Windsor Nursing and Rehabilitation Center of Mcall
900 S 12th St, McAllen, TX 78501
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Follow this homeWindsor Nursing and Rehabilitation Center of Mcall is a nursing home in McAllen, Texas. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating3 of 5
- Last standard health inspectionDecember 3, 2025 (11 months ago)
- Health citations since June 9, 202318 (Texas average 28)
- Fines in the past three years1, $24,083 in total
- CMS flagsNone listed by CMS
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of June 24, 2026
Fine
CMS changed the fine from November 21, 2025 from $37,050 to $24,083.
CMS update of April 29, 2026
Star rating
The CMS overall star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 4 of 5.
CMS update of February 25, 2026
Star rating
The CMS overall star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 3 of 5.
Health inspection on December 3, 2025
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation F0690. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS lists it as corrected on December 5, 2025.
CMS has cited this home for F0690 2 times since 2024.
Citation F0812. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on December 5, 2025.
Fire safety inspection on December 3, 2025
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation K0521. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on December 5, 2025.
CMS has cited this home for K0521 3 times since 2023.
Health inspection on November 21, 2025
2 citationsCMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
107 of 1,177 Texas homes (9%) got a citation at the actual harm level in 2025.
CMS fine of $24,083 on November 21, 2025.
Show the 2 citations
Citation F0689. Severity G: actual harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on November 22, 2025.
Citation F0610. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Respond appropriately to all alleged violations.
CMS lists it as corrected on November 22, 2025.
Health inspection on July 9, 2025
2 citationsCMS lists this as a complaint inspection.
Show the 2 citations
Citation F0600. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS lists it as corrected on July 18, 2025.
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on July 18, 2025.
CMS update of April 30, 2025
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
CMS update of February 26, 2025
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Health inspection on September 12, 2024
5 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 5 citations
Citation F0758. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on September 27, 2024.
Citation F0578. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on September 27, 2024.
Citation F0645. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
PASARR screening for Mental disorders or Intellectual Disabilities
CMS lists it as corrected on September 27, 2024.
Citation F0756. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
CMS lists it as corrected on September 27, 2024.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on September 27, 2024.
Fire safety inspection on September 12, 2024
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation K0521. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on September 18, 2024.
Health inspection on August 9, 2024
3 citationsCMS lists this as a complaint inspection.
Show the 3 citations
Citation F0580. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on August 16, 2024.
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on August 16, 2024.
Citation F0842. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on August 16, 2024.
CMS has cited this home for F0842 2 times since 2024.
CMS update of May 29, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS health inspection star rating changed from 5 of 5 to 4 of 5.
CMS update of April 25, 2024
Ownership
CMS lists this home under a new chain.
CMS update of March 28, 2024
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 5 of 5.
Health inspection on March 1, 2024
3 citationsCMS lists this as a complaint inspection.
Show the 3 citations
Citation F0842. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on March 8, 2024.
Citation F0690. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS lists it as corrected on March 8, 2024.
Citation F0726. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on March 8, 2024.
Health inspection on June 9, 2023
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on June 13, 2023.
Fire safety inspection on June 9, 2023
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation K0521. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on June 9, 2023.
CMS star ratings
- 3 of 5CMS overall star rating
- 4 of 5CMS health inspection star rating
- 1 of 5CMS staffing star rating
- 4 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (956) 682-4171
- Last standard health inspection
- December 3, 2025 (11 months ago)
- Certified beds
- 110
- Residents per day, on average
- 77.8
- Ownership type
- Non profit - Corporation
- Legal business name
- Starr County Hospital District
- Chain
- Wellsential Health
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Texas average (18 vs 28).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- STARR COUNTY HOSPITAL DISTRICT5% or greater direct ownership interest · 100% · since 04/01/2018
- REGENCY IHS OF MCALLEN MANOR LLCDirect ownership interest · not applicable · since 10/01/2022
- CSV RHEA MANAGEMENT HOLDCO, LLCIndirect ownership interest · not applicable · since 10/01/2022
- DWD TX HOLDINGS LLCIndirect ownership interest · not applicable · since 10/01/2022
- JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INCIndirect ownership interest · not applicable · since 10/01/2022
Show 9 more
- REG LEASED OPCO LLCIndirect ownership interest · not applicable · since 10/01/2022
- REG OPERATOR HOLDCO LLCIndirect ownership interest · not applicable · since 10/01/2022
- REGENCY INTEGRATED HEALTH SERVICES LLCIndirect ownership interest · not applicable · since 10/01/2022
- REGENCY TEXAS HOLDINGS LLCIndirect ownership interest · not applicable · since 10/01/2022
- REGENCY IHS OF MCALLEN MANOR LLCOperational/managerial control · not applicable · since 10/01/2022
- REGENCY INTEGRATED HEALTH SERVICES LLCOperational/managerial control · not applicable · since 10/01/2022
- STARR COUNTY HOSPITAL DISTRICTOperational/managerial control · not applicable · since 10/01/2022
- DEKOWSKI, DONOVANOperational/managerial control · not applicable · since 10/01/2022
- SANDOVAL, ANGELOperational/managerial control · not applicable · since 11/16/2023
Questions
When was Windsor Nursing and Rehabilitation Center of Mcall last inspected?
CMS lists December 3, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Windsor Nursing and Rehabilitation Center of Mcall have?
CMS lists 18 health citations since June 9, 2023. CMS also calls these deficiencies.
Has Windsor Nursing and Rehabilitation Center of Mcall been fined?
CMS lists 1 fine in the past three years, $24,083 in total.
What is the CMS star rating of Windsor Nursing and Rehabilitation Center of Mcall?
Its CMS overall star rating is 3 of 5.
Is Windsor Nursing and Rehabilitation Center of Mcall a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.