D66

WINDSOR QUAIL VALLEY POST-ACUTE HEALTHCARE

Grade D 66/100 composite score

Government - Hospital district

CMS Star Ratings

Overall
2/5
Health Insp.
3/5
Quality
4/5
Staffing
1/5
RN Staffing
Not rated

Certified Beds

120

Ownership

Government - Hospital district

Total Fines

$52,036

Last Survey

N/A

3640 HAMPTON DR, MISSOURI CITY, TX 77459
2817785144

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.39h
LPN
0.69h
CNA
1.92h
Total
3.00h
Facility
State Average

Turnover Rates

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

Ownership

OAKBEND MEDICAL CENTER

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jan 2015

100%

OAKBEND MEDICAL CENTER

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Feb 2015

REGENCY IHS OF WINDSOR QUAIL VALLEY, LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Feb 2015

REGENCY INTEGRATED HEALTH SERVICES LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Feb 2015

DEKOWSKI, DONOVAN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2015

JOHNSON, DEMON

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Oct 2021

FREUDENBERGER, JOSEPH

IndividualCORPORATE OFFICERSince Jan 2015

Penalties & Fines (2)

$52,036total fines
DateTypeDescriptionAmount
Jul 19, 2024Fine$15,642
Feb 29, 2024Fine$36,394

Health Inspection Deficiencies (14)

March 6, 2025Health2 deficiencies
0677DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Mar 11, 2025
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Mar 11, 2025
August 22, 2024Health1 deficiency
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 Aug 29, 2024
July 19, 2024Health1 deficiency1 severe
0686JImmediate jeopardy, Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Jul 16, 2024
April 29, 2024Health1 deficiency
0677DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected May 17, 2024
February 29, 2024Health4 deficiencies3 severe
0600JImmediate jeopardy, 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 Mar 1, 2024
0607JImmediate jeopardy, Isolated

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Mar 1, 2024
0610JImmediate jeopardy, Isolated

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Mar 1, 2024
0842DMinimal harm, Isolated

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies

Corrected Mar 1, 2024
January 12, 2024Health1 deficiency
0625DMinimal harm, Isolated

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Resident Rights Deficiencies

Corrected Jan 25, 2024
October 18, 2022Health4 deficiencies
0658EMinimal harm, Pattern

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Nov 11, 2022
0755EMinimal harm, Pattern

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Nov 11, 2022
0759EMinimal harm, Pattern

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Nov 11, 2022
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Nov 11, 2022

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Frequently Asked Questions

What is the CareGrader rating for WINDSOR QUAIL VALLEY POST-ACUTE HEALTHCARE?

WINDSOR QUAIL VALLEY POST-ACUTE HEALTHCARE in MISSOURI CITY, Texas has a CareGrader grade of D (Below Average), with a composite score of 65.8 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 QUAIL VALLEY POST-ACUTE HEALTHCARE?

WINDSOR QUAIL VALLEY POST-ACUTE HEALTHCARE has an overall CMS star rating of 2 out of 5, a health inspection rating of 3/5, and a staffing rating of 1/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does WINDSOR QUAIL VALLEY POST-ACUTE HEALTHCARE have?

WINDSOR QUAIL VALLEY POST-ACUTE HEALTHCARE has 14 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 QUAIL VALLEY POST-ACUTE HEALTHCARE been fined?

Yes. WINDSOR QUAIL VALLEY POST-ACUTE HEALTHCARE has $52,036 in total fines from CMS enforcement actions across 2 penalties.

How many beds does WINDSOR QUAIL VALLEY POST-ACUTE HEALTHCARE have?

WINDSOR QUAIL VALLEY POST-ACUTE HEALTHCARE has 120 certified beds with approximately 101 current residents (84% occupancy). The facility is located at 3640 HAMPTON DR, MISSOURI CITY, Texas 77459. 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.