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.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-09-12 | 9 | 9.1 | 9.5 | -0.1 better |
| 2 | 2023-06-09 | 7 | 9.4 | 9.8 | -2.4 better |
| 3 | 2022-03-24 | 4 | 8.1 | 9.3 | -4.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 3 |
| Quality of life and care | 1 |
| Resident assessment and care planning | 1 |
| Resident rights | 1 |
| Pharmacy service | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.14 | 53.2% |
| RN staffing (reported) | 0.30 | 50.0% |
| 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
- DF0610Respond appropriately to all alleged violations.2025-11-21 · Health · corrected 2025-11-22
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-09-12 · Health · corrected 2024-09-27
Potential for more than minimal harm
- 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
- 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
- DF0880Provide and implement an infection prevention and control program.2024-09-12 · Health · corrected 2024-09-27
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| STARR COUNTY HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2018-04-01 |
| REGENCY IHS OF MCALLEN MANOR LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-10-01 |
| REGENCY INTEGRATED HEALTH SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-10-01 |
| STARR COUNTY HOSPITAL DISTRICT | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-10-01 |
| DEKOWSKI, DONOVAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-10-01 |
| SANDOVAL, ANGEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-11-16 |
| MUNOZ, THALIA | Individual | CORPORATE OFFICER | — | 2018-04-01 |
Other facilities in Mcallen
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.