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Complaint Investigation

Windsor Healthcare Residence

Inspection Date: August 21, 2025
Total Violations 1
Facility ID 675139
Location Groesbeck, TX
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Inspection Findings

F-Tag F0684

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0684 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

#1 weekly skin assessment was due on 08/13/2025. LVN A stated if a resident did not receive a weekly skin assessment, that resident could have a skin issue that go untreated. 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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📋 Inspection Summary

Windsor Healthcare Residence in Groesbeck, TX inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Groesbeck, TX, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Windsor Healthcare Residence or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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