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Windsor Nursing and Rehabilitation Center of Raymo
1700 S Expressway 77, Raymondville, TX 78580 (opens Google Maps) · Willacy County · (956) 689-2126· 120 certified beds · avg 53 residents/day · certified since Feb 7, 1995 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: WELLSENTIAL HEALTH (67 facilities, chain avg rating 2.7★)
2/5
Health inspection rating (on-site)
inspected Feb 26, 2026
0
Serious findings on record
$0
Fines, last 3 years
3.15
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 33 inspection findings. Open the full record below to read every finding.
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 F-0558
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. F-0880
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. F-0887
View all 33 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 30, 2026 | D · Potential for more than minimal harm, isolated | 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 · F-0558 |
| Feb 26, 2026 | F · Potential for more than minimal harm, widespread | 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. · F-0880 |
| Feb 26, 2026 | F · Potential for more than minimal harm, widespread | 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. · F-0887 |
| Feb 26, 2026 | F · Potential for more than minimal harm, widespread | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · F-0908 |
| Feb 26, 2026 | E · Potential for more than minimal harm, pattern | 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. · F-0609 |
| Feb 26, 2026 | E · Potential for more than minimal harm, pattern | 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. · F-0610 |
| Feb 26, 2026 | E · Potential for more than minimal harm, pattern | 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. · F-0759 |
| Feb 26, 2026 | E · Potential for more than minimal harm, pattern | 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. · F-0760 |
| Feb 26, 2026 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
| Feb 26, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0695 |
| Jan 21, 2026 | D · Potential for more than minimal harm, isolated | 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 · F-0656 |
| Jan 21, 2026 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842 |
| Jan 21, 2026 | D · Potential for more than minimal harm, isolated | 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 · F-0880 |
| Aug 11, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0609 |
| Dec 4, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0880 |
| Dec 4, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0550 |
| Dec 4, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Dec 4, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0655 |
| Dec 4, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0761 |
| Dec 4, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0812 |
| Nov 15, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0609 |
| Nov 15, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0625 |
| Oct 11, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0609 |
| Aug 19, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0609 |
| Aug 6, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0635 |
| Aug 6, 2024 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842 |
| Jun 13, 2024 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842 |
| Sep 22, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0578 |
| Sep 22, 2023 | D · Potential for more than minimal harm, isolated | 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 · F-0607 |
| Sep 22, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Sep 22, 2023 | D · Potential for more than minimal harm, isolated | 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 · F-0657 |
| Sep 22, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755 |
| Sep 22, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (6 → 9).
All citationsSerious citations (G–L)
2023
All citations: 6
Serious citations (G–L): 0
2024
All citations: 13
Serious citations (G–L): 0
2025
All citations: 1
Serious citations (G–L): 0
2026
All citations: 13
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 6 | 0 | E |
| 2024 | 13 | 0 | E |
| 2025 | 1 | 0 | D |
| 2026 | 13 | 0 | 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityTexas averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.15
Texas average: 3.46
U.S. average: 3.95
Registered Nurse hours
This facility: 0.37
Texas average: 0.44
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.69
Texas average: 3.04
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 (%) | — | 54.6 | 42.9 | — |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.28 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Windsor Nursing and Rehabilitation Center of Raymo. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
Showing 20 of 34 parties CMS has on file for this facility; 14 are not displayed. The full list is in the CMS Ownership dataset.
Other facilities in the same chain
CMS lists this facility under the chain Wellsential Health — 67 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Windsor Nursing and Rehabilitation Center of San D — San Diego, TX · overall 5/5
- Windsor Nursing and Rehabilitation Center of Segui — Seguin, TX · overall 2/5
- Windsor Nursing and Rehabilitation Center of Wesla — Weslaco, TX · overall 2/5
- Windsor Quail Valley Post-Acute Healthcare — Missouri City, TX · overall 3/5
- Yoakum Nursing and Rehabilitation Center — Yoakum, TX · overall 2/5
- Bastrop Lost Pines Nursing and Rehabilitation Cent — Bastrop, TX · overall 1/5abuse
- Brenham Nursing and Rehabilitation Center — Brenham, TX · overall 2/5abuse
- Briarcliff Nursing and Rehabilitation Center — McAllen, TX · overall 1/5abuse
Listed by state, then facility name — not a ranking. Showing 8 of the 66 others, continuing from this facility's own place in that list.
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?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Texas midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 41% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 34 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
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 |
Facility data as of CMS processing date 2026-08-01. CCN 675475.