Lancaster, TX · less than 1 mile away
Windsor Gardens
⌖ Lancaster, TX · Dallas County
No photos yet
Medicare overall rating 2 of 5 stars
Certified beds150
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (corporation)
About Windsor Gardens
Windsor Gardens is a 150-bed for-profit nursing home in Lancaster, TX. Medicare rates it 2 out of 5 stars overall (below average); the average in Texas is 2.7. At its last full inspection (Jan 2026), inspectors found 11 problems, close to the Texas average of 9.4. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 3 hr 26 min a day with each resident, about the same as the Texas average of 3 hr 23 min. About 56% of its nursing staff left in the past year. Medicare fined it $13,877 in the last three years. Its quality ratings are similar for short-term rehab (4 of 5) and long-term care (5 of 5).
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Key details
Facility nameWindsor Gardens
LocationDallas County, Texas
Phone(972) 228-8029
Address2535 W Pleasant Run, Lancaster, TX 75146 · Dallas County
CMS provider number455832
Ownership typeFor-profit (corporation)
Operating companyCantex Continuing Care · 37 homes
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceAugust 2, 1989 (37 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
1 strength and 2 things to ask about in Medicare's inspection, fine and staffing records for this home.
Strengths
- Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Dec 2025.Strength
About average
- Health citations at last inspection11 (Jan 2026)Texas average: 9.4. Most citations are minor and corrected within weeks.About average
- Nurse staffing per resident3 hr 26 min a dayTexas average: 3 hr 23 minAbout average
- Nursing staff turnover56% a yearTexas average: 55%About average
Things to ask about
This home hasn’t responded to these yet. Represent this home? Respond →
- Fines and penalties1 fine totaling $13,877Federal penalties from the last three years, most recently in Jun 2024 (about 2 years ago). The national average is $30,972 per home.Worth asking about
- Registered nurse time per resident22 min a dayTexas average: 26 minWorse than state average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Texas average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Sent back to the hospital28.1%State average: 25.7%About average
- Needed an emergency room visit11.0%State average: 12.3%About average
- Newly given antipsychotic drugs0.0%State average: 1.5%Better than average
Physical therapist time: about 3 minutes per resident a day. That is less than the state average of 4 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury0.0%State average: 3.3%Better than average
- Pressure sores (bedsores)1.0%State average: 3.8%Better than average
- Given antipsychotic drugs2.7%State average: 9.6%Better than average
- Hospital stays per 1,000 resident days1.7State average: 2.2Better than average
Source: Medicare (CMS) quality measures, compared with the Texas average. Lower is better for every rate shown.
Who pays, and how full it is
Most residents here have their care paid by Medicaid. In Texas, Medicaid pays for 66% of resident days at a typical home.
- 50% Medicaid
- 10% Medicare
- 40% Private pay, insurance and other
Beds in use, on average66%Texas typical: 67%
Cost of care per resident day$304Texas typical: $270
Shares of resident days, from the home’s Medicare cost report for the year ending September 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 2 stars now, down from 5 stars in January 2019. It has ranged from 2 to 5 stars and changed 14 times.
Overall rating2★
Health inspections2★
Staffing1★
Quality of care5★
Nurse hours per resident per day3.4
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 5 | 5 | 1 | 5 | 3.4 |
| Jan 2020 | 4 | 4 | 1 | 5 | 3.2 |
| Jan 2021 | 4 | 4 | 1 | 5 | 3.2 |
| Jan 2022 | 4 | 4 | 1 | 5 | 3.2 |
| Jan 2023 | 3 | 4 | 1 | 4 | 3.2 |
| Jan 2024 | 5 | 5 | 2 | 4 | 3.7 |
| Feb 2025 | 3 | 2 | 3 | 5 | 3.5 |
| Feb 2026 | 3 | 3 | 1 | 5 | 3.4 |
| Sep 2026 | 2 | 2 | 1 | 5 | 3.4 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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