Laredo West Nursing And Rehabilitation Center
Laredo, Webb County, Texas · CCN 455528 · Government (Hospital district) · part of Wellsential Health (67 facilities, chain average 2.7 stars)
CMS rates Laredo West Nursing And Rehabilitation Center 1 of 5 overall as of August 2026. 188 certified beds, 115 residents a day on average. 41 citations on record from the current inspection cycles, 3 at immediate jeopardy; 2 fines totalling $49,719.
On record
- Abuse icon. CMS marks this facility for a citation of abuse that led to harm, or a repeated potential for it, within the recent inspection cycles.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★☆☆☆☆ 1 of 5 |
|---|---|
| Health inspections | ★☆☆☆☆ 1 of 5 |
| Staffing | ★★☆☆☆ 2 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 4 / 3 of 5 |
Staffing
| Total nurse staffing | 3.118 hours per resident per day |
|---|---|
| Registered nurses | 0.66015 hours per resident per day |
| Weekend total | 2.71232 hours per resident per day |
| Nursing staff turnover | 47.3% (registered nurses 37.5%) |
| Administrators who left | 2 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-05-21 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-05-22 |
| 2026-05-21 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-22 |
| 2026-05-21 | Provide appropriate foot care. Quality of Life and Care Deficiencies · tag F0687 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-22 |
| 2026-05-21 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-22 |
| 2026-05-21 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-22 |
| 2026-05-21 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · tag F0693 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-22 |
| 2026-05-21 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-22 |
| 2026-05-21 | 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. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-22 |
| 2026-05-21 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · tag F0813 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-22 |
| 2026-05-21 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-22 |
| 2026-05-21 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-22 |
| 2026-05-21 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. Environmental Deficiencies · tag F0909 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-22 |
| 2026-04-17 complaint survey |
Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · tag F0583 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-20 |
| 2026-04-17 complaint survey |
Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-20 |
| 2026-04-01 complaint survey |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-02 |
| 2026-02-18 complaint survey |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-02-19 |
| 2026-01-10 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-01-11 |
| 2026-01-10 complaint survey |
Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-01-11 |
| 2025-12-05 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-06 |
| 2025-08-14 complaint survey |
Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2025-08-15 |
| 2025-08-14 complaint survey |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-08-15 |
| 2025-08-14 complaint survey |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · tag F0580 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-08-15 |
| 2025-04-03 | 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. Pharmacy Service Deficiencies · tag F0761 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-05-01 |
| 2025-04-03 complaint survey |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-01 |
| 2025-04-03 complaint survey |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · tag F0644 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-01 |
| 2025-04-03 complaint survey |
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · tag F0693 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-01 |
| 2025-04-03 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-01 |
| 2025-03-17 complaint survey |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-03-21 |
| 2025-03-17 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-21 |
| 2024-05-19 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-21 |
| 2024-02-10 complaint survey |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · tag F0580 |
K Immediate jeopardy to resident health or safety; pattern | Deficient, Provider has date of correction 2024-02-11 |
| 2024-02-10 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692 |
K Immediate jeopardy to resident health or safety; pattern | Deficient, Provider has date of correction 2024-02-11 |
| 2024-02-10 complaint survey |
Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-02-11 |
| 2024-02-10 complaint survey |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-02-11 |
| 2024-02-10 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-02-11 |
| 2024-02-10 complaint survey |
Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-02-11 |
| 2024-02-10 complaint survey |
Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-02-11 |
| 2024-02-10 complaint survey |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-11 |
| 2024-02-10 complaint survey |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-11 |
| 2023-12-09 complaint survey |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-12-27 |
| 2023-12-09 complaint survey |
Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-12-27 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2025-08-14 | Fine | $8,281 |
| 2024-02-10 | Fine | $41,438 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Regency Ihs Clinical Consulting, LLC Organization | adp of the snf | — | 2022-10-01 |
| Regency Ihs Of West Laredo LLC Organization | adp of the snf | — | 2022-10-01 |
| Regency Ihs Rehab LLC Organization | adp of the snf | — | 2022-10-01 |
| Regency Integrated Health Services LLC Organization | adp of the snf | — | 2025-04-17 |
| Uvalde County Hospital Authority Organization | adp of the snf | — | 2025-04-17 |
| Regency Ihs Of West Laredo LLC Organization | direct ownership interest | — | 2022-10-01 |
| Csv Rhea Management Holdco, LLC Organization | indirect ownership interest | — | 2022-10-01 |
| Dwd Tx Holdings LLC Organization | indirect ownership interest | — | 2022-10-01 |
| Jack And Nancy Dwyer Workforce Development Center Inc. Organization | indirect ownership interest | — | 2022-10-01 |
| Reg Leased Opco LLC Organization | indirect ownership interest | — | 2022-10-01 |
| Reg Operator Holdco LLC Organization | indirect ownership interest | — | 2022-10-01 |
| Regency Integrated Health Services LLC Organization | indirect ownership interest | — | 2022-10-01 |
| Regency Texas Holdings LLC Organization | indirect ownership interest | — | 2022-10-01 |
| Regency Ihs Of West Laredo LLC Organization | operational/managerial control | — | 2022-10-01 |
| Regency Integrated Health Services LLC Organization | operational/managerial control | — | 2022-10-01 |
| Uvalde County Hospital Authority Organization | operational/managerial control | — | 2022-10-01 |
| Dekowski, Donovan Individual | adp of the snf | — | 2022-10-01 |
| Martinez-Purata, Dario Individual | adp of the snf | — | 2025-03-10 |
| Ortiz, Ana Individual | adp of the snf | — | 2025-01-01 |
| Trevino, Victor Individual | adp of the snf | — | 2023-01-01 |
| Apolinar, Adam Individual | corporate officer | — | 2015-07-23 |
| Contreras, Terri Individual | corporate officer | — | 2019-04-29 |
| Elliott, Benjamin Individual | corporate officer | — | 2016-01-13 |
| Faglie, Kelly Individual | corporate officer | — | 2017-03-31 |
| Gaitonde, Gajanan Individual | corporate officer | — | 2006-02-28 |
| Gonzales, Hector Individual | corporate officer | — | 2001-03-27 |
| Gutierrez, Monica Individual | corporate officer | — | 2016-01-13 |
| Kessler, William Individual | corporate officer | — | 1973-02-27 |
| Zamora, Raul Individual | corporate officer | — | 1980-12-30 |
| Dekowski, Donovan Individual | direct ownership interest | — | 2022-10-01 |
| Martinez-Purata, Dario Individual | direct ownership interest | — | 2025-03-10 |
| Ortiz, Ana Individual | direct ownership interest | — | 2025-01-01 |
| Trevino, Victor Individual | direct ownership interest | — | 2023-01-01 |
| Baird, Daniel Individual | indirect ownership interest | — | 2021-04-13 |
| Clapp, Barbara Individual | indirect ownership interest | — | 2021-06-01 |
| Cortese, Daren Individual | indirect ownership interest | — | 2021-08-10 |
| Gibson, Patricia Individual | indirect ownership interest | — | 2021-08-01 |
| Mandelbaum, Elliot Individual | indirect ownership interest | — | 2022-10-01 |
| Dekowski, Donovan Individual | operational/managerial control | — | 2022-10-01 |
| Martinez-Purata, Dario Individual | operational/managerial control | — | 2025-03-10 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Laredo West Nursing And Rehabilitation Center.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Webb County.