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CMS Nursing Home Compare · August 2026

Windsor Nursing and Rehabilitation Center of Bastr

400 Old Austin HWY, Bastrop, TX 78602

Windsor Nursing and Rehabilitation Center of Bastr, a 96-bed government - hospital district nursing facility in Bastrop, TX, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #689 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding 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: 5123212529

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2 / 5
Below average · CMS overall · nat'l 3.0
#689 of 1,165
In-state rank among rated TX homes
2.88
Well below average · nurse hrs/day · nat'l 3.86
17
Inspection findings · 1 serious

The verdict

Windsor Nursing and Rehabilitation Center of Bastr, a 96-bed government - hospital district nursing facility in Bastrop, TX, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #689 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

2 / 5
CMS overall · national 3.0
#689 of 1,165
In-state rank among rated TX homes
2.88
Nurse hrs/resident-day · national 3.86
17
Inspection findings · 1 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
675356
Ownership
Government - Hospital district
Provider Type
Medicare and Medicaid
Beds
96
Residents
48
In Hospital
No
County
Bastrop
Last Inspection
Jul 17, 2025

Staffing Data

How the 2.88 total nursing hours per resident-day are staffed:

RN Hours
0.44 (nat'l avg: 0.69)
LPN Hours
0.93
CNA Hours
1.51
Total Nursing Hours
2.88 (nat'l avg: 3.86)
PT Hours
0.03
Nursing Turnover
45.0%
RN Turnover
57.1%

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

According to CMS Nursing Home Compare, Windsor Nursing and Rehabilitation Center of Bastr ranks #689 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 Bastr operates 96 certified beds in Bastrop, TX with approximately 48 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 17 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $16K against this provider. Reported nurse staffing runs 2.88 total hours per resident day (national average 3.86); RN hours specifically are 0.44 per resident day.

Classified as "Government - Hospital district" ownership and operating as a "Medicare and Medicaid" provider, Windsor Nursing and Rehabilitation Center of Bastr falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 45.0% (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 (17 most recent)

D - Isolated - Minimal harm Jun 30, 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: Jul 23, 2026

D - Isolated - Minimal harm Jun 30, 2026 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: Jul 23, 2026

D - Isolated - Minimal harm Jun 30, 2026 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 23, 2026

D - Isolated - Minimal harm Jun 30, 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: Jul 23, 2026

H - Pattern - Actual harm Feb 5, 2026 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

D - Isolated - Minimal harm Jul 17, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 5, 2025

D - Isolated - Minimal harm Jul 17, 2025 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 5, 2025

E - Pattern - Minimal harm Jul 17, 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: Aug 5, 2025

D - Isolated - Minimal harm Mar 30, 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: Apr 7, 2025

C - Widespread - No harm Jun 11, 2024 Tag: 0912

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Category: Environmental Deficiencies

Corrected: Jun 18, 2024

C - Widespread - No harm Jun 11, 2024 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Jun 18, 2024

D - Isolated - Minimal harm Jun 11, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 18, 2024

D - Isolated - Minimal harm Jun 11, 2024 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Jun 18, 2024

E - Pattern - Minimal harm Jun 11, 2024 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Jun 18, 2024

F - Widespread - Minimal harm Jun 11, 2024 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: Jun 18, 2024

C - Widespread - No harm Apr 27, 2023 Tag: 0912

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Category: Environmental Deficiencies

Corrected: Apr 28, 2023

E - Pattern - Minimal harm Apr 27, 2023 Tag: 0803

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 28, 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 19.0% 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 0.0% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.2% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 21.2% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 2.2% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 8.8% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 4.1% No
Percentage of long-stay residents who have depressive symptoms Long Stay 1.8% 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 100.0% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 17.2% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 6.9% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 98.4% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 100.0% No

Penalty History 1 penalties totaling $16K

Date Type Amount
Feb 5, 2026 Fine $16K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Windsor Nursing and Rehabilitation Center of Bastr, 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 Bastr

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 96 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 Bastr?
Windsor Nursing and Rehabilitation Center of Bastr 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 Bastr 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 Bastr ranks 689th among 1,165 rated nursing homes in TX (#689 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 Bastr?
Windsor Nursing and Rehabilitation Center of Bastr reports 2.88 total nursing hours per resident day (national average: 3.86). RN hours are 0.44 per resident day (national average: 0.69). Nursing staff turnover is 45.0%.
How many beds does Windsor Nursing and Rehabilitation Center of Bastr have?
Windsor Nursing and Rehabilitation Center of Bastr has 96 certified beds with approximately 48 residents. The facility is located at 400 Old Austin HWY, Bastrop, TX 78602.
Does Windsor Nursing and Rehabilitation Center of Bastr have any deficiencies on record?
Yes, Windsor Nursing and Rehabilitation Center of Bastr has 17 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Windsor Nursing and Rehabilitation Center of Bastr received any fines or penalties?
Yes, Windsor Nursing and Rehabilitation Center of Bastr has received 1 penalties totaling $16K.
Who owns Windsor Nursing and Rehabilitation Center of Bastr?
Windsor Nursing and Rehabilitation Center of Bastr is classified as "Government - Hospital district" ownership. The facility type is "Medicare and Medicaid".
When was Windsor Nursing and Rehabilitation Center of Bastr last inspected?
The most recent health inspection for Windsor Nursing and Rehabilitation Center of Bastr was on Jul 17, 2025. 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 Bastr?
Windsor Nursing and Rehabilitation Center of Bastr 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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