Windsor Nursing and Rehabilitation Center of Raymo

Name: Windsor Nursing and Rehabilitation Center of Raymo
Address: 1700 S EXPRESSWAY 77, Raymondville, TX, 78580, US
Telephone: 9566892126

1700 S Expressway 77, Raymondville, TX 78580 · Willacy County · 120 certified beds · avg 53 residents/day · certified since Feb 7, 1995

Part of chain: WELLSENTIAL HEALTH (67 facilities, chain avg rating 2.7★)

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.15

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5

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 (33)

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
Apr 30, 2026	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint
Feb 26, 2026	F · Potential for harm, facility-wide	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.
Feb 26, 2026	F · Potential for harm, facility-wide	The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status.
Feb 26, 2026	F · Potential for harm, facility-wide	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.
Feb 26, 2026	E · Potential for harm, repeated	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.
Feb 26, 2026	E · Potential for harm, repeated	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Feb 26, 2026	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Feb 26, 2026	E · Potential for harm, repeated	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Feb 26, 2026	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Feb 26, 2026	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.
Jan 21, 2026	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. · from a complaint
Jan 21, 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
Jan 21, 2026	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. · from a complaint
Aug 11, 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
Dec 4, 2024	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.
Dec 4, 2024	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Dec 4, 2024	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Dec 4, 2024	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.
Dec 4, 2024	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.
Dec 4, 2024	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint
Nov 15, 2024	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
Nov 15, 2024	D · Potential for harm, one-off	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · from a complaint
Oct 11, 2024	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
Aug 19, 2024	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
Aug 6, 2024	D · Potential for harm, one-off	The facility did not have doctor's orders in place for a resident's immediate care at the time the resident was admitted. · from a complaint
Aug 6, 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
Jun 13, 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
Sep 22, 2023	E · Potential for harm, repeated	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Sep 22, 2023	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint
Sep 22, 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.
Sep 22, 2023	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint
Sep 22, 2023	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.
Sep 22, 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 increased between the last two inspection cycles (6 → 9).

Year	Citations	Worst severity that year
2023	6	E
2024	13	E
2025	1	D
2026	13	F

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)	3.15	3.46	3.95	bottom 35% in Texas; bottom 19% in the U.S.
Registered Nurse hours	0.37	0.44	0.69	bottom 45% in Texas; bottom 17% in the U.S.
Weekend total nurse staffing	2.69	3.04	3.50	bottom 29% in Texas; bottom 16% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.17	0.34	0.48	bottom 12% in Texas; bottom 7% in the U.S.
Total nursing staff turnover (%)	41.3	55.3	45.8	top 24% in Texas; top 40% in the U.S.
RN turnover (%)	0.0	54.6	42.9	—

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 3.28, RN 0.38, weekend 2.80. Staffing rating: 1/5.

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: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5

Who owns this facility

Government - Hospital district

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 Raymondville 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
Clapp, Barbara	Individual	Managing Control - Governing Body	NOT APPLICABLE	06/01/2021
Cortese, Daren	Individual	Managing Control - Governing Body	NOT APPLICABLE	08/10/2021
Dekowski, Donovan	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2022
Dekowski, Donovan	Individual	ADP of the SNF	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
Mandelbaum, Elliot	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2025
McClimans, Crystal	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2025
Mercado, Imelda	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2025
Munoz, Thalia	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/1982

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How do you handle COVID-19 vaccination for residents and staff, and what happens during an outbreak?"
"How do you inspect and maintain essential equipment, and how quickly are repairs made?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"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
Windsor Atrium	20.0 mi	Harlingen, TX	★★☆☆☆	2/5
Golden Palms Rehabilitation and Retirement	21.7 mi	Harlingen, TX	★★★★☆	4/5
Treasure Hills Healthcare and Rehabilitation Cente	21.7 mi	Harlingen, TX	★★★☆☆	3/5
Harlingen Nursing and Rehabilitation Center	21.9 mi	Harlingen, TX	★★★☆☆	2/5
Mid Valley Nursing & Rehabilitation	22.0 mi	Mercedes, TX	★★☆☆☆	2/5
Windsor Nursing and Rehabilitation Center of Harli	22.3 mi	Harlingen, TX	★★★★★	4/5
Sun Valley Rehabilitation and Healthcare Center	22.3 mi	Harlingen, TX	★★★★★	5/5
Veranda Rehabilitation and Healthcare	22.9 mi	Harlingen, TX	★★★★★	4/5
Windsor Nursing and Rehabilitation Center of Wesla	25.6 mi	Weslaco, TX	★★☆☆☆	3/5
Valley Grande Manor	26.1 mi	Weslaco, TX	★☆☆☆☆	1/5	abuse
Weslaco Nursing and Rehabilitation Center	26.7 mi	Weslaco, TX	★★★★☆	4/5
Windsor Nursing and Rehabilitation Center of Edinb	27.7 mi	Edinburg, TX	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in Raymondville →

Facility data as of CMS processing date 2026-08-01. CCN 675475.

The Care File

Visit checklist — Windsor Nursing and Rehabilitation Center of Raymo

1700 S Expressway 77, Raymondville, TX 78580 · 9566892126

Health inspection rating 2/5 · CMS overall 1/5· Fines (3y): $0

Questions for the administrator:

☐ "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How do you handle COVID-19 vaccination for residents and staff, and what happens during an outbreak?"
☐ "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 675475 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)