For profit - Corporation · 105 certified beds · CMS number 676089
Winnie L Nursing & Rehabilitation, Cameron, TX
CMS records 34 health deficiencies at Winnie L Nursing & Rehabilitation in Cameron, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on May 22, 2025. The highest severity cited is J (immediate jeopardy to resident health or safety). 4 citations were at the immediate jeopardy level, 1 of them recorded as past non-compliance (fixed before the inspection). CMS lists 2 fines totaling $51,479 and 1 payment denial in the last three years.
- 34deficiencies, 3 cycles (TX median 25)
- 9in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $51,479fines, last 3 years
- 2CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Winnie L Nursing & Rehabilitation as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Winnie L Nursing & Rehabilitation may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (9 deficiencies)
Standard inspection May 22, 2025. CMS counts 9 health deficiencies and 5 fire safety deficiencies in this cycle.
May 12, 2026 · Complaint inspection
3 deficiencies, highest E
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 13, 2026
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 13, 2026
F602 · Protecting residents' money and belongings
Requirement cited (CMS): Protect each resident from the wrongful use of the resident's belongings or money.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 13, 2026
Dec 4, 2025 · Complaint inspection
1 deficiency, highest D
F726 · Competent nurses and nurse aides
Requirement cited (CMS): Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 5, 2025
May 22, 2025 · Standard inspection
5 deficiencies, highest E
F757 · Avoiding unnecessary drugs
Requirement cited (CMS): Ensure each resident’s drug regimen must be free from unnecessary drugs.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 23, 2025
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 23, 2025
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 23, 2025
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 23, 2025
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 23, 2025
Previous cycle: 14 deficiencies (standard inspection Apr 4, 2024)
Standard inspection Apr 4, 2024. CMS counts 14 health deficiencies and 3 fire safety deficiencies in this cycle.
Aug 14, 2025 · Complaint inspection
1 deficiency, highest J
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Past non-compliance (fixed before the inspection)
May 12, 2025 · Complaint inspection
3 deficiencies, highest D
F686 · Pressure ulcer prevention and care
Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 19, 2025
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 19, 2025
F580 · Telling residents and families about changes
Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 19, 2025
Apr 4, 2024 · Standard inspection
10 deficiencies, highest F
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Apr 26, 2024
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 3, 2024
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 3, 2024
F727 · RN coverage and director of nursing
Requirement cited (CMS): Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Apr 26, 2024
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 3, 2024
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 3, 2024
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 3, 2024
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 3, 2024
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 3, 2024
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 3, 2024
Earlier cycle: 11 deficiencies (standard inspection Feb 16, 2023)
Standard inspection Feb 16, 2023. CMS counts 11 health deficiencies and 0 fire safety deficiencies in this cycle.
Jul 1, 2024 · Complaint inspection
1 deficiency, highest H
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- H Actual harm (not immediate jeopardy), pattern
- Status
- Correction date Jul 22, 2024
May 31, 2024 · Complaint inspection
3 deficiencies, highest J
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Jul 2, 2024
F659 · Care by qualified staff per plan
Requirement cited (CMS): Provide care by qualified persons according to each resident's written plan of care.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Jul 2, 2024
F580 · Telling residents and families about changes
Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Jul 2, 2024
Feb 16, 2023 · Standard inspection
7 deficiencies, highest F
F806 · Allergies, preferences, and meal substitutes
Requirement cited (CMS): Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 24, 2023
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 24, 2023
F732 · Daily posting of nurse staffing
Requirement cited (CMS): Post nurse staffing information every day.
- Severity
- B No actual harm, potential for minimal harm, pattern
- Status
- Correction date Mar 24, 2023
F727 · RN coverage and director of nursing
Requirement cited (CMS): Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Mar 24, 2023
F725 · Enough nursing staff every shift
Requirement cited (CMS): Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 24, 2023
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 24, 2023
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 24, 2023
Tags cited in more than one inspection
7 tags cited on more than one inspection date at Winnie L Nursing & Rehabilitation; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F689 Accident prevention and supervision | 5 | May 12, 2026; Aug 14, 2025 (PNC); May 22, 2025; Apr 4, 2024; Feb 16, 2023 |
| F677 Help with daily care | 3 | May 22, 2025; Apr 4, 2024; Feb 16, 2023 |
| F755 Pharmacy services and a consultant pharmacist | 3 | May 22, 2025; Apr 4, 2024; Feb 16, 2023 |
| F580 Telling residents and families about changes | 2 | May 12, 2025; May 31, 2024 |
| F684 Quality of care | 2 | May 12, 2025; May 31, 2024 |
| F727 RN coverage and director of nursing | 2 | Apr 4, 2024; Feb 16, 2023 |
| F761 Drug labeling and secure storage | 2 | May 12, 2026; Apr 4, 2024 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Aug 14, 2025 | Fine | $10,549 |
| May 31, 2024 | Fine | $40,930 |
| May 31, 2024 | Payment Denial | 20 days from Jul 2, 2024 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.27 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.25 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.86 h
- Nursing staff turnover
- 87.5% (Texas median 52.1%)
- Administrators who left
- 2
- CMS overall rating
- 2 of 5
- Health inspection rating
- 2 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 5 of 5
CMS figures for Winnie L Nursing & Rehabilitation, copied as published; Texas medians are ours.
Facility details
- Address
- 2104 N Karnes Ave, Cameron, TX 76520
- Phone
- (254) 697-4985
- County
- Milam
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Chain (CMS)
- Creative Solutions in Healthcare
- Certified beds
- 105
- Average residents per day
- 41.3
- In Medicare/Medicaid since
- Mar 1, 2006
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 5 times)
- How often do residents who need help get assistance with bathing, grooming, and mouth care? (F677, cited 3 times)
- How are new medication orders filled, and how quickly can urgent medications arrive? (F755, cited 3 times)
- How quickly is the family called if a resident falls or their condition changes? (F580, cited 2 times)
Other nursing homes in Cameron and the same chain
- Legacy Nursing and Rehabilitation
Cameron · 23 deficiencies - Franklin Heights Nursing & Rehabilitation
El Paso · 76 deficiencies - St. Teresa Nursing & Rehab Center
El Paso · 75 deficiencies - Mountain View Health & Rehabilitation
El Paso · 72 deficiencies - Pleasant Springs Healthcare Center
Mount Pleasant · 66 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.