Windsor Nursing And Rehabilitation Center Of Duval - 2-Star Rehab Facility in Austin, TX | PlacetClinical Quality Indicators
Long-stay residents , lower is better
Antipsychotic medication use 15.87%Falls causing major injury 1.89%Pressure ulcers (high-risk) 3.7%Admissions Contacts
No admissions contacts on file yet.
CMS Star Ratings
Last inspected: Jun 2025 (339 days ago)🔍 Health Inspection
2/5
★★☆☆☆
📊 Quality Measures
4/5
★★★★☆
Medicare
Source: CMS MDS Quality Measures. Updated quarterly.
State avg: 26 min · US avg: 41 min
Total Nurse / Resident / Day
2h 50m
State avg: 3h 24m · US avg: 3h 53m
2 min
State avg: 4 min · US avg: 4 min
40 per 100
State avg: 51 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
Weekend vs. Weekday RN
76%above avg
US avg: 64%
Total Nurse Weekend
1h 50m
Federal Penalties
18 penalties · $210,069 total
| Date | Type | Fine | Denial Days |
|---|
| 9/9/2024 | Fine | $5,736 | - |
| 9/9/2024 | Fine | $5,736 | - |
| 9/9/2024 | Fine | $5,736 | - |
| 9/9/2024 | Fine | $5,736 | - |
| 9/9/2024 | Fine | $5,736 | - |
| 9/9/2024 | Fine | $5,736 | - |
| 9/9/2024 | Fine | $5,736 | - |
| 9/9/2024 | Fine | $5,736 | - |
| 9/9/2024 | Fine | $5,736 | - |
| 1/27/2024 | Fine | $17,605 | - |
| 1/27/2024 | Fine | $17,605 | - |
| 1/27/2024 | Fine | $17,605 | - |
| 1/27/2024 | Fine | $17,605 | - |
| 1/27/2024 | Fine | $17,605 | - |
| 1/27/2024 | Fine | $17,605 | - |
| 1/27/2024 | Fine | $17,605 | - |
| 1/27/2024 | Fine | $17,605 | - |
| 1/27/2024 | Fine | $17,605 | - |
Inspection Citations
Survey: June 27, 2025(3 citations)
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
Survey: April 2, 2025(24 citations)
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for Harm
14.8 per 100
State avg: 25.9 · US avg: 23.9
3.4 per 100
State avg: 12.0 · US avg: 12.0
1.9 per 100
State avg: 3.3 · US avg: 3.3
3.7 per 100
State avg: 4.2 · US avg: 5.1
4.5 per 100
State avg: 1.5 · US avg: 1.6
93.1 per 100
State avg: 88.0 · US avg: 79.7
Rates shown per 100 patients · Green = better than average · Amber = average · Red = below average
VBP Performance Score
33/100
Incentive Payment
-1.26% penalty
Healthcare-Assoc. Infections
6.2 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Avg Length of Stay
41.1 days
Avg Payment / Stay
$17,796.5
Patient Complexity
2.71 × avg
Avg LOS 15-30 days is typical for short-term rehab · Patient complexity = HCC risk score (1.0 = national average; higher = sicker patient mix)
Resident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
Survey: September 19, 2024(3 citations)
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
Survey: September 9, 2024(3 citations)
🟠 Actual HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟠 Actual HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟠 Actual HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
Survey: May 18, 2024(3 citations)
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
+ 6 more survey(s) not shown in snapshot
What people share about this facility
No comments yet. Be the first.
Add a comment
Families and case managers: share what working with this facility was actually like. Posts go live after a quick review for safety and accuracy.