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Windsor Las Palmas Nursing and Rehabilitation Cent

1301 E Quebec Ave, McAllen, TX 78503 · Hidalgo County · (956) 972-0049

120 certified beds, about 101 residents a day · Non profit - Corporation · Medicare and Medicaid since 1994

Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
2 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 675415 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on March 6, 2025, inspectors cited 5 health deficiencies (the Texas average is 9.4, the national average 9.2).

None of its 7 health citations since September 2022 was rated as actual harm or immediate jeopardy.

CMS lists 1 fine totaling $38,393 in the last three years; the largest was $38,393, and the latest is dated February 9, 2024.

Nurses and nurse aides worked 3.22 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.34 of those hours.

40.3% of nursing staff left within the year CMS measured (Texas average 55.3%).

CMS links it to Wellsential Health, an affiliated group of 67 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 7 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
7D
0E
0F
Potential for minimal harm
0A
0B
0C
September 6, 2025Complaint inspection · 1 citation
  1. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 9, 2025
    Inspectors wroteBased on observations, interviews and record reviews, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 resident of 3 (Resident #1) residents reviewed for EBP. The facility failed to post EBP signage for Resident #1 when she had a permcath (a flexible tube used for dialysis treatment) to right chest. This failure could place residents at risk of MDRO contamination.
March 6, 2025Standard inspection · 5 citations
  1. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 14, 2025
    Inspectors wroteBased on interviews, and record review the facility failed to ensure the assessment accurately reflected the resident's status for 2 (Resident #55 and Resident #212) of 11 residents for accuracy of assessments. 1. The facility failed to identify Resident #55 was receiving dialysis on his Quarterly MDS assessment dated [DATE]. 2. The facility failed to ensure Resident#212's MDS admission assessment accurately reflected the use of high-risk drug classes, use, and indication. This failure could place residents at risk for receiving inadequate care and services based on inaccurate assessments.
  2. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 14, 2025
    Inspectors wroteBased on observations, interviews, and record review the facility failed develop and implement a comprehensive person-centered care plan for each resident, consistent with resident the resident rights, that included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial need that were identified in the comprehensive assessment for 1 of 5 residents (Resident #79) reviewed for comprehensive person-centered care plans. The facility failed to develop a comprehensive person-centered care plan for Resident #79 to address pain management. This deficient practice could place residents at risk of not being provided with the necessary care or services and not having personalized plans developed to address their specific needs.
  3. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 14, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure residents were free of significant medication errors for one (Resident #7) of five residents reviewed for medications errors in that: The facility administered a medication for high blood pressure to Resident #7 outside the blood pressure parameter as ordered by the physician. This deficient practice could place residents who receive blood pressure medications at an increased risk for complications such as decreased blood pressure, decrease pulse, an exacerbation of symptoms and disease process, and potential hospitalization.
  4. D
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 14, 2025
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for sanitationt: The facility failed to ensure dry foods were properly stored. This failure could place residents at risk of foodborne illnesses.
  5. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 14, 2025
    Inspectors wroteBased on observations, record review, and interviews, the facility failed to establish and maintain an infection prevention and control program, designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections, for 2 (Resident #212 and Resident # 52)out of 4. 1. LVN A did not perform hand hygiene for 20 seconds or longer after wound care of Resident # 212. 2. CNA B failed to provide Resident #52 with appropriate foley catheter care. These failures could place residents at risk for infection through cross contamination of pathogens.
December 13, 2023Standard inspection · 1 citation
  1. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 20, 2023
    Inspectors wroteBased on interviews and record reviews, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights, that include measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that were identified in the comprehensive assessment for one of eight residents (Resident #79) reviewed for comprehensive care plans. The facility failed to ensure Resident #79's pressure ulcer care was reflected in his comprehensive care plan. This failure could place residents at risk of not receiving necessary care and services.
September 24, 2022Standard inspection · 0 citations

Fire safety inspections

1 fire safety citation on file: 1 on September 24, 2022.

Every fire safety citation1 citation
  1. D
    Provide properly protected cooking facilities.
    K 324 · September 24, 2022 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
February 9, 2024Fine $38,393

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeTexasUnited States
All nursing staff (RN, LPN and aides)3.223.393.86
Registered nurses0.340.430.69
All nursing staff on weekends2.892.983.42
Nurse aides2.16
Licensed practical nurses0.72
Nursing staff turnover (share who left in a year)40.3%55.3%45.8%
Registered nurse turnover16.7%54.6%42.9%
Administrators who left0

CMS expects 4.08 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.35 on weekdays and 2.89 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.84 in April to June 2025 to 3.22 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.220.343.352.89 0.0%0 of 90101
Oct to Dec 20253.170.283.282.88 0.0%0 of 92100
Jul to Sep 20253.260.313.422.86 0.0%0 of 9294
Apr to Jun 20252.840.252.982.51 0.0%1 of 9199
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Texas, Jan to Mar 20263.330.403.502.932.2%0.7% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Texas

JobMedianMiddle halfEmployed
Texas, all employers
CNAs (nursing assistants)$18.03$16.97 to $20.7188,680
LPNs and LVNs$29.92$27.46 to $32.8957,560
Registered nurses$46.14$38.06 to $50.53271,380
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeTexasUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
3.315.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.30.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.00.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.83.33.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.61.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
4.114.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
1.23.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
19.59.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
23.025.723.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
9.212.312.0

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Windsor Las Palmas Nursing and Rehabilitation Cent's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (44.6% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

44.6% this home

No different from the national rate

US median of homes 51.5% · Texas: 116 better, 50 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 28 eligible stays.

Potentially preventable readmissions

10.4% this home

No different from the national rate

US median of homes 10.7% · Texas: 0 better, 9 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 34 eligible stays.

Infections that led to a hospital stay

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

US median of homes 7.1% · Texas: 4 better, 11 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 20 eligible stays.

Self-care and mobility at discharge

54.8% this home

Median of homes: Texas57.3% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 31 residents counted.

Falls with major injury

2.1% this home

Median of homes: Texas0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 48 residents counted.

New or worsened pressure ulcers

0.0% this home

Median of homes: Texas1.3% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 48 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Texas98.5% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 19 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: VAL VERDE COUNTY HOSPITAL DISTRICT. CMS links this home to Wellsential Health, a group of 67 nursing homes averaging 2.7 stars overall.

NameRoleTypeShareSince
Val Verde County Hospital District5% or greater direct ownership interestOrganization100%12/15/2022
Regency IHS of Las Palmas LLCDirect ownership interestOrganization12/15/2022
Csv Rhea Management Holdco, LLCIndirect ownership interestOrganization12/15/2022
Dwd Tx Holdings LLCIndirect ownership interestOrganization12/15/2022
Jack and Nancy Dwyer Workforce Development Center IncIndirect ownership interestOrganization12/15/2022
Reg Leased Opco LLCIndirect ownership interestOrganization12/15/2022
Reg Operator Holdco LLCIndirect ownership interestOrganization12/15/2022
Regency Integrated Health Services LLCIndirect ownership interestOrganization12/15/2022
Regency Texas Holdings LLCIndirect ownership interestOrganization12/15/2022
Chartrand, DanielManaging control - governing bodyIndividual05/19/2014
Clapp, BarbaraManaging control - governing bodyIndividual06/01/2021
Diaz, CrisManaging control - governing bodyIndividual05/25/2022
Jurado, JorgeManaging control - governing bodyIndividual10/13/2023
Mandelbaum, ElliotManaging control - governing bodyIndividual01/01/2025
Otazo, JulioManaging control - governing bodyIndividual05/25/2022
Palmer, RobinManaging control - governing bodyIndividual11/18/2020
Jurado, JorgeCorporate officerIndividual10/13/2023
Regency IHS of Las Palmas LLCOperational/managerial controlOrganization12/15/2022
Regency Integrated Health Services LLCOperational/managerial controlOrganization12/15/2022
Val Verde County Hospital DistrictOperational/managerial controlOrganization12/15/2022
Dekowski, DonovanOperational/managerial controlIndividual12/15/2022
Jimenez, SonioOperational/managerial controlIndividual10/04/2023
Regency IHS Clinical Consulting, LLCAdp of the SNFOrganization12/15/2022
Regency IHS of Las Palmas LLCAdp of the SNFOrganization04/24/2025
Regency IHS Rehab LLCAdp of the SNFOrganization12/15/2022
Regency Integrated Health Services LLCAdp of the SNFOrganization04/24/2025
Val Verde County Hospital DistrictAdp of the SNFOrganization04/24/2025
Aquino, EduardoAdp of the SNFIndividual12/15/2022
Chu, MariaAdp of the SNFIndividual12/15/2022
Dekowski, DonovanAdp of the SNFIndividual12/15/2022
Jimenez, SonioAdp of the SNFIndividual10/04/2023
Rodriguez, EvangelinaAdp of the SNFIndividual12/15/2022

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on March 6, 2025: "Ensure each resident receives an accurate assessment."
  2. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on September 6, 2025: "Provide and implement an infection prevention and control program."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on March 6, 2025: "Ensure that residents are free from significant medication errors."
  4. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on March 6, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.89 hours per resident per day, below the Texas average of 2.98.

Other nursing homes nearby

Texas contacts for a concern about a nursing home

These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.

Common questions

What is Windsor Las Palmas Nursing and Rehabilitation Cent's Medicare star rating?
CMS rates Windsor Las Palmas Nursing and Rehabilitation Cent 5 out of 5 stars overall, with 5 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Windsor Las Palmas Nursing and Rehabilitation Cent get at its last inspection?
5 health deficiencies at the standard inspection on March 6, 2025. The Texas average is 9.4.
Has Windsor Las Palmas Nursing and Rehabilitation Cent been fined?
Yes. CMS lists 1 fine totaling $38,393 in the last three years.
Does Windsor Las Palmas Nursing and Rehabilitation Cent accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Windsor Las Palmas Nursing and Rehabilitation Cent?
CMS lists 32 owners and managers, and links the home to Wellsential Health. Legal business name: VAL VERDE COUNTY HOSPITAL DISTRICT.

Sources

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