Show Inspection Reports
Total health inspections
9
Texas average 7.4
Last Health inspection on Jan 2025
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Winters Park Nursing and Rehabilitation Center
Nursing Home in Garland
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Winters Park Nursing and Rehabilitation Center
Nursing Home in Garland
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Tucked in Garland, Texas, the Winters Park Nursing and Rehabilitation Center exudes a distinctive charm as a nursing home, offering both short-term rehabilitation programs and long-term care services. With a focus on individualized care, the center boasts a competent staff, including a medical director, physicians, and a remarkable team of healthcare experts. Families can rest assured that their loved ones are in capable hands, benefiting from the expertise of professionals who understand their roles and responsibilities.
The facility maintains a clean environment with a friendly staff dedicated to assisting seniors in regaining their independence and maximizing their functioning at the earliest convenience. Its competent staff, which includes a medical director, physicians, and a stellar team of healthcare experts, ensures that each resident receives a tailored care plan. With a commitment to cleanliness and a welcoming atmosphere, the facility is not only reliable but also supportive in helping seniors regain their independence swiftly. Families can place their trust in this center, confident that their loved ones are in the care of professionals dedicated to enhancing their overall well-being.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 85th out of 246 homes in Texas.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 85th out of 246 homes in Texas.Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 50m per day
vs Texas avg
+1%
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
132
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
55.1%
Avg. Length of Stay
154 days
Occupancy rate
55.1%
Avg. Length of Stay
154 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
17% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
47% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
37% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Finances and operations
Privately-owned community
Home revenue
$9.8M
Operating loss
-$3.8M
Privately-owned community
Home revenue
$9.8M
Operating loss
-$3.8M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.8M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$9.8M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$13.6M
Walk Score: 49 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
CMS Certification Number676039
Staffing
Key information about the people who lead and staff this community.
ContactEric Feinman, Administrator
Types of Care at Winters Park Nursing and Rehabilitation Center
Skilled Nursing
Respite Care
Inspection History
In Texas, the Health and Human Services Commission (HHSC) is the primary regulatory body that conducts unannounced inspections and publishes quality reports for all long-term care homes.
9 visits/inspections
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Latest inspection
Date
December 9, 2025
Complaint Investigation23 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Texas average: 32 deficiencies
Inspection Report Summary for Winters Park Nursing and Rehabilitation Center
The most recent inspection on December 9, 2025, identified deficiencies related to medication misappropriation, incomplete PASRR form submissions, and food served at unsafe temperatures. Earlier inspections showed a pattern of issues including care plan coordination, food safety practices, resident supervision, and privacy violations, with some substantiated complaints such as physical abuse confirmed by video evidence and an Immediate Jeopardy related to failure to notify a physician of critical lab results. Inspectors frequently cited problems with resident care planning, food service safety, and medication management. Complaint investigations were mostly substantiated, including notable cases of abuse and privacy breaches, but enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s inspection history shows ongoing challenges with compliance, with recent findings continuing themes seen in prior reports.
Health Inspection History
Inspections
Total health citations
19
Texas average 25.9
Citations per inspection
2.11
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
5 of 19 citations resulted from standard inspections; 10 of 19 resulted from complaint investigations; and 4 of 19 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
4
4
100% worse than Texas averageTexas average: 2
Serious Health citations
0
0
100% better than Texas averageTexas average: 0.4
4 critical citations
0 serious citations
15 moderate citations
0 minor citations
Citations history (last 3 years)
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Jan 30, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Jan 30, 2025
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Mar 26, 2024
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Mar 26, 2024
Corrected
Abuse/Neglect critical citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Dec 07, 2023
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Dec 07, 2023
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Dec 07, 2023
Issues related to food quality, meal service, and resident's nutritional needs.
Dec 07, 2023
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Garland The information below is reported by the Texas Health and Human Services Commission.
Filter by care type
| Winters Park Nursing and Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Garland | 132 | 55.1% | -13% | 3.83 | -36% | +6% | 2 | 19 | 2.1 | 4 | 75 | - | 49 | Zaid, Musaab | $9.5M | $3.8M | 39.9% | 676039 | ||||
| Legend Oaks Healthcare & Rehabilitation |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Garland | 132 | 60.3% | -5% | 3.50 | -9% | -4% | 1 | 30 | 3.3 | 2 | 97 | - | 54 | Duck Creek Healthcare, Inc. | $13.1M | $4.7M | 36.1% | 676413 | ||||
| Pleasant Valley Healthcare Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Garland | 124 | 52.0% | -18% | 3.58 | -16% | -1% | 4 | 24 | 2.7 | 3 | 78 | - | 44 | Primrose Healthcare, Inc. | $11.9M | $4.6M | 38.9% | 675305 | ||||
| Advanced Health and Rehabilitation Center of Garland |
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Garland | 139 | 86.4% | +36% | 3.90 | -21% | +7% | 1 | 27 | 3.4 | 2 | 125 | A+ | 51 | Garland Hc Llc | $15.3M | $0.0M | 0% | 455731 | ||||
| Garland Nursing & Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Garland | 109 | 56.4% | -11% | 3.17 | +63% | -13% | 3 | 42 | 3.0 | 7 | 65 | - | 52 | Slp Garland, Llc | $6.8M | $3.1M | 45.1% | 675790 |
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Places of interest near Winters Park Nursing and Rehabilitation Center
3.2 miles from city center
Estimated distance in miles from Garland's city center to Winters Park Nursing and Rehabilitation Center's address, calculated via Google Maps.
— 7.47 miles to nearest hospital (Texas Oncology-Medical City Dallas Blood and Marrow Transplant)
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
187
Employees
58
Contractors
129
Staff to resident ratio
2.63:1
75% better than Texas averageTexas average ratio: 1.51:1
Avg staff/day
39
Average shift
8.6 hours
6% better than Texas averageTexas average: 8.1 hours
Total staff hours (quarter)
30,468
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
9
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
27
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
108
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
23.9%
7,269 contractor hours this quarter
Certified Nursing Assistant: 75
Licensed Practical Nurse: 22
Medication Aide/Technician: 9
Physical Therapy Aide: 6
Speech Language Pathologist: 5
Respiratory Therapy Technician: 2
Physical Therapy Assistant: 2
Qualified Social Worker: 2
Clinical Nurse Specialist: 2
RN Director of Nursing: 1
Medical Director: 1
Occupational Therapy Assistant: 1
Occupational Therapy Aide: 1
Staff by category
| Certified Nursing Assistant | 33 | 75 | 108 | 12,707 | 91 | 100% | 8.8 |
| Registered Nurse | 9 | 0 | 9 | 4,393 | 91 | 100% | 8.5 |
| Medication Aide/Technician | 5 | 9 | 14 | 2,540 | 91 | 100% | 8.7 |
| Licensed Practical Nurse | 5 | 22 | 27 | 2,155 | 91 | 100% | 9 |
| Physical Therapy Aide | 0 | 6 | 6 | 1,720 | 70 | 77% | 8.9 |
| Speech Language Pathologist | 0 | 5 | 5 | 1,669 | 65 | 71% | 8.7 |
| Qualified Social Worker | 0 | 2 | 2 | 1,039 | 64 | 70% | 10.3 |
| RN Director of Nursing | 2 | 1 | 3 | 841 | 74 | 81% | 7.9 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 708 | 66 | 73% | 8.9 |
| Physical Therapy Assistant | 0 | 2 | 2 | 588 | 67 | 74% | 7.6 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Dietitian | 1 | 0 | 1 | 430 | 60 | 66% | 7.2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 54 | 6 | 7% | 8.9 |
| Occupational Therapy Aide | 0 | 1 | 1 | 48 | 6 | 7% | 8 |
| Medical Director | 0 | 1 | 1 | 30 | 6 | 7% | 5 |
| Clinical Nurse Specialist | 0 | 2 | 2 | 10 | 2 | 2% | 5 |
108 Certified Nursing Assistant
% of Days
100%
9 Registered Nurse
% of Days
100%
14 Medication Aide/Technician
% of Days
100%
27 Licensed Practical Nurse
% of Days
100%
6 Physical Therapy Aide
% of Days
77%
5 Speech Language Pathologist
% of Days
71%
2 Qualified Social Worker
% of Days
70%
3 RN Director of Nursing
% of Days
81%
2 Respiratory Therapy Technician
% of Days
73%
2 Physical Therapy Assistant
% of Days
74%
1 Administrator
% of Days
71%
1 Nurse Practitioner
% of Days
71%
1 Mental Health Service Worker
% of Days
68%
1 Dietitian
% of Days
66%
1 Occupational Therapy Assistant
% of Days
7%
1 Occupational Therapy Aide
% of Days
7%
1 Medical Director
% of Days
7%
2 Clinical Nurse Specialist
% of Days
2%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
71
Medicare
1
1.4% of residents
Medicaid
48
67.6% of residents
Private pay or other
22
31% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.2
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.2
28% better than Texas averageTexas average: 8.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.5
16% better than Texas averageTexas average: 16.0
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
8.0%
Percent of long-stay residents whose need for help with daily activities has increased
8.0%
50% better than Texas averageTexas average: 16.2%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
11.0%
Percent of long-stay residents whose ability to move independently worsened
11.0%
32% better than Texas averageTexas average: 16.2%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.6%
38% worse than Texas averageTexas average: 15.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.1%
Percent of long-stay residents experiencing one or more falls with major injury
1.1%
65% better than Texas averageTexas average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
7.4%
Percent of long-stay high risk residents with pressure ulcers
7.4%
67% worse than Texas averageTexas average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Texas averageTexas average: 0.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.4%
Percent of long-stay residents who lose too much weight
3.4%
In line with Texas averageTexas average: 3.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Texas averageTexas average: 2.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
4.0%
Percent of long-stay residents who received an antipsychotic medication
4.0%
49% better than Texas averageTexas average: 7.9%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Texas averageTexas average: 97.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Texas averageTexas average: 97.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.0%
7% better than Texas averageTexas average: 90.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
3.4%
Percent of short-stay residents who newly received an antipsychotic medication
3.4%
135% worse than Texas averageTexas average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.6%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.6%
11% better than Texas averageTexas average: 88.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$40K
50% lower than Texas averageTexas average: $80K
Number of fines
2
20% fewer fines than Texas averageTexas average: 2.5
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Texas averageTexas average: 0.2
Fines amount comparison
Fines amount comparison
This facility
$40K
Texas average
$80K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 7, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 7, 2023
$10K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 22, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 22, 2023
$30K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Winters Park Nursing and Rehabilitation Center based on CMS SNF Cost Reports.
Occupancy Rate
55.1%
↑ 3.0pp vs 2022
Net Income
-$3.8M
↓ ~$1.1M vs 2022
Total Payroll
$4.5M
↓ ~$386.6K vs 2022
Profit Margin
-39.9%
↓ 12.7pp vs 2022
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