Winnie L Nursing & Rehabilitation
2104 NORTH KARNES AVENUE, Cameron, TX, 76520
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Creative Solutions In Healthcare
- Certified beds
- 105 · avg 38 residents/day
- Administrators who left
- 3 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $51,291 total
- Payment denials
- 1 denial
State licensing & capacity
- License number
- 310659
- Service type
- Medicare/medicaid
- Licensed capacity
- 105 beds
- Bed type breakdown
- 37 Medicare-only · 68 Medicaid/Medicare
- Current license effective
- January 1, 2026
- Current license expires
- January 1, 2029
- Initial license date
- November 29, 1990
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Winniestowell Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Cameron I Enterprises, Llc
- Administrator
- Ms. Brittany Smith
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Creative Solutions in Healthcare chain — 149 facilities. Chain-wide average overall rating 2.7 / 5.
Disclosed owners (12 on record)
- Cameron i Enterprises, L.l.c.
Adp of The Snf · since 2025
- James Boswell
Adp of The Snf · since 2025
- Janelle k House
Adp of The Snf · since 2025
- Zachary Willig
Corporate Director · since 2025
- Gary r Blake
Operational/managerial Control · since 2024
- Linda f Huggins
Corporate Director · since 2024
+ 6 additional owners on the federal record.
Recent change of ownership
January 2023 (3 years ago) · acquired from Winnie l Ltc Partners, Inc.
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 31)
- D0726·Dec 4, 2025Complaint
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- J0689·Aug 14, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0757·May 22, 2025
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- E0755·May 22, 2025
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0689·May 22, 2025
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0677·May 22, 2025
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E0558·May 22, 2025
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
- D0686·May 12, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Federal penalties
By year
- 20251 fine · $10K
- 20241 fine · $41K · 1 payment denial
Most recent events
- Aug 14, 2025Fine · $10K
- May 31, 2024Payment denial · 20 days · starting Jul 2, 2024
- May 31, 2024Fine · $41K
Largest single fine on record: $41K.
Fire-safety citations
8 Life-Safety-Code citations on file. Most recent: May 22, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Winnie L Nursing & Rehabilitation is a 105-bed Medicare/Medicaid nursing home in Cameron, TX, managed by Cameron I Enterprises and licensed under the Winniestowell Hospital District. CMS rates it 2 stars overall, with 2-star ratings for both health inspections and staffing. Two CMS fines totaling $51,291 have been issued, and three administrators have turned over in the past year. Quality-measure outcomes rate 4 stars. Only about 38 of 105 beds are currently occupied.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 2 stars — a tier shared by about 32% of Texas nursing homes. Each resident receives roughly 189 minutes of total nursing care per day, about 52 minutes less than at a 4-star-staffing facility in Texas. Of that, 27 minutes come from a registered nurse, compared to 37 minutes at the 4-star threshold in Texas.
Three administrators have left in the past year. Frequent leadership turnover tends to ripple into day-to-day operations — care plans, staff assignments, and vendor relationships all run through that role.
CMS recorded two fines totaling $51,291 since the facility's most recent processing date. The state median fine total for Texas nursing homes that receive any fine is $20,699; this facility's total is roughly 2.5 times that figure. About 30% of Texas nursing homes have received no fines at all.
The facility is running at approximately 36% of its licensed 105 beds, with an average of 38 residents per day. That is well below typical occupancy for a nursing home of this size.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Three administrators in one year
CMS records show three administrator departures in the past year — ask who the current administrator is, how long they have been in the role, and what prompted the changes.
Why occupancy is so low
Only about 38 of 105 beds are filled; ask whether the low census reflects a planned reduction in services, staffing constraints, or difficulty attracting referrals.
Details behind the two CMS fines
Two fines totaling $51,291 are on record — ask what deficiencies triggered them and what specific changes were made in response.
Registered nurse coverage on evenings and weekends
Reported RN hours average 27 minutes per resident per day; ask how many hours a registered nurse is on-site during evening shifts and on weekends.
Management company's role day to day
Cameron I Enterprises manages operations while the Winniestowell Hospital District holds the license — ask which entity sets staffing levels and handles compliance decisions.
No Family Council currently in place
The facility has a Resident Council but no Family Council — ask whether one is planned and how families currently raise concerns about care.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.