CONTACT INFORMATION REVIEWS & MORE DATA

Windsor Gardens

  • Date Updated:  September 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:   101
  • Occupancy:   67.33% ( as of 09/15/2024 )
  • Amount Fined:  $0.00
  • 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 #65 out of 119 facilities within a 25 mile radius. See Ranking Report
  • CMS 5-Star Overall Rating is (2 out of 5):
  • Current Trend:   Worsening
  • Total Nursing Hours Spent Per Resident Per Day: 3.18
    (The national average is 3.80 )
  • The percentage of short-stay residents who were re-hospitalized after a nursing home admission is 20.22% .
  •    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:

Managers and Directors:

  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 2:
Health Inspection Rating 2:
Quality Rating 4:
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 0.33 0.40 / 0.66
Case Mix 0.67 0.63 / 0.66
Adjusted 0.32 NA / NA
Licensed Practical Nurse (LPN)
Hours 0.99 1.00 / 0.88
Case Mix 0.89 NA / NA
Adjusted 0.97 NA / NA
Certified Nursing Assistants (CNA)
Hours 1.87 1.92 / 2.26
Case Mix 2.29 NA / NA
Adjusted 1.83 NA / NA
Total Licensed Staff
Hours 1.31 1.39 / 1.54
Physical Therapist (PT)
Hours 0.04 0.07 / 0.07
Total Nursing Hours Spent per Resident on Average
Hours 3.18 3.31 / 3.80
Case Mix 3.86 3.61 / 3.79
Adjusted 3.12 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
20.2% / 22.7%
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
8.8% / 11.5%
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) 1.1% / 1.1%
Worse
Percentage of long-stay residents with a urinary tract infection (qm407) 0.0% / 1.1%
Better
Percentage of long-stay residents who have depressive symptoms (qm408) 0.0% / 5.0%
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) 0.8% / 3.4%
Better
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (qm415) 99.2% / 96.9%
Better
Percentage of long-stay residents who received an antipsychotic medication (qm419) 0.4% / 8.9%
Better
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (qm430) 99.7% / 88.5%
Better
Percentage of short-stay residents who newly received an antipsychotic medication (qm434) 0.8% / 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) 5.0% / 22.8%
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% / 97.5%
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) 97.8% / 83.3%
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.

This information is based on the most recent Hospital data. Historical data is not available.

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.

  Local Nursing Homes

Below is a list of nursing homes in near Windsor Gardens (including this home). This list is ranked based on the nursing home's health inspection scores (alse referred to as the "weighted all cycles score"). We also show the home's 5-star overall rating in the list. (If a nursing home has been flaged by CMS for abuse, we will added an icon (  ) to the home to indicate this.)

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

Name Health Inspection Score / Overall Rating
The Plaza at Edgemere
(DALLAS, TX)
7.333 / 5:
Purehealth Transitional Care at Thr Arlington
(ARLINGTON, TX)
9.333 / 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:
Le Reve Rehabilitation and Memory Care
(DALLAS, TX)
14.667 / 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 / 4:
Walnut Place
(DALLAS, TX)
23.333 / 4:
Desoto Ltc Partners, Inc
(DESOTO, TX)
25.333 / 3:
La Dora Nursing and Rehabilitation Center
(BEDFORD, TX)
25.333 / 5:
Caraday Mesquite
(MESQUITE, TX)
26.667 / 3:
Arbrook Plaza
(ARLINGTON, TX)
27.333 / 4:
Palomino Place
(MESQUITE, TX)
29.333 / 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:
Balch Springs Nursing Home
(BALCH SPRINGS, TX)
32 / 4:
Forum Parkway Health and Rehabilitation
(BEDFORD, TX)
33.333 / 4:
Arden Place of Richland Hills
(RICHLAND HILLS, TX)
35.333 / 5:
Bedford Wellness and Rehabilitation
(BEDFORD, TX)
36 / 4:
Keller Oaks Healthcare Center
(KELLER, TX)
37.333 / 4:
Legend Oaks Healthcare and Rehabilitation - Ennis
(ENNIS, TX)
38 / 3:
The Villa at Mountain View
(DALLAS, TX)
40 / 5:
The Highlands Guest Care Center
(DALLAS, TX)
40 / 3:
Edgewood Rehabilitation and Care Center
(MESQUITE, TX)
40.667 / 3:
Lakewest Rehabilitation and Skilled Care
(DALLAS, TX)
40.667 / 2:
Rowlett Health and Rehabilitation Center
(ROWLETT, TX)
40.667 / 4:
Signature Pointe
(DALLAS, TX)
41.333 / 4:
City of Ennis Dba Broadmoor Medical Lodge
(ROCKWALL, TX)
43.333 / 2:
Heritage at Turner Park Health and Rehab
(GRAND PRAIRIE, TX)
44 / 2:
Town East Rehabilitation and Healthcare Center
(MESQUITE, TX)
44 / 3:
Traymore Nursing Center
(DALLAS, TX)
44.667 / 3:
The Villages On Macarthur
(IRVING, TX)
44.667 / 4:
The Manor at Seagoville
(SEAGOVILLE, TX)
46 / 3:
Emerald Hills Rehabilitation and Healthcare Center
(NORTH RICHLAND HILLS, TX)
46.667 / 4:
Bear Creek Nursing and Rehabilitation
(GRAPEVINE, TX)
47.333 / 2:
The Pavilion at Creekwood
(MANSFIELD, TX)
48.667 / 4:
Simpson Place
(DALLAS, TX)
50 / 1:
Parkwood Healthcare Community
(BEDFORD, TX)
50.667 / 4:
Discovery Village at Southlake
(SOUTHLAKE, TX)
50.667 / 3:
Golden Acres Living and Rehabilitation Center
(DALLAS, TX)
52 / 2:
Mesquite Tree Nursing Center
(MESQUITE, TX)
53.333 / 3:
Brentwood Place Three
(DALLAS, TX)
53.333 / 3:
Cottonwood Creek Healthcare Community
(RICHARDSON, TX)
53.333 / 3:
Presbyterian Village North Special Care Ctr
(DALLAS, TX)
55.667 / 5:
The Rehabilitation and Wellness Centre of Dallas LLC
(DALLAS, TX)
56 / 2:
Crestview Court
(CEDAR HILL, TX)
56.667 / 4:
Ridgecrest Healthcare and Rehabilitation Center
(FORNEY, TX)
57 / 4:
Westridge Nursing and Rehabilitation
(LANCASTER, TX)
60 / 2:
Methodist Transitional Care Center-Desoto LLC
(DESOTO, TX)
61.167 / 4:
Hurst Plaza Nursing and Rehab
(HURST, TX)
62.667 / 3:
Beacon Harbor Healthcare and Rehabilitation
(ROCKWALL, TX)
63.333 / 3:
Greenbrier Health Care Center
(ARLINGTON, TX)
65.667 / 3:
Brentwood Place Four
(DALLAS, TX)
67.333 / 2:
Matlock Place Health and Rehabilitation Center
(ARLINGTON, TX)
70.667 / 2:
Pecan Manor Nursing and Rehabilitation
(KENNEDALE, TX)
72 / 2:
Town Hall Estates Arlington Inc
(ARLINGTON, TX)
72 / 3:
Carrollton Health and Rehabilitation Center
(CARROLLTON, TX)
72 / 2:
Windsor Gardens
(LANCASTER, TX)
72.5 / 2:
Richland Hills Rehabilitation and Healthcare Cente
(FORT WORTH, TX)
74 / 1:
The Laurenwood Nursing and Rehabilitation
(DUNCANVILLE, TX)
74.667 / 2:
Fair Park Health and Rehabilitation Center
(DALLAS, TX)
77.667 / 2:
Cheyenne Medical Lodge
(MESQUITE, TX)
78.667 / 1:
Cedar Hill Healthcare Center
(CEDAR HILL, TX)
79.833 / 1:
Five Points at Lake Highlands Nursing and Rehab
(DALLAS, TX)
81.333 / 1:
The Carlyle at Stonebridge Park
(SOUTHLAKE, TX)
81.5 / 1:
Alvarado Ltc Partners Inc
(ALVARADO, TX)
83.5 / 1:
Arapaho Rehabilitation and Care Center
(RICHARDSON, TX)
84 / 2:
Five Points Nursing and Rehabilitation
(DESOTO, TX)
85 / 1:
The Renaissance at Kessler Park
(DALLAS, TX)
85.667 / 2:
Bluebonnet Rehab at Ennis
(ENNIS, TX)
90.5 / 2:
Northgate Plaza
(IRVING, TX)
90.667 / 2:
Midlothian Healthcare Center
(MIDLOTHIAN, TX)
94 / 1:
Green Oaks Nursing and Rehabilitation
(ARLINGTON, TX)
95.167 / 3:
Interlochen Health and Rehabilitation Center
(ARLINGTON, TX)
95.667 / 1:
Las Brisas Rehabilitation and Wellness Suites
(IRVING, TX)
95.667 / 3:
The Villages of Dallas
(DALLAS, TX)
97 / 2:
Brentwood Place One
(DALLAS, TX)
103.333 / 2:
Advanced Health and Rehab Center of Garland
(GARLAND, TX)
105.167 / 1:
Pleasant Manor Healthcare Rehabilitation
(WAXAHACHIE, TX)
108.333 / 2:
Brentwood Place Two
(DALLAS, TX)
109.667 / 1:
Winters Park Nursing and Rehabilitation Center
(GARLAND, TX)
111 / 2:
Mansfield Medical Lodge
(MANSFIELD, TX)
115 / 1:
Pleasant Valley Healthcare and Rehabilitation Cent
(GARLAND, TX)
117 / 2:
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)
142.5 / 1:
Green Valley Healthcare and Rehabilitation Center
(FORT WORTH, TX)
146.167 / 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:
Park Village Healthcare and Rehabilitation
(DESOTO, TX)
176.333 / 1:
Lancaster Ltc Partners Inc
(LANCASTER, TX)
177.833 / 1:
Red Oak Health and Rehabilitation Center
(RED OAK, TX)
178.667 / 1:
Willowbend Nursing and Rehabilitation Center
(MESQUITE, TX)
182.833 / 1:
Legend Oaks Healthcare and Rehabilitation - Waxaha
(WAXAHACHIE, TX)
208.667 / 1:
Rockwall Nursing Care Center
(ROCKWALL, TX)
211.167 / 1:
Glenview Wellness and Rehabilitation
(NORTH RICHLAND HILLS, TX)
213.833 / 2:
The Meadows Health and Rehabilitation Center
(DALLAS, TX)
220.833 / 1:
Treemont Healthcare and Rehabilitation Center
(DALLAS, TX)
234.667 / 1:
Avante Rehabilitation Center
(IRVING, TX)
235.333 / 2:
Oakmont Guest Care Center
(HURST, TX)
237 / 1:
Mansfield Nursing and Rehabilitation Center
(MANSFIELD, TX)
249.667 / 2:
Coral Rehabilitation and Nursing of Arlington
(ARLINGTON, TX)
253.5 / 1:
Arlington Residence and Rehabilitation Center
(ARLINGTON, TX)
265.333 / 2:
Ashford Hall
(IRVING, TX)
276.667 / 1:
Forest Park Nursing and Rehabilitation
(DALLAS, TX)
310.833 / 1:
South Dallas Nursing and Rehabilitation
(DALLAS, TX)
317.167 / 1:
Duncanville Healthcare and Rehabilitation Center
(DUNCANVILLE, TX)
329 / 1:
Westpark Rehabilitation and Living
(EULESS, TX)
388.667 / 2:
Skyline Nursing Center
(DALLAS, TX)
470.833 / 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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