• CMS rates this facility 2/5 stars (below average)
• Has 110 certified beds with an average of 79.7 residents per day (72% occupancy)
• Last health inspection found 9 deficiencies (inspected Sep 12, 2024)
• Has been fined a total of $37,050 across 1 fine(s)
• Total nursing staff: 3.14 hours per resident per day
• Staff turnover rate: 53.2% (high)
• Part of the Wellsential Health chain (67 facilities)
Windsor Nursing and Rehabilitation Center of Mcall is a 2-star Medicare and Medicaid certified nursing home in Mcallen, Texas with 110 certified beds. It has been operating since 1986. The facility scored below average compared to Texas facilities.
Respond appropriately to all alleged violations.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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.
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.
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.
Provide and implement an infection prevention and control program.
Immediately 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.
Provide 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.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure services provided by the nursing facility meet professional standards of quality.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| STARR COUNTY HOSPITAL DISTRICT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Apr 1, 2018 |
| REGENCY IHS OF MCALLEN MANOR LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Oct 1, 2022 |
| REGENCY INTEGRATED HEALTH SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Oct 1, 2022 |
| STARR COUNTY HOSPITAL DISTRICT | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Oct 1, 2022 |
| DEKOWSKI, DONOVAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Oct 1, 2022 |
| SANDOVAL, ANGEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Nov 16, 2023 |
| MUNOZ, THALIA | CORPORATE OFFICER | Individual | N/A | Apr 1, 2018 |
This chain operates 67 facilities. View all →