Windsor Gardens
2535 W Pleasant Run, Lancaster, TX 75146 · Dallas County
For-profit · 150 certified beds · 70% occupancy · (972) 228-8029
The U.S. government (CMS) rates Windsor Gardens 2 out of 5 stars overall — below average. Its nurse staffing is at or above the Texas median. Inspectors cited it for 2 immediate-jeopardy findings in recent inspection cycles.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality — and the number pay-to-play referral sites rarely show you.
3.43 nurse hours per resident per day. 5% above the Texas median of 3.27.
Nursing staff turnover: 55.5% · RN turnover: 57.1%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited — the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0558 · Jan 15, 2026Corrected Jan 21, 2026
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
- Potential for harmTag F0583 · Jan 15, 2026Corrected Jan 21, 2026
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
- Potential for harmTag F0656 · Jan 15, 2026Corrected Jan 21, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0657 · Jan 15, 2026Corrected Jan 21, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0761 · Jan 15, 2026Corrected Jan 21, 2026
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.
Pharmacy Service Deficiencies
- Potential for harmTag F0880 · Jan 15, 2026Corrected Jan 21, 2026
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0655 · Jan 15, 2026Corrected Jan 21, 2026
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0690 · Jan 15, 2026Corrected Jan 21, 2026
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
- Potential for harmTag F0695 · Jan 15, 2026Corrected Jan 21, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
- Potential for harmTag F0755 · Dec 8, 2025ComplaintCorrected Dec 12, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Showing the 10 most recent and serious of 27 findings. See the full inspection history on Medicare.gov.
Ownership
Part of the Cantex Continuing Care chain (38 facilities), chain average overall rating 3★.