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Windsor Gardens

Nursing Home Facility

2535 West Pleasant Run, Lancaster, TX 75146

Nursing Home Care Senior Living
Windsor Gardens

Windsor Gardens combines the caring services associated with nursing homes or assisted living facilities with social activities and well appointed amenities, creating a true community.

Operated by Centex, which runs 20 communities in our directory.

With 150 beds, Windsor Gardens is one of the larger communities in the area, senior care communities in Lancaster average about 71 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.

Federal reporting puts occupancy at about 70% of its licensed beds. That is above the Lancaster average of roughly 55%.

Medicare rates this community 2 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in January 2026 and recorded 13 deficiencies.

Residents receive about 3.4 hours of nursing care per day on average, including 0.4 hours from a registered nurse. Nursing staff turnover over the past year was about 56%.

The community is located in Dallas County, TX.

Medicare five-star ratings

  • Overall ★★★★★ 2/5
  • Health inspections ★★★★★ 2/5
  • Staffing ★★★★★ 1/5
  • Quality measures ★★★★★ 5/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 26 problems at Windsor Gardens. 2 findings involved harm to a resident, including 2 that put residents in immediate danger. 14 came from investigating complaints by residents or families.

In the last three years Medicare fined this home once, a total of $13,877.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, a pattern Resident Rights

    Reasonably accommodate the needs and preferences of each resident.

    Inspected January 2026. Corrected by January 21, 2026.

  • Could cause more than minimal harm, a pattern Resident Rights

    Keep residents' personal and medical records private and confidential.

    Inspected January 2026. Corrected by January 21, 2026.

  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

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

    Inspected January 2026. Corrected by January 21, 2026.

  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Inspected January 2026. Corrected by January 21, 2026.

  • Could cause more than minimal harm, a pattern Pharmacy Service

    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.

    Inspected January 2026. Corrected by January 21, 2026.

  • Could cause more than minimal harm, a pattern Infection Control

    Provide and implement an infection prevention and control program.

    Inspected January 2026. Corrected by January 21, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Inspected January 2026. Corrected by January 21, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Inspected January 2026. Corrected by January 21, 2026.

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  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide safe and appropriate respiratory care for a resident when needed.

    Inspected January 2026. Corrected by January 21, 2026.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

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

    Inspected December 2025, after a complaint. Corrected by December 12, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

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

    Inspected August 2025, after a complaint. Corrected by September 30, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected August 2025, after a complaint. Corrected by September 30, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected August 2025, after a complaint. Corrected by September 30, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Windsor Gardens offers nursing home care and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 150
  • Occupancy 70%
  • Nursing hours per resident/day 3.4
  • Annual staff turnover 56%
  • Last health inspection January 2026

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