Windsor Nursing and Rehabilitation Center of Duval
A nursing home in Austin, Texas 78727
5301 W Duval Rd, Austin, Texas 78727. (512) 345-1805.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 3of 5 CMS’s overall rating
- 9 health citations at the latest inspection cycle Texas average: 9.6
- 2.97 nurse hours per resident per day Texas average: 3.42
- 2 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
9 health citations at the latest inspection cycle
The Texas average is 9.6.
Last standard inspection May 22, 2026.
Most serious in three years: immediate jeopardy to health or safety (L), at a standard and complaint inspection on Jan 27, 2024
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
32 citations in 8 months of the last 36. Last cited May 2026. Most serious: immediate jeopardy to health or safety (L). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 32 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 16 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
May 22, 2026: standard inspection8 citations
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Reasonably accommodate the needs and preferences of each resident.
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Keep residents’ personal and medical records private and confidential.
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Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident’s ability to function.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Ensure that residents are free from significant medication errors.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Provide and implement an infection prevention and control program.
Apr 15, 2026: complaint inspection1 citation
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Let each resident or the resident’s legal representative access or purchase copies of all the resident’s records.
Jun 27, 2025: complaint inspection1 citation
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Apr 2, 2025: standard inspection8 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Provide safe and appropriate respiratory care for a resident when needed.
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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.
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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Provide and implement an infection prevention and control program.
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Make sure that a working call system is available in each resident’s bathroom and bathing area.
Sep 19, 2024: complaint inspection1 citation
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Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Sep 9, 2024: complaint inspection1 citation
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
May 18, 2024: complaint inspection1 citation
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Jan 27, 2024: standard and complaint inspection10 citations
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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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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.
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Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted
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Provide safe and appropriate respiratory care for a resident when needed.
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Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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Ensure medication error rates are not 5 percent or greater.
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Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
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Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
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Have policies on smoking.
Dec 1, 2023: complaint inspection1 citation
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Provide and implement an infection prevention and control program.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Feb 21, 2003.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as government, hospital district.
- 206 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 2 fines in the last three years, $23,341 in all.
- No Medicare payment denials in the last three years.
- 16 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Sep 9, 2024 | Fine | $5,736 |
| Jan 27, 2024 | Fine | $17,605 |
Who does the caring?
2.97 nurse hours per resident per day
The Texas average is 3.42.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Texas average |
|---|---|---|
| Nurse hours per resident per day | 2.97 | 3.42 |
| Of which registered nurses | 0.45 | 0.44 |
| At weekends | 2.70 | 2.99 |
| Nursing staff turnover | 38.2% | 50.8% |
| Registered nurse turnover | 31.3% | 49.8% |
| Administrators who left | 1 | Not given |
Who owns it?
- Val Verde County Hospital District owns 100% directly since Apr 1, 2022; Regency IHS of Windsor Duval LLC owns 0% directly since Apr 1, 2022.
- Regency Integrated Health Services LLC and Regency IHS of Windsor Duval LLC and Val Verde County Hospital District run it.
- 20 owners or officers are people: Robin Palmer (on the governing body (managing control)); Patricia Gibson (on the governing body (managing control)); Cris Diaz (on the governing body (managing control)); Barbara B Clapp (on the governing body (managing control)); Antonio Carvajal (on the governing body (managing control)); Zahir A Momin (additional disclosable party (controls, leases property to, or provides services to the home)); Veronica Gonzales (on the governing body (managing control)); Julio Otazo (on the governing body (managing control)); Nicole Kaufman (on the governing body (managing control)); Blaise Faxigue (additional disclosable party (controls, leases property to, or provides services to the home)); Jorge Jurado (corporate officer); Jorge Jurado (on the governing body (managing control)); Terrell Helmcamp (runs it (operational or managerial control)); Terrell Helmcamp (additional disclosable party (controls, leases property to, or provides services to the home)); Daniel S Baird (on the governing body (managing control)); Kristin Grochowalski (additional disclosable party (controls, leases property to, or provides services to the home)); Donovan R Dekowski (runs it (operational or managerial control)); Donovan R Dekowski (additional disclosable party (controls, leases property to, or provides services to the home)); Daren A Cortese (on the governing body (managing control)); Elliot J Mandelbaum (on the governing body (managing control)).
- Part of Wellsential Health (67 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Val Verde County Hospital District | Owns 5% or more directly | 100% | Apr 1, 2022 |
| Regency IHS Rehab LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 1, 2022 | |
| Regency Texas Holdings LLC | Owns a share through other companies | 0% | Apr 1, 2022 |
| Jack and Nancy Dwyer Workforce Development Center Inc. | Owns a share through other companies | 0% | Apr 1, 2022 |
| Reg Operator Holdco LLC | Owns a share through other companies | 0% | Apr 1, 2022 |
| Reg Hg Opco LLC | Owns a share through other companies | 0% | Apr 1, 2022 |
| Regency IHS Master Tenant LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 1, 2022 | |
| Dwd TX Holdings LLC | Owns a share through other companies | 0% | Apr 1, 2022 |
| Regency Integrated Health Services LLC | Runs it (operational or managerial control) | Apr 1, 2022 | |
| Regency Integrated Health Services LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 1, 2022 | |
| Regency Integrated Health Services LLC | Owns a share through other companies | 0% | Apr 1, 2022 |
| Regency IHS of Windsor Duval LLC | Runs it (operational or managerial control) | Apr 1, 2022 | |
| Regency IHS of Windsor Duval LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 5, 2024 | |
| Regency IHS of Windsor Duval LLC | Owns a share directly | 0% | Apr 1, 2022 |
| 5301 West Duval Road LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 1, 2022 | |
| Val Verde County Hospital District | Runs it (operational or managerial control) | Apr 1, 2022 | |
| Val Verde County Hospital District | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 28, 2025 | |
| Regency IHS Clinical Consulting, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 1, 2022 | |
| Reg Hg Opco I, LLC | Owns a share through other companies | 0% | Apr 1, 2022 |
How do residents fare?
- CMS rates its quality measures 5 of 5 (Texas average 3.8).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 3 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 2 of 5 |
| Quality measures | 5 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 6.7 miles, this one had the 6th most health citations at the latest inspection cycle (9; the middle value was 9).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Windsor Nursing and Rehabilitation Center of Duval This nursing home | 9 | |
| Austin Wellness & Rehabilitation | 2.4 | 20 |
| Avir at Park Bend | 2.5 | 13 |
| Gracy Woods Nursing Center | 2.7 | 13 |
| Gracy Woods II Living Center | 2.8 | 2 |
| Sage Park Austin | 3.3 | 5 |
| Coral Rehabilitation and Nursing of Austin | 5.0 | 27 |
| Ignite Medical Resort Round Rock, LLC | 5.1 | 9 |
| Legend Oaks Healthcare and Rehabilitation - North | 5.6 | 6 |
| The Center at Parmer | 5.9 | 8 |
| Sedona Trace Health and Wellness Center | 6.5 | 3 |
| Park Valley Inn Health Center | 6.7 | 16 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
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