Memory careAssisted livingContinuing care
WINDSOR GARDENS
0.00 reviews · 0 verifiedLANCASTER, TXLic. 455832
JKLRecent citation with immediate-jeopardy / high severity (J/K/L)Source: CMS Health Citations
FINECMS fine: $13,877Source: CMS Penalties
Provided by facility
Windsor Gardens is a 150-bed skilled nursing facility and rehabilitation center located near the Medical Center of Lancaster. The community is staffed by clinical professionals and offers a variety of services, including physical, occupational, and speech therapies. Residents benefit from well-appointed interior spaces, landscaped areas, and engaging activities, all while having easy access to local dining options.
DiningRestaurant-Style Dining
Housekeeping & MaintenanceHousekeeping ServicesLaundry Services
Transportation & ShoppingGeneral Transportation Services
Fitness & Wellness ProgramsSalon Services
Inside AmenitiesLibraryChapel/Meditation RoomSwimming Pool
Outside AmenitiesGarden
Safety & SecuritySecured Memory Care Unit
CMS Care CompareView on Medicare.gov →
Medicare overall
4/5Medicare.gov Care Compare stars are shown for context only. They are never part of the Unbeatable composite score.
Staffing (PBJ)
2.97 total HPRDRN 0.32 · weekend 94%Oct 2025 – Dec 2025
Survey history
14 inspections26 deficiencies on record
Federal IDs
CCN 455832
Overall: 4/5 · Health: 3/5 · Staffing: 2/5 · QM: 5/5
Unbeatable ratings come only from verified family, staff, and professional reviews on this site. CMS stars, staffing, and citations are public regulatory signals — useful for context, not blended into our score.
Recent inspectionsShowing 12 of 14 inspections.
Fire safetyJan 2026 · STATE FIRE MARSHAL1 deficiencies
- K-929SS E — Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Health surveyDec 2025 · CMS1 deficiencies
- F-755SS D — Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Health surveyAug 2025 · CMS3 deficiencies
- F-656SS D — Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F-684SS D — Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F-694SS D — Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Health surveyMay 2025 · CMS2 deficiencies
- F-656SS D — Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F-686SS E — Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Health surveyNov 2024 · CMS5 deficiencies
- F-550SS D — Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F-761SS 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.
- F-812SS E — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F-880SS E — Provide and implement an infection prevention and control program.
- F-921SS D — Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Fire safetyNov 2024 · STATE FIRE MARSHAL1 deficiencies
- K-345SS F — Have approved installation, maintenance and testing program for fire alarm systems.
Health surveyAug 2024 · CMS1 deficiencies
- F-842SS D — Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Health surveyAug 2024 · CMS1 deficiencies
- F-693SS D — Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Health surveyJun 2024 · CMS2 deficiencies
- F-656SS J — Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F-689SS J — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Health surveyJun 2024 · CMS1 deficiencies
- F-755SS D — Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Health surveyOct 2023 · CMS1 deficiencies
- F-812SS D — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Fire safetyOct 2023 · STATE FIRE MARSHAL5 deficiencies
- K-291SS E — Install emergency lighting that can last at least 1 1/2 hours.
- K-345SS F — Have approved installation, maintenance and testing program for fire alarm systems.
- K-351SS E — Install an approved automatic sprinkler system.
- K-352SS F — Properly install and monitor supervisory attachments on automatic sprinkler systems.
- K-511SS F — Have properly installed electrical wiring and gas equipment.
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Write a reviewOperated by CANTEX CONTINUING CARE (privately held) since 1989.
- Feb 2015
operator transition — DALLAS COUNTY HOSPITAL DISTRICT
5% OR GREATER DIRECT OWNERSHIP INTEREST (100%) — DALLAS COUNTY HOSPITAL DISTRICT