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Windcrest Nursing And Rehabilitation Center

📍 210 West Windcrest St, Fredericksburg, TX 78624 📞 (830) 637-7885 🛏️ 120 beds

Inspection History Overview

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2025 1 penalties totaling $75,700

$75,700
Jan 19, 2025

Fine

2023 1 penalties totaling $30,845

$30,845
Jan 20, 2023

Fine

2022 2 penalties totaling $24,750

$15,000
Nov 18, 2022

Fine

$9,750
Nov 18, 2022

Fine

2021 2 penalties totaling $9,750

$9,750
Sep 22, 2021

Fine

$9,750
Jan 12, 2021

Fine

2020 1 penalties totaling $9,750

$9,750
Oct 14, 2020

Fine

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Health Violations by Year

2025 12 violations

Tag 0558 D Feb 12, 2025

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Feb 13, 2025
Tag 0578 D Feb 12, 2025

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.

✓ Corrected: Feb 13, 2025
Tag 0609 D Feb 12, 2025

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Feb 13, 2025
Tag 0610 D Feb 12, 2025

Respond appropriately to all alleged violations.

✓ Corrected: Feb 13, 2025
Tag 0641 D Feb 12, 2025

Ensure each resident receives an accurate assessment.

✓ Corrected: Feb 13, 2025
Tag 0655 E Feb 12, 2025

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Feb 13, 2025
Tag 0656 D Feb 12, 2025

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Feb 13, 2025
Tag 0755 D Feb 12, 2025

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Feb 13, 2025
Tag 0880 D Feb 12, 2025

Provide and implement an infection prevention and control program.

✓ Corrected: Feb 13, 2025
Tag 0609 D Jan 19, 2025

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Jan 20, 2025
Tag 0656 E Jan 19, 2025

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jan 20, 2025
Tag 0689 K Jan 19, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Feb 9, 2025

2024 19 violations

Tag 0689 D Jun 22, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Jun 24, 2024
Tag 0580 D Jan 13, 2024

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Feb 15, 2024
Tag 0584 E Jan 13, 2024

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Feb 15, 2024
Tag 0585 D Jan 13, 2024

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

✓ Corrected: Feb 15, 2024
Tag 0607 J Jan 13, 2024

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Feb 15, 2024
Tag 0609 D Jan 13, 2024

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Feb 15, 2024
Tag 0610 J Jan 13, 2024

Respond appropriately to all alleged violations.

✓ Corrected: Feb 15, 2024
Tag 0656 E Jan 13, 2024

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Feb 15, 2024
Tag 0657 E Jan 13, 2024

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Feb 15, 2024
Tag 0686 D Jan 13, 2024

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Feb 15, 2024
Tag 0689 J Jan 13, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Feb 15, 2024
Tag 0695 D Jan 13, 2024

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Feb 15, 2024
Tag 0759 E Jan 13, 2024

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Feb 15, 2024
Tag 0760 E Jan 13, 2024

Ensure that residents are free from significant medication errors.

✓ Corrected: Feb 15, 2024
Tag 0761 E Jan 13, 2024

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.

✓ Corrected: Feb 15, 2024
Tag 0803 B Jan 13, 2024

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.

✓ Corrected: Feb 15, 2024
Tag 0812 E Jan 13, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Feb 15, 2024
Tag 0880 D Jan 13, 2024

Provide and implement an infection prevention and control program.

✓ Corrected: Feb 15, 2024
Tag 0919 E Jan 13, 2024

Make sure that a working call system is available in each resident's bathroom and bathing area.

✓ Corrected: Feb 15, 2024
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2023 2 violations

Tag 0684 J Jan 20, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Jan 21, 2023
Tag 0842 D Jan 20, 2023

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Jan 21, 2023

2022 9 violations

Tag 0578 E Nov 18, 2022

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.

✓ Corrected: Dec 22, 2022
Tag 0645 D Nov 18, 2022

PASARR screening for Mental disorders or Intellectual Disabilities

✓ Corrected: Dec 22, 2022
Tag 0656 D Nov 18, 2022

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Dec 22, 2022
Tag 0657 E Nov 18, 2022

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Dec 22, 2022
Tag 0686 D Nov 18, 2022

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Dec 22, 2022
Tag 0689 D Nov 18, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Dec 22, 2022
Tag 0842 D Nov 18, 2022

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Dec 22, 2022
Tag 0880 D Nov 18, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Dec 22, 2022
Tag 0921 E Nov 18, 2022

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: Dec 22, 2022
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2021 9 violations

Tag 0580 D Oct 27, 2021

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Oct 28, 2021
Tag 0583 D Oct 27, 2021

Keep residents' personal and medical records private and confidential.

✓ Corrected: Nov 19, 2021
Tag 0880 D Oct 27, 2021

Provide and implement an infection prevention and control program.

✓ Corrected: Nov 19, 2021
Tag 0578 D Sep 22, 2021

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.

✓ Corrected: Oct 4, 2021
Tag 0637 D Sep 22, 2021

Assess the resident when there is a significant change in condition

✓ Corrected: Oct 4, 2021
Tag 0641 D Sep 22, 2021

Ensure each resident receives an accurate assessment.

✓ Corrected: Sep 23, 2021
Tag 0657 D Sep 22, 2021

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Oct 4, 2021
Tag 0842 E Sep 22, 2021

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Oct 4, 2021
Tag 0880 D Jan 12, 2021

Provide and implement an infection prevention and control program.

✓ Corrected: Feb 10, 2021

2020 2 violations

Tag 0880 D Oct 14, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Nov 19, 2020
Tag 0880 E Apr 15, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: May 4, 2020
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2019 11 violations

Tag 0550 D Nov 20, 2019

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Dec 11, 2019
Tag 0637 D Nov 20, 2019

Assess the resident when there is a significant change in condition

✓ Corrected: Dec 11, 2019
Tag 0641 D Nov 20, 2019

Ensure each resident receives an accurate assessment.

✓ Corrected: Dec 11, 2019
Tag 0690 D Nov 20, 2019

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Dec 11, 2019
Tag 0695 D Nov 20, 2019

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Dec 11, 2019
Tag 0756 D Nov 20, 2019

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

✓ Corrected: Dec 11, 2019
Tag 0761 D Nov 20, 2019

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.

✓ Corrected: Dec 11, 2019
Tag 0801 C Nov 20, 2019

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

✓ Corrected: Dec 11, 2019
Tag 0880 D Nov 20, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Dec 11, 2019
Tag 0607 D Jun 20, 2019

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Jul 8, 2019
Tag 0609 D Jun 20, 2019

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Jul 8, 2019

2018 11 violations

Tag 0583 D Nov 30, 2018

Keep residents' personal and medical records private and confidential.

✓ Corrected: Dec 24, 2018
Tag 0656 D Nov 30, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Dec 24, 2018
Tag 0659 D Nov 30, 2018

Provide care by qualified persons according to each resident's written plan of care.

✓ Corrected: Dec 17, 2018
Tag 0700 E Nov 30, 2018

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

✓ Corrected: Dec 18, 2018
Tag 0755 E Nov 30, 2018

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Dec 18, 2018
Tag 0761 E Nov 30, 2018

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.

✓ Corrected: Dec 18, 2018
Tag 0812 F Nov 30, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Dec 18, 2018
Tag 0880 E Nov 30, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: Dec 18, 2018
Tag 0921 D Nov 30, 2018

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: Jan 5, 2019
Tag 0610 E Apr 4, 2018

Respond appropriately to all alleged violations.

✓ Corrected: May 17, 2018
Tag 0659 E Apr 4, 2018

Provide care by qualified persons according to each resident's written plan of care.

✓ Corrected: Apr 30, 2018
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2017 9 violations

Tag 0164 E Nov 2, 2017

Keep residents' personal and medical records private and confidential.

✓ Corrected: Dec 2, 2017
Tag 0282 E Nov 2, 2017

Provide care by qualified persons according to each resident's written plan of care.

✓ Corrected: Dec 2, 2017
Tag 0309 E Nov 2, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

✓ Corrected: Dec 2, 2017
Tag 0315 E Nov 2, 2017

Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.

✓ Corrected: Dec 2, 2017
Tag 0371 F Nov 2, 2017

Store, cook, and serve food in a safe and clean way.

✓ Corrected: Dec 2, 2017
Tag 0425 E Nov 2, 2017

Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

✓ Corrected: Dec 2, 2017
Tag 0441 D Nov 2, 2017

Have a program that investigates, controls and keeps infection from spreading.

✓ Corrected: Dec 2, 2017
Tag 0514 E Nov 2, 2017

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

✓ Corrected: Dec 2, 2017
Tag 0526 E Nov 2, 2017

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.

✓ Corrected: Dec 2, 2017
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