Windsor Nursing And Rehabilitation Center Of Mcall
Mcallen, Hidalgo County, Texas · CCN 455662 · Non-profit (Corporation) · part of Wellsential Health (67 facilities, chain average 2.7 stars)
CMS rates Windsor Nursing And Rehabilitation Center Of Mcall 3 of 5 overall as of August 2026. 110 certified beds, 77 residents a day on average. 18 citations on record from the current inspection cycles, 1 involving actual harm; 1 fine totalling $24,083.
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 | ★★★☆☆ 3 of 5 |
|---|---|
| Health inspections | ★★★★☆ 4 of 5 |
| Staffing | ★☆☆☆☆ 1 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 4 / — of 5 |
Staffing
| Total nurse staffing | 3.03585 hours per resident per day |
|---|---|
| Registered nurses | 0.24446 hours per resident per day |
| Weekend total | 2.66982 hours per resident per day |
| Nursing staff turnover | 50% (registered nurses 42.9%) |
| Administrators who left | 0 |
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 |
|---|---|---|---|
| 2025-12-03 | 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 2025-12-05 |
| 2025-12-03 | 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 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-05 |
| 2025-11-21 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 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2025-11-22 |
| 2025-11-21 complaint survey |
Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-11-22 |
| 2025-07-09 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 2025-07-18 |
| 2025-07-09 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 2025-07-18 |
| 2024-09-12 | 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. Pharmacy Service Deficiencies · tag F0758 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-27 |
| 2024-09-12 | 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. Resident Rights Deficiencies · tag F0578 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-27 |
| 2024-09-12 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · tag F0645 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-27 |
| 2024-09-12 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · tag F0756 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-27 |
| 2024-09-12 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 2024-09-27 |
| 2024-08-09 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 2024-08-16 |
| 2024-08-09 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 2024-08-16 |
| 2024-08-09 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 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-16 |
| 2024-03-01 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 2024-03-08 |
| 2024-03-01 complaint survey |
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 2024-03-08 |
| 2024-03-01 complaint survey |
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. Nursing and Physician Services Deficiencies · tag F0726 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-08 |
| 2023-06-09 | 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 2023-06-13 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2025-11-21 | Fine | $24,083 |
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 |
|---|---|---|---|
| Starr County Hospital District Organization | 5% or greater direct ownership interest | 100% | 2018-04-01 |
| Regency Ihs Clinical Consulting, LLC Organization | adp of the snf | — | 2022-10-01 |
| Regency Ihs Of Mcallen Manor LLC Organization | adp of the snf | — | 2025-04-15 |
| Regency Ihs Rehab LLC Organization | adp of the snf | — | 2022-10-01 |
| Regency Integrated Health Services LLC Organization | adp of the snf | — | 2025-04-15 |
| Starr County Hospital District Organization | adp of the snf | — | 2025-04-15 |
| Regency Ihs Of Mcallen Manor 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 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 | adp of the snf | — | 2022-10-01 |
| Dozal, Alyssa Individual | adp of the snf | — | 2025-01-01 |
| Sandoval, Angel Individual | adp of the snf | — | 2023-11-16 |
| Munoz, Thalia Individual | corporate officer | — | 2018-04-01 |
| Baird, Daniel Individual | managing control - governing body | — | 2021-04-13 |
| Clapp, Barbara Individual | managing control - governing body | — | 2021-06-01 |
| Cortese, Daren Individual | managing control - governing body | — | 2021-08-10 |
| Gibson, Patricia Individual | managing control - governing body | — | 2021-08-01 |
| Guerra, Adrian Individual | managing control - governing body | — | 2016-05-01 |
| Mandelbaum, Elliot Individual | managing control - governing body | — | 2025-01-01 |
| Munoz, Thalia Individual | managing control - governing body | — | 2018-04-01 |
| Pena, Elisa Individual | managing control - governing body | — | 2022-05-01 |
| Salinas, Arcadio Individual | managing control - governing body | — | 2024-09-17 |
| Dekowski, Donovan Individual | operational/managerial control | — | 2022-10-01 |
| Sandoval, Angel Individual | operational/managerial control | — | 2023-11-16 |
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 Windsor Nursing And Rehabilitation Center Of Mcall.
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 Hidalgo County.