Windsor Nursing and Rehabilitation Center of Mcall

CCN 455662 · STARR COUNTY HOSPITAL DISTRICT · Non profit - Corporation · WELLSENTIAL HEALTH chain · 110 certified beds · Hidalgo · TX


Windsor Nursing and Rehabilitation Center of Mcall is a 110-bed nursing home in Mcallen, Texas. CMS has certified it for Medicare and Medicaid since 1986-07-09. It averages 77.1 residents a day.

What harm was found in the violations cited at Windsor Nursing and Rehabilitation Center of Mcall?

CMS lists 18 health-inspection deficiencies for Windsor Nursing and Rehabilitation Center of Mcall since 2023-06-09, 17 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2025-12-03.

Survey dateTagDeficiencySeverity
2025-12-03F0690, F0812Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D
2025-11-21F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2025-11-21F0610Respond appropriately to all alleged violations.D
2025-07-09F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.E
2025-07-09F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2024-09-12F0758Implement 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
2024-09-12F0578, F0645, F0756, F0880Honor 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. / PASARR screening for Mental disorders or Intellectual Disabilities / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Provide and implement an infection prevention and control program.D
2024-08-09F0580, F0657, F0842Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2024-03-01F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E
2024-03-01F0690, F0726Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / 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
2023-06-09F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D

Why was Windsor Nursing and Rehabilitation Center of Mcall fined?

DateTypeAmount
2025-11-21Fine$24,083

How is Windsor Nursing and Rehabilitation Center of Mcall staffed relative to the TX average?

MeasureThis facilityTX average
Total nurse staffing hours per resident per day3.035853.38539
Total nursing staff turnover (%)50.055.3
Average number of residents per day77.175.8

Who owns Windsor Nursing and Rehabilitation Center of Mcall, and what chain is it in?

Windsor Nursing and Rehabilitation Center of Mcall is registered with CMS as Non profit - Corporation, 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 04/01/2018
DIRECT OWNERSHIP INTERESTREGENCY IHS OF MCALLEN MANOR LLCsince 10/01/2022
INDIRECT OWNERSHIP INTERESTCSV RHEA MANAGEMENT HOLDCO, LLC, DWD TX HOLDINGS LLC, JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC, REG LEASED OPCO LLC, REG OPERATOR HOLDCO LLC, REGENCY INTEGRATED HEALTH SERVICES LLC, REGENCY TEXAS HOLDINGS LLCsince 10/01/2022
MANAGING CONTROL - GOVERNING BODYBAIRD, DANIEL, CLAPP, BARBARA, CORTESE, DAREN, GIBSON, PATRICIA, GUERRA, ADRIAN, MANDELBAUM, ELLIOT, MUNOZ, THALIA, PENA, ELISA, SALINAS, ARCADIOsince 01/01/2025
CORPORATE OFFICERMUNOZ, THALIAsince 04/01/2018
OPERATIONAL/MANAGERIAL CONTROLREGENCY IHS OF MCALLEN MANOR LLC, REGENCY INTEGRATED HEALTH SERVICES LLC, STARR COUNTY HOSPITAL DISTRICT, DEKOWSKI, DONOVAN, SANDOVAL, ANGELsince 10/01/2022
ADP OF THE SNFREGENCY IHS CLINICAL CONSULTING, LLC, REGENCY IHS OF MCALLEN MANOR LLC, REGENCY IHS REHAB LLC, REGENCY INTEGRATED HEALTH SERVICES LLC, STARR COUNTY HOSPITAL DISTRICT, DEKOWSKI, DONOVAN, DOZAL, ALYSSA, SANDOVAL, ANGELsince 01/01/2025

Were you or a family member harmed at Windsor Nursing and Rehabilitation Center of Mcall?