CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 6760892026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Winnie L Nursing & Rehabilitation

2104 N Karnes Ave · Cameron, TX 76520 · Milam County

CMS OVERALL RATING★★☆☆☆2/5CMS field—not our score or recommendation
Certified beds105CMS provider file
Recent citation rows42current CMS citation release
Penalty rows3current 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.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12025-05-22102025-05-225
Cycle 22024-04-04132024-04-043
Cycle 32023-02-16112023-02-160
02 / CITATION DETAIL

42 rows in the current release

5 rows carry G–L scope/severity codes; 4 carry J–L. 8 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-05-12 · HEALTHF0602Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

Correction field: Deficient, Provider has date of correction · 2026-05-13 · complaint
2026-05-12 · 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 · 2026-05-13 · complaint
2026-05-12 · HEALTHF0761Severity E · pattern; potential for more than minimal harm

Pharmacy Service Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2026-05-13 · complaint
2025-12-04 · HEALTHF0726Severity D · isolated; potential for more than minimal harm

Nursing and Physician Services Deficiencies

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Correction field: Deficient, Provider has date of correction · 2025-12-05 · complaint
2025-08-14 · HEALTHF0689Severity J · isolated immediate jeopardy

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: Past Non-Compliance · complaint
2025-05-22 · HEALTHF0558Severity E · pattern; 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 · 2025-05-23
2025-05-22 · HEALTHF0677Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Correction field: Deficient, Provider has date of correction · 2025-05-23
2025-05-22 · 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 · 2025-05-23
2025-05-22 · 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 · 2025-05-23
2025-05-22 · HEALTHF0757Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Correction field: Deficient, Provider has date of correction · 2025-05-23
2025-05-22 · FIREK0321Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Correction field: Deficient, Provider has date of correction · 2025-06-04
2025-05-22 · FIREK0324Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Provide properly protected cooking facilities.

Correction field: Deficient, Provider has date of correction · 2025-06-04
2025-05-22 · FIREK0353Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2025-06-04
2025-05-22 · FIREK0372Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Correction field: Deficient, Provider has date of correction · 2025-06-04
2025-05-22 · FIREK0741Severity D · isolated; potential for more than minimal harm

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Correction field: Deficient, Provider has date of correction · 2025-06-04
2025-05-12 · HEALTHF0580Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-05-19 · complaint
2025-05-12 · HEALTHF0684Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Correction field: Deficient, Provider has date of correction · 2025-05-19 · complaint
2025-05-12 · HEALTHF0686Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-05-19 · complaint
2024-07-01 · HEALTHF0760Severity H · pattern of actual harm

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Correction field: Deficient, Provider has date of correction · 2024-07-22 · complaint
2024-05-31 · HEALTHF0580Severity J · isolated immediate jeopardy

Resident Rights Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-07-02 · complaint
2024-05-31 · HEALTHF0659Severity J · isolated immediate jeopardy

Resident Assessment and Care Planning Deficiencies

Provide care by qualified persons according to each resident's written plan of care.

Correction field: Deficient, Provider has date of correction · 2024-07-02 · complaint
2024-05-31 · HEALTHF0684Severity J · isolated immediate jeopardy

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Correction field: Deficient, Provider has date of correction · 2024-07-02 · complaint
2024-04-04 · HEALTHF0550Severity D · isolated; 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 · 2024-05-03
2024-04-04 · HEALTHF0584Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Correction field: Deficient, Provider has date of correction · 2024-05-03
03 / 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.

DateTypeFine amountPayment-denial days
2025-08-14Fine$10,5490
2024-05-31Fine$40,9300
2024-05-31Payment Denial$020
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • MURRELL, EDWARDIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 11/01/2012
  • ROLLO, JEFFERYIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 11/01/2012
  • STRAMECKI, ANTHONYIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 11/01/2016
  • WAY, GEORGEIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 11/01/2018
  • HUGGINS, LINDAIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 08/01/2024
  • WILLIG, ZACHARYIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2025
  • MURRELL, EDWARDIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 01/01/2023
  • CAMERON I ENTERPRISES, L.L.C.Organization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 08/01/2024
  • BLAKE, GARYIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 08/01/2024
  • BLAKE, MALISAIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 08/01/2024
  • CAMERON I ENTERPRISES, L.L.C.Organization · ADP OF THE SNF
    NOT APPLICABLE · since 04/12/2025
  • BLAKE, GARYIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 08/01/2024
  • HOUSE, JANELLEIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 04/12/2025
  • JOHNSON, CHRISIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 06/24/2026

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 hours3.27per resident day
RN hours0.25per resident day
Weekend nurse hours2.86per resident day
Staff turnover87.5%CMS reported field
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.