Nursing Care Index

Windsor Nursing And Rehabilitation Center Of Duval

Austin, Travis County, Texas · CCN 675956 · Government (Hospital district) · part of Wellsential Health (67 facilities, chain average 2.7 stars)

CMS rates Windsor Nursing And Rehabilitation Center Of Duval 3 of 5 overall as of August 2026. 206 certified beds, 200 residents a day on average. 33 citations on record from the current inspection cycles, 1 at immediate jeopardy; 2 fines totalling $23,341.

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★★★☆☆ 3 of 5
Health inspections★★☆☆☆ 2 of 5
Staffing★★☆☆☆ 2 of 5
Quality measures★★★★★ 5 of 5
Quality: long-stay / short-stay5 / — of 5

Staffing

Total nurse staffing2.92989 hours per resident per day
Registered nurses0.45711 hours per resident per day
Weekend total2.65993 hours per resident per day
Nursing staff turnover40.2% (registered nurses 25%)
Administrators who left1

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.

SurveyFindingSeverityStatus
2026-05-22 Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0605
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-05-23
2026-05-22 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
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-05-23
2026-05-22 Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · tag F0760
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-05-23
2026-05-22 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
2026-05-23
2026-05-22 Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · tag F0558
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-05-23
2026-05-22 Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · tag F0583
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-05-23
2026-05-22 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-05-23
2026-05-22 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
2026-05-23
2026-04-15
complaint survey
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Resident Rights Deficiencies · tag F0573
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-16
2025-06-27
complaint survey
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-06-28
2025-04-02 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-04-03
2025-04-02 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
2025-04-03
2025-04-02 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · tag F0804
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-04-03
2025-04-02 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
2025-04-03
2025-04-02 Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · tag F0919
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-04-03
2025-04-02 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · tag F0657
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-04-03
2025-04-02 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-04-03
2025-04-02 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
2025-04-03
2024-09-19
complaint survey
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · tag F0756
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-09-20
2024-09-09
complaint survey
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600
G Actual harm that is not immediate jeopardy; isolated Past Non-Compliance
2024-08-06
2024-05-18
complaint survey
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-19
2024-01-27
complaint survey
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · tag F0921
L Immediate jeopardy to resident health or safety; widespread Deficient, Provider has date of correction
2024-01-28
2024-01-27
complaint survey
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-01-28
2024-01-27
complaint survey
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · tag F0756
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-01-28
2024-01-27
complaint survey
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · tag F0925
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-01-28
2024-01-27
complaint survey
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 Rights Deficiencies · tag F0578
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-01-28
2024-01-27
complaint survey
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · tag F0655
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-01-28
2024-01-27
complaint survey
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-01-28
2024-01-27
complaint survey
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · tag F0759
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-01-28
2024-01-27
complaint survey
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · tag F0806
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-01-28
2024-01-27
complaint survey
Have policies on smoking.
Environmental Deficiencies · tag F0926
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-01-28
2023-12-01
complaint survey
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-12-07
2023-10-04
complaint survey
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
2023-10-05

Fines and payment denials

DatePenaltyAmount
2024-09-09Fine$5,736
2024-01-27Fine$17,605

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.

NameRoleShareSince
Val Verde County Hospital District
Organization
5% or greater direct ownership interest100%2022-04-01
5301 West Duval Road LLC
Organization
adp of the snf2022-04-01
Regency Ihs Clinical Consulting, LLC
Organization
adp of the snf2022-04-01
Regency Ihs Master Tenant LLC
Organization
adp of the snf2022-04-01
Regency Ihs Of Windsor Duval LLC
Organization
adp of the snf2024-11-05
Regency Ihs Rehab LLC
Organization
adp of the snf2022-04-01
Regency Integrated Health Services LLC
Organization
adp of the snf2022-04-01
Val Verde County Hospital District
Organization
adp of the snf2025-04-28
Regency Ihs Of Windsor Duval LLC
Organization
direct ownership interest2022-04-01
Dwd Tx Holdings LLC
Organization
indirect ownership interest2022-04-01
Jack And Nancy Dwyer Workforce Development Center Inc.
Organization
indirect ownership interest2022-04-01
Reg Hg Opco I, LLC
Organization
indirect ownership interest2022-04-01
Reg Hg Opco LLC
Organization
indirect ownership interest2022-04-01
Reg Operator Holdco LLC
Organization
indirect ownership interest2022-04-01
Regency Integrated Health Services LLC
Organization
indirect ownership interest2022-04-01
Regency Texas Holdings LLC
Organization
indirect ownership interest2022-04-01
Regency Ihs Of Windsor Duval LLC
Organization
operational/managerial control2022-04-01
Regency Integrated Health Services LLC
Organization
operational/managerial control2022-04-01
Val Verde County Hospital District
Organization
operational/managerial control2022-04-01
Dekowski, Donovan
Individual
adp of the snf2022-04-01
Faxigue, Blaise
Individual
adp of the snf2025-01-01
Grochowalski, Kristin
Individual
adp of the snf2025-01-01
Helmcamp, Terrell
Individual
adp of the snf2012-02-06
Momin, Zahir
Individual
adp of the snf2021-08-01
Jurado, Jorge
Individual
corporate officer2023-10-13
Baird, Daniel
Individual
managing control - governing body2021-04-13
Carvajal, Antonio
Individual
managing control - governing body2024-05-16
Clapp, Barbara
Individual
managing control - governing body2021-06-01
Cortese, Daren
Individual
managing control - governing body2021-08-10
Diaz, Cris
Individual
managing control - governing body2022-05-25
Gibson, Patricia
Individual
managing control - governing body2021-08-01
Gonzales, Veronica
Individual
managing control - governing body2024-05-16
Jurado, Jorge
Individual
managing control - governing body2023-10-13
Kaufman, Nicole
Individual
managing control - governing body2021-08-10
Mandelbaum, Elliot
Individual
managing control - governing body2025-01-01
Otazo, Julio
Individual
managing control - governing body2022-05-25
Palmer, Robin
Individual
managing control - governing body2020-11-18
Dekowski, Donovan
Individual
operational/managerial control2022-04-01
Helmcamp, Terrell
Individual
operational/managerial control2012-02-06

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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 Travis County.