Ellery Care
F

Arboretum Nursing And Rehabilitation Center Of Win

1215 Highway 124, Winnie, TX 77665 · Chambers County

For-profit · 120 certified beds · 70% occupancy · (409) 296-8200

Deciding as a family?

Arboretum Nursing And Rehabilitation Center Of Win reviews: what the government record shows

The U.S. government (CMS) rates Arboretum Nursing And Rehabilitation Center Of Win 1 out of 5 stars overall, much below average. Its nurse staffing is 5% below the Texas median. Inspectors cited it for 1 immediate-jeopardy finding in recent inspection cycles.

Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.

At a glance

CMS overall rating
1 of 5 stars
Nurse staffing
3.11 hrs/resident/day (-5% vs TX median)
Antipsychotic drug use
14.1% of long-stay residents (TX median 8.3%)
Falls with major injury
3.5% of long-stay residents (TX median 3%)
Federal fines (3 yrs)
$115,663
Inspection findings
28 cited, 1 immediate-jeopardy
Federal abuse-warning flag
No

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.

What this means for your family

Several serious marks on its federal record. Look closely and ask hard questions before deciding.

Concerns

  • !CMS rates it just 1 of 5 stars overall.
  • !Nurse staffing of 3.11 hrs/resident/day is below the Texas median of 3.27.
  • !Cited for 1 immediate-jeopardy finding (the most serious category) in recent inspections.
  • !Has paid $115,663 in federal fines in roughly the last three years.

Questions to ask on your visit

  • ·How many residents does each nurse and aide care for on the day, evening, and overnight shifts?
  • ·Can we see the most recent inspection report and the plan of correction?

Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.

A plain-English read of this home's public record. Not advice — always visit in person.

Common questions about Arboretum Nursing And Rehabilitation Center Of Win

Is Arboretum Nursing And Rehabilitation Center Of Win a good nursing home?

Arboretum Nursing And Rehabilitation Center Of Win in Winnie, Texas holds a 1 of 5 star CMS overall rating. Several serious marks on its federal record. Look closely and ask hard questions before deciding.

How is Arboretum Nursing And Rehabilitation Center Of Win staffed?

Arboretum Nursing And Rehabilitation Center Of Win reports 3.11 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.

Has Arboretum Nursing And Rehabilitation Center Of Win been fined or flagged for abuse?

Arboretum Nursing And Rehabilitation Center Of Win has paid approximately $115,663 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.

CMS quality ratings

Overall★★★★★
Health inspections★★★★★
Staffing★★★★★
Quality of resident care★★★★★

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.

Nurse staffing

Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.

TX median 3.27

3.11 nurse hours per resident per day. 5% below the Texas median of 3.27.

Total nurse
3.11 hrs
RN
0.30 hrs
LPN
0.99 hrs
Aide
1.82 hrs

Nursing staff turnover: 98.4% · RN turnover: 100%

Safety & compliance flags

No CMS warning flags on record.

Recent inspection findings

The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.

28
total findings
1
immediate jeopardy
1
caused actual harm
2
from complaints
  • Actual harmTag F0689 · Aug 20, 2025Complaint

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

    Quality of Life and Care Deficiencies

  • Potential for harmTag F0812 · Nov 20, 2025Corrected Nov 21, 2025

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

    Nutrition and Dietary Deficiencies

  • Potential for harmTag F0580 · Nov 20, 2025Corrected Nov 21, 2025

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

    Resident Rights Deficiencies

  • Potential for harmTag F0644 · Nov 20, 2025Corrected Nov 21, 2025

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

    Resident Assessment and Care Planning Deficiencies

  • Potential for harmTag F0688 · Nov 20, 2025Corrected Nov 21, 2025

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Quality of Life and Care Deficiencies

  • Potential for harmTag F0690 · Nov 20, 2025Corrected Nov 21, 2025

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Quality of Life and Care Deficiencies

  • Potential for harmTag F0880 · Nov 20, 2025Corrected Nov 21, 2025

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies

  • Potential for harmTag F0921 · Nov 20, 2025Corrected Nov 21, 2025

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Environmental Deficiencies

  • Immediate jeopardyTag F0689 · Aug 22, 2024Corrected Aug 23, 2024

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

    Quality of Life and Care Deficiencies

  • Potential for harmTag F0712 · Aug 22, 2024Corrected Aug 23, 2024

    Ensure that the resident and his/her doctor meet face-to-face at all required visits.

    Nursing and Physician Services Deficiencies

Showing the 10 most recent and serious of 28 findings. See the full inspection history on Medicare.gov.

Antipsychotic drug use

The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.

14.1%
of long-stay residents
Texas median 8.3%
National median 13.4%

This is above the national median. Ask how the home decides to start these medications and how often it reviews them.

Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study

Preventable harm

Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.

Falls with major injury
3.5%
of long-stay residents
Texas median 3% · National median 2.8%
Pressure ulcers (bedsores)
2.6%
of long-stay residents
Texas median 3.3% · National median 4.2%

The serious-fall rate here is above the national median. It is worth asking how the home prevents falls and whether recent injuries prompted any changes.

Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study

Federal fines and penalties

Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.

Total fines
$115,663
Number of fines
2
Payment denials
0

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas

Ownership

This home is for-profit (for profit - corporation). It is independently operated, not part of a multi-facility chain.