Windsor Atrium
Harlingen, Cameron County, Texas · CCN 676125 · For-profit (LLC) · part of Wellsential Health (67 facilities, chain average 2.7 stars)
CMS rates Windsor Atrium 2 of 5 overall as of August 2026. 120 certified beds, 94 residents a day on average. 37 citations on record from the current inspection cycles, 3 at immediate jeopardy; 2 fines totalling $23,154.
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 | ★★☆☆☆ 2 of 5 |
|---|---|
| Health inspections | ★★☆☆☆ 2 of 5 |
| Staffing | ★☆☆☆☆ 1 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
| Quality: long-stay / short-stay | 5 / 5 of 5 |
Staffing
| Total nurse staffing | 3.5545 hours per resident per day |
|---|---|
| Registered nurses | 0.25459 hours per resident per day |
| Weekend total | 3.13267 hours per resident per day |
| Nursing staff turnover | 40.2% (registered nurses 55.6%) |
| 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 |
|---|---|---|---|
| 2026-05-08 complaint survey |
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 2026-05-09 |
| 2026-05-08 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 2026-05-09 |
| 2025-12-09 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 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-12-10 |
| 2025-12-09 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 2025-12-10 |
| 2025-12-09 complaint survey |
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 2025-12-10 |
| 2025-08-29 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2025-08-30 |
| 2025-08-29 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · tag F0925 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-08-30 |
| 2025-08-29 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · tag F0552 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-08-30 |
| 2025-08-29 | 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 2025-08-30 |
| 2025-08-29 | 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 2025-08-30 |
| 2025-08-29 | 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 2025-08-30 |
| 2025-08-29 | 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 2025-08-30 |
| 2025-08-29 | 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 2025-08-30 |
| 2025-08-29 | 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 2025-08-30 |
| 2025-08-29 | 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 2025-08-30 |
| 2025-08-29 | 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 2025-08-30 |
| 2025-08-29 | 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 2025-08-30 |
| 2025-06-26 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-27 |
| 2025-06-21 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 2025-06-22 |
| 2024-08-21 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-18 |
| 2024-07-25 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 2024-07-26 |
| 2024-06-27 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 |
J Immediate jeopardy to resident health or safety; isolated | Past Non-Compliance 2024-03-15 |
| 2024-06-27 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 |
J Immediate jeopardy to resident health or safety; isolated | Past Non-Compliance 2024-03-15 |
| 2024-06-27 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · tag F0577 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-28 |
| 2024-06-27 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 2024-06-28 |
| 2024-06-27 | 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 2024-06-28 |
| 2024-06-27 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-28 |
| 2024-05-09 complaint survey |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · tag F0655 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-23 |
| 2024-05-09 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 2024-05-23 |
| 2023-04-06 | 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 2023-04-21 |
| 2023-04-06 | 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 2023-04-21 |
| 2023-04-06 | 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 2023-04-21 |
| 2023-04-06 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-04-21 |
| 2023-04-06 | 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 2023-04-21 |
| 2023-04-06 | 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 2023-04-21 |
| 2023-04-06 | 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 2023-04-21 |
| 2023-04-06 | 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 2023-04-21 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2025-08-29 | Fine | $8,457 |
| 2024-06-27 | Fine | $14,697 |
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% | 2017-04-01 |
| 1814 Atrium Place Drive LLC Organization | adp of the snf | — | 2017-04-01 |
| Regency Ihs Clinical Consulting, LLC Organization | adp of the snf | — | 2017-04-01 |
| Regency Ihs Master Tenant LLC Organization | adp of the snf | — | 2017-04-01 |
| Regency Ihs Of Windsor Atrium LLC Organization | adp of the snf | — | 2025-04-14 |
| Regency Ihs Rehab LLC Organization | adp of the snf | — | 2017-04-01 |
| Regency Integrated Health Services LLC Organization | adp of the snf | — | 2025-04-14 |
| Starr County Hospital District Organization | adp of the snf | — | 2025-04-14 |
| Regency Ihs Of Windsor Atrium LLC Organization | direct ownership interest | — | 2017-04-01 |
| Dwd Tx Holdings LLC Organization | indirect ownership interest | — | 2017-04-01 |
| Jack And Nancy Dwyer Workforce Development Center Inc. Organization | indirect ownership interest | — | 2017-04-01 |
| Reg Hg Opco 1, LLC Organization | indirect ownership interest | — | 2017-04-01 |
| Reg Hg Opco LLC Organization | indirect ownership interest | — | 2017-04-01 |
| Reg Operator Holdco LLC Organization | indirect ownership interest | — | 2017-04-01 |
| Regency Integrated Health Services LLC Organization | indirect ownership interest | — | 2017-04-01 |
| Regency Texas Holdings LLC Organization | indirect ownership interest | — | 2017-04-01 |
| Regency Ihs Of Windsor Atrium LLC Organization | operational/managerial control | — | 2017-04-01 |
| Regency Integrated Health Services LLC Organization | operational/managerial control | — | 2017-04-01 |
| Starr County Hospital District Organization | operational/managerial control | — | 2017-04-01 |
| Campos, Michael Individual | adp of the snf | — | 2024-12-30 |
| Castillo, Crisoforo Individual | adp of the snf | — | 2025-01-01 |
| Dekowski, Donovan Individual | adp of the snf | — | 2017-04-01 |
| Lucio, Delma Individual | adp of the snf | — | 2025-01-01 |
| Reynoso, Luis Individual | adp of the snf | — | 2025-01-01 |
| Munoz, Thalia Individual | corporate officer | — | 1982-01-01 |
| 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 | — | 1982-01-01 |
| Pena, Elisa Individual | managing control - governing body | — | 2022-05-01 |
| Salinas, Arcadio Individual | managing control - governing body | — | 2024-09-17 |
| Campos, Michael Individual | operational/managerial control | — | 2024-12-30 |
| Dekowski, Donovan Individual | operational/managerial control | — | 2017-04-01 |
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 Atrium.
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 Cameron County.