CareSentinel

Federal Nursing-Home Survey Record

WINDSOR NURSING AND REHABILITATION CENTER OF DUVAL

CCN 675956 · 5301 W DUVAL RD, AUSTIN, TX, 78727 · Operated within the WELLSENTIAL HEALTH chain

Does WINDSOR NURSING AND REHABILITATION CENTER OF DUVAL have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), WINDSOR NURSING AND REHABILITATION CENTER OF DUVAL (CCN 675956), in AUSTIN, TX, has federal inspection findings on its record. In its current inspection cycle, CMS cited the facility for 9 deficiencies; the most serious carries scope/severity E on CMS's A–L scale. The most recent federal survey on file is dated 2025-04-02. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $23,341 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

CMS has $23,341 in civil money penalties on file against this facility.

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

$23,341

CMS has $23,341 in civil money penalties on file against this facility.

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

This facility: 2  ·  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

2025-06-27
CURRENT CYCLE
F609S/S D

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

2025-04-02
CURRENT CYCLE
F550S/S E

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

2025-04-02
CURRENT CYCLE
F803S/S E

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.

2025-04-02
CURRENT CYCLE
F919S/S E

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

2025-04-02
CURRENT CYCLE
F804S/S E

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

2025-04-02
CURRENT CYCLE
F812S/S E

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

2025-04-02
CURRENT CYCLE
F695S/S D

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

2025-04-02
CURRENT CYCLE
F880S/S D

Provide and implement an infection prevention and control program.

2025-04-02
CURRENT CYCLE
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.

2024-09-19
HISTORICAL
F756S/S D

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

2024-09-09
HISTORICAL
F600S/S G

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2024-05-18
HISTORICAL
F609S/S D

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

2024-01-27
HISTORICAL
F921S/S L

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

2024-01-27
HISTORICAL
F550S/S E

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

2024-01-27
HISTORICAL
F756S/S E

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

2024-01-27
HISTORICAL
F925S/S E

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

2024-01-27
HISTORICAL
F926S/S D

Have policies on smoking.

2024-01-27
HISTORICAL
F759S/S D

Ensure medication error rates are not 5 percent or greater.

2024-01-27
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.

2024-01-27
HISTORICAL
F655S/S D

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

2024-01-27
HISTORICAL
F578S/S D

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.

2024-01-27
HISTORICAL
F695S/S D

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

2023-12-01
HISTORICAL
F880S/S E

Provide and implement an infection prevention and control program.

2023-10-04
HISTORICAL
F812S/S E

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

2023-05-31
HISTORICAL
F609S/S D

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

2022-11-17
HISTORICAL
F677S/S E

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

2022-11-17
HISTORICAL
F689S/S E

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

2022-11-17
HISTORICAL
F550S/S D

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

2022-11-17
HISTORICAL
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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 WINDSOR NURSING AND REHABILITATION CENTER OF DUVAL?

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…