Windsor Nursing and Rehabilitation Center of Harli
820 Camelot Dr, Harlingen, TX 78550 · Cameron County · 154 certified beds · avg 134 residents/day · certified since Jun 12, 1989
Part of chain: WELLSENTIAL HEALTH (67 facilities, chain avg rating 2.7★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (17)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jul 2, 2026 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| May 8, 2026 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint |
| May 8, 2026 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Nov 20, 2025 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Nov 20, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Jun 12, 2025 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Jun 12, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jun 12, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Jun 12, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Jun 12, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Apr 19, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Apr 19, 2024 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Apr 19, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Apr 19, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Apr 5, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Feb 17, 2023 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Feb 17, 2023 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | D |
| 2024 | 5 | 0 | D |
| 2025 | 7 | 0 | E |
| 2026 | 3 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.02 | 3.46 | 3.95 | bottom 24% in Texas; bottom 14% in the U.S. |
| Registered Nurse hours | 0.34 | 0.44 | 0.69 | bottom 37% in Texas; bottom 13% in the U.S. |
| Weekend total nurse staffing | 2.67 | 3.04 | 3.50 | bottom 28% in Texas; bottom 15% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.25 | 0.34 | 0.48 | bottom 37% in Texas; bottom 21% in the U.S. |
| Total nursing staff turnover (%) | 23.1 | 55.3 | 45.8 | top 1% in Texas; top 5% in the U.S. |
| RN turnover (%) | 0.0 | 54.6 | 42.9 | top 1% in Texas; top 1% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.29, RN 0.37, weekend 2.91. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| CSV Rhea Management Holdco, LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 10/01/2022 |
| DWD TX Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 10/01/2022 |
| Jack and Nancy Dwyer Workforce Development Center INC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 10/01/2022 |
| Reg Leased Opco LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 10/01/2022 |
| Reg Operator Holdco LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 10/01/2022 |
| Regency Ihs of Harlingen Manor LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 10/01/2022 |
| Regency Integrated Health Services LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 10/01/2022 |
| Regency Texas Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 10/01/2022 |
| Starr County Hospital District | Organization | 5% or Greater Direct Ownership Interest | 100% | 04/01/2018 |
| Baird, Daniel | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/13/2021 |
| Bhadriraju, Padmini | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Clapp, Barbara | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/01/2021 |
| Cobarrubias, Francesco | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Cortese, Daren | Individual | Managing Control - Governing Body | NOT APPLICABLE | 08/10/2021 |
| Dekowski, Donovan | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2022 |
| Gibson, Patricia | Individual | Managing Control - Governing Body | NOT APPLICABLE | 08/01/2021 |
| Guerra, Adrian | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/01/2016 |
| Maldisa, Girley | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Mandelbaum, Elliot | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2025 |
| Munoz, Thalia | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/01/2018 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Harlingen Nursing and Rehabilitation Center | 0.4 mi | Harlingen, TX | ★★★☆☆ | 2/5 | |
| Sun Valley Rehabilitation and Healthcare Center | 0.7 mi | Harlingen, TX | ★★★★★ | 5/5 | |
| Treasure Hills Healthcare and Rehabilitation Cente | 0.8 mi | Harlingen, TX | ★★★☆☆ | 3/5 | |
| Golden Palms Rehabilitation and Retirement | 1.0 mi | Harlingen, TX | ★★★★☆ | 4/5 | |
| Windsor Atrium | 2.3 mi | Harlingen, TX | ★★☆☆☆ | 2/5 | |
| Veranda Rehabilitation and Healthcare | 11.1 mi | Harlingen, TX | ★★★★★ | 4/5 | |
| Mid Valley Nursing & Rehabilitation | 12.6 mi | Mercedes, TX | ★★☆☆☆ | 2/5 | |
| Brownsville Nursing and Rehabilitation Center | 16.6 mi | Brownsville, TX | ★☆☆☆☆ | 2/5 | |
| Windsor Nursing and Rehabilitation Center of Wesla | 18.6 mi | Weslaco, TX | ★★☆☆☆ | 3/5 | |
| Mesa Hills Post Acute | 18.6 mi | Brownsville, TX | ★★★☆☆ | 3/5 | |
| Fox Hollow Post Acute | 18.7 mi | Brownsville, TX | ★☆☆☆☆ | 1/5 | |
| Valley Grande Manor | 19.1 mi | Weslaco, TX | ★☆☆☆☆ | 1/5 | abuse |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 455822.