Starfile

Starfile / Texas

Windsor Nursing and Rehabilitation Center of Mcall

900 S 12th St, Mcallen, TX 78501 · CCN 455662

Ratings

Overall
★★☆☆☆ 2
Health inspection
★★★☆☆ 3
Quality measures
★★★★☆ 4
Staffing
★☆☆☆☆ 1

Facility

Ownership type
Non profit - Corporation
Certified beds
110
Avg residents/day
79.7
Phone
9566824171

Inspection history vs Texas & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityTexas avgNational avgvs state
12024-09-1299.19.5-0.1 better
22023-06-0979.49.8-2.4 better
32022-03-2448.19.3-4.1 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation3
Quality of life and care1
Resident assessment and care planning1
Resident rights1
Pharmacy service2
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.1453.2%
RN staffing (reported)0.3050.0%
Total nurse staffing (adjusted)2.82

Fines & penalties

Total fines
$37,050
Number of fines
1
Number of penalties
1
Payment denials
0

Chain

Chain
WELLSENTIAL HEALTH
Facilities in chain
67
Chain avg overall
2.80 / 5

Inspection citations (20)1 actual harm

  1. DF0610Respond appropriately to all alleged violations.2025-11-21 · Health · corrected 2025-11-22

    Potential for more than minimal harm

  2. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-11-21 · Health · corrected 2025-11-22

    Actual harm

  3. EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-07-09 · Health · corrected 2025-07-18

    Potential for more than minimal harm

  4. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-07-09 · Health · corrected 2025-07-18

    Potential for more than minimal harm

  5. DF0578Honor 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.2024-09-12 · Health · corrected 2024-09-27

    Potential for more than minimal harm

  6. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-09-12 · Health · corrected 2024-09-27

    Potential for more than minimal harm

  7. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-09-12 · Health · corrected 2024-09-27

    Potential for more than minimal harm

  8. EF0758Implement 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.2024-09-12 · Health · corrected 2024-09-27

    Potential for more than minimal harm

  9. DF0880Provide and implement an infection prevention and control program.2024-09-12 · Health · corrected 2024-09-27

    Potential for more than minimal harm

  10. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-08-09 · Health · corrected 2024-08-16

    Potential for more than minimal harm

  11. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-08-09 · Health · corrected 2024-08-16

    Potential for more than minimal harm

  12. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-08-09 · Health · corrected 2024-08-16

    Potential for more than minimal harm

  13. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-03-01 · Health · corrected 2024-03-08

    Potential for more than minimal harm

  14. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-03-01 · Health · corrected 2024-03-08

    Potential for more than minimal harm

  15. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-03-01 · Health · corrected 2024-03-08

    Potential for more than minimal harm

  16. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-06-09 · Health · corrected 2023-06-13

    Potential for more than minimal harm

  17. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-05-12 · Health · corrected 2023-05-26

    Potential for more than minimal harm

  18. EF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2022-03-24 · Health · corrected 2022-05-31

    Potential for more than minimal harm

  19. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-03-24 · Health · corrected 2022-05-31

    Potential for more than minimal harm

  20. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-03-24 · Health · corrected 2022-05-31

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
STARR COUNTY HOSPITAL DISTRICTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2018-04-01
REGENCY IHS OF MCALLEN MANOR LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2022-10-01
REGENCY INTEGRATED HEALTH SERVICES LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2022-10-01
STARR COUNTY HOSPITAL DISTRICTOrganizationOPERATIONAL/MANAGERIAL CONTROL2022-10-01
DEKOWSKI, DONOVANIndividualOPERATIONAL/MANAGERIAL CONTROL2022-10-01
SANDOVAL, ANGELIndividualOPERATIONAL/MANAGERIAL CONTROL2023-11-16
MUNOZ, THALIAIndividualCORPORATE OFFICER2018-04-01

Other facilities in Mcallen

NameOverallBeds

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.