Windsor Nursing and Rehabilitation Center of Duval
5301 W Duval Rd · Austin, TX · 78727 · 5123451805
206 certified beds Government - Hospital district Chain: Wellsential Health
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Total nurse staffing below 3.0 hours per resident-day
2.82 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 2.82 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.35 | 0.55–0.75 |
| Weekend hours / resident-day | 2.59 | ≈ weekday level |
| Nursing turnover / year | 40% | median 45% |
| Fines (3-yr window) | 2 · $23,341 |
Inspection citations (29 in the current record)
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Potential for harm · D April 15, 2026 · found via complaint
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected April 16, 2026 · Resident Rights
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Potential for harm · D June 27, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 28, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E April 2, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 3, 2025 · Resident Rights
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Potential for harm · D April 2, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 2, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 3, 2025 · Quality of Life and Care
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Potential for harm · E April 2, 2025
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected April 3, 2025 · Nutrition and Dietary
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Potential for harm · E April 2, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected April 3, 2025 · Nutrition and Dietary
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Potential for harm · E April 2, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 3, 2025 · Nutrition and Dietary
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Potential for harm · D April 2, 2025
Provide and implement an infection prevention and control program.
Corrected April 3, 2025 · Infection Control
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Potential for harm · E April 2, 2025
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected April 3, 2025 · Environmental
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Potential for harm · D September 19, 2024 · found via complaint
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected September 20, 2024 · Pharmacy Service
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Actual harm · G September 9, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 6, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 18, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 19, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · L January 27, 2024 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected January 28, 2024 · Environmental
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Potential for harm · E January 27, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 28, 2024 · Resident Rights
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Potential for harm · D January 27, 2024 · found via complaint
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected January 28, 2024 · Resident Rights
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Potential for harm · D January 27, 2024 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected January 28, 2024 · Resident Assessment and Care Planning
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Potential for harm · D January 27, 2024 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected January 28, 2024 · Quality of Life and Care
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Potential for harm · E January 27, 2024 · found via complaint
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected January 28, 2024 · Pharmacy Service
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Potential for harm · D January 27, 2024 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected January 28, 2024 · Pharmacy Service
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Potential for harm · D January 27, 2024 · found via complaint
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected January 28, 2024 · Nutrition and Dietary
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Potential for harm · E January 27, 2024 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected January 28, 2024 · Environmental
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Potential for harm · D January 27, 2024 · found via complaint
Have policies on smoking.
Corrected January 28, 2024 · Environmental
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Potential for harm · E December 1, 2023 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 7, 2023 · Infection Control
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Potential for harm · E October 4, 2023 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 5, 2023 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 9, 2024 | Fine | $5,736 |
| January 27, 2024 | Fine | $17,605 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675956 · certified since February 21, 2003. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.