Windsor Gardens

2535 W Pleasant Run, Lancaster, TX 75146

Phone: 9722288029

CMS ratings and facility information

Windsor Gardens is a Medicare-certified nursing facility in Lancaster, Dallas County, Texas. CMS data for this profile was updated August 2026. Ratings and facility details can change; confirm current information with CMS and the facility.

CMS overall rating2 of 5 stars
Health inspection rating2 of 5
Staffing rating1 of 5
Quality measures rating5 of 5
Certified beds150
OwnershipFor profit - Corporation
CMS certification number455832

Staffing

Total nurse hours per resident day3.43
RN hours per resident day0.37
Nurse aide hours per resident day1.91
Total nursing staff turnover percent55.5
RN turnover percent57.1

Resident outcome measures

MeasureValueUnitPeriod
Hospitalizations1.66events_per_1000_resident_days20250101-20251231
Emergency-department visits1.81events_per_1000_resident_days20250101-20251231
Falls with major injury0percent2025Q2-2026Q1
Pressure ulcers0.97percent2025Q2-2026Q1
Urinary tract infections0percent2025Q2-2026Q1
Antipsychotic medication use2.74percent2025Q2-2026Q1

Health inspection citations

Survey dateTagCitationSeverity
2026-01-150558Reasonably accommodate the needs and preferences of each resident.E
2026-01-150583Keep residents' personal and medical records private and confidential.E
2026-01-150656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E
2026-01-150657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E
2026-01-150761Ensure 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.E
2026-01-150880Provide and implement an infection prevention and control program.E
2026-01-150655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD
2026-01-150690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D
2026-01-150695Provide safe and appropriate respiratory care for a resident when needed.D
2024-11-070761Ensure 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.E
2024-11-070812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2024-11-070880Provide and implement an infection prevention and control program.E
2024-11-070550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D
2024-11-070921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D
2023-10-050812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D

Penalties

DateTypeAmount
2024-06-11Fine,877

Ownership records

NameTypeRole
DALLAS COUNTY HOSPITAL DISTRICTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST
CASTANEDA, EDMUNDOIndividualCORPORATE OFFICER
CERISE, FREDERICKIndividualCORPORATE OFFICER
WINDSOR PLACE HEALTH CARE CENTER LTD COOrganizationOPERATIONAL/MANAGERIAL CONTROL
JOHNSON, NIKITAIndividualOPERATIONAL/MANAGERIAL CONTROL
WINDSOR PLACE HEALTH CARE CENTER LTD COOrganizationADP OF THE SNF
JOHNSON, NIKITAIndividualADP OF THE SNF
MCFALLS, LASHONDAIndividualADP OF THE SNF

Compare nursing homes in Dallas County, Texas.

Source: Centers for Medicare & Medicaid Services Care Compare data. Data snapshot: August 2026. Read Our Data & Methodology. This directory does not provide medical or legal advice.