Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Windsor Nursing and Rehabilitation Center of Bastr

Bastrop, TX · 96 certified beds · Last Life Safety survey July 17, 2025

CMS Certification Number 675356 · first certified June 1994

Ownership

Operated by WELLSENTIAL HEALTH · Government - Hospital district

Ownership changed March 31, 2017 (change of ownership)to WINDSOR NURSING AND REHABILITATION CENTER OF BASTROP from SSC BASTROP OPERATING COMPANY LLC

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within TX

6 citations — more than 35% of the 1,177 certified nursing homes in TX. Compared within TX rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 3 citations; the earlier surveys in the window averaged 1.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: August 2026 to September 2026. This facility’s last Life Safety survey was July 2025. Facilities in TX are typically surveyed 13–14 months after the last one (median 14), measured over 1,905 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 6 Life Safety citations above. The Physical Environment Index

F-0880 Provide and implement an infection prevention and control program.
F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

How that compares

Citations on file over three years

Compared with the median facility in TX, and nationally. Surveyors differ markedly between states, so the TX figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	6
Median facility in TX	7
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
April 27, 2023	3
June 11, 2024	0
July 17, 2025	3

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	2	2025-07-17
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	2	2025-07-17
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	1	2023-04-27
K-0511	Have properly installed electrical wiring and gas equipment.	1	2025-07-17

What the citations cover

Citations by CMS category

Services Deficiencies 3
Egress Deficiencies 2
Smoke Deficiencies 1

Citations by CMS category
Category	Citations
Services Deficiencies	3
Egress Deficiencies	2
Smoke Deficiencies	1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

July 17, 2025 — 3 citations

Citations issued on July 17, 2025
Tag	What the surveyor checks	Status
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Past Non-Compliance (July 24, 2025)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (August 11, 2025)
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Past Non-Compliance (July 24, 2025)

April 27, 2023 — 3 citations

Citations issued on April 27, 2023
Tag	What the surveyor checks	Status
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (July 21, 2023)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (July 21, 2023)
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Deficient, Provider has date of correction (July 21, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.