Home Health Care · Windcrest, TX
Home Health Care · Not Medicare-certified
First Steps Nursing and Therapy Services PLLC
8940 Fourwinds Dr Ste 205 · Windcrest, TX 78239 · Lic. #018455 (TX)
License status: Licensed facility · Verify with the state (opens in a new tab)
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About First Steps Nursing and Therapy Services PLLC
First Steps Nursing and Therapy Services PLLC is a home health agency based in Windcrest, Texas. The TX licensing record lists its status as "LICENSED FACILITY". Its public inspection record shows 14 citations, the most recent on December 11, 2020. CMS also lists 1 fine or payment denial against it. It is one of 2 home health agencies listed in Windcrest. Its public records were last updated in August 2026.
Public record
State licensing agency, updated November 2026
Certification
No Medicare certification on record.
Inspection history (14)
All records are from December 2020.
December 11, 2020 · Health Visit
Citation TXV-HLT-20201211-a7fb68dc38Texas Health and Human Services cited this agency after an inspection completed on December 11, 2020. The state's finding, as published: "The agency failed to have documentation in each client record to acknowledge that clients received notice of advance directives." Texas licenses home care agencies under 26 Texas Administrative Code Chapter 558.
December 11, 2020 · Health Visit
Citation TXV-HLT-20201211-adae24fdacTexas Health and Human Services cited this agency after an inspection completed on December 11, 2020. The state's finding, as published: "The agency failed to include or follow in written emergency preparedness and response plan regarding how it would get warnings of imminent and occurring disasters." Texas licenses home care agencies under 26 Texas Administrative Code Chapter 558.
December 11, 2020 · Health Visit
Citation TXV-HLT-20201211-5e96f675adTexas Health and Human Services cited this agency after an inspection completed on December 11, 2020. The state's finding, as published: "The agency failed to have documentation in each client record to acknowledge that a client received the agency's policy related to the reporting of abuse, neglect, or exploitation of clients." Texas licenses home care agencies under 26 Texas Administrative Code Chapter 558.
December 11, 2020 · Health Visit
Citation TXV-HLT-20201211-5065b020a7Texas Health and Human Services cited this agency after an inspection completed on December 11, 2020. The state's finding, as published: "The agency failed to have a current medication list in each client record as applicable to the services provided." Texas licenses home care agencies under 26 Texas Administrative Code Chapter 558.
December 11, 2020 · Health Visit
Citation TXV-HLT-20201211-abe0da35a3Texas Health and Human Services cited this agency after an inspection completed on December 11, 2020. The state's finding, as published: "The agency failed to include an application for employment or a volunteer agreement in its personnel records." Texas licenses home care agencies under 26 Texas Administrative Code Chapter 558.
December 11, 2020 · Health Visit
Citation TXV-HLT-20201211-25e267bdc0Texas Health and Human Services cited this agency after an inspection completed on December 11, 2020. The state's finding, as published: "The agency failed to include or use in its written emergency preparedness and response plan procedures to triage clients to allow the agency in the event of an emergency to easily use recorded information about each active client's triage category during the response and recovery phases of the plan." Texas licenses home care agencies under 26 Texas Administrative Code Chapter 558.
December 11, 2020 · Health Visit
Citation TXV-HLT-20201211-a3874bf0e8Texas Health and Human Services cited this agency after an inspection completed on December 11, 2020. The state's finding, as published: "The agency failed to have documentation in each client record to acknowledge that a client received information consistent with state requirements on how to make a complaint." Texas licenses home care agencies under 26 Texas Administrative Code Chapter 558.
December 11, 2020 · Health Visit
Citation TXV-HLT-20201211-ff74371141Texas Health and Human Services cited this agency after an inspection completed on December 11, 2020. The state's finding, as published: "The agency failed to orient and train employees, volunteers, or contract staff about their responsibilities in the agency's emergency preparedness and response plan." Texas licenses home care agencies under 26 Texas Administrative Code Chapter 558.
December 11, 2020 · Health Visit
Citation TXV-HLT-20201211-4a7232ebffTexas Health and Human Services cited this agency after an inspection completed on December 11, 2020. The state's finding, as published: "The agency failed to staff its quality assessment and performance improvement committee with the required agency staff." Texas licenses home care agencies under 26 Texas Administrative Code Chapter 558.
December 11, 2020 · Health Visit
Citation TXV-HLT-20201211-d84f8ec0f3Texas Health and Human Services cited this agency after an inspection completed on December 11, 2020. The state's finding, as published: "The agency failed to have documentation in each client record of the consent, authorization, and election forms signed by or for the client." Texas licenses home care agencies under 26 Texas Administrative Code Chapter 558.
December 11, 2020 · Health Visit
Citation TXV-HLT-20201211-5ac25f20f5Texas Health and Human Services cited this agency after an inspection completed on December 11, 2020. The state's finding, as published: "The agency failed to enforce a written policy describing the procedures that its staff must follow when receiving physician orders." Texas licenses home care agencies under 26 Texas Administrative Code Chapter 558.
December 11, 2020 · Health Visit
Citation TXV-HLT-20201211-4b170e6e2cTexas Health and Human Services cited this agency after an inspection completed on December 11, 2020. The state's finding, as published: "The agency failed to give a client or the client's family a written agreement for services or to make sure that the content of the written agreement met state requirements." Texas licenses home care agencies under 26 Texas Administrative Code Chapter 558.
December 11, 2020 · Health Visit
Citation TXV-HLT-20201211-793d5245ceTexas Health and Human Services cited this agency after an inspection completed on December 11, 2020. The state's finding, as published: "The agency failed to immediately report within 24 hours, knowledge of an alleged act of abuse, neglect, or exploitation of a client by an agency employee, contractor, or volunteer to the Department of Family and Protective Services and to DADS." Texas licenses home care agencies under 26 Texas Administrative Code Chapter 558.
December 11, 2020 · Health Visit
Citation TXV-HLT-20201211-af6f73af80Texas Health and Human Services cited this agency after an inspection completed on December 11, 2020. The state's finding, as published: "The agency failed to have a written policy to make sure client care was coordinated among all service providers to promote optimal client outcomes." Texas licenses home care agencies under 26 Texas Administrative Code Chapter 558.
Penalties (1)
February 25, 2026 · Fine
Texas Health and Human Services assessed an administrative penalty of $1,250 against this agency on February 25, 2026. The state cited 26 Texas Administrative Code 558.282(f)(6); 558.288(a)(1). The state's finding, as published: "The agency failed to ensure a client's right to be free from abuse, neglect, and exploitation by the agency's employees, volunteers, or contract staff. The agency failed to enforce its written policy to make sure client care was coordinated among all service providers to promote optimal client outcomes."
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Texas.
Nearby alternatives
Other licensed providers in Windcrest.
Deciding between options? Texas Medicaid for Long-Term Care: 2026 Guide
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