Windsor Quail Valley Postacute Healthcare

Penalties

• Jul 19, 2024 — Fine ($15,642)
• Feb 29, 2024 — Fine ($36,394)

Inspection findings

1. Jun 5, 2026 Health · 1 finding
   • Serious Scope/severity G Complaint Under dispute

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Jul 16, 2026 · CMS health inspection

2. May 14, 2026 Health · 4 findings
   • Not serious Scope/severity D

     F0644 Resident Assessment and Care Planning Deficiencies

     Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

     Corrected May 19, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected May 19, 2026 · CMS health inspection

   • Not serious Scope/severity C

     F0814 Nutrition and Dietary Deficiencies

     Dispose of garbage and refuse properly.

     Corrected May 19, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected May 19, 2026 · CMS health inspection

3. Dec 3, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Jan 2, 2026 · CMS health inspection

4. Mar 6, 2025 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Mar 11, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Mar 11, 2025 · CMS health inspection

5. Aug 22, 2024 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0550 Resident Rights Deficiencies

     Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

     Corrected Aug 29, 2024 · CMS health inspection

6. Jul 19, 2024 Health · 1 finding
   • Serious Scope/severity J Complaint

     F0686 Quality of Life and Care Deficiencies

     Provide appropriate pressure ulcer care and prevent new ulcers from developing.

     Corrected Jul 16, 2024 · CMS health inspection

7. Apr 29, 2024 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected May 17, 2024 · CMS health inspection

8. Feb 29, 2024 Health · 4 findings
   • Serious Scope/severity J Complaint

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

     Corrected Mar 1, 2024 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Develop and implement policies and procedures to prevent abuse, neglect, and theft.

     Corrected Mar 1, 2024 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Respond appropriately to all alleged violations.

     Corrected Mar 1, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0842 Resident Assessment and Care Planning Deficiencies

     Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

     Corrected Mar 1, 2024 · CMS health inspection

9. Jan 25, 2024 Fire Safety · 1 finding
   • Not serious Scope/severity E

     K0929 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

     Corrected Feb 20, 2024 · CMS fire safety

10. Jan 12, 2024 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0625 Resident Rights Deficiencies

      Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

      Corrected Jan 25, 2024 · CMS health inspection

Owners and managers (as published by CMS)

• BAIRD, DANIEL — managing control - governing body, NOT APPLICABLE, since 04/13/2021
• CLAPP, BARBARA — managing control - governing body, NOT APPLICABLE, since 06/01/2021
• CORTESE, DAREN — managing control - governing body, NOT APPLICABLE, since 08/10/2021
• CRAYTON, TOM — managing control - governing body, NOT APPLICABLE, since 01/15/2013
• DEKOWSKI, DONOVAN — adp of the snf, NOT APPLICABLE, since 02/28/2015
• DEKOWSKI, DONOVAN — operational/managerial control, NOT APPLICABLE, since 02/28/2015
• DORMAN, JOHN — managing control - governing body, NOT APPLICABLE, since 01/18/2022
• FREUDENBERGER, JOSEPH — corporate officer, NOT APPLICABLE, since 01/28/2015
• FREUDENBERGER, JOSEPH — managing control - governing body, NOT APPLICABLE, since 01/28/2015
• GIBBS, CHRISTINA — adp of the snf, NOT APPLICABLE, since 01/01/2025
• GIBSON, PATRICIA — managing control - governing body, NOT APPLICABLE, since 08/01/2021
• HALEY, JEFF — managing control - governing body, NOT APPLICABLE, since 07/15/2016
• HUGHES, RUSTON — managing control - governing body, NOT APPLICABLE, since 01/01/2024
• JACOBS, ROSA — adp of the snf, NOT APPLICABLE, since 01/01/2025
• JOHNSON, DEMON — operational/managerial control, NOT APPLICABLE, since 10/11/2021
• JOHNSON, DEMON — adp of the snf, NOT APPLICABLE, since 10/11/2021
• KING, ABBY — managing control - governing body, NOT APPLICABLE, since 01/23/2018
• KING, ELIZABETH — managing control - governing body, NOT APPLICABLE, since 01/17/2023
• LOCKHART, CHRISTOPHER — adp of the snf, NOT APPLICABLE, since 01/01/2025
• MANDELBAUM, ELLIOT — managing control - governing body, NOT APPLICABLE, since 01/01/2025
• PISANI, ADAM — managing control - governing body, NOT APPLICABLE, since 01/15/2019
• POPATIA, AMIRALI — managing control - governing body, NOT APPLICABLE, since 03/17/2020
• STUART, JULIUS — managing control - governing body, NOT APPLICABLE, since 01/16/2023
• UTHMAN, EDWARD — managing control - governing body, NOT APPLICABLE, since 01/15/2008
• 3640 HAMPTON DRIVE LLC — adp of the snf, NOT APPLICABLE, since 02/28/2015
• CSV RHEA MANAGEMENT HOLDCO, LLC — adp of the snf, NOT APPLICABLE, since 02/28/2015
• DWD TX HOLDINGS LLC — adp of the snf, NOT APPLICABLE, since 02/28/2015
• JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC — adp of the snf, NOT APPLICABLE, since 02/28/2015
• OAKBEND MEDICAL CENTER — adp of the snf, NOT APPLICABLE, since 05/20/2025
• OAKBEND MEDICAL CENTER — 5% or greater direct ownership interest, 100%, since 01/28/2015
• OAKBEND MEDICAL CENTER — operational/managerial control, NOT APPLICABLE, since 02/28/2015
• REG BRIDGE OPCO LLC — adp of the snf, NOT APPLICABLE, since 02/28/2015
• REG HG OPCO LLC — adp of the snf, NOT APPLICABLE, since 02/28/2015
• REG OPERATOR HOLDCO LLC — adp of the snf, NOT APPLICABLE, since 02/28/2015
• REGENCY IHS CLINICAL CONSULTING, LLC — adp of the snf, NOT APPLICABLE, since 02/28/2015
• REGENCY IHS OF WINDSOR QUAIL VALLEY, LLC — adp of the snf, NOT APPLICABLE, since 02/28/2015
• REGENCY IHS OF WINDSOR QUAIL VALLEY, LLC — operational/managerial control, NOT APPLICABLE, since 02/28/2015
• REGENCY IHS REHAB LLC — adp of the snf, NOT APPLICABLE, since 02/28/2015
• REGENCY INTEGRATED HEALTH SERVICES LLC — operational/managerial control, NOT APPLICABLE, since 02/28/2015
• REGENCY INTEGRATED HEALTH SERVICES LLC — adp of the snf, NOT APPLICABLE, since 02/28/2015
• REGENCY TEXAS HOLDINGS LLC — adp of the snf, NOT APPLICABLE, since 02/28/2015