Windsor Atrium
State inspectors recorded 3 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2025-08-29 — IMMEDIATE JEOPARDY (tag F0684, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2024-06-27 — IMMEDIATE JEOPARDY (tag F0600, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-06-27 — IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Staffing, from payroll records
Nursing hours / resident / day
2.62
state median 2.67
Weekend staffing gap
−11%
fewer nursing hours on weekends · state median −7%
RN hours / resident / day
0.11
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Days with zero RN hours reported
29
with residents present
Nursing staff turnover
40%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
2 enforcement action(s), totaling $23,154 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-08-29 | Fine | $8,457 |
| 2024-06-27 | Fine | $14,697 |
Ownership
Ownership type: For profit - Limited Liability company. Part of the WELLSENTIAL HEALTH chain.
Other facilities under the same ownership, with their CMS overall ratings:
- Laredo West Nursing and Rehabilitation Center (Laredo, TX) —
- Windsor Nursing and Rehabilitation Center of Morga (Corpus Christi, TX) —
- Heritage Park Rehabilitation and Skilled Nursing C (Austin, TX) —
- Windsor Nursing and Rehabilitation Center of Mcall (Mcallen, TX) —
- Longview Hill Nursing and Rehabilitation Center (Longview, TX) —
- Monument Rehabilitation and Nursing Center (La Grange, TX) —
- SPINDLETOP HILL NURSING & REHAB CENTER (BEAUMONT, TX) —
- Town and Country Nursing and Rehabilitation Center (Boerne, TX) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-05-08 | F0756 | Pharmacy Service Deficiencies | D | not recorded |
| 2026-05-08 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-12-09 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-12-09 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-12-09 | F0842 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2025-08-29 | F0552 | Resident Rights Deficiencies | D | not recorded |
| 2025-08-29 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-08-29 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-08-29 | F0684 | Quality of Life and Care Deficiencies | J | not recorded |
| 2025-08-29 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-08-29 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-08-29 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-08-29 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-08-29 | F0812 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2025-08-29 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-08-29 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-08-29 | F0925 | Environmental Deficiencies | E | not recorded |
| 2025-06-26 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-06-21 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-08-21 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-25 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-06-27 | F0577 | Resident Rights Deficiencies | D | not recorded |
| 2024-06-27 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | J | not recorded |
| 2024-06-27 | F0644 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-06-27 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-06-27 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-06-27 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2024-05-09 | F0655 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-05-09 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-04-06 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2023-04-06 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-04-06 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-04-06 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-04-06 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-04-06 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2023-04-06 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-04-06 | F0880 | Infection Control Deficiencies | D | not recorded |