WINDSOR HOUSTON

πŸ“ 6920 T.C. JESTER BLVD, houston, TX 77091 πŸ“ž 7136810431 πŸ›οΈ 120 beds

Overall Rating

⭐⭐⭐⭐⭐
5/5

Health Inspection

⭐⭐⭐⭐⭐
5/5

Staffing

⭐⭐
2/5

Quality Measures

⭐⭐
2/5

Inspection History Overview

34
Total Violations
7 years of data
$54,165
Total Fines
3 penalties
8
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2024 8 violations

Tag 0641 D May 23, 2024

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Jun 13, 2024
Tag 0645 E May 23, 2024

PASARR screening for Mental disorders or Intellectual Disabilities

βœ“ Corrected: Jun 13, 2024
Tag 0755 D May 23, 2024

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

βœ“ Corrected: Jun 13, 2024
Tag 0689 J Mar 21, 2024

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

Tag 0839 E Mar 21, 2024

Employ staff that are licensed, certified, or registered in accordance with state laws.

Tag 0580 J Jan 22, 2024

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

Tag 0656 E Jan 22, 2024

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

Tag 0678 J Jan 22, 2024

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

2023 6 violations

Tag 0656 D Apr 6, 2023

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

βœ“ Corrected: Apr 20, 2023
Tag 0755 D Apr 6, 2023

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

βœ“ Corrected: Apr 20, 2023
Tag 0761 E Apr 6, 2023

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.

βœ“ Corrected: Apr 20, 2023
Tag 0814 C Apr 6, 2023

Dispose of garbage and refuse properly.

βœ“ Corrected: Apr 20, 2023
Tag 0760 E Mar 9, 2023

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Mar 31, 2023
Tag 0842 E Mar 9, 2023

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

βœ“ Corrected: Mar 31, 2023

2022 3 violations

Tag 0755 E Feb 3, 2022

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

βœ“ Corrected: Mar 7, 2022
Tag 0756 D Feb 3, 2022

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

βœ“ Corrected: Mar 7, 2022
Tag 0758 E Feb 3, 2022

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

βœ“ Corrected: Mar 7, 2022

2021 1 violations

Tag 0656 D Dec 28, 2021

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

βœ“ Corrected: Jan 15, 2022

2020 12 violations

Tag 0656 D Oct 5, 2020

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

Tag 0686 K Oct 5, 2020

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

Tag 0690 D Oct 5, 2020

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

Tag 0697 G Oct 5, 2020

Provide safe, appropriate pain management for a resident who requires such services.

Tag 0759 D Oct 5, 2020

Ensure medication error rates are not 5 percent or greater.

Tag 0761 E Oct 5, 2020

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.

Tag 0770 D Oct 5, 2020

Provide timely, quality laboratory services/tests to meet the needs of residents.

Tag 0880 E Oct 5, 2020

Provide and implement an infection prevention and control program.

Tag 0908 F Oct 5, 2020

Keep all essential equipment working safely.

Tag 0686 E Mar 5, 2020

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

βœ“ Corrected: Apr 2, 2020
Tag 0755 D Jan 15, 2020

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

βœ“ Corrected: Jan 20, 2020
Tag 0760 D Jan 15, 2020

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Jan 20, 2020

2019 3 violations

Tag 0606 E May 2, 2019

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

βœ“ Corrected: May 3, 2019
Tag 0755 E May 2, 2019

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

βœ“ Corrected: May 18, 2019
Tag 0759 E May 2, 2019

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: May 18, 2019

2017 1 violations

Tag 0285 E Jun 29, 2017

Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients.

βœ“ Corrected: Jul 15, 2017

Detailed Inspection Reports

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

Fines and Penalties by Year

2020 3 penalties totaling $54,165

$27,083
Fine
October 5, 2020
$27,082
Fine
October 5, 2020
$0
Payment Denial
October 5, 2020
Average: $18,055 | Range: $0 - $27,083

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

May 23, 2024
0.00

Health

March 21, 2024
0.00

Health

January 22, 2024
0.00

Health

April 6, 2023
0.00

Health

March 9, 2023
0.00

Health

February 3, 2022
0.00

Health

December 28, 2021
0.00

Health

October 5, 2020
0.00

Quality Measures

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Ownership Information

For profit - Individual
Independent (Not part of a chain)
676337
676337
7136810431
Harris

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Organization
August 25, 2025
Individual