Windsor Gardens
Nursing Home · Lancaster, TX
CMS certification number455832
Contact & location
2535 W Pleasant RunLancaster, TX 75146
Dallas County
- Phone
- (972) 228-8029
- ZIP code
- 75146 – all care providers
Facility details
- Certified beds
- 150
- Residents per day
- 104.3 (70% occupied)
- Ownership
- For profit - Corporation
- Legal name
- Dallas County Hospital District
- Chain
- Cantex Continuing Care (37 facilities, avg 3.1★)
- Medicare certified since
- August 2, 1989
- Participates in
- Medicare and Medicaid
- Council
- Both council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.43 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.37 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 1.16 (state 0.95 · U.S. 0.86)
- Nurse aides
- 1.91 (state 2.00 · U.S. 2.32)
- Weekend total
- 2.86 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 55.5 (state 55.3 · U.S. 45.8)%
- RN turnover
- 57.1 (state 54.6 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- January 15, 2026
- Health deficiencies (last cycle)
- 13.0 (state 9.3 · U.S. 9.3)
- From complaints
- 4
- Citations on record (3 years)
- 26 health · 7 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-01-15 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-01-21 |
| 2026-01-15 | Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-01-21 |
| 2026-01-15 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-01-21 |
| 2026-01-15 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-01-21 |
| 2026-01-15 | 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. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-01-21 |
| 2026-01-15 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-01-21 |
| 2026-01-15 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-21 |
| 2026-01-15 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-21 |
| 2026-01-15 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-21 |
| 2025-12-08 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-12 |
| 2025-08-23 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-30 |
| 2025-08-23 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-30 |
| 2025-08-23 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. F0694 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-30 |
| 2025-05-21 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-06-23 |
| 2025-05-21 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-23 |
| 2024-11-07 | 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. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-11-15 |
| 2024-11-07 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-11-15 |
| 2024-11-07 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-11-15 |
| 2024-11-07 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-15 |
| 2024-11-07 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-15 |
| 2024-08-28 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-23 |
| 2024-08-26 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. F0693 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-23 |
| 2024-06-22 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-07-19 |
| 2024-06-22 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-07-19 |
| 2024-06-11 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-10 |
| 2023-10-05 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-20 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
1 penalty in the last three years, including $13,877 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-06-11 | Fine | $13,877 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Dallas County Hospital District (organization) | 5%+ Direct Ownership Interest · 100% | |
| Johnson, Nikita (individual) | Administrator · NOT APPLICABLE | |
| McFalls, Lashonda (individual) | Administrator · NOT APPLICABLE | |
| Windsor Place Health Care Center LTD Co (organization) | Administrator · NOT APPLICABLE | |
| Castaneda, Edmundo (individual) | Corporate Officer · NOT APPLICABLE | |
| Cerise, Frederick (individual) | Corporate Officer · NOT APPLICABLE | |
| Johnson, Nikita (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Windsor Place Health Care Center LTD Co (organization) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Windsor Gardens?
Windsor Gardens has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.
How many beds does Windsor Gardens have?
It has 150 certified beds and cares for about 104 residents per day.
Has Windsor Gardens been fined?
Yes. CMS lists 1 penalty totaling $13,877 in the last three years.
Who owns Windsor Gardens?
It is part of Cantex Continuing Care and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Windsor Gardens?
(972) 228-8029. The facility is located at 2535 W Pleasant Run, Lancaster, TX 75146.
Other nursing homes in Lancaster
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Avir at Lancaster
Nursing Home · Lancaster, TX · 110 beds
★★ -
Lancaster Nursing & Rehabilitation
Nursing Home · Lancaster, TX · 120 beds
★ -
Millbrook Healthcare and Rehabilitation Center
Nursing Home · Lancaster, TX · 124 beds
★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.