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Complaint Investigation

Windsor Rehabilitation And Healthcare

February 27, 2026 · Terrell, TX · 250 W British Flying School Blvd
Citations 1
CMS Rating 2/5
Beds 108
Provider ID 675808
Healthcare Facility
Windsor Rehabilitation And Healthcare
Terrell, TX  ·  View full profile →
Inspection Summary

WINDSOR REHABILITATION AND HEALTHCARE in TERRELL, TX — inspection on February 27, 2026.

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.

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Inspection Findings

FF0755
Pharmacy Service Deficiencies

The facility failed to ensure expired medical supplies were not available for resident use on the crash cart.

This failure could place residents at risk of reduced germ-killing efficacy, skin irritation, contamination risks, and non-sterile cleaning.

Findings include: During an observation on 2/27/26 at 8:05 a.m., the crash cart located at the central nurse's station, revealed there were 86 individual alcohol wipes labeled with an expiration date of 10/3/2024 located in the third from the top drawer of the crash cart. An attempted telephone interview on 2/27/26 at 8:35 a.m. with the night nurse, LVN Q, who signed off checking the crash cart on 2/27/26 was unsuccessful. In an interview on 2/27/26 at 8:05 a.m., ADON O stated night shift was responsible for checking the crash cart each shift and ensuring all medications and supplies were current and accounted for. ADON O stated she occasionally checked the cart behind the night nurses to ensure it was done properly.

The ADON O stated it was important to ensure all supplies, medications, and equipment on the crash cart worked so in the event of an emergency, there were no delays with care and optimal care was provided.

During an interview with the facility administrator on 2/27/26 at 5:35 p.m., the administrator stated the ADONs and pharmacy technician completed cart audits.

The administrator stated the nurses should maintain the cart and go over the check list daily.

The administrator said he expected nursing leadership to monitor that process.

The administrator stated expired medications or supplies that were not good were not effective.

Record review of Medication Access and Storage policy, dated 5/2007 indicated: Procedures: Outdated, contaminated, or deteriorated medications and those in containers that are cracked, soiled, or without secure closures are immediately removed from stock, disposed of according to procedures for medication destruction and reordered from the pharmacy, if a current order exists.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

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 TERRELL, 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 REHABILITATION AND HEALTHCARE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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