WINDSOR QUAIL VALLEY POST-ACUTE HEALTHCARE
Open-data reference.
WINDSOR QUAIL VALLEY POST-ACUTE HEALTHCARE is a government - hospital district facility in MISSOURI CITY, TX with 120 certified beds and a 2-star overall CMS rating. The facility has 15 deficiency records on file. Total penalties: $52K.
3640 HAMPTON DR, MISSOURI CITY, TX 77459
Phone: 2817785144
Overall Rating
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 676371
- Ownership
- Government - Hospital district
- Provider Type
- Medicare and Medicaid
- Beds
- 120
- Residents
- 101
- In Hospital
- No
- County
- Fort Bend
- Last Inspection
- Mar 6, 2025
Staffing Data
- RN Hours
- 0.38 (nat'l avg: 0.68)
- LPN Hours
- 0.67
- CNA Hours
- 1.85
- Total Nursing Hours
- 2.90 (nat'l avg: 3.89)
- PT Hours
- 0.08
- Nursing Turnover
- 52.3%
- RN Turnover
- 60.0%
What the CMS Record Reveals About WINDSOR QUAIL VALLEY POST-ACUTE HEALTHCARE
WINDSOR QUAIL VALLEY POST-ACUTE HEALTHCARE operates 120 certified beds in MISSOURI CITY, TX with approximately 101 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (1★), and quality measures (4★). 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.
The inspection file contains 15 deficiency records from recent surveys, of which 4 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 2 penalties totaling $52K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 2.90 total nursing hours per resident day (national average 3.89), with RN coverage at 0.38 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.
Classified as "Government - Hospital district" ownership and operating as a "Medicare and Medicaid" provider, WINDSOR QUAIL VALLEY POST-ACUTE HEALTHCARE falls into a category where comparative context matters. 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. Reported nursing turnover at this facility is 52.3%, above the level where continuity of care typically begins to suffer. 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 details directly with the facility or your state survey agency before making placement decisions.
Deficiency History (15 most recent)
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: Jan 2, 2026
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Mar 11, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 11, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Category: Resident Rights Deficiencies
Corrected: Aug 29, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 16, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: May 17, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Mar 1, 2024
Respond appropriately to all alleged violations.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Mar 1, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Mar 1, 2024
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: Mar 1, 2024
Notify 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.
Category: Resident Rights Deficiencies
Corrected: Jan 25, 2024
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Nov 11, 2022
Ensure medication error rates are not 5 percent or greater.
Category: Pharmacy Service Deficiencies
Corrected: Nov 11, 2022
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: Nov 11, 2022
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Nov 11, 2022
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 8.9% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 0.0% | No |
| 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 who have depressive symptoms | Long Stay | 0.3% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.4% | Yes |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 99.7% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 100.0% | No |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.8% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.5% | Yes |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 12.3% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 100.0% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 100.0% | No |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 9.7% | Yes |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 5.9% | No |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 9.1% | Yes |
Penalty History 2 penalties totaling $52K
| Date | Type | Amount |
|---|---|---|
| Jul 19, 2024 | Fine | $16K |
| Feb 29, 2024 | Fine | $36K |
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Frequently Asked Questions
What is the overall CMS rating for WINDSOR QUAIL VALLEY POST-ACUTE HEALTHCARE?
What are the staffing levels at WINDSOR QUAIL VALLEY POST-ACUTE HEALTHCARE?
How many beds does WINDSOR QUAIL VALLEY POST-ACUTE HEALTHCARE have?
Does WINDSOR QUAIL VALLEY POST-ACUTE HEALTHCARE have any deficiencies on record?
Has WINDSOR QUAIL VALLEY POST-ACUTE HEALTHCARE received any fines or penalties?
Who owns WINDSOR QUAIL VALLEY POST-ACUTE HEALTHCARE?
When was WINDSOR QUAIL VALLEY POST-ACUTE HEALTHCARE last inspected?
What quality measures are tracked for WINDSOR QUAIL VALLEY POST-ACUTE HEALTHCARE?
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. Always verify information directly with the facility or your state health department.
Read our methodology — how this data is sourced, computed, and verified.