Windsor Nursing And Rehabilitation Center Of Bastr
Bastrop, Bastrop County, Texas · CCN 675356 · Government (Hospital district) · part of Wellsential Health (67 facilities, chain average 2.7 stars)
CMS rates Windsor Nursing And Rehabilitation Center Of Bastr 2 of 5 overall as of August 2026. 96 certified beds, 48 residents a day on average. 17 citations on record from the current inspection cycles, 1 involving actual harm; 1 fine totalling $15,920.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★☆☆☆ 2 of 5 |
|---|---|
| Health inspections | ★★★☆☆ 3 of 5 |
| Staffing | ★☆☆☆☆ 1 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 4 / 4 of 5 |
Staffing
| Total nurse staffing | 2.87673 hours per resident per day |
|---|---|
| Registered nurses | 0.43657 hours per resident per day |
| Weekend total | 2.61098 hours per resident per day |
| Nursing staff turnover | 45% (registered nurses 57.1%) |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-06-30 complaint survey |
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 · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-07-23 |
| 2026-06-30 complaint survey |
Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · tag F0679 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-07-23 |
| 2026-06-30 complaint survey |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-07-23 |
| 2026-06-30 complaint survey |
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. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-07-23 |
| 2026-02-05 complaint survey |
Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
H Actual harm that is not immediate jeopardy; pattern | Past Non-Compliance |
| 2025-07-17 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-08-05 |
| 2025-07-17 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-08-05 |
| 2025-07-17 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-08-05 |
| 2025-03-30 complaint survey |
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 · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-07 |
| 2024-06-11 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-06-18 |
| 2024-06-11 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · tag F0584 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-06-18 |
| 2024-06-11 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · tag F0758 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-18 |
| 2024-06-11 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-18 |
| 2024-06-11 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · tag F0732 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2024-06-18 |
| 2024-06-11 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · tag F0912 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2024-06-18 |
| 2023-04-27 | 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 · tag F0803 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-04-28 |
| 2023-04-27 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · tag F0912 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2023-04-28 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2026-02-05 | Fine | $15,920 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Oakbend Medical Center Organization | 5% or greater direct ownership interest | 100% | 2017-03-31 |
| Oakbend Medical Center Organization | adp of the snf | — | 2025-04-29 |
| Regency Ihs Clinical Consulting, LLC Organization | adp of the snf | — | 2022-10-01 |
| Regency Ihs Of Bastrop LLC Organization | adp of the snf | — | 2025-04-29 |
| Regency Ihs Rehab LLC Organization | adp of the snf | — | 2022-10-01 |
| Regency Integrated Health Services LLC Organization | adp of the snf | — | 2025-04-29 |
| Regency Ihs Of Bastrop LLC Organization | direct ownership interest | — | 2022-10-01 |
| Csv Rhea Management Holdco, LLC Organization | indirect ownership interest | — | 2022-10-01 |
| Dwd Tx Holdings LLC Organization | indirect ownership interest | — | 2022-10-01 |
| Jack And Nancy Dwyer Workforce Development Center Inc. Organization | indirect ownership interest | — | 2022-10-01 |
| Reg Leased Opco LLC Organization | indirect ownership interest | — | 2022-10-01 |
| Reg Operator Holdco LLC Organization | indirect ownership interest | — | 2022-10-01 |
| Regency Integrated Health Services LLC Organization | indirect ownership interest | — | 2022-10-01 |
| Regency Texas Holdings LLC Organization | indirect ownership interest | — | 2022-10-01 |
| Oakbend Medical Center Organization | operational/managerial control | — | 2017-03-31 |
| Regency Ihs Of Bastrop LLC Organization | operational/managerial control | — | 2022-10-01 |
| Regency Integrated Health Services LLC Organization | operational/managerial control | — | 2022-10-01 |
| Dekowski, Donovan Individual | adp of the snf | — | 2022-10-01 |
| Garza, Bertha Individual | adp of the snf | — | 2022-10-01 |
| Gowda, Suma Individual | adp of the snf | — | 2022-10-01 |
| Freudenberger, Joseph Individual | corporate officer | — | 2007-06-19 |
| Clapp, Barbara Individual | managing control - governing body | — | 2022-10-01 |
| Crayton, Tom Individual | managing control - governing body | — | 2013-01-15 |
| Freudenberger, Joseph Individual | managing control - governing body | — | 2007-06-19 |
| Haley, Jeff Individual | managing control - governing body | — | 2016-07-15 |
| Popatia, Amirali Individual | managing control - governing body | — | 2020-03-17 |
| Uthman, Edward Individual | managing control - governing body | — | 2008-01-15 |
| Dekowski, Donovan Individual | operational/managerial control | — | 2022-10-01 |
| Garza, Bertha Individual | operational/managerial control | — | 2022-10-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Windsor Nursing And Rehabilitation Center Of Bastr.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Bastrop County.