Public Record
Windsor Nursing and Rehabilitation Center of Duval
Operated by Wellsential Health
From CMS
Facility profile
- CMS overall rating
- 2 / 5
- Certified beds
- 206
- Avg. residents per day
- 203.1
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Health citations
- 30
- Fire safety findings
- 10
- Inspections on file
- 14
- Last inspection
- 2025-06-27
*CMS
*CMS
*CMS
*CMS
Citations
30 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0609Generalpotential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- 0804Generalpotential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0919Generalpotential for harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
- 0657Generalpotential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- 0803Generalpotential for harm
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.
- 0550Generalpotential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0756Generalpotential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- 0600Seriousactual harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- 0609Generalpotential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- 0550Generalpotential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- 0578Generalpotential for harm
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.
- 0655Generalpotential for harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0756Generalpotential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- 0806Generalpotential for harm
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- 0921Seriousimmediate jeopardy
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- 0925Generalpotential for harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- 0926Generalpotential for harm
Have policies on smoking.
- 0759Generalpotential for harm
Ensure medication error rates are not 5 percent or greater.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0609Generalpotential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- 0692Generalpotential for harm
Provide enough food/fluids to maintain a resident's health.
- 0550Generalpotential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- View inspection reportInspection
- Inspection1 deficiency
675956 06/27/2025 Windsor Nursing and Rehabilitation Center of Duval 5301 W Duval Rd Austin, TX 78727 F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Timely report suspected abuse, neglect, or theft and report the results of the investigation to…
Read full statement of deficiencies - View inspection reportInspectionFire Safety1 deficiency
- Inspection8 deficiencies
675956 04/02/2025 Windsor Nursing and Rehabilitation Center of Duval 5301 W Duval Rd Austin, TX 78727 F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Honor the resident's right to a dignified existence, self-determination, communication, and to…
Read full statement of deficiencies - Inspection1 deficiency
675956 09/19/2024 Windsor Nursing and Rehabilitation Center of Duval 5301 W Duval Rd Austin, TX 78727 F 0756 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart…
Read full statement of deficiencies - Inspection1 deficiency
675956 09/09/2024 Windsor Nursing and Rehabilitation Center of Duval 5301 W Duval Rd Austin, TX 78727 F 0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Level of Harm - Actual harm Residents Affected -…
Read full statement of deficiencies - Inspection1 deficiency
675956 05/18/2024 Windsor Nursing and Rehabilitation Center of Duval 5301 W Duval Rd Austin, TX 78727 F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Timely report suspected abuse, neglect, or theft and report the results of the investigation to…
Read full statement of deficiencies - Inspection10 deficiencies
675956 01/27/2024 Windsor Nursing and Rehabilitation Center of Duval 5301 W Duval Rd Austin, TX 78727 F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Honor the resident's right to a dignified existence, self-determination, communication, and to…
Read full statement of deficiencies - View inspection reportInspectionFire Safety5 deficiencies
- Inspection1 deficiency
675956 12/01/2023 Windsor Nursing and Rehabilitation Center of Duval 5301 W Duval Rd Austin, TX 78727 F 0880 Provide and implement an infection prevention and control program. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT…
Read full statement of deficiencies
Showing the 10 most recent inspections. 5 earlier inspections are also on record.
Ownership
Wellsential Health
68nursing homes nationwide, in CMS records
All 68 are in Texas.
Counted from the chain CMS itself discloses for this home, which matches CMS Care Compare. ReadyRule's own common-control analysis is a separate and broader lens, and the two can differ.
FAQ
Questions and answers
- What is Windsor Nursing and Rehabilitation Center of Duval?
- Windsor Nursing and Rehabilitation Center of Duval is a Medicare- and Medicaid-certified nursing home in Austin, TX, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 675956.
- What is the CMS rating for Windsor Nursing and Rehabilitation Center of Duval?
- Windsor Nursing and Rehabilitation Center of Duval has a CMS overall rating of 2 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Windsor Nursing and Rehabilitation Center of Duval have?
- Windsor Nursing and Rehabilitation Center of Duval is certified for 206 beds. It serves an average of 203.1 residents per day.
- How many citations does Windsor Nursing and Rehabilitation Center of Duval have?
- Windsor Nursing and Rehabilitation Center of Duval has 30 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Windsor Nursing and Rehabilitation Center of Duval last inspected?
- Windsor Nursing and Rehabilitation Center of Duval was last inspected on June 27, 2025. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
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