CONTACT INFORMATION REVIEWS & MORE DATA

Windsor Gardens

Date Updated: October 01, 2024
CMS Overall 5-Star Rating:
Address: 2535 W PLEASANT RUN
LANCASTER TX 75146 Map
Phone: 972-228-8029
Website: Click Here
Medicare Provider Number: 455832
Participating in Medicare Since: August 02, 1989
No. of Certified Beds: 150
No. of Residents: N/A
Occupancy: N/A
Amount Fined: $20,965.00
Complaints Filed: 5
Accepts: Medicare and Medicaid

About Windsor Gardens

Windsor Gardens, located in LANCASTER, TX, is a for-profit organization that accepts Medicare and Medicaid. It is not part of a continuing care retirement community. It is not located in a hospital. Windsor Gardens offers a range of services including skilled nursing, long-term care, short-term rehabilitation, and specialized memory care. The center is equipped with modern amenities and a supportive environment designed to enhance the quality of life for its residents. With a focus on personalized care plans and community engagement.

Windsor Gardens is ranked #7 out of 19 facilities within a 10 mile radius and #60 out of 119 facilities within a 25 mile radius. See Ranking Report
Review Specific City Measures
CMS 5-Star Overall Rating is (3 out of 5):
Current Trend: Worsening
Total Nursing Hours Spent Per Resident Per Day: 3.45
(The national average is 3.84 )
The percentage of short-stay residents who were re-hospitalized after a nursing home admission is 21.73% .
There is no indication of abuse occuring at Windsor Gardens. (CMS flags facilities where abuse has either happened or is very likely.)

Windsor Gardens Owner & Operator Information

Business Entity Name:

DALLAS COUNTY HOSPITAL DISTRICT

Owners:

DALLAS COUNTY HOSPITAL DISTRICT (DIRECT- 100%)

Managers and Directors:

ERIC BING (DIRECTOR)
SHANNAN BRADLEY (DIRECTOR)
SHANNAN BRADLEY (MANAGING EMPLOYEE)
EDMUNDO CASTANEDA (OFFICER)
EDMUNDO CASTANEDA (MANAGING EMPLOYEE)
FREDERICK CERISE (OFFICER)
DAVID ERIKSEN (OPERATIONAL/MANAGERIAL CONTROL)
DAVID ERIKSEN (MANAGING EMPLOYEE)
TODD FURNISS (DIRECTOR)
ROBERT MARTINEZ (DIRECTOR)
RAMON MIGUEZ (DIRECTOR)
FARIDA MINNER (DIRECTOR)
LANA NIXON (MANAGING EMPLOYEE)
DON O'BANNON (DIRECTOR)
ELIZABETH PALACIOS (DIRECTOR)
MARJORIE PETTY (DIRECTOR)
JOHN PROCTOR (DIRECTOR)
TRACY SIMMS (OPERATIONAL/MANAGERIAL CONTROL)
TRACY SIMMS (MANAGING EMPLOYEE)
LISA SUTTER (DIRECTOR)
JEFF TILLOTSON (DIRECTOR)
ROBIN UNDERHILL (OPERATIONAL/MANAGERIAL CONTROL)
ROBIN UNDERHILL (MANAGING EMPLOYEE)
WINDSOR PLACE HEALTH CARE CENTER LTD CO (OPERATIONAL/MANAGERIAL CONTROL)

Windsor Gardens Ratings and Inspection Scores

Centers for Medicare and Medicaid (CMS) regularly inspects every skilled nursing facility. The results of the multi-day inspection is a series of star ratings. The health inspection scores are an absolute value, so you can compare one facility's score directly to another.

Ratings

Overall Rating	3:
Health Inspection Rating	2:
Quality Rating	5:
Staffing Rating	2:

Inspection Scores

Cycle 1 Score (as of October 05, 2023)	133
Cycle 2 Score (as of August 17, 2022)	12
Cycle 3 Score (as of June 24, 2021)	12
Weighted All Cycles Score	73

Nursing Hours Spent Per Patient

CMS provides detailed information about how long nursing staff spends with residents. This data includes nursing subcategories of Registered Nurse, Licensed Practical Nurse, and non-nursing Certified Nursing Assistants. More hours spend per patient should can indicate a better facility or it could indicate more complicated situations.

The nursing staff of Windsor Gardens spends LESS time on average with its residents than the state average and LESS time than the national average for total nursing hours spent per resident.

Type	Facility	State / National Avg
Registered Nurse (RN)
Hours	0.37	0.41 / 0.67
Case Mix	0.68	0.64 / 0.66
Adjusted	0.36	NA / NA
Licensed Practical Nurse (LPN)
Hours	1.01	1.00 / 0.88
Case Mix	0.90	NA / NA
Adjusted	0.98	NA / NA
Certified Nursing Assistants (CNA)
Hours	2.08	1.96 / 2.29
Case Mix	2.35	NA / NA
Adjusted	2.02	NA / NA
Total Licensed Staff
Hours	1.38	1.41 / 1.55
Physical Therapist (PT)
Hours	0.06	0.07 / 0.07
Total Nursing Hours Spent per Resident on Average
Hours	3.45	3.37 / 3.84
Case Mix	3.93	3.66 / 3.82
Adjusted	3.35	NA / NA

Quality Measures

Quality measures are based both on patient survey information and on the results of actual claims that are filed with CMS. It is not clear what period is covered in the measures.

Desc.	Perc./ State Avg. / Comparison
Percentage of short-stay residents who were rehospitalized after a nursing home admission (qm521) This measure is considered when computing the 5-Star Overall Rating	21.7% / 24.5% Better
Percentage of short-stay residents who had an outpatient emergency department visit (qm522) This measure is considered when computing the 5-Star Overall Rating	8.3% / 12.2% Better
Number of hospitalizations per 1000 long-stay resident days (qm551) This measure is considered when computing the 5-Star Overall Rating	Not Available
Number of outpatient emergency department visits per 1000 long-stay resident days (qm552) This measure is considered when computing the 5-Star Overall Rating	Not Available
Percentage of long-stay residents whose need for help with daily activities has increased (qm401)	25.9% / 16.6% Worse
Percentage of long-stay residents who lose too much weight (qm404)	0.0% / 4.6% Better
Percentage of low risk long-stay residents who lose control of their bowels or bladder (qm405)	57.1% / 53.4% Worse
Percentage of long-stay residents with a catheter inserted and left in their bladder (qm406)	1.7% / 1.1% Worse
Percentage of long-stay residents with a urinary tract infection (qm407)	0.0% / 1.0% Better
Percentage of long-stay residents who have depressive symptoms (qm408)	0.0% / 4.7% Better
Percentage of long-stay residents who were physically restrained (qm409)	0.0% / 0.0% Better
Percentage of long-stay residents experiencing one or more falls with major injury (qm410)	1.2% / 3.4% Better
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (qm415)	99.6% / 97.1% Better
Percentage of long-stay residents who received an antipsychotic medication (qm419)	0.4% / 8.7% Better
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (qm430)	99.8% / 89.4% Better
Percentage of short-stay residents who newly received an antipsychotic medication (qm434)	0.6% / 1.5% Better
Percentage of long-stay residents whose ability to move independently worsened (qm451)	7.9% / 12.7% Better
Percentage of long-stay residents who received an antianxiety or hypnotic medication (qm452)	6.7% / 23.1% Better
Percentage of high risk long-stay residents with pressure ulcers (qm453)	3.7% / 6.7% Better
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (qm454)	100.0% / 97.6% Better
Percentage of short-stay residents who made improvements in function (qm471)	62.1% / 70.0% Worse
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (qm472)	98.5% / 84.5% Better

Hospitals Near Windsor Gardens

Quite often skilled nursing facilities and hospitals work closely together to help patients recover or manage a terminal illness. Hospitals deals with acute care while nursing homes treat patients for a longer period of time. New residents at skilled nursing homes typically come from a hospital and nursing home residents may be readmitted to a hospital if their recovery does not proceed well. (Hospital readmission rates are closely monitored by CMS.) Consequently it is important that you consider which hospitals are near a nursing home which choosing one. Below is a list of hospitals near Windsor Gardens.

Windsor Gardens is near several hospitals, each with its own rating based on overall performance:

Hospital	5-Star Overall Rating
BAYLOR SCOTT & WHITE MEDICAL CENTER-WHITE ROCK 9440 POPPY DRIVE DALLAS, TX 75218	1
TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL 800 W RANDOL MILL RD ARLINGTON, TX 76012	2
MEDICAL CITY LAS COLINAS 6800 N MACARTHUR BLVD IRVING, TX 75039	2
BAYLOR SCOTT AND WHITE MEDICAL CENTER SUNNYVALE 231 SOUTH COLLINS ROAD SUNNYVALE, TX 75182	2
MEDICAL CITY ARLINGTON 3301 MATLOCK ROAD ARLINGTON, TX 76015	2
PARKLAND HEALTH & HOSPITAL SYSTEM 5200 HARRY HINES BLVD DALLAS, TX 75235	2
CRESCENT MEDICAL CENTER LANCASTER 2600 WEST PLEASANT RUN ROAD LANCASTER, TX 75146	2
MEDICAL CITY NORTH HILLS 4401 BOOTH CALLOWAY ROAD NORTH RICHLAND HILLS, TX 76180	2
METHODIST DALLAS MEDICAL CENTER 1441 NORTH BECKLEY AVENUE DALLAS, TX 75203	3
METHODIST CHARLTON MEDICAL CENTER 3500 W WHEATLAND ROAD DALLAS, TX 75237	3
TEXAS HEALTH HOSPITAL MANSFIELD 2300 LONE STAR ROAD MANSFIELD, TX 76063	3
METHODIST MANSFIELD MEDICAL CENTER 2700 E BROAD STREET MANSFIELD, TX 76063	3
BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE 6800 SCENIC DR ROWLETT, TX 75088	3
TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD 1600 HOSPITAL PARKWAY BEDFORD, TX 76022	3
MEDICAL CITY DALLAS HOSPITAL 7777 FOREST LANE DALLAS, TX 75230	3
DALLAS VA MEDICAL CENTER (VA NORTH TEXAS HEALTHCARE SYSTEM) 4500 S. LANCASTER ROAD DALLAS, TX 75216	3
DALLAS REGIONAL MEDICAL CENTER 1011 NORTH GALLOWAY AVENUE MESQUITE, TX 75149	4
METHODIST MIDLOTHIAN MEDICAL CENTER 1201 E HIGHWAY 287 MIDLOTHIAN, TX 76065	4
TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS 8200 WALNUT HILL LANE DALLAS, TX 75231	4
BAYLOR UNIVERSITY MEDICAL CENTER 3500 GASTON AVE DALLAS, TX 75246	4

Ratings History for Windsor Gardens

Medical Professionals Associated with Windsor Gardens

These are the doctors who are affiliated with Windsor Gardens. The data is from the most recent period. Historical data is not available.

DEANDRE BROWN ( INTERNAL MEDICINE - URGENT PLUS CARE LLC )
PHILLIP SILVA ( GERIATRIC MEDICINE - TRINITY POST-ACUTE CARE PA )

Local Nursing Homes

When evaluating nursing homes, it's important to consider other nearby facilities to understand the available options and make comparisons. Below is a list of nursing homes near Brookline Healthcare and Rehabilitation, including Brookline itself. This list is ranked based on each home's health inspection scores, also known as the "weighted all cycles score." Additionally, we provide the facility's 5-star overall rating for a more complete view of its performance. If a nursing home has been flagged by CMS for abuse, you'll see a special icon () next to its name.

The data is based on the dataset as of October 01, 2024.

Name	Health Inspection Score / Overall Rating
The Plaza at Edgemere (DALLAS, TX)	7.333 / 5:
Highland Meadows Health and Rehab (ROCKWALL, TX)	9.333 / 5:
Pure Health Transitional Care at Texas Health Pres (DALLAS, TX)	12 / 5:
The Legacy Midtown Park (DALLAS, TX)	12 / 5:
C C Young Memorial Home (DALLAS, TX)	12.667 / 5:
Grapevine Medical Lodge (GRAPEVINE, TX)	14 / 5:
Ventana By Buckner (DALLAS, TX)	16 / 5:
Beltline Healthcare Center (GARLAND, TX)	16 / 5:
Christian Care Center (MESQUITE, TX)	17.333 / 5:
Villages of Lake Highlands (DALLAS, TX)	19.333 / 5:
Irving Nursing and Rehabilitation (IRVING, TX)	21.333 / 3:
Ridgecrest Healthcare and Rehabilitation Center (FORNEY, TX)	22 / 5:
Desoto Ltc Partners, Inc (DESOTO, TX)	24 / 4:
La Dora Nursing and Rehabilitation Center (BEDFORD, TX)	25.333 / 5:
Caraday Mesquite (MESQUITE, TX)	26.667 / 4:
Arbrook Plaza (ARLINGTON, TX)	27.333 / 4:
Walnut Place (DALLAS, TX)	27.333 / 4:
Grandview Nursing and Rehabilitation Center (GRANDVIEW, TX)	30 / 5:
The Lennwood Nursing and Rehabilitation (DALLAS, TX)	30.667 / 3:
Autumn Leaves (DALLAS, TX)	31.333 / 5:
Forum Parkway Health and Rehabilitation (BEDFORD, TX)	33.333 / 5:
Bedford Wellness and Rehabilitation (BEDFORD, TX)	36 / 4:
Keller Oaks Healthcare Center (KELLER, TX)	37.333 / 3:
Legend Oaks Healthcare and Rehabilitation - Ennis (ENNIS, TX)	38 / 3:
Edgewood Rehabilitation and Care Center (MESQUITE, TX)	40 / 3:
The Highlands Guest Care Center (DALLAS, TX)	40 / 3:
Lakewest Rehabilitation and Skilled Care (DALLAS, TX)	40.667 / 2:
Traymore Nursing Center (DALLAS, TX)	40.667 / 3:
Rowlett Health and Rehabilitation Center (ROWLETT, TX)	40.667 / 3:
Signature Pointe (DALLAS, TX)	41.333 / 3:
City of Ennis Dba Broadmoor Medical Lodge (ROCKWALL, TX)	43.333 / 2:
Heritage at Turner Park Health and Rehab (GRAND PRAIRIE, TX)	44 / 3:
Town East Rehabilitation and Healthcare Center (MESQUITE, TX)	44 / 3:
The Villages On Macarthur (IRVING, TX)	44.667 / 4:
The Manor at Seagoville (SEAGOVILLE, TX)	46 / 3:
The Villa at Mountain View (DALLAS, TX)	46.667 / 4:
Emerald Hills Rehabilitation and Healthcare Center (NORTH RICHLAND HILLS, TX)	46.667 / 4:
Bear Creek Nursing and Rehabilitation (GRAPEVINE, TX)	47.333 / 3:
Discovery Village at Southlake (SOUTHLAKE, TX)	47.333 / 3:
The Pavilion at Creekwood (MANSFIELD, TX)	48.667 / 2:
Balch Springs Nursing Home (BALCH SPRINGS, TX)	48.667 / 2:
Palomino Place (MESQUITE, TX)	48.667 / 2:
Parkwood Healthcare Community (BEDFORD, TX)	50.667 / 4:
Simpson Place (DALLAS, TX)	52 / 1:
Greenbrier Health Care Center (ARLINGTON, TX)	53.167 / 3:
Mesquite Tree Nursing Center (MESQUITE, TX)	53.333 / 3:
Brentwood Place Three (DALLAS, TX)	53.333 / 2:
Crestview Court (CEDAR HILL, TX)	54.667 / 3:
Cottonwood Creek Healthcare Community (RICHARDSON, TX)	54.667 / 3:
Presbyterian Village North Special Care Ctr (DALLAS, TX)	55.667 / 5:
Golden Acres Living and Rehabilitation Center (DALLAS, TX)	56 / 2:
Westridge Nursing and Rehabilitation (LANCASTER, TX)	56.667 / 2:
Methodist Transitional Care Center-Desoto LLC (DESOTO, TX)	60.5 / 4:
Hurst Plaza Nursing and Rehab (HURST, TX)	62.667 / 3:
Brentwood Place Four (DALLAS, TX)	64 / 2:
Matlock Place Health and Rehabilitation Center (ARLINGTON, TX)	70.667 / 1:
Town Hall Estates Arlington Inc (ARLINGTON, TX)	71.333 / 3:
Pecan Manor Nursing and Rehabilitation (KENNEDALE, TX)	72 / 1:
Carrollton Health and Rehabilitation Center (CARROLLTON, TX)	72 / 2:
Windsor Gardens (LANCASTER, TX)	72.5 / 3:
The Laurenwood Nursing and Rehabilitation (DUNCANVILLE, TX)	73.333 / 1:
Richland Hills Rehabilitation and Healthcare Cente (FORT WORTH, TX)	73.333 / 1:
Beacon Harbor Healthcare and Rehabilitation (ROCKWALL, TX)	74 / 2:
Arden Place of Richland Hills (RICHLAND HILLS, TX)	74.167 / 3:
The Rehabilitation and Wellness Centre of Dallas LLC (DALLAS, TX)	76 / 1:
Fair Park Health and Rehabilitation Center (DALLAS, TX)	77 / 2:
Mansfield Medical Lodge (MANSFIELD, TX)	77.5 / 1:
Cheyenne Medical Lodge (MESQUITE, TX)	78.667 / 1:
Le Reve Rehabilitation and Memory Care (DALLAS, TX)	79.167 / 1:
Cedar Hill Healthcare Center (CEDAR HILL, TX)	79.833 / 1:
Five Points at Lake Highlands Nursing and Rehab (DALLAS, TX)	80 / 2:
Arapaho Rehabilitation and Care Center (RICHARDSON, TX)	80 / 1:
The Carlyle at Stonebridge Park (SOUTHLAKE, TX)	80.833 / 1:
Alvarado Ltc Partners Inc (ALVARADO, TX)	82.833 / 1:
Five Points Nursing and Rehabilitation (DESOTO, TX)	83.667 / 1:
The Renaissance at Kessler Park (DALLAS, TX)	84.333 / 2:
Bluebonnet Rehab at Ennis (ENNIS, TX)	89.833 / 2:
Northgate Plaza (IRVING, TX)	90 / 2:
Las Brisas Rehabilitation and Wellness Suites (IRVING, TX)	93 / 2:
Midlothian Healthcare Center (MIDLOTHIAN, TX)	94 / 1:
Interlochen Health and Rehabilitation Center (ARLINGTON, TX)	95.667 / 1:
Green Oaks Nursing and Rehabilitation (ARLINGTON, TX)	97.167 / 2:
Advanced Health and Rehab Center of Garland (GARLAND, TX)	99.833 / 1:
Brentwood Place One (DALLAS, TX)	100.667 / 1:
Brentwood Place Two (DALLAS, TX)	107 / 2:
Winters Park Nursing and Rehabilitation Center (GARLAND, TX)	107.667 / 1:
Pleasant Manor Healthcare Rehabilitation (WAXAHACHIE, TX)	108.333 / 2:
The Villages of Dallas (DALLAS, TX)	116.333 / 2:
Pleasant Valley Healthcare and Rehabilitation Cent (GARLAND, TX)	117 / 2:
Purehealth Transitional Care at Thr Arlington (ARLINGTON, TX)	121.833 / 3:
Garland Nursing and Rehabilitation (GARLAND, TX)	126.167 / 1:
Birchwood of Grapevine (GRAPEVINE, TX)	136.167 / 1:
Legend Oaks Healthcare and Rehabilitation Garland (GARLAND, TX)	141.833 / 1:
Green Valley Healthcare and Rehabilitation Center (FORT WORTH, TX)	145.5 / 1:
Focused Care of Waxahachie (WAXAHACHIE, TX)	159.333 / 1:
Ennis Care Center (ENNIS, TX)	162.667 / 1:
Williamsburg Village Healthcare Campus (DESOTO, TX)	163.5 / 1:
Millbrook Healthcare and Rehabilitation Center (LANCASTER, TX)	164.333 / 1:
Red Oak Health and Rehabilitation Center (RED OAK, TX)	177.333 / 1:
Lancaster Ltc Partners Inc (LANCASTER, TX)	177.833 / 1:
Park Village Healthcare and Rehabilitation (DESOTO, TX)	180.333 / 1:
Willowbend Nursing and Rehabilitation Center (MESQUITE, TX)	182.167 / 1:
Treemont Healthcare and Rehabilitation Center (DALLAS, TX)	207.167 / 1:
Legend Oaks Healthcare and Rehabilitation - Waxaha (WAXAHACHIE, TX)	208.667 / 1:
Glenview Wellness and Rehabilitation (NORTH RICHLAND HILLS, TX)	210.5 / 2:
Rockwall Nursing Care Center (ROCKWALL, TX)	210.5 / 1:
The Meadows Health and Rehabilitation Center (DALLAS, TX)	220.167 / 1:
Oakmont Guest Care Center (HURST, TX)	237 / 1:
Avante Rehabilitation Center (IRVING, TX)	238.667 / 1:
Mansfield Nursing and Rehabilitation Center (MANSFIELD, TX)	249.667 / 2:
Coral Rehabilitation and Nursing of Arlington (ARLINGTON, TX)	252.167 / 1:
Arlington Residence and Rehabilitation Center (ARLINGTON, TX)	260 / 1:
Ashford Hall (IRVING, TX)	274 / 1:
South Dallas Nursing and Rehabilitation (DALLAS, TX)	317.167 / 1:
Forest Park Nursing and Rehabilitation (DALLAS, TX)	317.5 / 1:
Duncanville Healthcare and Rehabilitation Center (DUNCANVILLE, TX)	348.333 / 1:
Skyline Nursing Center (DALLAS, TX)	378.667 / 1:
Westpark Rehabilitation and Living (EULESS, TX)	461.667 / 1:
Midtowne Meadows Health and Rehab (MIDLOTHIAN, TX)	/ :

Our Analysis

Best and Worst Nursing Homes in LANCASTER, TX

Here is our analysis of the Best Nursing Homes in LANCASTER and Worst Nursing Homes in LANCASTER so that you can make better decisions when choosing a nursing home. You should also use these lists after choosing a home to stay abreast of changes.

Ownership Details for Windsor Gardens

A list of all of the registered owners for Windsor Gardens. This includes direct and indirect owners and managers.

Noted Deficiencies for Windsor Gardens

A list of all of the deficiencies for the facility. This includes a description, type of deficiency, incident date and when the facility reports that the incident was corrected.

Nursing Hours Analysis for Windsor Gardens

How long a nurse spends with a resident can be an important factor in their recovery. This page shows the average nursing hours spent per resident for RNs, LPNs, CNAs, PTs and all licensed staff.

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