WINDSOR ATRIUM

In hospital · CCN 676125 · STARR COUNTY HOSPITAL DISTRICT · For profit - Limited Liability company · WELLSENTIAL HEALTH chain · 120 certified beds · Cameron · TX


WINDSOR ATRIUM is a 120-bed nursing home in Harlingen, Texas. CMS has certified it for Medicare and Medicaid since 2007-02-01. It averages 94.3 residents a day.

What harm was found in the violations cited at WINDSOR ATRIUM?

CMS lists 37 health-inspection deficiencies for WINDSOR ATRIUM since 2023-04-06, 29 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-05-08.

Survey dateTagDeficiencySeverity
2026-05-08F0756, F0842Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2025-12-09F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E
2025-12-09F0656, F0761Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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.D
2025-08-29F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J
2025-08-29F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.E
2025-08-29F0552, F0656, F0657, F0689, F0690, F0695, F0761, F0812, F0842, F0880Ensure that residents are fully informed and understand their health status, care and treatments. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe and appropriate respiratory care for a resident when needed. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program.D
2025-06-26F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2025-06-21F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2024-08-21F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2024-07-25F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D
2024-06-27F0600, F0689Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2024-06-27F0577, F0644, F0656, F0677Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable.D
2024-05-09F0655, F0656Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2023-04-06F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2023-04-06F0558, F0656, F0692, F0755, F0761, F0842, F0880Reasonably accommodate the needs and preferences of each resident. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide enough food/fluids to maintain a resident's health. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program.D

Why was WINDSOR ATRIUM fined 2 times?

DateTypeAmount
2025-08-29Fine$8,457
2024-06-27Fine$14,697

How is WINDSOR ATRIUM staffed?

MeasureThis facilityTX average
Total nurse staffing hours per resident per day3.554503.38539
Total nursing staff turnover (%)40.255.3
Average number of residents per day94.375.8

Who owns WINDSOR ATRIUM, and what chain is it in?

WINDSOR ATRIUM is registered with CMS as For profit - Limited Liability company, operates under the legal business name STARR COUNTY HOSPITAL DISTRICT and belongs to the WELLSENTIAL HEALTH chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTSTARR COUNTY HOSPITAL DISTRICTsince 04/01/2017
DIRECT OWNERSHIP INTERESTREGENCY IHS OF WINDSOR ATRIUM LLCsince 04/01/2017
INDIRECT OWNERSHIP INTERESTDWD TX HOLDINGS LLC, JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC, REG HG OPCO 1, LLC, REG HG OPCO LLC, REG OPERATOR HOLDCO LLC, REGENCY INTEGRATED HEALTH SERVICES LLC, REGENCY TEXAS HOLDINGS LLCsince 04/01/2017
MANAGING CONTROL - GOVERNING BODYBAIRD, DANIEL, CLAPP, BARBARA, CORTESE, DAREN, GIBSON, PATRICIA, GUERRA, ADRIAN, MANDELBAUM, ELLIOT, MUNOZ, THALIA, PENA, ELISA, SALINAS, ARCADIOsince 01/01/1982
CORPORATE OFFICERMUNOZ, THALIAsince 01/01/1982
OPERATIONAL/MANAGERIAL CONTROLREGENCY IHS OF WINDSOR ATRIUM LLC, REGENCY INTEGRATED HEALTH SERVICES LLC, STARR COUNTY HOSPITAL DISTRICT, CAMPOS, MICHAEL, DEKOWSKI, DONOVANsince 04/01/2017
ADP OF THE SNF1814 ATRIUM PLACE DRIVE LLC, REGENCY IHS CLINICAL CONSULTING, LLC, REGENCY IHS MASTER TENANT LLC, REGENCY IHS OF WINDSOR ATRIUM LLC, REGENCY IHS REHAB LLC, REGENCY INTEGRATED HEALTH SERVICES LLC, STARR COUNTY HOSPITAL DISTRICT, CAMPOS, MICHAEL, CASTILLO, CRISOFORO, DEKOWSKI, DONOVAN, LUCIO, DELMA, REYNOSO, LUISsince 01/01/2025

Were you or a family member harmed at WINDSOR ATRIUM?