Windsor Nursing and Rehabilitation Center of Duval
5301 W Duval Rd, Austin, TX 78727
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Follow this homeWindsor Nursing and Rehabilitation Center of Duval is a nursing home in Austin, Texas. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating3 of 5
- Last standard health inspectionMay 22, 2026 (5 months ago)
- Health citations since October 4, 202333 (Texas average 28)
- Fines in the past three years2, $23,341 in total
- CMS flagsNone listed by CMS
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of July 29, 2026
Star rating
The CMS overall star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
Health inspection on May 22, 2026
8 citationsCMS lists this as a standard inspection.
Show the 8 citations
Citation F0605. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
CMS lists it as corrected on May 23, 2026.
Citation F0755. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on May 23, 2026.
Citation F0760. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that residents are free from significant medication errors.
CMS lists it as corrected on May 23, 2026.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on May 23, 2026.
CMS has cited this home for F0812 3 times since 2023.
Citation F0558. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Reasonably accommodate the needs and preferences of each resident.
CMS lists it as corrected on May 23, 2026.
Citation F0583. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Keep residents' personal and medical records private and confidential.
CMS lists it as corrected on May 23, 2026.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on May 23, 2026.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on May 23, 2026.
CMS has cited this home for F0880 3 times since 2023.
Fire safety inspection on May 22, 2026
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation K0100. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Meet other general requirements.
CMS lists it as corrected on May 21, 2026.
Health inspection on April 15, 2026
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0573. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
CMS lists it as corrected on April 16, 2026.
CMS update of November 20, 2025
CMS abuse icon
CMS removed its abuse icon from this home.
Health inspection on June 27, 2025
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on June 28, 2025.
CMS has cited this home for F0609 2 times since 2024.
CMS update of April 30, 2025
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
Health inspection on April 2, 2025
8 citationsCMS lists this as a standard inspection.
Show the 8 citations
Citation F0550. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on April 3, 2025.
CMS has cited this home for F0550 2 times since 2024.
Citation F0803. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on April 3, 2025.
Citation F0804. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
CMS lists it as corrected on April 3, 2025.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on April 3, 2025.
Citation F0919. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Make sure that a working call system is available in each resident's bathroom and bathing area.
CMS lists it as corrected on April 3, 2025.
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on April 3, 2025.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on April 3, 2025.
CMS has cited this home for F0695 2 times since 2024.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on April 3, 2025.
Fire safety inspection on April 2, 2025
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on April 18, 2025.
CMS update of February 26, 2025
CMS abuse icon
CMS added its abuse icon to this home.
Health inspection on September 19, 2024
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0756. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
CMS lists it as corrected on September 20, 2024.
CMS has cited this home for F0756 2 times since 2024.
Health inspection on September 9, 2024
1 citationCMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
143 of 1,177 Texas homes (12%) got a citation at the actual harm level in 2024.
CMS fine of $5,736 on September 9, 2024.
Show the 1 citation
Citation F0600. Severity G: actual harm, isolated.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS lists it as corrected on August 6, 2024.
CMS update of August 29, 2024
Star rating
The CMS overall star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 1 of 5 to 5 of 5.
CMS update of June 26, 2024
Star rating
The CMS health inspection star rating changed from 1 of 5 to 2 of 5.
Fine
CMS changed the fine from January 27, 2024 from $27,085 to $17,605.
Health inspection on May 18, 2024
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on May 19, 2024.
CMS update of April 25, 2024
Star rating
The CMS overall star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 1 of 5.
Star rating
The CMS quality measures star rating changed from not rated by CMS to 1 of 5.
Ownership
CMS lists this home under a new chain.
CMS update of February 29, 2024
Star rating
The CMS overall star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 3 of 5.
Health inspection on January 27, 2024
10 citationsCMS lists this as a standard inspection and a complaint inspection.
Severity L is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
411 of 1,177 Texas homes (35%) got a citation at the immediate jeopardy level in 2024.
CMS fine of $17,605 on January 27, 2024.
Show the 10 citations
Citation F0921. Severity L: immediate jeopardy, widespread.
The rule CMS cited:
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
CMS lists it as corrected on January 28, 2024.
Citation F0550. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on January 28, 2024.
Citation F0756. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
CMS lists it as corrected on January 28, 2024.
Citation F0925. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
CMS lists it as corrected on January 28, 2024.
Citation F0578. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on January 28, 2024.
Citation F0655. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS lists it as corrected on January 28, 2024.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on January 28, 2024.
Citation F0759. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure medication error rates are not 5 percent or greater.
CMS lists it as corrected on January 28, 2024.
Citation F0806. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
CMS lists it as corrected on January 28, 2024.
Citation F0926. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have policies on smoking.
CMS lists it as corrected on January 28, 2024.
Fire safety inspection on January 27, 2024
5 citationsCMS lists this as a standard inspection.
Show the 5 citations
Citation E0004. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Develop and maintain an Emergency Preparedness Program (EP).
CMS lists it as corrected on January 31, 2024.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on February 22, 2024.
Citation K0741. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
CMS lists it as corrected on January 31, 2024.
Citation K0923. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have proper medical gas storage and administration areas.
CMS lists it as corrected on January 31, 2024.
Citation K0321. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on January 31, 2024.
Health inspection on December 1, 2023
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on December 7, 2023.
Health inspection on October 4, 2023
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on October 5, 2023.
CMS star ratings
- 3 of 5CMS overall star rating
- 2 of 5CMS health inspection star rating
- 2 of 5CMS staffing star rating
- 5 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (512) 345-1805
- Last standard health inspection
- May 22, 2026 (5 months ago)
- Certified beds
- 206
- Residents per day, on average
- 202.9
- Ownership type
- Government - Hospital district
- Legal business name
- Val Verde County Hospital District
- Chain
- Wellsential Health
- Takes part in
- Medicare and Medicaid
More health citations than the Texas average (33 vs 28).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- VAL VERDE COUNTY HOSPITAL DISTRICT5% or greater direct ownership interest · 100% · since 04/01/2022
- REGENCY IHS OF WINDSOR DUVAL LLCDirect ownership interest · not applicable · since 04/01/2022
- DWD TX HOLDINGS LLCIndirect ownership interest · not applicable · since 04/01/2022
- JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INCIndirect ownership interest · not applicable · since 04/01/2022
- REG HG OPCO I, LLCIndirect ownership interest · not applicable · since 04/01/2022
Show 9 more
- REG HG OPCO LLCIndirect ownership interest · not applicable · since 04/01/2022
- REG OPERATOR HOLDCO LLCIndirect ownership interest · not applicable · since 04/01/2022
- REGENCY INTEGRATED HEALTH SERVICES LLCIndirect ownership interest · not applicable · since 04/01/2022
- REGENCY TEXAS HOLDINGS LLCIndirect ownership interest · not applicable · since 04/01/2022
- REGENCY IHS OF WINDSOR DUVAL LLCOperational/managerial control · not applicable · since 04/01/2022
- REGENCY INTEGRATED HEALTH SERVICES LLCOperational/managerial control · not applicable · since 04/01/2022
- VAL VERDE COUNTY HOSPITAL DISTRICTOperational/managerial control · not applicable · since 04/01/2022
- DEKOWSKI, DONOVANOperational/managerial control · not applicable · since 04/01/2022
- HELMCAMP, TERRELLOperational/managerial control · not applicable · since 02/06/2012
Questions
When was Windsor Nursing and Rehabilitation Center of Duval last inspected?
CMS lists May 22, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Windsor Nursing and Rehabilitation Center of Duval have?
CMS lists 33 health citations since October 4, 2023. CMS also calls these deficiencies.
Has Windsor Nursing and Rehabilitation Center of Duval been fined?
CMS lists 2 fines in the past three years, $23,341 in total.
What is the CMS star rating of Windsor Nursing and Rehabilitation Center of Duval?
Its CMS overall star rating is 3 of 5.
Is Windsor Nursing and Rehabilitation Center of Duval a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.
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