Windsor Nursing and Rehabilitation Center of McAllCMS ratings, inspections and fines
- Address
- 900 S 12th St, McAllen, TX 78501
- CCN
- 455662
- Ownership type
- Non-profit, corporation
- Certified beds
- 110
- Chain
- Wellsential Health
- Residents per day
- 77
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Windsor Nursing and Rehabilitation Center of McAll an overall rating of 3 of 5 stars. The last standard survey was on 3 Dec 2025. The latest survey cycle has 4 health citations. The median for nursing homes in Texas is 8. CMS lists 1 fine of $24,083 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Hidalgo County median | Texas median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 3 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 4 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 2.0 | 2.0 | 2.9 |
| Quality measure rating | 4 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 22 homes in the county, 1,177 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Texas median |
|---|---|---|---|
| Cycle 1 (latest) | 3 Dec 2025 | 4 | 8 |
| Cycle 2 | 12 Sep 2024 | 10 | 8 |
| Cycle 3 | No date | 4 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 4 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 3 Dec 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 5 Dec 2025 |
| 3 Dec 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 5 Dec 2025 |
| 21 Nov 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 22 Nov 2025 |
| 21 Nov 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 22 Nov 2025 |
Survey cycle 2: 10 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 9 Jul 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint investigation | 18 Jul 2025 |
| 9 Jul 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 18 Jul 2025 |
| 12 Sep 2024 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 27 Sep 2024 |
| 12 Sep 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 27 Sep 2024 |
| 12 Sep 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 27 Sep 2024 |
| 12 Sep 2024 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | Standard survey | 27 Sep 2024 |
| 12 Sep 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 27 Sep 2024 |
| 9 Aug 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 16 Aug 2024 |
| 9 Aug 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 16 Aug 2024 |
| 9 Aug 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 16 Aug 2024 |
Survey cycle 3: 4 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 1 Mar 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 8 Mar 2024 |
| 1 Mar 2024 | F0726 | 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. | D | Complaint investigation | 8 Mar 2024 |
| 1 Mar 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 8 Mar 2024 |
| 9 Jun 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 13 Jun 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 21 Nov 2025 | Fine | $24,083 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Texas median | Texas average (CMS) |
|---|---|---|---|
| All nurse staff | 3.04 | 3.30 | 3.39 |
| Registered nurses (RN) | 0.24 | 0.40 | 0.43 |
| Licensed practical nurses (LPN) | 0.95 | 0.95 | |
| Nurse aides | 1.85 | 2.00 | |
| All nurse staff, weekends | 2.67 | 2.90 | 2.98 |
- Nurse staff turnover in a year
- 50.0%
- Nurse staff turnover, Texas median
- 52.1%
- RN turnover in a year
- 42.9%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 7.8% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.7% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 9.4% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 8.1% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.7% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 32.7% | 8.3% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- Non-profit, corporation
- Legal business name
- Starr County Hospital District
- Chain
- Wellsential Health (67 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Starr County Hospital District | 5% or greater direct ownership interest | 100% | 1 Apr 2018 |
| Regency IHS of McAllen Manor LLC | Direct ownership interest | 1 Oct 2022 | |
| CSV Rhea Management Holdco, LLC | Indirect ownership interest | 1 Oct 2022 | |
| DWD TX Holdings LLC | Indirect ownership interest | 1 Oct 2022 | |
| Jack and Nancy Dwyer Workforce Development Center Inc | Indirect ownership interest | 1 Oct 2022 | |
| Reg Leased Opco LLC | Indirect ownership interest | 1 Oct 2022 | |
| Reg Operator Holdco LLC | Indirect ownership interest | 1 Oct 2022 | |
| Regency Integrated Health Services LLC | Indirect ownership interest | 1 Oct 2022 | |
| Regency Texas Holdings LLC | Indirect ownership interest | 1 Oct 2022 | |
| Regency IHS of McAllen Manor LLC | Operational/managerial control | 1 Oct 2022 | |
| Regency Integrated Health Services LLC | Operational/managerial control | 1 Oct 2022 | |
| Starr County Hospital District | Operational/managerial control | 1 Oct 2022 | |
| Regency IHS Clinical Consulting, LLC | Adp of the snf | 1 Oct 2022 | |
| Regency IHS of McAllen Manor LLC | Adp of the snf | 15 Apr 2025 | |
| Regency IHS Rehab LLC | Adp of the snf | 1 Oct 2022 | |
| Regency Integrated Health Services LLC | Adp of the snf | 15 Apr 2025 | |
| Starr County Hospital District | Adp of the snf | 15 Apr 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Hidalgo County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Grand Terrace Rehabilitation and Healthcare | McAllen | 5 of 5 | 9 | $0 | 19 Feb 2026 | |
| Alfredo Gonzalez Texas State Veterans Home | McAllen | 2 of 5 | 14 | $14,901 | 7 Jan 2026 | |
| McAllen Nursing Center | McAllen | 2 of 5 | 11 | $17,459 | 24 Apr 2025 | |
| McAllen Transitional Care Center | McAllen | 4 of 5 | 10 | $8,827 | 11 Mar 2026 | |
| Windsor Las Palmas Nursing and Rehabilitation Cent | McAllen | 5 of 5 | 6 | $38,393 | 6 Mar 2025 | |
| Village Healthcare and Rehabilitation | McAllen | 3 of 5 | 8 | $28,970 | 10 Apr 2025 | |
| Briarcliff Nursing and Rehabilitation Center | McAllen | 1 of 5 | 15 | $63,129 | 13 May 2026 | |
| Colonial Manor Advanced Rehab & Healthcare | Pharr | 1 of 5 | 11 | $54,998 | 24 Apr 2025 | |
| Mission Nursing and Rehabilitation Center | Mission | 4 of 5 | 8 | $8,190 | 2 Apr 2026 | |
| Mission Valley Nursing and Transitional Care | Mission | 4 of 5 | 14 | $38,990 | 11 Feb 2026 | |
| San Juan Nursing Home, Inc. | San Juan | 4 of 5 | 7 | $0 | 11 Dec 2025 | |
| Edinburg Nursing and Rehabilitation Center | Edinburg | 2 of 5 | 17 | $16,565 | 2 Apr 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Texas Health and Human Services: complaint and incident intakeThe complaint page of the State Survey Agency for Texas, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Windsor Nursing and Rehabilitation Center of McAll (CCN 455662). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/windsor-nursing-and-rehabilitation-center-of-mcall-mcallen-tx-455662/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Windsor Nursing and Rehabilitation Center of McAll last inspected?
- The latest inspection with a citation in the CMS record was on 3 Dec 2025. It was a standard survey. It gave 2 citations. The standard survey before the last one was on 12 Sep 2024.
- Who operates Windsor Nursing and Rehabilitation Center of McAll?
- The CMS record gives the ownership type as non-profit, corporation. CMS lists the home in the chain Wellsential Health. The CMS ownership file names 3 organisations for operational or managerial control. This site does not show the names of persons.
- Is Windsor Nursing and Rehabilitation Center of McAll a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 6 homes in Texas as Special Focus Facilities and 30 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.