Windsor Gardens
2535 W Pleasant Run, Lancaster, TX 75146 · (972) 228-8029
For profit - Corporation · 150 certified beds
Windsor Gardens has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in January 2026, found 9 citations (the Texas average is 9.4). It was fined 1 time in the last three years, $13,877 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 2 out of 5 stars · Below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 2 out of 5 stars · Below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 5 out of 5 stars · Much above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 1 out of 5 stars · Much below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on January 15, 2026 found 9 citations. What an inspection citation means
- Reasonably accommodate the needs and preferences of each resident.January 15, 2026 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Keep residents' personal and medical records private and confidential.January 15, 2026 · F0583 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.January 15, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.January 15, 2026 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.January 15, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.January 15, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedJanuary 15, 2026 · F0655 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.January 15, 2026 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe and appropriate respiratory care for a resident when needed.January 15, 2026 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 14 citations.
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.July 20, 2026 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.December 8, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.August 23, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.August 23, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide for the safe, appropriate administration of IV fluids for a resident when needed.August 23, 2025 · F0694 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.May 21, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.May 21, 2025 · F0686 · 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 exercise his or her rights.November 7, 2024 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.November 7, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.August 28, 2024 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.August 26, 2024 · F0693 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.June 22, 2024 · F0656 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.June 22, 2024 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.June 11, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $13,877June 11, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Texas average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.43 | 3.39 | 3.86 |
| Registered nurses (RN) | 0.37 | 0.43 | 0.69 |
| Licensed practical nurses (LPN) | 1.16 | 0.95 | 0.86 |
| Nurse aides | 1.91 | 2.01 | 2.32 |
| Total nursing staff turnover | 55.5% | 55.3% | 45.8% |
About this home
| Ownership | For profit - Corporation |
| Certified beds | 150 |
| Average residents per day | 104.3 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Lancaster Nursing & Rehabilitation Lancaster · ★★★★★ 1 out of 5 stars
- Millbrook Healthcare and Rehabilitation Center Lancaster · ★★★★★ 1 out of 5 stars
- Avir at Lancaster Lancaster · ★★★★★ 1 out of 5 stars
- Balch Springs Nursing Home Balch Springs · ★★★★★ 2 out of 5 stars
- The Madison on Marsh Carrollton · ★★★★★ 4 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Windsor Gardens on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.