Deficiency Index

Winnie L Nursing & Rehabilitation

Cameron, Texas · CCN 676089

34 surveys since 2010, 14 of them producing a finding at harm level or worse.

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

Citations on record
142
Surveys
34
Harm or worse
14
Immediate jeopardy
8
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy8

Findings at the most serious level CMS records. 1 of these were recorded as past non-compliance — corrected before the survey.

Beyond CMS’s monthly file25/34

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

The facility

Certified beds
105
Ownership
For profit - Corporation
Chain
CREATIVE SOLUTIONS IN HEALTHCARE
County
Milam · rural
Medicare-certified since
2006

CMS ratings

Overall
2
Health inspection
2
Staffing
1
Quality measures
5

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 377 for-profit facilities of 100–127 beds in Texas.

Last survey on record

May 12, 2026

181 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 day3.273.25
Registered-nurse hours per resident day0.25—
Annual nurse turnover87.5%54.0%

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

Enforcement

Fines
$51,479 across 2 penalties
Payment denials
1

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ411.8%K—L—
Actual harmG—H12.9%I—
No harm, potential for more than minimalD1647.1%E926.5%F38.8%
No harm, potential for minimalA—B12.9%C—
CMS’s current file: 34 of the 142 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6895×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F6773×

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

  • F7553×

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

  • F5802×

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  • F6842×

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

In the surveyor’s words

From the most serious findings on record at Winnie L Nursing & Rehabilitation, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF689Aug 14, 2025

    Based 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. […]

  • Immediate jeopardy, isolatedF580May 31, 2024

    Based 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. […]

  • Immediate jeopardy, isolatedF659May 31, 2024

    Based 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. […]

  • Immediate jeopardy, isolatedF684May 31, 2024

    Based 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 05/04/2024 at approximately 10:30 AM. An Immediate Jeopardy (IJ) situation was identified on 05/30/2024 at 6:05 PM. […]

  • Immediate jeopardy, isolatedF684Jul 11, 2021

    Based on observation, interview and record review the facility failed to provide treatment and care in accordance with the comprehensive person-centered care plan and in accordance with professional standards of practice for four of four residents (#1, #2, #3 and #4) reviewed for quality of care, in that: The facility failed to monitor and provide care and services for Resident #1's foley catheter and abdominal pain resulting in Resident #1 being admitted to the hospital for [CONDITION(S)], UTI and [MEDICATION(S)]. The facility failed to have a system in place for the care and monitoring of Resident #1, #2, #3 and #4 indwelling catheters. This failure resulted in an Immediate Jeopardy on 07/08/2021 at 4:48 p.m. […]

Read 33 findings in full →The most serious and the most recent: 33 of 142 on record.

Every survey on record

FindingsAt actual harm or above

  • Jul 23, 2026Standard11 findings
  • May 12, 2026Complaint3 findings
  • Dec 4, 2025Complaint1 finding
  • Aug 14, 2025Complaint1 finding · 1 harm
  • May 22, 2025Standard5 findings
  • May 12, 2025Complaint3 findings
  • Jul 1, 2024Complaint1 finding · 1 harm
  • May 31, 2024Complaint3 findings · 3 harm
Show the 26 earlier surveys
  • Apr 4, 2024Standard10 findings
  • Feb 16, 2023Standard7 findings
  • Jul 27, 2022Infection control1 finding
  • Jan 25, 2022Complaint2 findings
  • Nov 18, 2021Standard4 findings
  • Jul 11, 2021Complaint1 finding · 1 harm
  • Oct 1, 2020Complaint4 findings · 2 harm
  • Sep 30, 2020Infection control3 findings · 1 harm
  • Mar 26, 2020Complaint1 finding
  • Jul 17, 2019Standard and complaint6 findings
  • Aug 22, 2018Standard4 findings
  • Jan 5, 2018Complaint3 findings
  • Jul 27, 2017Standard4 findings
  • Jun 27, 2017Complaint1 finding
  • Jun 24, 2016Standard5 findings
  • Aug 4, 2015Complaint2 findings
  • Jun 8, 2015Standard12 findings
  • May 6, 2015Complaint1 finding
  • Jan 20, 2015Complaint2 findings
  • Aug 21, 2014Complaint1 finding
  • Jun 4, 2014Standard and complaint5 findings
  • May 22, 2013Standard20 findings · 2 harm
  • Jan 14, 2013—1 finding
  • Apr 6, 2012—10 findings · 3 harm
  • Mar 16, 2011—3 findings
  • Sep 29, 2010—1 finding

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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