Windsor Quail Valley Post-Acute Healthcare
3640 Hampton Dr, Missouri City, TX 77459 · Fort Bend County · 120 certified beds · avg 95 residents/day · certified since Sep 23, 2014
Part of chain: WELLSENTIAL HEALTH (67 facilities, chain avg rating 2.7★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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 self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Jul 19, 2024 · F-0686 · triggered by a complaint
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jul 16, 2024 (Past Non-Compliance)
▲ Immediate jeopardy, one-off · Feb 29, 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 (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Mar 1, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Feb 29, 2024 · F-0607 · triggered by a complaint
The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Why it matters: Without working prevention policies, mistreatment is more likely to happen and less likely to be caught.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Mar 1, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Feb 29, 2024 · F-0610 · triggered by a complaint
The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Why it matters: When allegations aren't investigated, harm to residents can continue unchecked.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Mar 1, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jun 5, 2026 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jul 16, 2026 (Deficient, Provider has date of correction)
All citations in the current public record (16)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 5, 2026 | ▲ G · Actual harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| May 14, 2026 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| May 14, 2026 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| May 14, 2026 | D · Potential for harm, one-off | The 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. |
| May 14, 2026 | C · Minimal risk, facility-wide | The facility did not dispose of garbage and refuse properly. |
| Dec 3, 2025 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Mar 6, 2025 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint |
| Mar 6, 2025 | D · Potential for harm, one-off | The 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 |
| Aug 22, 2024 | D · Potential for harm, one-off | The 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 |
| Jul 19, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint |
| Apr 29, 2024 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint |
| Feb 29, 2024 | ▲ J · Immediate jeopardy, one-off | 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. · from a complaint |
| Feb 29, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint |
| Feb 29, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Feb 29, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Jan 12, 2024 | D · Potential for harm, one-off | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · from a complaint |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 8 | 4 | J ▲ |
| 2025 | 3 | 0 | D |
| 2026 | 5 | 1 | G ▲ |
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)
2 fines totaling $52,036.
| Date | Type | Amount / length |
|---|---|---|
| Jul 19, 2024 | Fine | $15,642 |
| Feb 29, 2024 | Fine | $36,394 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.96 | 3.46 | 3.95 | bottom 22% in Texas; bottom 13% in the U.S. |
| Registered Nurse hours | 0.38 | 0.44 | 0.69 | bottom 48% in Texas; bottom 19% in the U.S. |
| Weekend total nurse staffing | 2.65 | 3.04 | 3.50 | bottom 26% in Texas; bottom 14% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.29 | 0.34 | 0.48 | bottom 48% in Texas; bottom 29% in the U.S. |
| Total nursing staff turnover (%) | 41.7 | 55.3 | 45.8 | top 25% in Texas; top 41% in the U.S. |
| RN turnover (%) | 38.5 | 54.6 | 42.9 | top 29% in Texas; top 44% in the U.S. |
Hours are per resident per day, 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 3.09, RN 0.40, weekend 2.76. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Oakbend Medical Center | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/28/2015 |
| 3640 Hampton Drive LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/28/2015 |
| Baird, Daniel | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/13/2021 |
| Clapp, Barbara | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/01/2021 |
| Cortese, Daren | Individual | Managing Control - Governing Body | NOT APPLICABLE | 08/10/2021 |
| Crayton, Tom | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/15/2013 |
| CSV Rhea Management Holdco, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/28/2015 |
| Dekowski, Donovan | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/28/2015 |
| Dekowski, Donovan | Individual | ADP of the SNF | NOT APPLICABLE | 02/28/2015 |
| Dorman, John | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/18/2022 |
| DWD TX Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/28/2015 |
| Freudenberger, Joseph | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/28/2015 |
| Freudenberger, Joseph | Individual | Corporate Officer | NOT APPLICABLE | 01/28/2015 |
| Gibbs, Christina | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Gibson, Patricia | Individual | Managing Control - Governing Body | NOT APPLICABLE | 08/01/2021 |
| Haley, Jeff | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/15/2016 |
| Hughes, Ruston | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2024 |
| Jack and Nancy Dwyer Workforce Development Center INC | Organization | ADP of the SNF | NOT APPLICABLE | 02/28/2015 |
| Jacobs, Rosa | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Johnson, Demon | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/11/2021 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Chelsea Gardens | 0.6 mi | Missouri City, TX | ★☆☆☆☆ | 2/5 | |
| Park Manor of Quail Valley | 1.2 mi | Missouri City, TX | ★★☆☆☆ | 2/5 | |
| Paradigm at First Colony | 2.5 mi | Missouri City, TX | ★☆☆☆☆ | 1/5 | |
| Ignite Medical Resort Sugar Land, LLC | 5.1 mi | Sugar Land, TX | ★☆☆☆☆ | 2/5 | |
| Sugar Land Health Care Center | 5.6 mi | Sugar Land, TX | ★★★☆☆ | 3/5 | |
| The Crescent | 5.9 mi | Sugar Land, TX | ★☆☆☆☆ | 1/5 | |
| Focused Care at Westwood | 7.9 mi | Houston, TX | ★★★☆☆ | 3/5 | |
| Paradigm at Westbury | 8.2 mi | Houston, TX | ★☆☆☆☆ | 1/5 | |
| Houston Transitional Care | 8.4 mi | Houston, TX | ★★★☆☆ | 4/5 | |
| West Houston Rehabilitation and Healthcare Center | 8.5 mi | Houston, TX | ★☆☆☆☆ | 1/5 | |
| Seven Acres Jewish Senior Care Services | 8.6 mi | Houston, TX | ★★★★☆ | 3/5 | |
| Focused Care at Beechnut | 8.8 mi | Houston, TX | ★★☆☆☆ | 1/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 676371.