Federal inspection record · CMS data as of October 1, 2026
Windsor Nursing and Rehabilitation Center of Bastr
400 Old Austin HWY, Bastrop, TX · (512) 321-2529
- Certified beds
- 96
- Residents per day
- 51
- Ownership
- For-Profit
- Chain
- Wellsential Health
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 27, 1994
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
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Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Windsor Nursing and Rehabilitation Center of Bastr carries 68 inspection points. That is fewer than 53% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
19 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
H
Ensure that residents are free from significant medication errors.
Everything else, by area of care
Nutrition and Dietary5F
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control3D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Pharmacy Service3D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Resident Rights2E
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- E
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.
Resident Assessment and Care Planning2D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care1D
- D
Provide activities to meet all resident's needs.
Nursing and Physician Services1C
- C
Post nurse staffing information every day.
Environmental1C
- C
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Inspection history
2026-09-10
9 health deficiencies · 0 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
2025-07-17
4 health deficiencies · 3 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2024-06-11
6 health deficiencies · 0 fire-safety deficiencies
Top issue: Environmental (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 2 h 56 min of nursing staff time a day, 21 min of it from a registered nurse.
This home
2 h 56 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 44% of nursing staff and 75% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$15,920 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-02-05 | Fine | $15,920 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better | 100.0% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better | 100.0% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.4 pts better | 2.8% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.4 pts better | 1.9% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.6 pts worse | 3.5% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.3 pts better | 16.5% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.5 pts worse | 10.3% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened6.3 pts worse | 19.2% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.4 pts worse | 18.2% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 0.0% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.5 pts better | 9.0% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcersAbout the same | 3.7% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine8.7 pts better | 97.4% | 88.7% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine7.6 pts worse | 77.8% | 85.4% | 80.1% |
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Who owns and runs it
29 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Oakbend Medical Center | 5% Or Greater Direct Ownership Interest · Organization | 100% | 32 facilities |
| Clapp, Barbara | Managing Control - Governing Body · Individual | 0% | 69 facilities |
| Crayton, Tom | Managing Control - Governing Body · Individual | 0% | 16 facilities |
| Csv Rhea Management Holdco, LLC | Indirect Ownership Interest · Organization | 0% | 63 facilities |
| Dekowski, Donovan | Operational/Managerial Control · Individual | 0% | 69 facilities |
| Dekowski, Donovan | Adp Of The SNF · Individual | 0% | 69 facilities |
| Dwd Tx Holdings LLC | Indirect Ownership Interest · Organization | 0% | 63 facilities |
| Freudenberger, Joseph | Managing Control - Governing Body · Individual | 0% | 35 facilities |
| Freudenberger, Joseph | Corporate Officer · Individual | 0% | 35 facilities |
| Garza, Bertha | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Garza, Bertha | Adp Of The SNF · Individual | 0% | 1 facilities |
| Gowda, Suma | Adp Of The SNF · Individual | 0% | 1 facilities |
| Haley, Jeff | Managing Control - Governing Body · Individual | 0% | 17 facilities |
| Jack And Nancy Dwyer Workforce Development Center Inc | Indirect Ownership Interest · Organization | 0% | 68 facilities |
| Oakbend Medical Center | Operational/Managerial Control · Organization | 0% | 32 facilities |
| Oakbend Medical Center | Adp Of The SNF · Organization | 0% | 32 facilities |
| Popatia, Amirali | Managing Control - Governing Body · Individual | 0% | 14 facilities |
| Reg Leased Opco LLC | Indirect Ownership Interest · Organization | 0% | 24 facilities |
| Reg Operator Holdco LLC | Indirect Ownership Interest · Organization | 0% | 63 facilities |
| Regency Ihs Clinical Consulting, LLC | Adp Of The SNF · Organization | 0% | 70 facilities |
| Regency Ihs Of Bastrop LLC | Direct Ownership Interest · Organization | 0% | 1 facilities |
| Regency Ihs Of Bastrop LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Regency Ihs Of Bastrop LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Regency Ihs Rehab LLC | Adp Of The SNF · Organization | 0% | 68 facilities |
| Regency Integrated Health Services LLC | Indirect Ownership Interest · Organization | 0% | 70 facilities |
| Regency Integrated Health Services LLC | Operational/Managerial Control · Organization | 0% | 70 facilities |
| Regency Integrated Health Services LLC | Adp Of The SNF · Organization | 0% | 70 facilities |
| Regency Texas Holdings LLC | Indirect Ownership Interest · Organization | 0% | 63 facilities |
| Uthman, Edward | Managing Control - Governing Body · Individual | 0% | 16 facilities |
·
Fire safety
3 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Services2D
- D
Have properly installed electrical wiring and gas equipment.
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Egress1C
- C
Keep aisles, corridors, and exits free of obstruction in case of emergency.
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Other homes nearby
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Bastrop Lost Pines Nursing and Rehabilitation Cent
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★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
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- Fines
- $92,460
-
Silver Pines Nursing And Rehabilitation Center
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★★★★★- Worst citation, 3 yrs
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- Nursing / resident / day
- 3 h 14 min
- Fines
- $0
-
Towers Nursing Home
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- Nursing / resident / day
- 2 h 33 min
- Fines
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