Lilisity

Nursing home

Windsor Gardens

2535 W Pleasant Run, Lancaster, TX 75146 · Map
For profit - Corporation · Part of Cantex Continuing Care (38 facilities) · 150 certified beds

Medicare and Medicaid certified
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Windsor Gardens is a Medicare-certified nursing home in Lancaster, Texas. CMS rates it 3 out of 5 stars overall (1/5 for staffing, 3/5 for health inspections). Nurse staffing is 3.41 hours per resident per day, above the Texas average of 3.40. Its most recent inspection on Nov 7, 2024 cited 11 deficiencies.

3 out of 5Overall CMS rating
3 out of 5Health inspections
1 out of 5Staffing
150 bedsCertified beds
  • 1 fine totaling $13,877In CMS records: 1 total penalty.

CMS quality ratings

Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.

Overall rating3/5
Health inspections3/5
Staffing1/5
Quality measures5/5
Long-stay quality5/5
Short-stay quality3/5

How Windsor Gardens compares

This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.

MetricThis facilityTexas avgNational avgCompared with the state
Total nurse staffing (hrs/resident/day)3.413.403.89above avg
RN staffing (hrs/resident/day)0.350.440.68below avg
Aide staffing (hrs/resident/day)1.912.012.34below avg
Nursing staff turnover53.5%51.5%46.4%above avg
Deficiencies cited, last inspection11.09.19.5above avg

Staffing

Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.

3.41Total nurse hrs/resident/day
0.35RN hrs/resident/day
1.15LPN hrs/resident/day
1.91Aide hrs/resident/day
3.00Weekend nurse hrs/resident/day

Staff turnover

Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.

Total nursing staff53.5%
Registered nurses53.3%
Administrator changes0 in last year

Recent health inspection

CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.

Nov 7, 2024Most recent inspection
11Deficiencies found
60Health inspection score
1Fines

Penalties in CMS records: 1 fine totaling $13,877, 1 total penalty.

What inspectors found at Windsor Gardens

Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.

  • Potential for harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Pharmacy Service Deficiencies · Dec 8, 2025 · Full report (PDF)
  • Potential for harm

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    Quality of Life and Care Deficiencies · Aug 23, 2025 · Full report (PDF)
  • Potential for harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Quality of Life and Care Deficiencies · Aug 23, 2025 · Full report (PDF)
  • Potential for harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Resident Assessment and Care Planning Deficiencies · Aug 23, 2025 · Full report (PDF)
  • Potential for harm

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Quality of Life and Care Deficiencies · May 21, 2025 · Full report (PDF)
Show all 12 deficiencies
  • Potential for harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Resident Assessment and Care Planning Deficiencies · May 21, 2025 · Full report (PDF)
  • Potential for harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Nutrition and Dietary Deficiencies · Nov 7, 2024 · Full report (PDF)
  • Potential for harm

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies · Nov 7, 2024 · Full report (PDF)
  • Potential for harm

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Pharmacy Service Deficiencies · Nov 7, 2024 · Full report (PDF)
  • Potential for harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Resident Rights Deficiencies · Nov 7, 2024 · Full report (PDF)
  • Potential for harm

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Environmental Deficiencies · Nov 7, 2024 · Full report (PDF)
  • Potential for harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Resident Assessment and Care Planning Deficiencies · Aug 28, 2024 · Full report (PDF)

Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.

About this facility

Address
2535 W Pleasant Run
Lancaster, TX 75146
CMS certification #
455832
Ownership
For profit - Corporation
Certified beds
150
Avg residents/day
99.1
Provider type
Medicare and Medicaid
First certified
1989-08-02
Chain
Cantex Continuing Care (38 facilities)
Setting
Urban

Part of Cantex Continuing Care

Cantex Continuing Care operates 38 nursing facilities across the United States. View all Cantex Continuing Care facilities →

Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →

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Location and nearby

Explore the area around Windsor Gardens using Google Maps.

Other public records

Full public records, with dates and sources

Location and nearby care

Nearest hospital with an emergency room
Crescent Medical Center Lancaster, Lancaster. 4.5 miles away, straight line. CMS overall hospital rating: 2 of 5 stars. Location approximate.
Nearest Medicare nursing home
Millbrook Healthcare and Rehabilitation Center, Lancaster. 0.8 miles away, straight line.
Nearest home health agency office
Divine Home Health Agency LLC, Lancaster. 0.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
Nearest pharmacy
Ultra Care Pharmacy. 0.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
Area
USDA classes ZIP code 75146 as metropolitan (metropolitan core).
Dialysis within 15 miles
Davita Lancaster Dialysis, Lancaster, 0.1 miles away, straight line (CMS rating 3 of 5 stars)
Usrc Premier Lancaster, Lancaster, 0.6 miles away, straight line (CMS rating 3 of 5 stars)
Fmc Of Pleasant Run Dialysis, Desoto, 1.7 miles away, straight line (CMS rating 2 of 5 stars)
Hospice
51 Medicare hospices tell CMS they serve ZIP code 75146.
Utopia Hospice, office in Dallas, 5.3 miles away, straight line
Heart To Heart Hospice Of Dallas, LLC, office in Dallas, 5.8 miles away, straight line
Bristol Hospice - North Central Texas, office in Waxahachie, 11.8 miles away, straight line (CMS family survey rating 3 of 5 stars)
Nearest geriatric medicine practice
Physician Associates Of Southwest Dallas, Dallas. 4.8 miles away, straight line. 1 geriatric medicine doctor listed there.

Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.

Emergency and natural hazard risk

Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.

Flood zone
Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
FEMA National Risk Index
Overall: relatively low. By hazard: hurricane very low, inland flooding relatively low, wildfire very low, tornado relatively moderate, heat wave relatively high, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)

A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.

What we checked

Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.

SourceData as ofWhat we found
U.S. Department of Labor wage and hour casesOct 15, 2026Nothing on record
OSHA workplace safety inspections since 2016Oct 15, 2026Nothing on record
Hurricane evacuation zone mapsNot in a mapped zone
FEMA flood mapSee above
USDA wildfire riskApr 15, 2026Not shown: FEMA rates wildfire risk here very low
FEMA National Risk IndexSee above
CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmaciesSee above
HUD Multifamily Properties - AssistedJul 6, 2026Nothing on record
State Veterans Homes (NASVH directory)Sep 20, 2026Nothing on record
CMS Hospice - General InformationAug 19, 2026Nothing on record
CMS Home Health Care AgenciesMay 27, 2026Nothing on record
The community’s own websiteCould not read the site

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Frequently asked questions

Is Windsor Gardens a good nursing home?

CMS gives Windsor Gardens an overall rating of 3 out of 5 stars, including 1/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.

How is Windsor Gardens staffed?

Windsor Gardens reports 3.41 total nurse hours per resident per day, compared with the Texas average of 3.40.

Has Windsor Gardens had inspection problems?

Its most recent CMS inspection cited 11 deficiencies.

How many beds does Windsor Gardens have?

Windsor Gardens is certified for 150 beds.