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★)
3/5
Health inspection rating (on-site)
inspected May 14, 2026
5
Serious findings on record
most recent Jun 5, 2026
$52,036
Fines, last 3 years
2.96
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
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, isolated · 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): Immediate jeopardy to resident health or safety was cited. 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: Jul 16, 2024 (Past Non-Compliance)
▲ Immediate jeopardy, isolated · 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): Immediate jeopardy to resident health or safety was cited. 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: Mar 1, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, isolated · 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): Immediate jeopardy to resident health or safety was cited. 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: Mar 1, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, isolated · 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): Immediate jeopardy to resident health or safety was cited. 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: Mar 1, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · 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): 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: Jul 16, 2026 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 16 inspection findings. Open the full record below to read every finding.
G · Actual harm, isolated
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 complaintF-0684
D · Potential for more than minimal harm, isolated
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. F-0644
D · Potential for more than minimal harm, isolated
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
View all 16 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.
Date
Severity
What the facility was cited for
Jun 5, 2026
▲ G · Actual harm, isolated
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 · F-0684
May 14, 2026
D · Potential for more than minimal harm, isolated
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. · F-0644
May 14, 2026
D · Potential for more than minimal harm, isolated
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
May 14, 2026
D · Potential for more than minimal harm, isolated
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. · F-0880
May 14, 2026
C · Potential for minimal harm, widespread
The facility did not dispose of garbage and refuse properly. · F-0814
Dec 3, 2025
D · Potential for more than minimal harm, isolated
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 · F-0755
Mar 6, 2025
D · Potential for more than minimal harm, isolated
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 · F-0677
Mar 6, 2025
D · Potential for more than minimal harm, isolated
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 · F-0880
Aug 22, 2024
D · Potential for more than minimal harm, isolated
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 · F-0550
Jul 19, 2024
▲ J · Immediate jeopardy, isolated
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 · F-0686
Apr 29, 2024
D · Potential for more than minimal harm, isolated
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 · F-0677
Feb 29, 2024
▲ J · Immediate jeopardy, isolated
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 · F-0600
Feb 29, 2024
▲ J · Immediate jeopardy, isolated
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 · F-0607
Feb 29, 2024
▲ J · Immediate jeopardy, isolated
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 · F-0610
Feb 29, 2024
D · Potential for more than minimal harm, isolated
The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842
Jan 12, 2024
D · Potential for more than minimal harm, isolated
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 · F-0625
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 4).
Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2024
All citations:
8
Serious citations (G–L):
4
2025
All citations:
3
Serious citations (G–L):
0
2026
All citations:
5
Serious citations (G–L):
1
All bars start at zero. Exact values and supporting details remain below.
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.
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.
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)
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:
2.96
Texas average:
3.46
U.S. average:
3.95
Registered Nurse hours
This facility:
0.38
Texas average:
0.44
U.S. average:
0.69
Weekend total nurse staffing
This facility:
2.65
Texas average:
3.04
U.S. average:
3.50
All bars start at zero. Exact values and supporting details remain below.
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 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 3.09, RN 0.40, weekend 2.76.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.09 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.
No verified facility-specific private-pay price is available in our data for Windsor Quail Valley Post-Acute Healthcare. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
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
Showing 20 of 41 parties CMS has on file for this facility; 21 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.
CMS records place this facility in Fort Bend, TX — 15 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
Facility data as of CMS processing date 2026-08-01. CCN 676371.
This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).
The Care File
Visit checklist — Windsor Quail Valley Post-Acute Healthcare
3640 Hampton Dr, Missouri City, TX 77459 · (281) 778-5144
Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $52,036
Most serious findings on record:
▲ Jul 19, 2024 (F-0686, Immediate jeopardy, isolated): 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.
▲ Feb 29, 2024 (F-0600, Immediate jeopardy, isolated): 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.
▲ Feb 29, 2024 (F-0607, Immediate jeopardy, isolated): 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.
Questions for the administrator:
☐ "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?"
☐ "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 42% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "The ownership record on file lists 41 owning or managing parties — who makes the decisions about staffing levels?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"
While you're there, notice:
☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)
Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 676371 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)