D66

WINDSOR NURSING AND REHABILITATION CENTER OF DUVAL

Grade D 66/100 composite score

Government - Hospital district

CMS Star Ratings

Overall
2/5
Health Insp.
2/5
Quality
4/5
Staffing
2/5
RN Staffing
Not rated

Certified Beds

206

Ownership

Government - Hospital district

Total Fines

$23,341

Last Survey

N/A

5301 W DUVAL RD, AUSTIN, TX 78727
5123451805

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.39h
LPN
0.53h
CNA
2.06h
Total
2.99h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

VAL VERDE COUNTY HOSPITAL DISTRICT

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Apr 2022

100%

REGENCY IHS OF WINDSOR DUVAL LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Apr 2022

REGENCY INTEGRATED HEALTH SERVICES LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Apr 2022

VAL VERDE COUNTY HOSPITAL DISTRICT

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Apr 2022

DEKOWSKI, DONOVAN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2022

HELMCAMP, TERRELL

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2012

JURADO, JORGE

IndividualCORPORATE OFFICERSince Oct 2023

Penalties & Fines (2)

$23,341total fines
DateTypeDescriptionAmount
Sep 9, 2024Fine$5,736
Jan 27, 2024Fine$17,605

Health Inspection Deficiencies (30)

June 27, 2025Health1 deficiency
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jun 28, 2025
April 2, 2025Health8 deficiencies
0550EMinimal harm, Pattern

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected Apr 3, 2025
0657DMinimal harm, Isolated

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

Corrected Apr 3, 2025
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Apr 3, 2025
0803EMinimal harm, Pattern

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

Corrected Apr 3, 2025
0804EMinimal harm, Pattern

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Nutrition and Dietary Deficiencies

Corrected Apr 3, 2025
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Apr 3, 2025
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Apr 3, 2025
0919EMinimal harm, Pattern

Make sure that a working call system is available in each resident's bathroom and bathing area.

Environmental Deficiencies

Corrected Apr 3, 2025
September 19, 2024Health1 deficiency
0756DMinimal harm, Isolated

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

Corrected Sep 20, 2024
September 9, 2024Health1 deficiency1 severe
0600GActual harm, Isolated

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

Corrected Aug 6, 2024
May 18, 2024Health1 deficiency
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected May 19, 2024
January 27, 2024Health10 deficiencies1 severe
0578DMinimal harm, Isolated

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

Corrected Jan 28, 2024
0550EMinimal harm, Pattern

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected Jan 28, 2024
0655DMinimal harm, Isolated

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

Corrected Jan 28, 2024
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Jan 28, 2024
0756EMinimal harm, Pattern

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

Corrected Jan 28, 2024
0759DMinimal harm, Isolated

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Jan 28, 2024
0806DMinimal harm, Isolated

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

Corrected Jan 28, 2024
0921LImmediate jeopardy, Widespread

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Environmental Deficiencies

Corrected Jan 28, 2024
0925EMinimal harm, Pattern

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Environmental Deficiencies

Corrected Jan 28, 2024
0926DMinimal harm, Isolated

Have policies on smoking.

Environmental Deficiencies

Corrected Jan 28, 2024
December 1, 2023Health1 deficiency
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Dec 7, 2023
October 4, 2023Health1 deficiency
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Oct 5, 2023
May 31, 2023Health1 deficiency
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jun 2, 2023
March 1, 2023Health1 deficiency
0692EMinimal harm, Pattern

Provide enough food/fluids to maintain a resident's health.

Quality of Life and Care Deficiencies

Corrected Mar 2, 2023
November 17, 2022Health4 deficiencies
0550DMinimal harm, Isolated

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected Nov 18, 2022
0656DMinimal harm, Isolated

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

Corrected Nov 18, 2022
0677EMinimal harm, Pattern

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Nov 18, 2022
0689EMinimal harm, Pattern

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Nov 18, 2022

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Frequently Asked Questions

What is the CareGrader rating for WINDSOR NURSING AND REHABILITATION CENTER OF DUVAL?

WINDSOR NURSING AND REHABILITATION CENTER OF DUVAL in AUSTIN, Texas has a CareGrader grade of D (Below Average), with a composite score of 66.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for WINDSOR NURSING AND REHABILITATION CENTER OF DUVAL?

WINDSOR NURSING AND REHABILITATION CENTER OF DUVAL has an overall CMS star rating of 2 out of 5, a health inspection rating of 2/5, and a staffing rating of 2/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does WINDSOR NURSING AND REHABILITATION CENTER OF DUVAL have?

WINDSOR NURSING AND REHABILITATION CENTER OF DUVAL has 30 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has WINDSOR NURSING AND REHABILITATION CENTER OF DUVAL been fined?

Yes. WINDSOR NURSING AND REHABILITATION CENTER OF DUVAL has $23,341 in total fines from CMS enforcement actions across 2 penalties.

How many beds does WINDSOR NURSING AND REHABILITATION CENTER OF DUVAL have?

WINDSOR NURSING AND REHABILITATION CENTER OF DUVAL has 206 certified beds with approximately 204 current residents (99% occupancy). The facility is located at 5301 W DUVAL RD, AUSTIN, Texas 78727. It is a government - hospital district facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.