Windsor Quail Valley Post-Acute Healthcare
A nursing home in Missouri City, Texas 77459
3640 Hampton Dr, Missouri City, Texas 77459. (281) 778-5144.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 3of 5 CMS’s overall rating
- 5 health citations at the latest inspection cycle Texas average: 9.6
- 3.17 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?
5 health citations at the latest inspection cycle
The Texas average is 9.6.
Last standard inspection May 14, 2026.
Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Jul 19, 2024
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
15 citations in 8 months of the last 36. Last cited May 2026. Most serious: immediate jeopardy to health or safety (J). 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 15 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. 11 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
May 14, 2026: standard inspection4 citations
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Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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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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Provide and implement an infection prevention and control program.
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Dispose of garbage and refuse properly.
Dec 3, 2025: complaint inspection1 citation
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Mar 6, 2025: standard and complaint inspection2 citations
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Provide and implement an infection prevention and control program.
Aug 22, 2024: complaint inspection1 citation
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Jul 19, 2024: complaint inspection1 citation
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Apr 29, 2024: complaint inspection1 citation
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Provide care and assistance to perform activities of daily living for any resident who is unable.
Feb 29, 2024: complaint inspection4 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Respond appropriately to all alleged violations.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Jan 12, 2024: complaint inspection1 citation
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Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Sep 23, 2014.
- 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 non profit, corporation.
- 120 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 2 fines in the last three years, $52,036 in all.
- No Medicare payment denials in the last three years.
- 11 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Jul 19, 2024 | Fine | $15,642 |
| Feb 29, 2024 | Fine | $36,394 |
Who does the caring?
3.17 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 | 3.17 | 3.42 |
| Of which registered nurses | 0.42 | 0.44 |
| At weekends | 2.76 | 2.99 |
| Nursing staff turnover | 37.5% | 50.8% |
| Registered nurse turnover | 20% | 49.8% |
| Administrators who left | 0 | Not given |
Who owns it?
- Oakbend Medical Center owns 100% directly since Jan 28, 2015.
- Regency IHS of Windsor Quail Valley, LLC and Oakbend Medical Center and Regency Integrated Health Services LLC run it.
- 24 owners or officers are people: Adam Pisani (on the governing body (managing control)); Rosa Jacobs (additional disclosable party (controls, leases property to, or provides services to the home)); John Dorman (on the governing body (managing control)); Edward O Uthman (on the governing body (managing control)); Patricia Gibson (on the governing body (managing control)); Joseph Freudenberger (corporate officer, 0%); Joseph Freudenberger (on the governing body (managing control)); Christopher R Lockhart (additional disclosable party (controls, leases property to, or provides services to the home)); Barbara B Clapp (on the governing body (managing control)); Jeff Haley (on the governing body (managing control)); Julius Stuart (on the governing body (managing control)); Ruston Hughes (on the governing body (managing control)); Tom Crayton (on the governing body (managing control)); Elizabeth King (on the governing body (managing control)); Amirali S Popatia (on the governing body (managing control)); Daniel S Baird (on the governing body (managing control)); Demon Johnson (runs it (operational or managerial control)); Demon Johnson (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)); Abby King (on the governing body (managing control)); Christina Gibbs (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 |
|---|---|---|---|
| Oakbend Medical Center | Owns 5% or more directly | 100% | Jan 28, 2015 |
| Csv Rhea Management Holdco, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 28, 2015 | |
| Regency IHS of Windsor Quail Valley, LLC | Runs it (operational or managerial control) | Feb 28, 2015 | |
| Regency IHS of Windsor Quail Valley, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 28, 2015 | |
| Reg Bridge Opco LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 28, 2015 | |
| 3640 Hampton Drive LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 28, 2015 | |
| Regency IHS Rehab LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 28, 2015 | |
| Regency Texas Holdings LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 28, 2015 | |
| Jack and Nancy Dwyer Workforce Development Center Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 28, 2015 | |
| Reg Operator Holdco LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 28, 2015 | |
| Oakbend Medical Center | Runs it (operational or managerial control) | Feb 28, 2015 | |
| Oakbend Medical Center | Additional disclosable party (controls, leases property to, or provides services to the home) | May 20, 2025 | |
| Reg Hg Opco LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 28, 2015 | |
| Dwd TX Holdings LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 28, 2015 | |
| Regency Integrated Health Services LLC | Runs it (operational or managerial control) | Feb 28, 2015 | |
| Regency Integrated Health Services LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 28, 2015 | |
| Regency IHS Clinical Consulting, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 28, 2015 |
How do residents fare?
- CMS rates its quality measures 4 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 | 3 of 5 |
| Staffing | 2 of 5 |
| Quality measures | 4 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 8.5 miles, this one had the 10th most health citations at the latest inspection cycle (5; the middle value was 9.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Windsor Quail Valley Post-Acute Healthcare This nursing home | 5 | |
| Chelsea Gardens | 0.6 | 4 |
| Park Manor of Quail Valley | 1.2 | 8 |
| Paradigm at First Colony | 2.5 | 7 |
| Ignite Medical Resort Sugar Land, LLC | 5.1 | 2 |
| Sugar Land Health Care Center | 5.6 | 9 |
| The Crescent | 5.9 | 12 |
| Focused Care at Westwood | 7.9 | 13 |
| Paradigm at Westbury | 8.2 | 10 |
| Houston Transitional Care | 8.4 | 10 |
| West Houston Rehabilitation and Healthcare Center | 8.5 | 10 |
| Seven Acres Jewish Senior Care Services | 8.5 | 10 |
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
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Paid listing
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