01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-05-22 | 9 | 2026-05-22 | 1 |
| Cycle 2 | 2025-04-02 | 11 | 2025-04-02 | 1 |
| Cycle 3 | 2024-01-27 | 13 | 2024-01-27 | 5 |
CMS CCN 6759562026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Windsor Nursing And Rehabilitation Center Of Duval
5301 W Duval Rd · Austin, TX 78727 · Travis County
Certified beds206CMS provider file
Recent citation rows40current CMS citation release
Penalty rows2current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
40 rows in the current release
2 rows carry G–L scope/severity codes; 1 carry J–L. 6 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-05-22 · HEALTHF0558Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2026-05-232026-05-22 · HEALTHF0583Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Correction field: Deficient, Provider has date of correction · 2026-05-232026-05-22 · HEALTHF0605Severity E · pattern; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Correction field: Deficient, Provider has date of correction · 2026-05-232026-05-22 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2026-05-232026-05-22 · HEALTHF0755Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2026-05-232026-05-22 · HEALTHF0760Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Deficient, Provider has date of correction · 2026-05-232026-05-22 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2026-05-232026-05-22 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-05-232026-05-22 · FIREK0100Severity D · isolated; potential for more than minimal harm
Construction Deficiencies
Meet other general requirements.
Correction field: Deficient, Provider has date of correction · 2026-05-212026-04-15 · HEALTHF0573Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Correction field: Deficient, Provider has date of correction · 2026-04-16 · complaint2025-06-27 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2025-06-28 · complaint2025-04-02 · HEALTHF0550Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2025-04-032025-04-02 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2025-04-032025-04-02 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2025-04-032025-04-02 · HEALTHF0803Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-04-032025-04-02 · HEALTHF0804Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Correction field: Deficient, Provider has date of correction · 2025-04-032025-04-02 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-04-032025-04-02 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-04-032025-04-02 · HEALTHF0919Severity E · pattern; potential for more than minimal harm
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Correction field: Deficient, Provider has date of correction · 2025-04-032025-04-02 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-04-182024-09-19 · HEALTHF0756Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Correction field: Deficient, Provider has date of correction · 2024-09-20 · complaint2024-09-09 · HEALTHF0600Severity G · isolated actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Past Non-Compliance · 2024-08-06 · complaint2024-05-18 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2024-05-19 · complaint2024-01-27 · FIREE0004Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Correction field: Deficient, Provider has date of correction · 2024-01-3103 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2024-09-09 | Fine | $5,736 | 0 |
| 2024-01-27 | Fine | $17,605 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- VAL VERDE COUNTY HOSPITAL DISTRICTOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 04/01/2022
- REGENCY IHS OF WINDSOR DUVAL LLCOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 04/01/2022
- DWD TX HOLDINGS LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 04/01/2022
- JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 04/01/2022
- REG HG OPCO I, LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 04/01/2022
- REG HG OPCO LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 04/01/2022
- REG OPERATOR HOLDCO LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 04/01/2022
- REGENCY INTEGRATED HEALTH SERVICES LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 04/01/2022
- REGENCY TEXAS HOLDINGS LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 04/01/2022
- BAIRD, DANIELIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/13/2021
- CARVAJAL, ANTONIOIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 05/16/2024
- CLAPP, BARBARAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 06/01/2021
- CORTESE, DARENIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 08/10/2021
- DIAZ, CRISIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 05/25/2022
- GIBSON, PATRICIAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 08/01/2021
- GONZALES, VERONICAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 05/16/2024
- JURADO, JORGEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 10/13/2023
- KAUFMAN, NICOLEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 08/10/2021
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours2.93per resident day
RN hours0.46per resident day
Weekend nurse hours2.66per resident day
Staff turnover40.2%CMS reported field
06 / LOCAL RECORDS
Open the Austin ledger →Other published facilities nearby
Austin Wellness & Rehabilitation120 beds · CMS overall 1/574 citation rowsAvir At Park Bend124 beds · CMS overall 3/529 citation rowsBrookdale Westlake Hills90 beds · CMS overall 2/543 citation rowsBarton Valley Rehabilitation And Healthcare Center126 beds · CMS overall 3/531 citation rowsBrodie Ranch Nursing And Rehabilitation Center120 beds · CMS overall 3/532 citation rowsBrush Country Nursing And Rehabilitation118 beds · CMS overall 1/553 citation rowsCoral Rehabilitation And Nursing Of Austin157 beds · CMS overall 1/5113 citation rowsGracy Woods Ii Living Center110 beds · CMS overall 4/519 citation rows