CareSentinel

Federal Nursing-Home Survey Record

ARBORETUM NURSING AND REHABILITATION CENTER OF WIN

CCN 675798 · 1215 HIGHWAY 124, WINNIE, TX, 77665

Does ARBORETUM NURSING AND REHABILITATION CENTER OF WIN have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), ARBORETUM NURSING AND REHABILITATION CENTER OF WIN (CCN 675798), in WINNIE, TX, has federal inspection findings on its record. In its current inspection cycle, CMS cited the facility for 8 deficiencies; the most serious carries scope/severity G on CMS's A–L scale, a level CMS classifies as actual harm. The most recent federal survey on file is dated 2025-11-20. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $115,498 in civil money penalties on file against the facility. This page restates the federal record as published by CMS and draws no conclusion of its own. Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

The Federal Record

At its most recent federal inspection, CMS cited this facility for 1 actual-harm deficiency.

Below is this facility's federal survey record as on file with federal regulators (CMS). Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations, as on file with federal regulators (CMS).

Civil money penalties on file

$115,498

CMS has $115,498 in civil money penalties on file against this facility.

Overall CMS star rating: this facility vs the CMS-published state average

This facility: 1  ·  CMS state average: 2.7

Side-by-side with the CMS-published Overall CMS star rating for this state. This is the government's own published state average — not a CareSentinel-computed figure or delta.

Deficiency timeline — full federal history

2025-11-20
CURRENT CYCLE
F812S/S F

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

2025-11-20
CURRENT CYCLE
F644S/S E

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

2025-11-20
CURRENT CYCLE
F580S/S E

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

2025-11-20
CURRENT CYCLE
F921S/S D

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

2025-11-20
CURRENT CYCLE
F688S/S D

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

2025-11-20
CURRENT CYCLE
F690S/S D

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

2025-11-20
CURRENT CYCLE
F880S/S D

Provide and implement an infection prevention and control program.

2025-08-20
CURRENT CYCLE
F689S/S G

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

2024-08-22
HISTORICAL
F689S/S K

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

2024-08-22
HISTORICAL
F812S/S E

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

2024-08-22
HISTORICAL
F880S/S E

Provide and implement an infection prevention and control program.

2024-08-22
HISTORICAL
F849S/S E

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

2024-08-22
HISTORICAL
F712S/S E

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

2024-08-22
HISTORICAL
F761S/S E

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

2024-08-22
HISTORICAL
F755S/S E

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

2024-08-22
HISTORICAL
F690S/S D

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

2024-08-22
HISTORICAL
F585S/S D

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

2024-08-22
HISTORICAL
F657S/S D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

2024-08-22
HISTORICAL
F677S/S D

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

2024-08-22
HISTORICAL
F695S/S D

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

2024-08-22
HISTORICAL
F806S/S D

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

2023-06-28
HISTORICAL
F880S/S E

Provide and implement an infection prevention and control program.

2023-06-28
HISTORICAL
F558S/S D

Reasonably accommodate the needs and preferences of each resident.

2023-06-28
HISTORICAL
F677S/S D

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

2023-06-28
HISTORICAL
F659S/S D

Provide care by qualified persons according to each resident's written plan of care.

2023-06-28
HISTORICAL
F808S/S D

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

2023-06-28
HISTORICAL
F609S/S D

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

2023-06-28
HISTORICAL
F607S/S D

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

2023-05-11
HISTORICAL
F550S/S D

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

2023-05-11
HISTORICAL
F609S/S D

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

Each citation below is a federal survey finding, dated and labeled with its CMS deficiency tag, as on file with federal regulators (CMS). Older inspection cycles are de-emphasized; only the most recent cycle is current.

Document what happened

Were you or a loved one harmed at ARBORETUM NURSING AND REHABILITATION CENTER OF WIN?

Share a few details to put your inquiry on file. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. As qualified attorneys join our network in your area, one may reach out — we can’t guarantee contact yet, so we encourage you to consult a qualified attorney promptly on your own as well. There is no cost, and your information is handled with care.

Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Step 1 of 3 · What happened

Your relationship to the resident
What happened? Select all that apply.

Physical injury

Skin & wounds

Medical & clinical

Safety & abuse

Loss

Something else

The resident is…