C+
68/100

Windsor Quail Valley Post-Acute Healthcare Inspection Report, Violations & Safety Grade (Missouri City, Texas)

3640 Hampton Dr, Missouri City, Texas 77459

Phone: 2817785144

CMS Overall:3/5

Overview & Bed Count

Certified Beds
120
Avg Residents/Day
95.3
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
County
Fort Bend
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall3/5
Health3/5
Staffing2/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityTexas AvgDifference
RN Hours per Resident per Day0.420.44-0.02
Total Nurse Hours per Resident per Day3.173.42-0.24
CMS Staffing Rating2/51.9/5-
Nursing Staff Turnover37.5%50.8%-

Health Citation History

15 health citations on record

DateCategoryDescriptionSeverity
2026-05-14Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D – Moderate Harm Potential
2026-05-14Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2026-05-14Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2026-05-14Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.C – Minimal Harm Potential
2025-12-03Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2025-03-06Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2025-03-06Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2024-08-22Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2024-07-19Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.J – Immediate Jeopardy
2024-04-29Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2024-02-29Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J – Immediate Jeopardy
2024-02-29Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.J – Immediate Jeopardy
2024-02-29Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.J – Immediate Jeopardy
2024-02-29Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential
2024-01-12Resident Rights DeficienciesNotify 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.D – Moderate Harm Potential

Fire Safety Citation History

1 fire safety citation on record

DateCategoryDescriptionSeverity
2024-01-25Gas, Vacuum, and Electrical Systems DeficienciesEnsure precautions for handling oxygen cylinders and equipment are correctly followed.E – Moderate Harm Potential

Total Penalties & Fines

$52,036
Total Fine Amount (CMS)
2
Number of Fines
2
Total Penalties
DateTypeFine AmountPayment Denial
2024-07-19Fine$15,642-
2024-02-29Fine$36,394-

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