
1

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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (16 vs median 8.0)
  • High staff turnover (64%)
  • High RN turnover (100%)

Bottom 25% in Texas · Critically understaffed (RN) · Worst in ADVANCED HEALTHCARE SOLUTIONS chain · $355,773 in fines

Source: Medicare data

What this means for your family

This facility's strong rehab and physical therapy team makes it a potential candidate for post-surgery recovery. However, families must be extremely vigilant regarding basic care standards, as multiple reviewers have documented serious failures in providing hydration, hygiene, and accurate medication management.

Google Reviews

Google Reviews

36 reviews analyzed
Families seeking rehabilitation services may find the physical therapy and rehab teams to be a significant strength of this facility. However, there are serious, recurring allegations of neglect regarding basic needs like hydration, hygiene, and medication accuracy that require close monitoring.

Quality Themes

Tap a score for details
Food1.0Staff4.0Clean8.0Activities5.0Meds1.0MemoryN/AComms2.0ValueN/A

Strengths

  • Excellent physical therapy and rehab staff
  • Compassionate and caring nursing team
  • Clean and well-maintained facility
  • Friendly and professional administrative staff

Concerns

  • Neglect of basic needs such as hydration and hygiene (mentioned by 3 reviewers)
  • Medication administration errors or inaccuracies
  • Inadequate staffing levels for nursing assistants (mentioned by 2 reviewers)
  • Patient safety risks and falls

Rating Trends

Tap a year to see what changed

234'17(1)'19(10)'21(4)'23(2)'25(7)

Distribution

5
21
4
3
3
1
2
1
1
10

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard wonderful things about your physical therapy and rehab team; could you tell us more about how they work with residents to regain their strength?
  • 2With the recent focus on improving facility standards, what specific steps are being taken to ensure medication administration is always accurate and timely?
  • 3How do the nursing assistants ensure that residents' daily personal needs, like hydration and hygiene, are consistently met throughout every shift?
  • 4What is the process for communicating important health updates or changes in condition to family members to ensure we are always in the loop?
  • 5How does the facility manage resident safety and fall prevention, especially during the night or when staffing levels change?
  • 6Could you tell us a bit about the dining experience and what the daily meal schedule and menu options look like for residents?

Personalized based on this facility's data


Key Review Excerpts

Winfield has a wonderful physical therapy and rehab staff. Personally, I think ALL nursing homes need more nursing/nursing assistant staff!

Rehab patient's family · 2025★★★★

My God sister just got discharged from Winfield facility on Idaho St in New Orleans..in one month she only got 2 baths, her request for asst was ignored

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

The team here goes above and beyond every day. The staff is kind, attentive, and truly treats residents like family.

Long-term resident's family · 2025★★★★★
Source: 36 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.14hrs
19%
Registered nurses for medical care
Total Nursing
3.21hrs
78%
All nurses + aides combined
Staff Turnover
64%
Lower is better (< 30% = good)
RN Turnover
100%
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
5/ 5
Better Than Avg

10

measures

Worse Than Avg

2

measures

Mixed Results

5

measures

Long-Stay Residents
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility6.6%
Better than Avg
Here
6.6%
US
14.4%
TX
16.1%
Houston
18.9%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility3.9%
Better than Avg
Here
3.9%
US
15.4%
TX
9.4%
Houston
15.7%
😔

Residents with depression symptoms

↓ Lower is better
This Facility3.4%
Mixed vs Avgs
Here
3.4%
US
12.1%
TX
2.5%
Houston
3.9%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility11.2%
Better than Avg
Here
11.2%
US
19.5%
TX
18.4%
Houston
19.7%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility11.8%
Better than Avg
Here
11.8%
US
15.3%
TX
14.9%
Houston
18.3%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.7%
Better than Avg
Here
98.7%
US
93.4%
TX
96.9%
Houston
94.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility51.7%
Worse than Avg
Here
51.7%
US
79.7%
TX
88.0%
Houston
83.1%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility79.8%
Mixed vs Avgs
Here
79.8%
US
81.8%
TX
89.2%
Houston
78.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Houston
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

13deficiencies
5penalties
Above state avg (9.1)
20 complaint-triggered
$355,773 in fines

This facility shows a concerning pattern with multiple family complaints triggering 20 deficiencies, particularly around resident protection from abuse and neglect, accident prevention, and medication management. Issues persist across recent surveys, with serious violations in 2024 including physical restraint misuse and failure to prevent abuse. While the facility has correction dates for violations, the recurring nature of complaints about basic safety and care quality suggests ongoing problems families should carefully investigate before placement.

Dec 10, 2025Routine
11
0727ModerateCorrected

Nursing and Physician Services Deficiencies

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

0851ModerateCorrected

Administration Deficiencies

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

0004ModerateCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0039ModerateCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

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

0908ModerateCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0755MinorCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0761MinorCorrected

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.

0813MinorCorrected

Nutrition and Dietary Deficiencies

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0324MinorCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

Dec 10, 2025Complaint
2
0644MinorCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0677MinorCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Nov 21, 2025Complaint
1
0755MinorCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

May 1, 2025Complaint
2
0604Severe

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

0689Severe

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Mar 9, 2025Complaint
3
0607MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0609MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0689Minor

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Sep 11, 2024Complaint
3
0689SevereCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0943MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Federal Penalties

Fine

May 1, 2025

$16,891

Fine

Sep 11, 2024

$104,562

Fine

Jul 1, 2024

$201,416

Fine

Jun 12, 2024

$16,452

Fine

Jun 12, 2024

$16,452

Ownership & Operations

Who Operates This Facility

Owner / Operator

Coryell County Memorial Hospital Authority

Organization Type

for profit

Management Company

ADVANCED HCS

Administrator

CINDY PUGH

Chain Affiliation

Chain Name

Advanced Healthcare Solutions

Chain Size

30 facilities nationwide

Chain avg rating: 3.2/5 · Rank 30 of 30 (Worst)

Ownership & Management

Owners

Coryell County Memorial Hospital Authority

Owner (parent company) · Organization

Key personnel

Byrom, DavidW-2 Managing EmployeeByrom, DavidOfficer / DirectorScheiner, EliezerOfficer / DirectorByrom, DavidOfficer / DirectorAdvanced Hcs LLCManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

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 3 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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