2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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.
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.
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.
This home is ranked 93rd out of 296 homes in Texas for nurse hours. 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 40m per day | ▲ 52% State avg: 26m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 35m per day | ▼ 39% State avg: 57m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 3m per day | ■ Avg State avg: 2h 1m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 58m per day | ■ Avg State avg: 2h 59m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 7m per day | ▲ 78% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 35m per day | ▲ 67% State avg: 21m per day · National avg: 29m per day |
Key information about the people who lead and staff this community.
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Texas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 23 | 6 | This facility has 283% more total citations than a typical Texas nursing home (23 vs. TX avg 6).↑ 283% worse |
|
Citations per year
Average citations per year since 2022.
| 5.8 | 1.5 | This facility has 287% more citations per year than a typical Texas nursing home (5.8 vs. TX avg 1.5).↑ 287% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Texas average 7.4
Last Health inspection on Jan 2025
Texas average 25.9
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).
100% worse than Texas averageTexas average: 2
100% better than Texas averageTexas average: 0.4
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
84% more staff per resident than Texas average
9% better than Texas average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 12 RN Staff are full-time employees. No contractors work on this role.
12
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursAssists with medical care and medications.
46 total: 10 full-time employees and 36 contractors.
46
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursHelps with daily care and mobility.
84 total: 35 full-time employees and 49 contractors.
84
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
8,802 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 35 | 49 | 84 | 14,830 | 92 | 100% | 9.1 |
| Registered Nurse | 12 | 0 | 12 | 4,376 | 92 | 100% | 9.5 |
| Licensed Practical Nurse | 10 | 36 | 46 | 3,734 | 92 | 100% | 9 |
| Medication Aide/Technician | 6 | 9 | 15 | 2,229 | 92 | 100% | 8.2 |
| Speech Language Pathologist | 0 | 6 | 6 | 1,972 | 70 | 76% | 9.4 |
| Physical Therapy Aide | 0 | 7 | 7 | 1,882 | 72 | 78% | 8.1 |
| Qualified Social Worker | 0 | 4 | 4 | 1,116 | 67 | 73% | 8.6 |
| RN Director of Nursing | 2 | 0 | 2 | 1,082 | 91 | 99% | 8.2 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 985 | 67 | 73% | 9 |
| Physical Therapy Assistant | 0 | 4 | 4 | 736 | 65 | 71% | 6.7 |
| Clinical Nurse Specialist | 1 | 1 | 2 | 634 | 64 | 70% | 9.3 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Mental Health Service Worker | 2 | 0 | 2 | 494 | 62 | 67% | 8 |
| Dietitian | 2 | 0 | 2 | 480 | 50 | 54% | 9.6 |
| Nurse Practitioner | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 66 | 11 | 12% | 6 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 61 | 8 | 9% | 7.6 |
| Medical Director | 0 | 1 | 1 | 30 | 16 | 17% | 1.9 |
Includes penalties issued in 2023
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)
50% lower than Texas averageTexas average: $80K
20% fewer fines than Texas averageTexas average: 2.5
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
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.
Jul 22, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
8.0%
50% better than Texas averageTexas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
11.0%
32% better than Texas averageTexas average: 16.2%
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%
Percent of long-stay residents experiencing one or more falls with major injury
1.1%
65% better than Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
7.4%
67% worse than Texas averageTexas average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Texas averageTexas average: 0.8%
Percent of long-stay residents who lose too much weight
3.4%
In line with Texas averageTexas average: 3.5%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Texas averageTexas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
4.0%
49% better than Texas averageTexas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Texas averageTexas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Texas averageTexas average: 97.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.0%
7% better than Texas averageTexas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
3.4%
135% worse than Texas averageTexas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.6%
11% better than Texas averageTexas average: 88.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Texas averageTexas average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
55.0%
In line with Texas averageTexas average: 53.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
17% of new residents, usually for short-term rehab.
47% of new residents, often for short stays.
37% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
71Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for Winters Park Nursing and Rehabilitation Center from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #185 / 304Payroll — State benchmarkedThis home is ranked 185th out of 304 homes in Texas. Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #158 / 304Payroll % — State benchmarkedThis home is ranked 158th out of 304 homes in Texas. Shows payroll as a percentage of revenue versus the Texas average. Well-run Texas facilities typically land around 51–63% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents stay for extended periods and receive ongoing daily care.
New residents most often arrive under private pay (47% of admissions), and a typical private pay stay runs around 2 - 3 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
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.
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The information below is reported by the Texas Health and Human Services Commission.
| Winters Park Nursing and Rehabilitation Center | NH HC MC PC RC | Garland | 132
Facility
132
TX AVG
80
Rank
#121 / 988 |
55.1%
Facility
55.1%
TX AVG
63.5%
Rank
#228 / 304 | -13% | 3.83
Facility
3.83
TX AVG
3.63
Rank
#93 / 296 | -19% | +6% | $40.1k
Facility
$40.1k
TX AVG
$81.8k
Rank
#200 / 301 | 19
Facility
19
TX AVG
25.9
Rank
#126 / 299 | 2.1
Facility
2.1
TX AVG
3.7
Rank
#35 / 299 | 4 | 90 | - |
49
Facility
49
TX AVG
41
Rank
#543 / 1391 | Musaab Zaid | $4.8M
Facility
$4.8M
TX AVG
$8.4M
Rank
#188 / 304 | $4.2M
Facility
$4.2M
TX AVG
$3.5M
Rank
#185 / 304 | 86.8%
Facility
86.8%
TX AVG
47%
Rank
#158 / 304 | 676039 | ||||
| Legend Oaks Healthcare & Rehabilitation | NH | Garland | 132
Facility
132
TX AVG
80
Rank
#121 / 988 |
53.8%
Facility
53.8%
TX AVG
63.5%
Rank
#234 / 304 | -15% | 3.50
Facility
3.50
TX AVG
3.63
Rank
#146 / 296 | -10% | -4% | $0
Facility
$0
TX AVG
$81.8k
Rank
#1 / 301 | 30
Facility
30
TX AVG
25.9
Rank
#218 / 299 | 3.3
Facility
3.3
TX AVG
3.7
Rank
#152 / 299 | 2 | 71 | - |
54
Facility
54
TX AVG
41
Rank
#409 / 1391 | Duck Creek Healthcare, Inc | $9.7M
Facility
$9.7M
TX AVG
$8.4M
Rank
#103 / 304 | $5.3M
Facility
$5.3M
TX AVG
$3.5M
Rank
#125 / 304 | 54.6%
Facility
54.6%
TX AVG
47%
Rank
#204 / 304 | 676413 | ||||
| Pleasant Valley Healthcare Rehabilitation Center | NH | Garland | 124
Facility
124
TX AVG
80
Rank
#178 / 988 |
52.0%
Facility
52.0%
TX AVG
63.5%
Rank
#242 / 304 | -18% | 3.58
Facility
3.58
TX AVG
3.63
Rank
#128 / 296 | -12% | -1% | $53.4k
Facility
$53.4k
TX AVG
$81.8k
Rank
#210 / 301 | 24
Facility
24
TX AVG
25.9
Rank
#178 / 299 | 2.7
Facility
2.7
TX AVG
3.7
Rank
#83 / 299 | 3 | 76 | - |
44
Facility
44
TX AVG
41
Rank
#647 / 1391 | Primrose Healthcare, Inc | $8.5M
Facility
$8.5M
TX AVG
$8.4M
Rank
#125 / 304 | $5.3M
Facility
$5.3M
TX AVG
$3.5M
Rank
#136 / 304 | 62.4%
Facility
62.4%
TX AVG
47%
Rank
#183 / 304 | 675305 | ||||
| Advanced Health and Rehabilitation Center of Garland | NH HC MC RC | Garland | 139
Facility
139
TX AVG
80
Rank
#93 / 988 |
27.3%
Facility
27.3%
TX AVG
63.5%
Rank
#287 / 304 | -57% | 3.90
Facility
3.90
TX AVG
3.63
Rank
#81 / 296 | -31% | +7% | $237.2k
Facility
$237.2k
TX AVG
$81.8k
Rank
#288 / 301 | 27
Facility
27
TX AVG
25.9
Rank
#207 / 299 | 3.4
Facility
3.4
TX AVG
3.7
Rank
#168 / 299 | 2 | 38 | - |
51
Facility
51
TX AVG
41
Rank
#483 / 1391 | Garland Hc LLC | $10.3M
Facility
$10.3M
TX AVG
$8.4M
Rank
#55 / 304 | $552.3k
Facility
$552.3k
TX AVG
$3.5M
Rank
#193 / 304 | 5.3%
Facility
5.3%
TX AVG
47%
Rank
#299 / 304 | 455731 | ||||
| Garland Nursing & Rehabilitation Center | NH | Garland | 109
Facility
109
TX AVG
80
Rank
#315 / 988 |
56.4%
Facility
56.4%
TX AVG
63.5%
Rank
#221 / 304 | -11% | 3.17
Facility
3.17
TX AVG
3.63
Rank
#222 / 296 | +31% | -13% | $81.6k
Facility
$81.6k
TX AVG
$81.8k
Rank
#243 / 301 | 42
Facility
42
TX AVG
25.9
Rank
#259 / 299 | 3.0
Facility
3.0
TX AVG
3.7
Rank
#120 / 299 | 7 | 76 | - |
52
Facility
52
TX AVG
41
Rank
#457 / 1391 | Slp Garland, LLC | $5.4M
Facility
$5.4M
TX AVG
$8.4M
Rank
#245 / 304 | $3.4M
Facility
$3.4M
TX AVG
$3.5M
Rank
#250 / 304 | 62.3%
Facility
62.3%
TX AVG
47%
Rank
#170 / 304 | 675790 |
Winters Park Nursing and Rehabilitation Center is located in Garland, Texas.
Here are the financial assistance programs available to residents in Texas.
Winters Park Nursing and Rehabilitation Center has a walk score of 49. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Winters Park Nursing and Rehabilitation Center's occupancy is 55.1%.
Yes — there are 6 photos of Winters Park Nursing and Rehabilitation Center in the photo gallery on this page.
Winters Park Nursing and Rehabilitation Center is located at 3737 N Garland Ave, Garland, TX 75040.
(972) 495-7000 will put you in contact with the team at Winters Park Nursing and Rehabilitation Center.
Yes — Winters Park Nursing and Rehabilitation Center is a CMS-certified provider of Medicare and Medicaid.
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