Average — CMS composite of the measures below.
A standard survey is most likely before around August 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Windmill Village Rehabilitation & Care Center during CMS and state inspections, most recent first.
A resident with moderate cognitive impairment and a history of respiratory conditions was taken by a CNA to a non-designated patio area to smoke, despite not being authorized to do so. Staff interviews revealed confusion about which residents were permitted to smoke and where, leading to the resident smoking in an unsafe area and causing a fire that required emergency response. The facility's policy required smoking only in designated areas, but this was not followed.
The facility did not coordinate assessments with the PASRR program and failed to refer a resident for necessary services, resulting in noncompliance with assessment and referral requirements.
A resident's Morphine medication was misappropriated, with a significant portion missing despite being received by the facility. Staff interviews revealed discrepancies in the medication counting process over a weekend, with LVN A failing to call out the morphine during the narcotic count. The missing medication was not discovered until the following Monday, and the resident did not experience increased pain as the medication was ordered as needed.
The facility failed to maintain proper infection control practices, as observed during incontinence care for three residents. CNAs did not perform hand hygiene between glove changes, risking infection spread. Despite training, staff inconsistencies in hand hygiene were noted, with some CNAs unaware of the infection preventionist's role. The facility's policy emphasizes hand hygiene, yet staff actions did not align with these guidelines.
Failure to Follow Smoking Policy Leads to Resident Smoking in Non-Designated Area and Fire Incident
Penalty
Summary
The facility failed to follow its established smoking policy for a resident who was not authorized to smoke, resulting in the resident being taken to a non-designated area to smoke. The resident, who had a history of chronic obstructive pulmonary disease, emphysema, hypertension, shortness of breath, anxiety, and tobacco use, was assessed as having moderate cognitive impairment and required supervision or assistance with most activities of daily living. The resident's care plan indicated she had been educated that the facility was non-smoking, and interventions were in place to redirect her from attempting to smoke. However, her name was not on the facility's smoker list, and she was not authorized to smoke according to facility records. Despite these restrictions, a CNA took the resident to the patio at the end of Hall 300, which was not the designated smoking area, and allowed her to smoke. The CNA was unaware that the resident was not permitted to smoke and did not know she was not on the smoker list. The designated smoking area, which was equipped with safety measures such as an ashtray, red can, and fire extinguisher, was located outside the dining room, but staff occasionally took residents to the Hall 300 patio due to better lighting. The incident led to a fire on the patio, which was extinguished by another CNA, and emergency services were called. Interviews with staff and the resident confirmed that the resident was taken outside to smoke and that staff were not consistently following the smoking policy or aware of which residents were permitted to smoke. The facility's policy clearly stated that smoking was only allowed in designated areas, and the purpose of these areas was to ensure resident safety and proper supervision. The failure to adhere to the policy resulted in an unsafe situation and property damage.
Failure to Coordinate PASRR Assessments and Referrals
Penalty
Summary
The facility failed to coordinate assessments with the pre-admission screening and resident review (PASRR) program and did not refer residents for services as needed. This deficiency indicates that required assessments and referrals for appropriate services were not completed in accordance with regulatory requirements.
Misappropriation of Resident's Morphine Medication
Penalty
Summary
The facility failed to prevent the misappropriation of a resident's Morphine medication, which was discovered missing. The resident, an elderly female with diagnoses including dementia, anxiety, dysphagia, cognitive communication deficit, and chronic pain, had an active order for Morphine Sulfate to be administered as needed for pain. The medication was received by the facility, but a significant portion was found missing, with only one dose recorded as administered. Interviews with staff revealed discrepancies in the medication counting process over a weekend period. LVN A, who worked a double shift, did not call out the morphine during the narcotic count, and RN B, who was counting with LVN A, did not realize the morphine was missing until the shift change on the following Monday. The DON conducted interviews with staff who worked during the relevant period, and it was noted that the morphine was last seen in the medication cart on the day shift of the weekend in question. The facility's policies on controlled substances and reporting suspicions of a crime were reviewed, indicating that discrepancies should be reported immediately. However, the missing morphine was not discovered until after the weekend, and the resident did not experience increased pain or negative outcomes as the medication was ordered as needed and not administered. The facility conducted an in-service training on drug pass and reporting suspicions of a crime following the incident.
Inadequate Hand Hygiene Practices During Incontinence Care
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by the lack of proper hand hygiene practices during incontinence care for three residents. Certified Nursing Assistants (CNAs) A, B, and C did not perform hand hygiene between glove changes while providing care, which could lead to the spread of infections. These observations were made during specific instances of incontinence care for three residents, each with varying medical histories and cognitive abilities. Resident #1, a female with a history of cerebral infarction, muscle weakness, and hypertension, was observed receiving incontinence care from CNA A. Despite being trained on hand hygiene, CNA A failed to wash hands between glove changes, potentially spreading germs. Resident #2, a female with cerebral palsy, dysphagia, and multiple sclerosis, was cared for by CNA B, who also neglected hand hygiene between glove changes and used contaminated gloves to handle a clean brief. CNA B admitted to not having recent training on hand hygiene and was unaware of the facility's infection preventionist. Resident #3, a male with neuroleptic-induced parkinsonism, type 2 diabetes, and a psychotic disorder, was attended to by CNA C, who did not change gloves throughout the care process. Despite having received training, CNA C did not perform hand hygiene during the care. Interviews with the Director of Nursing (DON), Assistant Director of Nursing (ADON), and Administrator (ADM) revealed inconsistencies in the infection preventionist's role and the frequency of hand hygiene training. The facility's policy emphasizes hand hygiene as a primary means to prevent infection spread, yet the staff's actions did not align with these guidelines.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Lubbock
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Avir At Heritage Oaks | 4.2 mi | ★★★★★ | 16 | 0 |
| The Mildred & Shirley L. Garrison Geriatric Educat | 4.6 mi | ★★★★★ | 11 | 2 |
| Southern Specialty Rehab & Nursing | 4.7 mi | ★★★★★ | 11 | 0 |
| Lubbock Health Care Center | 4.8 mi | ★★★★★ | 6 | 0 |
| Lakeside Rehabilitation And Care Center | 4.8 mi | ★★★★★ | 7 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.