PlainNursing
CMS Nursing Home Compare · August 2026

Windsor Nursing and Rehabilitation Center of Alice

606 Coyote Tr, Alice, TX 78332

Windsor Nursing and Rehabilitation Center of Alice, a 136-bed government - hospital district nursing facility in Alice, TX, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #709 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 3 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 3616645479

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2 / 5
Below average · CMS overall · nat'l 3.0
#709 of 1,165
In-state rank among rated TX homes
3.20
Well below average · nurse hrs/day · nat'l 3.86
25
Inspection findings · 3 serious

The verdict

Windsor Nursing and Rehabilitation Center of Alice, a 136-bed government - hospital district nursing facility in Alice, TX, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #709 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 3 inspection findings reached the actual-harm or immediate-jeopardy level.

2 / 5
CMS overall · national 3.0
#709 of 1,165
In-state rank among rated TX homes
3.20
Nurse hrs/resident-day · national 3.86
25
Inspection findings · 3 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 1,177 TX nursing homes split by ownership sector

This facility is recorded as Government - Hospital district. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

3/5

Staffing

1/5

Quality Measures

4/5

Long-Stay Quality

4/5

Facility Information

Provider Number
675309
Ownership
Government - Hospital district
Provider Type
Medicare and Medicaid
Beds
136
Residents
74
In Hospital
No
County
Jim Wells
Last Inspection
Apr 1, 2026

Staffing Data

How the 3.20 total nursing hours per resident-day are staffed:

RN Hours
0.21 (nat'l avg: 0.69)
LPN Hours
1.03
CNA Hours
1.96
Total Nursing Hours
3.20 (nat'l avg: 3.86)
PT Hours
0.05
Nursing Turnover
41.4%

What the CMS Record Reveals About Windsor Nursing and Rehabilitation Center of Alice

According to CMS Nursing Home Compare, Windsor Nursing and Rehabilitation Center of Alice ranks #709 of 1,165 rated nursing homes in TX on overall stars (tie-broken by health+staffing+quality, then fewer fines). Windsor Nursing and Rehabilitation Center of Alice operates 136 certified beds in Alice, TX with approximately 74 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 3★ · staffing 1★ · quality 4★).

The inspection file contains 25 deficiency records from recent surveys, of which 3 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS enforcement records show 3 penalties totaling $31K levied against this facility. Reported nurse staffing runs 3.20 total hours per resident day (national average 3.86); RN hours specifically are 0.21 per resident day.

Classified as "Government - Hospital district" ownership and operating as a "Medicare and Medicaid" provider, Windsor Nursing and Rehabilitation Center of Alice falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 41.4% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (25 most recent)

D - Isolated - Minimal harm Apr 1, 2026 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 2, 2026

D - Isolated - Minimal harm Apr 1, 2026 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Apr 2, 2026

D - Isolated - Minimal harm Apr 1, 2026 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 2, 2026

D - Isolated - Minimal harm Apr 1, 2026 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 2, 2026

D - Isolated - Minimal harm Apr 1, 2026 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 2, 2026

E - Pattern - Minimal harm Apr 1, 2026 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 2, 2026

D - Isolated - Minimal harm Mar 3, 2026 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: Mar 4, 2026

D - Isolated - Minimal harm Dec 9, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Dec 10, 2025

E - Pattern - Minimal harm Jul 3, 2025 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 4, 2025

J - Isolated - Jeopardy Jul 3, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 4, 2025

J - Isolated - Jeopardy Jul 3, 2025 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 23, 2025

C - Widespread - No harm Feb 26, 2025 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Mar 10, 2025

D - Isolated - Minimal harm Feb 26, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 10, 2025

D - Isolated - Minimal harm Feb 26, 2025 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Mar 10, 2025

D - Isolated - Minimal harm Feb 26, 2025 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 10, 2025

D - Isolated - Minimal harm Feb 26, 2025 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 10, 2025

D - Isolated - Minimal harm Feb 26, 2025 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 10, 2025

F - Widespread - Minimal harm Feb 26, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 10, 2025

J - Isolated - Jeopardy Jan 3, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 4, 2024

D - Isolated - Minimal harm Dec 7, 2023 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 28, 2023

F - Widespread - Minimal harm Dec 7, 2023 Tag: 0908

Keep all essential equipment working safely.

Category: Environmental Deficiencies

Corrected: Dec 28, 2023

F - Widespread - Minimal harm Dec 7, 2023 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 28, 2023

D - Isolated - Minimal harm Nov 2, 2023 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Nov 3, 2023

D - Isolated - Minimal harm Aug 3, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 11, 2023

D - Isolated - Minimal harm Aug 3, 2023 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 11, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 15.5% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.4% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 17.7% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 3.7% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 3.5% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.6% Yes
Percentage of long-stay residents who lose too much weight Long Stay 6.1% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 96.6% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 23.3% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 98.2% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 14.4% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 90.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 83.6% No

Penalty History 3 penalties totaling $31K

Date Type Amount
Jul 3, 2025 Fine $9K
Jul 3, 2025 Fine $14K
Jan 3, 2025 Fine $8K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Windsor Nursing and Rehabilitation Center of Alice, both outside TX so the neighborhoods are not the same-state geography list below.

What the CMS records show for Windsor Nursing and Rehabilitation Center of Alice

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The TX registry aggregates state averages and the highest-rated homes in this cohort. View TX registry
  • Peer homes near 136 beds show how CMS stars vary at a similar scale in TX. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Windsor Nursing and Rehabilitation Center of Alice?
Windsor Nursing and Rehabilitation Center of Alice has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (3★), staffing levels (1★), and quality measures (4★).
Where does Windsor Nursing and Rehabilitation Center of Alice rank among nursing homes in TX?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Windsor Nursing and Rehabilitation Center of Alice ranks 709th among 1,165 rated nursing homes in TX (#709 of 1,165). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Windsor Nursing and Rehabilitation Center of Alice?
Windsor Nursing and Rehabilitation Center of Alice reports 3.20 total nursing hours per resident day (national average: 3.86). RN hours are 0.21 per resident day (national average: 0.69). Nursing staff turnover is 41.4%.
How many beds does Windsor Nursing and Rehabilitation Center of Alice have?
Windsor Nursing and Rehabilitation Center of Alice has 136 certified beds with approximately 74 residents. The facility is located at 606 Coyote Tr, Alice, TX 78332.
Does Windsor Nursing and Rehabilitation Center of Alice have any deficiencies on record?
Yes, Windsor Nursing and Rehabilitation Center of Alice has 25 deficiencies on record from recent inspections. Of these, 3 are classified as causing actual harm or jeopardy.
Has Windsor Nursing and Rehabilitation Center of Alice received any fines or penalties?
Yes, Windsor Nursing and Rehabilitation Center of Alice has received 3 penalties totaling $31K.
Who owns Windsor Nursing and Rehabilitation Center of Alice?
Windsor Nursing and Rehabilitation Center of Alice is classified as "Government - Hospital district" ownership. The facility type is "Medicare and Medicaid".
When was Windsor Nursing and Rehabilitation Center of Alice last inspected?
The most recent health inspection for Windsor Nursing and Rehabilitation Center of Alice was on Apr 1, 2026. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for Windsor Nursing and Rehabilitation Center of Alice?
Windsor Nursing and Rehabilitation Center of Alice is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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