Texas ›Austin

Windsor Nursing and Rehabilitation Center of Duval

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5301 W Duval Rd, Austin, TX 78727 (opens Google Maps) · Travis County · (512) 345-1805· 206 certified beds · avg 200 residents/day · certified since Feb 21, 2003 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: WELLSENTIAL HEALTH (67 facilities, chain avg rating 2.7★)

2/5
Health inspection rating (on-site)
inspected May 22, 2026
2
Serious findings on record
most recent Sep 9, 2024
$23,341
Fines, last 3 years
2.81
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5 · how star ratings work →

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, widespread · Jan 27, 2024 · F-0921 · triggered by a complaint

The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.

Why it matters: An unsafe or unclean environment raises the risk of falls, infections, and daily discomfort for residents.

Severity (L): Immediate jeopardy to resident health or safety was cited. The scope was widespread: a systemic or pervasive problem. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Jan 28, 2024 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · Sep 9, 2024 · F-0600 · triggered by a complaint

The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.

Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Aug 6, 2024 (Past Non-Compliance)

Inspection findings in the public record

Showing the latest 3 of 33 inspection findings. Open the full record below to read every finding.

  1. E · Potential for more than minimal harm, pattern

    The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. F-0605

  2. E · Potential for more than minimal harm, pattern

    The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. F-0755

  3. E · Potential for more than minimal harm, pattern

    The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. F-0760

View all 33 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
May 22, 2026E · Potential for more than minimal harm, patternThe facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. · F-0605
May 22, 2026E · Potential for more than minimal harm, patternThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
May 22, 2026E · Potential for more than minimal harm, patternThe facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · F-0760
May 22, 2026E · Potential for more than minimal harm, patternThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
May 22, 2026D · Potential for more than minimal harm, isolatedThe facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · F-0558
May 22, 2026D · Potential for more than minimal harm, isolatedThe facility did not keep residents' personal and medical information private and confidential. · F-0583
May 22, 2026D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
May 22, 2026D · Potential for more than minimal harm, isolatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Apr 15, 2026D · Potential for more than minimal harm, isolatedThe facility did not let a resident or their legal representative see or buy copies of the resident's own records. · from a complaint · F-0573
Jun 27, 2025D · Potential for more than minimal harm, isolatedThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609
Apr 2, 2025E · Potential for more than minimal harm, patternThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550
Apr 2, 2025E · Potential for more than minimal harm, patternThe facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · F-0803
Apr 2, 2025E · Potential for more than minimal harm, patternThe facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804
Apr 2, 2025E · Potential for more than minimal harm, patternThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Apr 2, 2025E · Potential for more than minimal harm, patternThe facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · F-0919
Apr 2, 2025D · Potential for more than minimal harm, isolatedThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657
Apr 2, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695
Apr 2, 2025D · Potential for more than minimal harm, isolatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Sep 19, 2024D · Potential for more than minimal harm, isolatedThe facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · from a complaint · F-0756
Sep 9, 2024▲ G · Actual harm, isolatedThe facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600
May 18, 2024D · Potential for more than minimal harm, isolatedThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609
Jan 27, 2024▲ L · Immediate jeopardy, widespreadThe facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint · F-0921
Jan 27, 2024E · Potential for more than minimal harm, patternThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint · F-0550
Jan 27, 2024E · Potential for more than minimal harm, patternThe facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · from a complaint · F-0756
Jan 27, 2024E · Potential for more than minimal harm, patternThe facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint · F-0925
Jan 27, 2024D · Potential for more than minimal harm, isolatedThe facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · from a complaint · F-0578
Jan 27, 2024D · Potential for more than minimal harm, isolatedThe facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · from a complaint · F-0655
Jan 27, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint · F-0695
Jan 27, 2024D · Potential for more than minimal harm, isolatedThe facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · from a complaint · F-0759
Jan 27, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. · from a complaint · F-0806
Jan 27, 2024D · Potential for more than minimal harm, isolatedThe facility did not have policies on smoking. · from a complaint · F-0926
Dec 1, 2023E · Potential for more than minimal harm, patternThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880
Oct 4, 2023E · Potential for more than minimal harm, patternThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint · F-0812

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (8 → 8).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 2
Serious citations (G–L): 0
2024
All citations: 13
Serious citations (G–L): 2
2025
All citations: 9
Serious citations (G–L): 0
2026
All citations: 9
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202320E
2024132L ▲
202590E
202690E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

2 fines totaling $23,341.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

DateTypeAmount / length
Sep 9, 2024Fine$5,736
Jan 27, 2024Fine$17,605

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityTexas averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 2.81
Texas average: 3.46
U.S. average: 3.95
Registered Nurse hours
This facility: 0.44
Texas average: 0.44
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.55
Texas average: 3.04
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityTexas avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)2.813.463.95bottom 12% in Texas; bottom 8% in the U.S.
Registered Nurse hours0.440.440.69top 37% in Texas; bottom 28% in the U.S.
Weekend total nurse staffing2.553.043.50bottom 19% in Texas; bottom 11% in the U.S.
Weekend RN hours (not acuity-adjusted)0.390.340.48top 27% in Texas; top 50% in the U.S.
Total nursing staff turnover (%)40.255.345.8top 21% in Texas; top 37% in the U.S.
RN turnover (%)25.054.642.9top 11% in Texas; top 20% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.93, RN 0.46, weekend 2.66.Comparing with Medicare Care Compare? Care Compare shows the raw figure (2.93 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Windsor Nursing and Rehabilitation Center of Duval. CMS inspection and staffing records do not tell us what this home will charge you.

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Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

Government - Hospital district

Owner / managerTypeRoleStakeSince
DWD TX Holdings LLCOrganizationIndirect Ownership InterestNOT APPLICABLE04/01/2022
Jack and Nancy Dwyer Workforce Development Center INCOrganizationIndirect Ownership InterestNOT APPLICABLE04/01/2022
Reg HG Opco I, LLCOrganizationIndirect Ownership InterestNOT APPLICABLE04/01/2022
Reg HG Opco LLCOrganizationIndirect Ownership InterestNOT APPLICABLE04/01/2022
Reg Operator Holdco LLCOrganizationIndirect Ownership InterestNOT APPLICABLE04/01/2022
Regency Ihs of Windsor Duval LLCOrganizationDirect Ownership InterestNOT APPLICABLE04/01/2022
Regency Integrated Health Services LLCOrganizationIndirect Ownership InterestNOT APPLICABLE04/01/2022
Regency Texas Holdings LLCOrganizationIndirect Ownership InterestNOT APPLICABLE04/01/2022
Val Verde County Hospital DistrictOrganization5% or Greater Direct Ownership Interest100%04/01/2022
5301 West Duval Road LLCOrganizationADP of the SNFNOT APPLICABLE04/01/2022
Baird, DanielIndividualManaging Control - Governing BodyNOT APPLICABLE04/13/2021
Carvajal, AntonioIndividualManaging Control - Governing BodyNOT APPLICABLE05/16/2024
Clapp, BarbaraIndividualManaging Control - Governing BodyNOT APPLICABLE06/01/2021
Cortese, DarenIndividualManaging Control - Governing BodyNOT APPLICABLE08/10/2021
Dekowski, DonovanIndividualOperational/Managerial ControlNOT APPLICABLE04/01/2022
Dekowski, DonovanIndividualADP of the SNFNOT APPLICABLE04/01/2022
Diaz, CrisIndividualManaging Control - Governing BodyNOT APPLICABLE05/25/2022
Faxigue, BlaiseIndividualADP of the SNFNOT APPLICABLE01/01/2025
Gibson, PatriciaIndividualManaging Control - Governing BodyNOT APPLICABLE08/01/2021
Gonzales, VeronicaIndividualManaging Control - Governing BodyNOT APPLICABLE05/16/2024

Showing 20 of 39 parties CMS has on file for this facility; 19 are not displayed. The full list is in the CMS Ownership dataset.

Other facilities in the same chain

CMS lists this facility under the chain Wellsential Health — 67 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 66 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
  • "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
  • "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
  • "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
  • "What systems do you use to prevent medication errors, and what happens when one occurs?"
  • "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
  • "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
  • "How do you protect residents' privacy, both in their medical records and in day-to-day care?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the Texas midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 40% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 39 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 40 within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Austin Wellness & Rehabilitation2.4 miAustin, TX★☆☆☆☆1/5
Avir at Park Bend2.5 miAustin, TX★★★☆☆3/5
Gracy Woods Nursing Center2.7 miAustin, TX—/5SFF
Gracy Woods II Living Center2.9 miAustin, TX★★★★☆4/5
Sage Park Austin3.3 miAustin, TX★★★☆☆3/5
Coral Rehabilitation and Nursing of Austin5.0 miAustin, TX★☆☆☆☆1/5abuseSFF
Ignite Medical Resort Round Rock, LLC5.1 miAustin, TX★★☆☆☆1/5
Legend Oaks Healthcare and Rehabilitation - North5.6 miAustin, TX★☆☆☆☆1/5abuse
The Center at Parmer5.9 miAustin, TX★★★★★4/5
Sedona Trace Health and Wellness Center6.5 miAustin, TX★★★☆☆4/5
Park Valley Inn Health Center6.7 miRound Rock, TX★★☆☆☆1/5abuse
Hearthstone Nursing and Rehabilitation6.7 miRound Rock, TX★★★☆☆3/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Travis, TX — 28 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Austin →

Facility data as of CMS processing date 2026-08-01. CCN 675956.

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