Windsor Rehabilitation and Healthcare
250 W. British Flying School Blvd, Terrell, TX 75160
Phone: 9725510122
CMS ratings and facility information
Windsor Rehabilitation and Healthcare is a Medicare-certified nursing facility in Terrell, Kaufman 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 rating | 2 of 5 stars |
|---|---|
| Health inspection rating | 2 of 5 |
| Staffing rating | 2 of 5 |
| Quality measures rating | 4 of 5 |
| Certified beds | 108 |
| Ownership | For profit - Limited Liability company |
| CMS certification number | 675808 |
Staffing
| Total nurse hours per resident day | 3.55 |
|---|---|
| RN hours per resident day | 0.32 |
| Nurse aide hours per resident day | 2.13 |
| Total nursing staff turnover percent | 42.9 |
| RN turnover percent | 50 |
Resident outcome measures
| Measure | Value | Unit | Period |
|---|---|---|---|
| Hospitalizations | 1.61 | events_per_1000_resident_days | 20250101-20251231 |
| Emergency-department visits | 1.62 | events_per_1000_resident_days | 20250101-20251231 |
| Falls with major injury | 3.28 | percent | 2025Q2-2026Q1 |
| Pressure ulcers | 2.76 | percent | 2025Q2-2026Q1 |
| Urinary tract infections | 0 | percent | 2025Q2-2026Q1 |
| Antipsychotic medication use | 3.4 | percent | 2025Q2-2026Q1 |
Health inspection citations
| Survey date | Tag | Citation | Severity |
|---|---|---|---|
| 2026-02-27 | 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E |
| 2026-02-27 | 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E |
| 2026-02-27 | 0692 | Provide enough food/fluids to maintain a resident's health. | E |
| 2026-02-27 | 0803 | 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. | E |
| 2026-02-27 | 0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E |
| 2026-02-27 | 0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E |
| 2026-02-27 | 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2026-02-27 | 0880 | Provide and implement an infection prevention and control program. | E |
| 2026-02-27 | 0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E |
| 2026-02-27 | 0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D |
| 2026-02-27 | 0641 | Ensure each resident receives an accurate assessment. | D |
| 2026-02-27 | 0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D |
| 2026-02-27 | 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| 2026-02-27 | 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2026-02-27 | 0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D |
| 2026-02-27 | 0693 | 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. | D |
| 2026-02-27 | 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D |
| 2026-02-27 | 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2026-02-27 | 0761 | 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. | D |
| 2026-02-27 | 0849 | 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. | D |
| 2026-02-27 | 0881 | Implement a program that monitors antibiotic use. | D |
| 2024-11-21 | 0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E |
| 2024-11-21 | 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2024-11-21 | 0583 | Keep residents' personal and medical records private and confidential. | D |
| 2024-11-21 | 0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D |
| 2024-11-21 | 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D |
| 2024-11-21 | 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2024-11-21 | 0759 | Ensure medication error rates are not 5 percent or greater. | D |
| 2024-11-21 | 0760 | Ensure that residents are free from significant medication errors. | D |
| 2024-11-21 | 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2024-11-21 | 0880 | Provide and implement an infection prevention and control program. | D |
| 2023-09-27 | 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E |
| 2023-09-27 | 0849 | 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. | E |
| 2023-09-27 | 0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D |
| 2023-09-27 | 0641 | Ensure each resident receives an accurate assessment. | D |
| 2023-09-27 | 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2023-09-27 | 0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D |
| 2023-09-27 | 0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D |
| 2023-09-27 | 0880 | Provide and implement an infection prevention and control program. | D |
Penalties
No penalties were listed in this CMS data snapshot.
Ownership records
| Name | Type | Role |
|---|---|---|
| EASTLAND MEMORIAL HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST |
| ARZE, STEVEN | Individual | MANAGING CONTROL - GOVERNING BODY |
| GROVER, KENNETH | Individual | MANAGING CONTROL - GOVERNING BODY |
| BURNAM, SOON | Individual | CORPORATE OFFICER |
| KEETCH, CHAD | Individual | CORPORATE OFFICER |
| WRIGHT, LABAN | Individual | CORPORATE OFFICER |
| BUFFALO CREEK HEALTHCARE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL |
| GROVER, KENNETH | Individual | OPERATIONAL/MANAGERIAL CONTROL |
| ENSIGN SERVICES INC | Organization | ADP OF THE SNF |
| STANDARD BEARER HEALTHCARE OP, LP | Organization | ADP OF THE SNF |
| THE ENSIGN GROUP INC | Organization | ADP OF THE SNF |
| WESTERN EDGE HEALTH HOLDINGS LLC | Organization | ADP OF THE SNF |
| ARZE, STEVEN | Individual | ADP OF THE SNF |
| GROVER, KENNETH | Individual | ADP OF THE SNF |
Compare nursing homes in Kaufman 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.