Nursing homes › Texas › Windsor Gardens
2535 W Pleasant Run, Lancaster, TX 75146 · 9722288029 · 150 certified beds
Per CMS filings, this facility is affiliated with Cantex Continuing Care, a group operating 38 facilities in 2 states. Group record: average rating 3.0/5, 2 abuse citation icons, 0 facilities on the Special Focus list, $1,401,375 in federal fines. This facility rates below its group average (3.0/5).
Total nurse staffing: 3.43 (Texas median: 3.27). RN hours: 0.37. Weekend total: 2.86. Nursing staff turnover: 56%.
All-time on record: 27 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-01-15 | Reasonably accommodate the needs and preferences of each resident. | E | Health | corrected 2026-01-21 |
| 2026-01-15 | Keep residents' personal and medical records private and confidential. | E | Health | corrected 2026-01-21 |
| 2026-01-15 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2026-01-21 |
| 2026-01-15 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Health | corrected 2026-01-21 |
| 2026-01-15 | 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. | E | Health | corrected 2026-01-21 |
| 2026-01-15 | Provide and implement an infection prevention and control program. | E | Health | corrected 2026-01-21 |
| 2026-01-15 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2026-01-21 |
| 2026-01-15 | 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 | Health | corrected 2026-01-21 |
| 2026-01-15 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2026-01-21 |
| 2025-12-08 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2025-12-12 |
| 2025-08-23 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2025-09-30 |
| 2025-08-23 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-09-30 |
| 2025-08-23 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | complaint | corrected 2025-09-30 |
| 2025-05-21 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | complaint | corrected 2025-06-23 |
| 2025-05-21 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2025-06-23 |
| 2024-11-07 | 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. | E | Health | corrected 2024-11-15 |
| 2024-11-07 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | complaint | corrected 2024-11-15 |
| 2024-11-07 | Provide and implement an infection prevention and control program. | E | Health | corrected 2024-11-15 |
| 2024-11-07 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2024-11-15 |
| 2024-11-07 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Health | corrected 2024-11-15 |
| 2024-08-28 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2024-09-23 |
| 2024-08-26 | 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 | complaint | corrected 2024-09-23 |
| 2024-06-22 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | J | complaint | corrected 2024-07-19 |
| 2024-06-22 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2024-07-19 |
| 2024-06-11 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2024-07-10 |
| 2023-10-05 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | complaint | corrected 2023-10-20 |
| 2023-07-14 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | complaint | corrected 2023-08-29 |
| Date | Type | Amount |
|---|---|---|
| 2024-06-11 | Fine | $13,877 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| DALLAS COUNTY HOSPITAL DISTRICT | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 02/15/2015 |
| CASTANEDA, EDMUNDO | Corporate Officer | Individual | NOT APPLICABLE | since 01/10/2022 |
| CERISE, FREDERICK | Corporate Officer | Individual | NOT APPLICABLE | since 03/24/2014 |
| WINDSOR PLACE HEALTH CARE CENTER LTD CO | Operational/Managerial Control | Organization | NOT APPLICABLE | since 02/15/2015 |
| JOHNSON, NIKITA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/10/2023 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 455832. Corrections: data@carerecords.org.