Find a nursing home

Home / Texas / Cameron

Winnie L Nursing & Rehabilitation

2104 N Karnes Ave, Cameron, TX 76520 · Milam County · (254) 697-4985

105 certified beds, about 41 residents a day · For profit - Corporation · Medicare and Medicaid since 2006

Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 676089 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on May 22, 2025, inspectors cited 5 health deficiencies (the Texas average is 9.4, the national average 9.2).

Of 34 health citations since February 2023, 5 were rated as actual harm or immediate jeopardy to residents (4 immediate jeopardy).

CMS lists 2 fines totaling $51,479 in the last three years; the largest was $40,930, and the latest is dated August 14, 2025.

Nurses and nurse aides worked 3.27 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.25 of those hours.

87.5% of nursing staff left within the year CMS measured (Texas average 55.3%).

CMS links it to Creative Solutions in Healthcare, an affiliated group of 149 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 34 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
4J
0K
0L
Actual harm
0G
1H
0I
Potential for more than minimal harm
16D
9E
3F
Potential for minimal harm
0A
1B
0C
May 12, 2026Complaint inspection · 3 citations
  1. E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 13, 2026
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to store all drugs and biologicals in locked compartments under proper temperature controls and permit only authorized personnel to have access to the keys for 1 of 3 medication carts (Medication Cart #1) reviewed for medication storage. The facility failed to ensure Medication Cart #1 were locked and medications were secured and not accessible to other staff, residents, or visitors. This failure could place residents at risk of having unauthorized access to prescriptions, biologicals, and over-the counter medications.
  2. D
    Protect each resident from the wrongful use of the resident's belongings or money.
    F602 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 13, 2026
    Inspectors wroteBased on observation, interviews and record review, the facility failed to ensure residents had the right to be free from exploitation and misappropriation of property for one of four residents (Resident #1) reviewed for misappropriation of resident property. The facility failed to prevent a diversion (misappropriation) of Resident #1's Hydrocodone Oral Tablet 10-300 mg, 38 pills reported missing on 05/07/2026. Hydrocodone was used to treat pain. This failure could place residents at risk for decreased quality of life, unrelieved pain, and dignity.
  3. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 13, 2026
    Inspectors wroteBased on observation, interviews, and record reviews the facility failed to ensure the facility remained free of accidents and hazards a for one of two housekeepers carts (Housekeeping Cart #1) reviewed for hazards. The facility failed to ensure Housekeeping Cart #1, with chemicals inside the compartments, was locked when unsupervised. The housekeeping cart was located on 400 hall in front of room [ROOM NUMBER]. This failure could place residents at risk for injuries, illness, and hospitalization. Observation on 05/12/2026 at 9:03 am Housekeeping Cart #1 was located in front of 405 room. The compartment where chemicals were stored was not locked. The compartment had micro-kill bleach, disinfectant cleaner, Clorox, and two bottles filled with chemicals without a label on the bottles. Housekeeper G was not standing near the housekeeping cart. She exited room [ROOM NUMBER] at 9:00 a.m. [...]
December 4, 2025Complaint inspection · 1 citation
  1. D
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    F726 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 5, 2025
    Inspectors wroteBased on observation, interview and record reviews the facility failed to ensure that licensed nurses have the specific competencies, and skill sets necessary to care for residents' needs for 1 (LVN A) of 3 staff reviewed for nursing competency assessments after a fall for Resident # 1. The facility failed to ensure LVN A assessed Resident #1 for injuries after a fall. This failure could potentially affect the residents by placing them at risk for injuries.
August 14, 2025Complaint inspection · 1 citation
  1. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to provide adequate supervision for 1 of 5 residents reviewed for accidents and supervision. (Resident #1)The facility failed to ensure Resident #1 received adequate supervision to prevent elopement. On 08/07/2025 at an unknown time Resident #1 eloped from the facility by reading the door code that was placed by the door and let herself out the front door. Resident # 1 was found by CNA A standing on the front porch when she left work between 6:30PM and 7:00PM. The non-compliance was identified as past non-compliance. The immediate jeopardy began on 08/07/2025 at 6:50 PM and ended on 08/08/2025 2:20 PM .The facility had corrected the noncompliance prior to the start of the survey. The facility had implemented corrective actions and returned to compliance before the investigation began. [...]
May 22, 2025Standard inspection · 5 citations
  1. E
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 23, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure residents the right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences for 3 (Resident #24, Resident #11 and Resident #18) of 9 residents reviewed for accommodation of needs. 1. The facility failed to ensure that Residents #24's call light was within reach. 2. The facility failed to ensure that Resident #11's call light was within reach. 3. The facility failed to ensure that Resident #18's call light was within reach. These failures placed residents at risk of not being able to call for assistance and have their needs met.
  2. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 23, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to provide pharmaceutical services including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals for one of one medication storage rooms in the facility and one of three medication carts reviewed for medication safety. A. The facility failed to ensure expired supplies and/or medications were removed from the nurse's medication cart for the secure unit. B. The facility failed to ensure expired/discontinued supplies and/or medications were removed from the medication storage room. This failure could place residents at risk of not receiving the intended therapeutic benefits of their medications.
  3. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 23, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure residents who were unable to carry out activities of daily living received the necessary services to maintain good grooming and personal hygiene for 1 of 6 residents (Resident #6) reviewed for ADLs. The facility failed to ensure that assistance was provided to Resident #6 to remove all BM from hands and face before the lunch meal on 05/20/2025. This failure could place residents at risk of cross contamination and not being provided care and assistance when needed.
  4. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 23, 2025
    Inspectors wroteBased on observation, interviews, and record reviews, the facility failed to ensure that the resident environment remained as free of accident hazards as was possible and that each resident received adequate supervision and assistance devices to prevent accidents for 1 of 6 residents (Residents #15) reviewed for accidents hazards and supervision: The facility failed to ensure Resident #15 had a fall mat in place and the bed was in the low position on 05/20/2025 while in bed. This failure could place the residents at risk for falls with the possibility of injury, including fractures.
  5. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 23, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure each resident's drug regimen was free of unnecessary drugs for one (Resident #32) of five residents reviewed for adequate monitoring of medication. The facility failed to discontinue an order for antipsychotic medication when ordered by the Medical Director with Medication Regimen Review with a Review date of 02/19/2025. This failure could place residents at risk of receiving discontinued and unnecessary antipsychotic medications.
May 12, 2025Complaint inspection · 3 citations
  1. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 19, 2025
    Inspectors wroteBased on interview and record review the facility failed to immediately inform the resident, consult with the resident's physician, and notify, consistent with his or her authority, the resident's representative when there was a significant change in the resident's physical, mental, or psychosocial status for 1 of 2 residents (Resident #1) reviewed for change in condition . The facility failed to ensure Resident #1's RP was notified when she developed MASD (Moisture Associated Skin Damage) on her buttocks on 01/15/2025, and when it progressed to a non-pressure open area with drainage on 01/28/2025. This failure could place residents at risk of their responsible party/family members being unaware of their change in condition.
  2. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 19, 2025
    Inspectors wroteBased on observation , interview and record review the facility failed to ensure, based on the comprehensive assessment of a resident, the resident received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for one of four (Resident #1) residents reviewed for quality of care. The facility failed to document Resident #1 received all her wound care treatments as ordered by the Physician and failed to note in the progress note if she refused care for those treatments. This failure could place residents at risk of not receiving necessary medical care and lead to worsening wounds, pain, infection and hospitalization.
  3. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 19, 2025
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure based on the comprehensive assessment of a resident, a resident received care, consistent with professional standards of practice, to prevent pressure ulcers and did not develop ulcers unless the individual's clinical condition demonstrated that they were unavoidable a resident with pressure ulcers received necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing for one of four residents (Resident #1) reviewed for pressure ulcers. The facility failed to ensure Resident #1 who had MASD (Moisture Associated Skin Damage) and was at risk for worsening skin breakdown received 8 of her ordered treatments in February 2025 and 2 of her ordered treatments in March 2025. [...]
July 1, 2024Complaint inspection · 1 citation
  1. H
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · Actual harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) July 22, 2024
    Inspectors wroteBased on interview and record review the facility failed to ensure residents were free of any significant medication errors for 1 of 4 residents (Resident #1) reviewed for significant medication errors. The facility failed to ensure Resident #1 received the medication Xarelto, an anticoagulant/blood thinner, which could have resulted in the resident developing or the worsening of a blood clot diagnosed soon after Resident #1 missed 24 doses of the medication from 05/15/24 to 06/08/24. This failure could place residents at risk of increased pain and health deterioration.
May 31, 2024Complaint inspection · 3 citations
  1. J
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 2, 2024
    Inspectors wroteBased on interview and record review, the facility failed to immediately notify the resident's physician when there was an unwitnessed fall in the resident's physical status for one (Resident #1) of four residents reviewed for resident rights. The facility failed to ensure Resident #1's Physician was notified on 05/03/2024 when resident was found on the floor by CMA A. An Immediate Jeopardy (IJ) situation was identified on 05/30/2024 at 6:05 PM. While the IJ was removed on 05/31/2024 at 7:05 PM, the facility remained out of compliance at a scope of isolated with potential for more than minimal harm that is not immediate jeopardy because all staff had not be trained on falls. This failure placed residents at risk of injury, uncontrolled pain, and a decreased quality of life.
  2. J
    Provide care by qualified persons according to each resident's written plan of care.
    F659 · Resident Assessment and Care Planning · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 2, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure services provided or arranged by the facility, as outlined by the comprehensive care plan were provided by qualified persons in accordance with each residents written plan of care for one (Resident #1) of four residents reviewed for qualified persons. The facility failed to ensure Resident #1 received assessment after an unwitnessed fall by a qualified staff member on 05/03/2024 when CMA A stated she conducted range of motion assessment, transferred the resident from the floor to the wheelchair and did not inform administrative staff. An Immediate Jeopardy (IJ) situation was identified on 05/30/2024 at 6:05 PM. [...]
  3. J
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 2, 2024
    Inspectors wroteBased on observation, interviews and record review , the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for 1 (Resident #1) of 5 residents reviewed for quality of care. The facility failed to ensure Resident #1, who was found on the floor by CMA A was properly assessed or monitored on 05/3/2024 until Resident #1 was transferred to the hospital on [DATE] at approximately 10:30 AM. An Immediate Jeopardy (IJ) situation was identified on 05/30/2024 at 6:05 PM. While the IJ was removed on 05/31/2024 at 7:05 PM, the facility remained out of compliance at a scope of isolated with potential for more than minimal harm that is not immediate jeopardy because all staff had not be trained on falls. [...]
April 4, 2024Standard inspection · 10 citations
  1. F
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) April 26, 2024
    Inspectors wroteBased on interview and record review, the facility failed to use the services of a Registered Nurse for at least 8 consecutive hours a day, 7 days a week on 22 out of 22 weekends reviewed for RN coverage. The facility did not have an RN in the facility for 8 hours on every weekend from 11/4/2023 through 03/31/2024. This failure could place residents at risk for lack of continuity of care and the level of care provided by the oversight of an RN.
  2. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) April 26, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food under sanitary conditions in the facility's only kitchen reviewed for sanitation. The facility failed to label and date meat products stored in the facility's walk-in freezer. The facility failed to ensure that food products were not stored on the floor in the walk-in freezer. The facility failed to remove dented cans from the dry storage area to prevent service to residents. The facility failed to clean the industrial can opener. The facility failed to maintain cleanliness of the dining plate storage cart. These failures could place residents at risk of cross contamination, loss of nutritional value, weight loss, and foodborne illness.
  3. E
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 3, 2024
    Inspectors wroteBased on observation, interviews, and record review, the facility failed to provide maintenance services necessary to maintain a safe, sanitary, orderly, and comfortable interior for four (room [ROOM NUMBER], 406, 411, and 412) of eleven rooms reviewed for environmental conditions. The facility failed to cut down and cap the two mounting bolts that secure the toilet's base to the floor, which ensures that the toilet does not move or leak in room [ROOM NUMBER], 406, 411, and 412. The facility failed to ensure that room [ROOM NUMBER]'s heat lamp control panel was covered and had a knob to activate the heat lamp and adjust the time of use. These failures could place residents at risk of living in an unsafe, unhomelike, and uncomfortable environment.
  4. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 3, 2024
    Inspectors wroteBased on interview and record review, the facility failed to provide pharmaceutical services including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals to meet the needs of each resident, for 2 of 2 halls narcotic logbooks (Halls 200 and 500) reviewed for drug administration. The facility failed to ensure nurses signed the narcotic logbook counts on two medication carts. This failure could have resulted in drug diversions and the inability of residents/staff to determine the time frame of the potential drug diversion.
  5. E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 3, 2024
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure medications and biologicals were stored in locked compartments for 1 of 1 treatment carts reviewed for medication storage. The facility failed to ensure nursing staff locked a treatment cart for 50 minutes while it was located at the nurse's station and facing hall 500. This failure could have resulted in harm due to unauthorized access to medications, biologicals, and needles.
  6. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 3, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to treat each resident with respect and dignity and provide care in a manner that promoted maintenance or enhancement of their quality of life for one (Resident #7) of eight residents reviewed for rights. The facility failed to ensure the dining rights and dignity of Resident #7 by making her wait over ten minutes for lunch in the secure unit dining room after all other residents in the room were served their lunch. Resident #7 was also the only resident seated in the secure unit dining room at a table by herself. These failures placed residents at risk of a decline in their sense of dignity, level of satisfaction with life, and feelings of self-worth.
  7. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 3, 2024
    Inspectors wroteBased on interview and record review, the facility failed to develop a comprehensive care plan consistent with residents rights and include the services to be furnished for one (Resident #3) of eight residents care plan reviewed for DNR and hospice. The facility failed to develop a comprehensive care plan consistent with resident rights because Resident#3's care plan indicated full code resulting in an inaccurate care plan. The facility failed to ensure that Resident #3's care plan reflected their choice of DNR (Do Not Resuscitate). The facility failed to ensure that Resident #3's care plan reflected that they were under Hospice Care. These failures could place residents at risk of not having their medical, physical, and psychosocial needs meet.
  8. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 3, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a resident who was unable to carry out activities of daily living receives the necessary services to maintain good nutrition, grooming and personal and oral hygiene for 2 of 15 residents (Residents #95 and #23) reviewed for ADLS. A. Resident #95's adult pull-up was soiled with feces, and she stated she had not been changed since the previous evening. B. Resident #23's top sheet had feces on it and his adult brief and under pad were soiled with feces. His left hand was contractured with long fingernails. These failures could place residents at risk of skin breakdown, pain, infection, and loss of self-esteem.
  9. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 3, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for 1 of 5 resident (Resident #31) reviewed for fall mats. The facility failed to ensure Resident #31 had a fall mat in place beside her bed. This failure could place residents at risk of falls, injuries, pain, and hospitalization.
  10. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 3, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that a resident who needs respiratory care, is provided such care, consistent with professional standards of practice for 1 (Resident #3) of 5 residents reviewed for respiratory care. The facility failed to ensure that Resident #3's Nebulizer tubing and mask, which includes the nebulizing chamber (unit into which liquid medicine is converted into aerosol or mist by the pressurized air pumped through the tubing) was dated. The facility failed to ensure that Resident #3's Nebulizer mask was properly bagged when not in use. These failures could place residents at risk for respiratory compromise and infection.
February 16, 2023Standard inspection · 7 citations
  1. F
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) March 24, 2023
    Inspectors wroteBased on interviews the facility failed to use the services of a registered nurse for at least 8 consecutive hours, 7 days a week. The facility had been without full-time weekend RN coverage for six months. This failure placed residents at risk for lack of continuity of care.
  2. E
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 24, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents unable to carry out activities of daily living, received the necessary services to maintain good grooming and personal hygiene for 3 of 13 residents (Resident's #2, #39, and #22) reviewed for quality of care. A) The facility failed to ensure Resident #2 received incontinent care frequently enough to prevent sheets saturated with urine, strong odor smell and redness to peri-area. B) The facility failed to ensure Resident #39's fingernails on her contractured right hand were trimmed. C) The facility failed to ensure Resident #22's fingernails on her contractured left hand were trimmed. D) The facility failed to ensure Resident #27 received services to maintain good personal hygiene when he was found with feces on his bed sheets, blankets, towel in the bed and on the fall mat beside the bed. [...]
  3. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 24, 2023
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for six (Resident #13, #14, #18, #20, #28, #200 and #201) of 14 residents reviewed for accidents and hazards and resided on the locked unit within the facility. The facility failed to ensure adequate supervision for six (Resident #13, #14, #18, #20, #28, #200 and #201) of 14 residents who resided on the locked unit and were supervised by one CNA. This failure could place residents at risk for injury and decreased quality of life.
  4. E
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 24, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide services by sufficient numbers of each of the following types of personnel on a 24-hour basis to provide nursing care to all residents in accordance with resident care plans and the facility assessment for residents reviewed for care and services. (Residents #2, and #39) The facility did not provide sufficient staff on the 6 am-6 pm shift on 02/14/2023. The facility failed to ensure Resident #2 received incontinent care frequently enough to prevent sheets saturated with urine, strong odor smell and redness to peri-area. The facility failed to ensure Resident #39's brief was checked after breakfast and failed to assist her out of bed at her preferred time. [...]
  5. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 24, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure expired/discontinued medications were removed and destroyed for 1 of 1 medication storage rooms reviewed for medications. The facility failed to remove two bottles of expired medication from the medication storage room. This failure could place all residents at an increased risk of receiving expired medication resulting in adverse health consequences.
  6. D
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    F806 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 24, 2023
    Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure each resident received appealing options of similar nutritive value to residents who choose not to eat food that is initially served or who request a different meal choice for one resident (Resident #17) out of 12 residents reviewed for substitutes. The facility failed to offer Resident #17 an appealing option of similar nutritive value when he did not eat the food initially served to him. These failures could place residents at risk for weight loss, decreased oral intake and poor quality of life.
  7. B
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) March 24, 2023
    Inspectors wroteBased on observation, interview and record review the facility failed to post the nurse staffing data that reflected the actual hours worked for the unlicensed staff for 1 of 3 days during the annual survey. The facility did not update the actual staffing for 02/14/2023. This failure could place residents, their families and facility visitors at risk of not having access to information regarding accurate staffing data.

Fire safety inspections

8 fire safety citations on file: 5 on May 22, 2025, 3 on April 4, 2024.

Every fire safety citation8 citations
  1. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · May 22, 2025 · Corrected (the home has a date of correction)
  2. D
    Provide properly protected cooking facilities.
    K 324 · May 22, 2025 · Corrected (the home has a date of correction)
  3. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · May 22, 2025 · Corrected (the home has a date of correction)
  4. D
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · May 22, 2025 · Corrected (the home has a date of correction)
  5. D
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · May 22, 2025 · Corrected (the home has a date of correction)
  6. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · April 4, 2024 · Corrected (the home has a date of correction)
  7. F
    Have simulated fire drills held at unexpected times.
    K 712 · April 4, 2024 · Corrected (the home has a date of correction)
  8. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · April 4, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
August 14, 2025Fine $10,549
May 31, 2024Fine $40,930
May 31, 2024Payment Denial 20 days from July 2, 2024

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeTexasUnited States
All nursing staff (RN, LPN and aides)3.273.393.86
Registered nurses0.250.430.69
All nursing staff on weekends2.862.983.42
Nurse aides2.16
Licensed practical nurses0.87
Nursing staff turnover (share who left in a year)87.5%55.3%45.8%
Registered nurse turnover83.3%54.6%42.9%
Administrators who left2

CMS expects 3.70 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.44 on weekdays and 2.86 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.65 in April to June 2025 to 3.27 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.270.253.442.86 0.0%3 of 9041
Oct to Dec 20253.190.343.362.77 0.0%2 of 9241
Jul to Sep 20253.150.453.272.83 0.0%0 of 9238
Apr to Jun 20252.650.332.732.43 0.0%0 of 9138
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Texas, Jan to Mar 20263.330.403.502.932.2%0.7% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Texas

JobMedianMiddle halfEmployed
Texas, all employers
CNAs (nursing assistants)$18.03$16.97 to $20.7188,680
LPNs and LVNs$29.92$27.46 to $32.8957,560
Registered nurses$46.14$38.06 to $50.53271,380
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeTexasUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
19.415.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.30.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.00.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
5.73.33.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
3.11.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
5.614.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
1.93.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
22.59.615.4
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.92.21.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.72.11.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Winnie L Nursing & Rehabilitation's Medicare short-stay residents. How to read these, and what Medicare pays for.

Went home or back to the community

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

US median of homes 51.5% · Texas: 116 better, 50 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 9 eligible stays.

Potentially preventable readmissions

9.9% this home

No different from the national rate

US median of homes 10.7% · Texas: 0 better, 9 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 34 eligible stays.

Infections that led to a hospital stay

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

US median of homes 7.1% · Texas: 4 better, 11 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 24 eligible stays.

Self-care and mobility at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Texas57.3% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 7 residents counted.

Falls with major injury

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Texas0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 8 residents counted.

New or worsened pressure ulcers

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Texas1.3% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 8 residents counted.

Medication list given at discharge

Not reported

CMS note: Newly certified nursing home with less than 12-15 months of data available or the nursing opened less than 6 months ago, and there were no data to submit or claims for this measure.

Median of homes: Texas98.5% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: WINNIE-STOWELL HOSPITAL DISTRICT. CMS links this home to Creative Solutions in Healthcare, a group of 149 nursing homes averaging 2.1 stars overall.

NameRoleTypeShareSince
Murrell, EdwardManaging control - governing bodyIndividual11/01/2012
Rollo, JefferyManaging control - governing bodyIndividual11/01/2012
Stramecki, AnthonyManaging control - governing bodyIndividual11/01/2016
Way, GeorgeManaging control - governing bodyIndividual11/01/2018
Huggins, LindaCorporate directorIndividual08/01/2024
Willig, ZacharyCorporate directorIndividual01/01/2025
Murrell, EdwardCorporate officerIndividual01/01/2023
Cameron I Enterprises, L.L.C.Operational/managerial controlOrganization08/01/2024
Blake, GaryOperational/managerial controlIndividual08/01/2024
Blake, MalisaOperational/managerial controlIndividual08/01/2024
Cameron I Enterprises, L.L.C.Adp of the SNFOrganization04/12/2025
Blake, GaryAdp of the SNFIndividual08/01/2024
House, JanelleAdp of the SNFIndividual04/12/2025
Johnson, ChrisAdp of the SNFIndividual06/24/2026

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 12 problems in this area, most recently on May 12, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 7 problems in this area, most recently on May 12, 2026: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs."
  3. How many nurses and aides work each shift, nights and weekends included?Inspectors cited 5 problems in this area, most recently on December 4, 2025: "Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being."
  4. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on May 22, 2025: "Reasonably accommodate the needs and preferences of each resident."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.86 hours per resident per day, below the Texas average of 2.98.
  6. How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.

Other nursing homes nearby

Texas contacts for a concern about a nursing home

These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.

Common questions

What is Winnie L Nursing & Rehabilitation's Medicare star rating?
CMS rates Winnie L Nursing & Rehabilitation 2 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Winnie L Nursing & Rehabilitation get at its last inspection?
5 health deficiencies at the standard inspection on May 22, 2025. The Texas average is 9.4.
Has Winnie L Nursing & Rehabilitation been fined?
Yes. CMS lists 2 fines totaling $51,479 in the last three years.
Does Winnie L Nursing & Rehabilitation accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Winnie L Nursing & Rehabilitation?
CMS lists 14 owners and managers, and links the home to Creative Solutions in Healthcare. Legal business name: WINNIE-STOWELL HOSPITAL DISTRICT.

Sources

Find a nursing home Read an inspection