Windsor Healthcare Residence
Windsor Healthcare Residence in Groesbeck, TX — inspection on August 21, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an interview with the DON on 08/21/2025 at 2:20 PM, the DON stated the purpose of a skin assessment was to identity and address any skin concerns.
The DON stated all residents were supposed to receive weekly skin assessments.
The DON stated LVN A was responsible for completion of Resident #1's weekly skin assessment.
The DON stated she was not aware that LVN A had not completed Resident #1 weekly skin assessment on 08/13/2025.
The DON stated that if a resident did not receive weekly skin assessment, then the resident could have a skin condition go untreated.
The DON stated she expected for weekly skin assessments to be conducted as scheduled.
During an interview with the ADM on 08/21/2025 at 2:50 PM, the ADM stated the purpose of a skin assessment was to ensure residents did not have any adverse skin issues from the previous week.
The ADM stated all residents were supposed to receive weekly skin assessments.
The ADM stated he was not aware that LVN A had not completed Resident #1's weekly skin assessment on 08/13/2025.
The ADM stated that if a resident did not receive weekly skin assessment, then the resident could have skin integrity issues that go untreated.
The ADM stated he expected for weekly skin assessments to be conducted as scheduled.
The ADM stated the facility did not have a policy for weekly skin assessment but provide the facility's Pressure Ulcers/Skin Breakdown - Clinical Protocol policy. A record review of the facility's Pressure Ulcers/Skin Breakdown - Clinical Protocol policy, revised dated April 2018, reflected, Assessment and Recognition1.
The nursing staff and practitioner will assess and document an individual's significant risk factors for developing pressure ulcers; for example, immobility, recent weight loss, and history of pressure ulcer(s).3.
The staff and practitioner will examine the skin of newly residents for evidence of existing pressure ulcers and other skin conditions.
Monitoring 1.
During resident visits, the physician will evaluate and document the progress of wound healing especially for those with complicated, extensive, or poorly healing wounds.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.