Deficiency Index

Windflower Health Center

Amarillo, Texas · CCN 675904

31 surveys since 2011, and no finding has been recorded at harm level.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
121
Surveys
31
Harm or worse
0
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file22/31

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
120
Ownership
Non profit - Other
Chain
LIFESPACE COMMUNITIES
County
Potter
Medicare-certified since
2002

CMS ratings

Overall
4
Health inspection
4
Staffing
3
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat more weighted findings than its peer group.

Weighted by harm level, against 34 not-for-profit facilities of 100–127 beds in Texas.

Last survey on record

Jun 18, 2026

144 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.683.21
Registered-nurse hours per resident day0.56—
Annual nurse turnover53.9%44.7%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD2773.0%E718.9%F38.1%
No harm, potential for minimalA—B—C—
CMS’s current file: 37 of the 121 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F7614×

    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.

  • F8124×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F6563×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F7003×

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

  • F7553×

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

In the surveyor’s words

From the most serious findings on record at Windflower Health Center, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Apr 11, 2025

    Based on observation, interview, and record review, the facility failed to store, prepare, and serve food under sanitary conditions in 2 of 2 kitchens when they failed to: A. Ensure stored food was properly labeled, dated and covered. B. Ensure general cleanliness was maintained. These failures placed all residents who ate food served by the kitchen at risk of cross contamination and food-borne illness. Findings included: In an observation on 4/9/25 at 8:20 am, Kitchen # 2 was located inside the LTC facility and had capabilities of storing and preparing food items for the LTC, as well as a steam table for plating and serving foods. In an observation on 4/9/25 at 8;22 am, of the kitchen prep area for Kitchen #2, the following was observed: 1. […]

  • No harm, potential for more than minimal, widespreadF812Aug 21, 2023

    F812 Abreviations: lbs- pounds, DM- Dietary Mananger, Admin- Administrator, DD- Dietary Director Based on observation, interview and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 2 of 2 kitchens (Kitchen A, Kitchen B) reviewed for proper protocols. 1. The facility failed to ensure stored foods are properly labeled and dated putting residents at risk for foodborne illness. 2. The facility failed to ensure proper temperature of hot and cold food items putting residents at risk for foodborne illness. 3. […]

  • No harm, potential for more than minimal, widespreadF812Dec 7, 2022

    Based on observation, interview, and record review, the facility failed to store, prepare, and serve food under sanitary conditions in the facility kitchen reviewed for dietary services in that: Food Service Workers A and B were not wearing hair restraints or gloves while in the kitchen; there was unlabeled, undated, and unsealed food in the refrigerators, freezers, and dry storage area; there was expired food in the refrigerators, freezers, and dry storage area; staff's personal drink was on the service line and old food was sitting out; there was one warming cart that was not plugged into a power source; there were no covers on trash cans; and refrigerator and freezer temperature logs were not updated. […]

  • No harm, potential for more than minimal, patternF812Jun 18, 2026

    Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 2 of 2 kitchens reviewed for kitchen sanitation. 1. The facility failed to ensure food was properly stored, labeled, and dated.2. The facility failed to ensure a safe and sanitary environment.3. The facility failed to ensure 1 of 1 dishwasher reached appropriate temperatures. These failures could place residents who ate food served by the kitchen at risk of food-borne illness, cross contamination, and loss of nutrition.Findings included: In an observation on 06/16/2026 at 8:11 AM, a silver bowl with white powdery substance labeled 6/3 for Thurs dinner written in red on plastic wrap covering bowl- not… […]

  • No harm, potential for more than minimal, patternF755Apr 11, 2025

    Based on observations, interviews, and record review, the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, administering, and documentation of all drugs and biologicals) to meet the needs of 1 out of 5 residents (Residents #8) who was observed for medication administration. -RN I administered medication to Resident #8 via nebulizer and left Resident #8 unattended. These deficient practices can affect residents that receive medications resulting in adverse reactions to medication, deterioration in their health, exacerbation of their disease process, and/or hospitalization . […]

Read 20 findings in full →The most serious and the most recent: 20 of 121 on record.

Every survey on record

FindingsAt actual harm or above

  • Jun 18, 2026Standard and complaint8 findings
  • May 19, 2026Complaint1 finding
  • Apr 11, 2025Standard8 findings
  • Apr 2, 2025Complaint3 findings
  • Jul 16, 2024Complaint1 finding
  • Feb 29, 2024Standard7 findings
  • Nov 20, 2023Complaint1 finding
  • Aug 21, 2023Complaint1 finding
Show the 23 earlier surveys
  • Apr 8, 2023Complaint1 finding
  • Feb 3, 2023Complaint3 findings
  • Dec 7, 2022Standard and complaint6 findings
  • Dec 1, 2022Complaint1 finding
  • Apr 6, 2022Complaint1 finding
  • Oct 21, 2021Complaint1 finding
  • Oct 7, 2021Standard6 findings
  • May 27, 2021Complaint2 findings
  • Apr 14, 2021Complaint1 finding
  • Jan 23, 2020Complaint2 findings
  • Dec 19, 2019Standard10 findings
  • Nov 7, 2018Standard8 findings
  • Aug 8, 2018Complaint1 finding
  • Oct 18, 2017Standard2 findings
  • Dec 14, 2016Standard5 findings
  • Jan 28, 2016Standard13 findings
  • Jan 8, 2015Standard3 findings
  • Jan 2, 2015Complaint2 findings
  • Dec 18, 2014Complaint1 finding
  • Feb 5, 2014—10 findings
  • Dec 12, 2012—2 findings
  • Jan 25, 2012—6 findings
  • Jan 7, 2011—4 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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