Windsor Nursing and Rehabilitation Center of Wesla
721 S Airport Dr, Weslaco, TX 78596 · Hidalgo County · 120 certified beds · avg 81 residents/day · certified since Jul 7, 1994
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: ★★★☆☆3/5 · CMS overall rating: 2/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · May 29, 2026 · F-0760 · triggered by a complaint
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.
Why it matters: A serious medication error can cause real harm, hospitalization, or worse.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
▲ Immediate jeopardy, one-off · Mar 12, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jun 27, 2022 (Past Non-Compliance)
All citations in the current public record (26)
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 |
|---|---|---|
| May 29, 2026 | ▲ J · Immediate jeopardy, one-off | 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. · from a complaint |
| Mar 3, 2026 | 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 |
| Mar 3, 2026 | 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. · from a complaint |
| Jan 14, 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 |
| Dec 18, 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. · from a complaint |
| May 20, 2025 | E · Potential for harm, repeated | The facility's activities program was not run by a qualified professional. The person directing recreation and social activities must have proper training or credentials. |
| May 20, 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. |
| May 20, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| May 20, 2025 | D · Potential for harm, one-off | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| May 20, 2025 | 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. |
| May 20, 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. |
| Apr 28, 2025 | 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 |
| Apr 28, 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. · from a complaint |
| Mar 29, 2024 | E · Potential for harm, repeated | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. |
| Mar 29, 2024 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Mar 29, 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. |
| Mar 29, 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. |
| Mar 29, 2024 | 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. |
| Mar 29, 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. |
| Mar 29, 2024 | D · Potential for harm, one-off | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Mar 12, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Dec 18, 2023 | 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 |
| Oct 20, 2023 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jan 27, 2023 | 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. |
| Jan 27, 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. |
| Jan 27, 2023 | B · Minimal risk, repeated | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (7 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 5 | 0 | E |
| 2024 | 8 | 1 | J ▲ |
| 2025 | 9 | 0 | E |
| 2026 | 4 | 1 | J ▲ |
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)
2 fines totaling $31,541.
| Date | Type | Amount / length |
|---|---|---|
| May 29, 2026 | Fine | $23,520 |
| Mar 12, 2024 | Fine | $8,021 |
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) | 2.38 | 3.46 | 3.95 | bottom 2% in Texas; bottom 2% in the U.S. |
| Registered Nurse hours | 0.34 | 0.44 | 0.69 | bottom 37% in Texas; bottom 14% in the U.S. |
| Weekend total nurse staffing | 2.10 | 3.04 | 3.50 | bottom 2% in Texas; bottom 3% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.26 | 0.34 | 0.48 | bottom 41% in Texas; bottom 24% in the U.S. |
| Total nursing staff turnover (%) | 40.0 | 55.3 | 45.8 | top 20% in Texas; top 36% in the U.S. |
| RN turnover (%) | 83.3 | 54.6 | 42.9 | bottom 17% in Texas; bottom 4% 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 2.41, RN 0.34, weekend 2.14. 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: 5/5 · short-stay residents: 2/5
Who owns this facility
Government - Hospital district
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| CSV Rhea Management Holdco, LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 12/15/2022 |
| DWD TX Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 12/15/2022 |
| Jack and Nancy Dwyer Workforce Development Center INC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 12/15/2022 |
| Reg Leased Opco LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 12/15/2022 |
| Reg Operator Holdco LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 12/15/2022 |
| Regency Ihs of Orchard Park LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 12/15/2022 |
| Regency Integrated Health Services LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 12/15/2022 |
| Regency Texas Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 12/15/2022 |
| Val Verde County Hospital District | Organization | 5% or Greater Direct Ownership Interest | 100% | 12/15/2022 |
| Asuaje, Juan | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2023 |
| Benavidez, Lori | Individual | ADP of the SNF | NOT APPLICABLE | 12/15/2022 |
| Chartrand, Daniel | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/19/2014 |
| Clapp, Barbara | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/01/2021 |
| Dekowski, Donovan | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/15/2022 |
| Dekowski, Donovan | Individual | ADP of the SNF | NOT APPLICABLE | 12/15/2022 |
| Diaz, Cris | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/25/2022 |
| Garcia, Casandra | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/08/2024 |
| Garcia, Casandra | Individual | ADP of the SNF | NOT APPLICABLE | 04/08/2024 |
| Jurado, Jorge | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/13/2023 |
| Jurado, Jorge | Individual | Corporate Officer | NOT APPLICABLE | 10/13/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "When a new resident arrives, how do you make sure the doctor's orders for their care and medications are in place from day one?"
- "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "Who runs your activities program, what are their qualifications, and can I see this week's activity calendar?"
- "How many hours a day is a registered nurse physically in the building, including weekends?"
- "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 |
|---|---|---|---|---|---|
| Valley Grande Manor | 0.6 mi | Weslaco, TX | ★☆☆☆☆ | 1/5 | abuse |
| Weslaco Nursing and Rehabilitation Center | 1.1 mi | Weslaco, TX | ★★★★☆ | 4/5 | |
| Mid Valley Nursing & Rehabilitation | 6.1 mi | Mercedes, TX | ★★☆☆☆ | 2/5 | |
| Veranda Rehabilitation and Healthcare | 7.4 mi | Harlingen, TX | ★★★★★ | 4/5 | |
| The Heights of Alamo | 9.5 mi | Alamo, TX | ★★★★★ | 4/5 | |
| San Juan Nursing Home, INC. | 11.5 mi | San Juan, TX | ★★★★☆ | 4/5 | |
| Windsor Las Palmas Nursing and Rehabilitation Cent | 14.7 mi | McAllen, TX | ★★★★★ | 5/5 | |
| Colonial Manor Advanced Rehab & Healthcare | 14.8 mi | Pharr, TX | ★☆☆☆☆ | 2/5 | |
| McAllen Transitional Care Center | 14.8 mi | McAllen, TX | ★★★★☆ | 3/5 | |
| Edinburg Nursing and Rehabilitation Center | 14.9 mi | Edinburg, TX | ★★☆☆☆ | 3/5 | |
| Windsor Nursing and Rehabilitation Center of Edinb | 15.1 mi | Edinburg, TX | ★★★★☆ | 4/5 | |
| Hidalgo Nursing and Rehabilitation Center | 15.2 mi | Edinburg, TX | ★☆☆☆☆ | 2/5 | abuse |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 675363.