Windsor Rehabilitation And Healthcare
250 W. BRITISH FLYING SCHOOL BLVD, Terrell, TX, 75160
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
- Government - Hospital district · Chain: The Ensign Group
- Certified beds
- 108 · avg 86 residents/day
- Total nursing staff turnover
- 52.9% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 60% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 311880
- Service type
- Medicare/medicaid
- Licensed capacity
- 108 beds
- Bed type breakdown
- 108 Medicaid/Medicare
- Current license effective
- March 1, 2024
- Current license expires
- March 1, 2027
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Eastland Memorial Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Administrator
- James Mixon
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the The Ensign Group chain — 329 facilities across 17 states. Chain-wide average overall rating 3.2 / 5.
Disclosed owners (11 on record)
- Kenneth Grover
Adp of The Snf · since 2025
- Steven e Arze
Adp of The Snf · since 2025
- Buffalo Creek Healthcare Llc
Operational/managerial Control · since 2024
- Chad a Keetch
Corporate Officer · since 2024
- Eastland Memorial Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2024
- Laban Wright
Corporate Officer · since 2024
+ 5 additional owners on the federal record.
Recent change of ownership
March 2024 (2 years ago) · acquired from Windsor Rehabilitation And Healthcare
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
Recent health-deficiency citations (most recent 8 of 31)
- D0880·Nov 21, 2024Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0842·Nov 21, 2024Complaint
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D0760·Nov 21, 2024Complaint
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- D0755·Nov 21, 2024Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0657·Nov 21, 2024Complaint
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E0812·Nov 21, 2024
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0759·Nov 21, 2024
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
- E0757·Nov 21, 2024
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Fire-safety citations
3 Life-Safety-Code citations on file. Most recent: Nov 21, 2024. 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
Windsor Rehabilitation And Healthcare is a 108-bed nursing home in Terrell, Kaufman County, operated by Eastland Memorial Hospital District and affiliated with The Ensign Group. CMS rates it 5 stars overall, with a 5-star quality-of-care rating and a 4-star health inspection rating. Staffing is rated 2 stars — the one notable gap in an otherwise strong regulatory record. All 108 beds are Medicare- and Medicaid-certified; the facility currently runs at about 79% of licensed capacity.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 2 stars — residents receive about 203 minutes of total nursing care per day, roughly 38 minutes less than at a 4-star-staffing facility in Texas. Only about 14 of those minutes are covered by a registered nurse. Approximately 32% of Texas nursing homes share this staffing rating, so this facility is in the lower tier statewide on that measure, even as its overall rating reaches 5 stars.
One administrator has left in the past year. A single departure in twelve months is above the baseline of zero but below the level of two or more changes that signals deeper organizational instability. Administrator continuity affects how consistently care policies are carried out at the floor level.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing coverage on nights and weekends
Weekend nursing hours average about 2.86 hours per resident per day — lower than the weekday figure; ask how many nurses and aides are on duty overnight and on Saturdays and Sundays.
RN presence on the floor
Reported RN hours come to roughly 14 minutes per resident per day; ask how many hours a registered nurse is physically on the floor each day and who handles clinical decisions when none is present.
New administrator's tenure and priorities
The facility saw an administrator change in the past year; ask how long the current administrator has been in place and what operational changes, if any, followed the transition.
Ensign Group oversight of this location
The facility is affiliated with The Ensign Group but licensed to a hospital district; ask how day-to-day management decisions are divided between Ensign and Eastland Memorial Hospital District.
Family Council availability
State records show a Resident Council but no Family Council; ask whether families have a formal, regular channel to raise concerns collectively with facility leadership.
Waitlist and bed availability
The facility runs at roughly 79% occupancy with 85 residents in 108 licensed beds; ask the current wait time for admission and whether specific units or bed types fill faster than others.
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.