Home›Texas›Dallas County›WINDSOR GARDENS
D
Poor

WINDSOR GARDENS

2535 W PLEASANT RUN · LANCASTER, TX 75146

9722288029 · For profit - Corporation

150 beds99.1 residents151 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

WINDSOR GARDENS receives an overall staffing grade of D (Poor). With 3.4103 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.3478 HPRD, below the recommended 0.75. It is 0.49 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 15.67% compared to weekdays. The facility has low agency staff usage (0.82% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.4103 HPRD — needs 0.07 more hours per resident per day.
⚠️RN staffing (0.3478 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0.82%) — mostly permanent, familiar staff
Total Nurse HPRD
3.4103hrs/resident/day▼ 0.49
CMS benchmark: 3.48
RN HPRD
0.3478hrs/resident/day▼ 0.34
Recommended: 0.75
Weekend Drop-off
15.67%
3.5683 weekday → 3.0092 weekend
Agency Staff
0.82%
7.28% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.7261hrs/resident/day
Direct care aides
LPN HPRD
1.1508hrs/resident/day
Licensed practical nurses
Consistency
0.3421std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Dallas County Average+0.06 HPRD
3.35
03.41 HPRD
vs. Texas State Average+0.01 HPRD
3.40
03.41 HPRD
vs. National Average-0.49 HPRD
3.90
03.41 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
WINDSOR GARDENS ★
LANCASTER · This facility
—
D
3.41030.3478★★★☆☆
Park Village Healthcare and Rehabilitation
Desoto
3.2 mi
F
3.28490.1917★★☆☆☆
SKYLINE NURSING CENTER
DALLAS
8.2 mi
C
3.00810.425★☆☆☆☆
HERITAGE AT TURNER PARK HEALTH & REHAB
GRAND PRAIRIE
14.6 mi
F
3.050.2073★★★☆☆
Focused Care of Waxahachie
Waxahachie
14.6 mi
F
2.660.187★☆☆☆☆
ARLINGTON RESIDENCE AND REHABILITATION CENTER
ARLINGTON
16.5 mi
D
2.9260.3975★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

12
Inspections
20
Total Deficiencies
$13,877
Fines Assessed
Dec 8, 2025Health
1 deficiency cited
▼
Aug 23, 2025Health
3 deficiencies cited
▼
May 21, 2025Health
2 deficiencies cited
▼
Nov 7, 2024Health
5 deficiencies cited
▼
Aug 28, 2024Health
1 deficiency cited
▼
Aug 26, 2024Health
1 deficiency cited
▼
Jun 22, 2024Health
2 deficiencies cited· Includes actual harm
▼
Jun 11, 2024Health
1 deficiency cited
▼
Oct 5, 2023Health
1 deficiency cited
▼
Jul 14, 2023Health
1 deficiency cited
▼
Feb 21, 2023Health
1 deficiency cited
▼
Aug 17, 2022Health
1 deficiency cited
▼

Penalty History

Jun 11, 2024Fine
$13,877
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.