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Windsor Nursing and Rehabilitation Center of Wesla

721 S Airport Dr, Weslaco, TX 78596 · Hidalgo County · (956) 968-8502

120 certified beds, about 81 residents a day · Government - Hospital district · Medicare and Medicaid since 1994

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 675363 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on July 16, 2026, inspectors cited 3 health deficiencies (the Texas average is 9.4, the national average 9.2).

Of 26 health citations since October 2023, 2 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).

CMS lists 2 fines totaling $23,309 in the last three years; the largest was $15,288, and the latest is dated May 29, 2026.

Nurses and nurse aides worked 2.41 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.34 of those hours.

40.0% 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 26 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
2J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
18D
6E
0F
Potential for minimal harm
0A
0B
0C
July 16, 2026Standard inspection · 3 citations
  1. E
    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, pattern · Corrected (the home has a date of correction) July 17, 2026
    Inspectors wroteBased on observation, interview 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 sanitation.1. The facility failed to ensure that there were no personal items belonging to staff stored in refrigerator #2.2. The facility failed to ensure 15 juice bags were stored without being dated in the dry food storage.3 The facility failed to ensure expired nutritional drinks were stored in the nourishment room. These failures could place residents at risk for food borne illness.
  2. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 17, 2026
    Inspectors wroteBased on observation, interviews, and record review, 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 3 of 4 residents (Resident #61, Resident #37 and Resident #57) reviewed for infection control. 1. The facility failed to ensure CNA A performed proper hand hygiene and indwelling catheter care during peri care (incontinent care) for Resident #61. 2. The facility failed to ensure Resident #37's white pillowcases were clean. 3. The facility failed to ensure Resident #57's portable urinal was hanging from his wheelchair's backrest. These deficient practices could place residents at risk of infections, healthcare associated with cross contamination, and the spread of infection.
  3. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 17, 2026
    Inspectors wroteBased on observation, interviews, and record review, the facility failed to ensure, in accordance with State and Federal laws, all drugs and biologicals were stored in locked compartments and permitted only authorized personnel to have access to the keys for 1 of 1 medication storage room reviewed for medication storage. The facility failed to ensure the Discontinued Medication cabinet was locked and secured. This failure could place the residents at risk of gaining access to unlocked medications that were not prescribed to them and place the facility at risk of drug diversion.
May 29, 2026Complaint inspection · 1 citation
  1. J
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interview and record review, the facility failed to ensure that residents were free of significant medication errors for 1 of 4 residents (Resident #1) reviewed for pharmacy services. Facility failed to acquire and administer physician ordered anti-seizure medication phenytoin (Dilantin) to treat Resident #1's seizure disorder. Resident #1 suffered a seizure and was sent to hospital on [DATE] with impression of Status Epilepticus, Subtherapeutic phenytoin (Dilantin) levels, Active infection (UTI/Sepsis/Pneumonia). The noncompliance was identified as PNC. The IJ began on 3/12/26 and ended on 4/9/26. The facility had corrected the noncompliance before the survey began. These failures could place residents at risk of complications, as well as jeopardize their health and safety.
March 3, 2026Complaint inspection · 2 citations
  1. D
    Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
    F635 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 4, 2026
    Inspectors wroteBased on interviews and record review, the facility failed to have physician orders for the resident's immediate care at time of admission, for 1 (Resident #1) of 3 residents reviewed for physician admission orders. The facility failed to have physician orders in place for Resident #1's enhanced barrier precautions. This failure could place residents at risk of developing infections.
  2. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 4, 2026
    Inspectors wroteBased on interviews and record review, the facility failed to develop and implement a baseline care plan for each resident that included the instructions needed to provide effective and person-centered care of the resident that meet professional standards of quality care for 1 (Resident #1) of 3 residents reviewed for baseline care plans. The facility failed to ensure Resident #1's baseline care plan reflected enhanced barrier precautions. This failure could place residents at risk of not receiving appropriate interventions and care to meet their needs.
January 14, 2026Complaint 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) January 15, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment to help prevent the development and transmission of communicable diseases and infections for 1 of 4 residents (Resident #1) reviewed for infection control.1. The facility failed to inform all staff that Resident #1 was on droplet precautions.2. The facility failed to ensure that Resident #1 had a droplet precaution sign at the door. This deficient practice could place residents at-risk for cross contamination and the spread of infection.
December 18, 2025Complaint inspection · 1 citation
  1. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 19, 2025
    Inspectors wroteBased on interview and record review, the facility failed to maintain clinical records in accordance with accepted professional standards and practices that are complete and accurately documented for 1 of 10 residents (Resident #1) reviewed for medical records accuracy, in that: The facility failed to document Resident #1's physician ordered 1 to 1 constant observation every hour on 12/08/25 from 3:00pm - 9:00pm. This failure could affect residents whose records are maintained by the facility and could place them at risk for errors in care, and treatment.
May 20, 2025Standard inspection · 6 citations
  1. E
    Ensure the activities program is directed by a qualified professional.
    F680 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 21, 2025
    Inspectors wroteBased on interview and record review the facility failed to ensure the activities program was directed by a qualified professional who was a qualified therapeutic recreation specialist or an activity professional for 61 of 61 residents. The facility did not have a qualified Activities Professional to direct their activities program. This deficient practice could affect any resident and could result in residents not receiving activities that were individualized to match the skills, abilities, and interests/preferences of each resident.
  2. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 21, 2025
    Inspectors wroteBased on interviews and record review the facility failed to develop and implement a baseline care plan for each resident that includes the instructions needed to provide effective and person-centered care of the resident that meet professional standards of quality care for 1 (Resident #216) of 8 residents reviewed for baseline care plans. The facility failed to include Resident #216's use of insulin and anticoagulant medications in her baseline care plan. This failure could result in residents not receiving needed care and treatment. Findings Included: [...]
  3. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 21, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that each resident received adequate supervision to prevent accidents for one resident (Resident #10) of five residents reviewed for supervision. The facility failed to ensure Resident #10, who required assistance of 2 staff for bed baths, was not given a bed bath by 1 staff. These failures could place residents at risk of being in an unsafe environment and at risk for accidents and injury.
  4. D
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 21, 2025
    Inspectors wroteBased on interviews and record review the facility failed to use the services of a registered nurse for at least 8 consecutive hours a day, 7 days a week, for 1 ([DATE]) of 90 days reviewed for RN hours, for the months [DATE], through [DATE] The facility failed to have RN coverage for 1 day on Saturday, [DATE]. This failure could place residents at risk of harm by denying residents the advanced critical thinking skills a registered nurse could provide.
  5. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 21, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure each resident's drug regimen was free of unnecessary drugs for one (Resident #10) of five resident reviewed for medications. The facility failed to have an adequate indication for the use of the medication risperdal (Risperdone - an antipsychotic) for Resident #10. This failure could put residents at risk of harm from adverse reactions or harmful side effects.
  6. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 21, 2025
    Inspectors wroteBased on interviews and record review, the facility failed to maintain clinical records on each resident that were complete and accurately documented in accordance with accepted professional standards and practices for 1 resident (Resident #10) of 5 residents whose care plans were reviewed for accurate records. Resident #10 was diagnosed with schizoaffective disorder but parts of her medical record inaccurately indicated she had schizophrenia. This failure could place residents at risk of not receiving appropriate care to meet their current needs.
April 28, 2025Complaint inspection · 2 citations
  1. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 29, 2025
    Inspectors wroteBased on interview and record review the facility failed provide pharmaceutical services, including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals, to meet the needs of each resident for 1 of 5 residents (Resident #1) reviewed for medications. The facility failed to ensure nursing staff filled Resident #1's prescribed Acetaminophen-Codeine Tablet 300-30 MG. This failure could place residents at risk of not being adequately treated for pain and for receiving less than therapeutic benefits of their medication.
  2. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 29, 2025
    Inspectors wroteBased on interview and record review the facility failed to ensure, in accordance with accepted professional standards and practices, medical records were maintained for each resident that was complete and accurately documented for 1 of 5 residents (Resident #1) reviewed for medication administration. The facility failed to ensure Resident #1's Medication Administration Record (MAR) reflected the administration of Tylenol (medication to treat pain) was accurately documented. This deficient practice could place residents at risk for less than therapeutic benefits and/or not receiving ordered medications.
March 29, 2024Standard inspection · 7 citations
  1. E
    Ensure that residents are fully informed and understand their health status, care and treatments.
    F552 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 15, 2024
    Inspectors wroteResident #47 FTag Initiation Based on interview, and record review, the facility failed to inform residents in advance of the risks and benefits of proposed care and treatment for 3 of 4 residents (Resident #36, Resident #7, and Resident #38) reviewed for resident rights, in that: 1. Resident #36 did not have a signed (by RP), dated consent for psychotropic medications (Risperdal, clonazepam, buspirone, fluvoxamine, or Wellbutrin XL ER) he received. 2. Resident #7 did not have signed (by RP), dated consents for psychotropic medications (clonazepam, buspirone, Seroquel, Paxil, and Trazadone) she received. 3.) The facility failed to ensure consent forms were properly completed or signed by a responsible party prior to administration of antipsychotic and anti-depressant medication for Resident #38. [...]
  2. E
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 15, 2024
    Inspectors wroteBased on interview and record review, the facility failed to maintain clinical records in accordance with accepted professional standards and practices that are complete and accurately documented for 3 of 10 residents (Resident #38, Resident #36, and Resident #7) reviewed for pharmacy services. 1.) The facility failed to ensure consent forms were properly completed or signed by a responsible party prior to administration of antipsychotic and anti-depressant medication. This failure could affect all residents who require a consent form for medications at risk for lack of proper assessment when their medications are administered.
  3. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 15, 2024
    Inspectors wroteBased on observation, record review, and interview, 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 two of 10 Residents (Resident #219 and Resident #15) that were reviewed for infection control and transmission-based precautions policies and practices, in that: 1. LVN A did not change gloves after cross-contamination by touching Resident #219's remote prior to glucose check and did not change gloves and perform hand prior to insulin administration. 2. The facility did not place contact precautions signage outside Resident #15's when there was an order for Resident #15 to be in isolation due to an infection. 3. [...]
  4. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 15, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that a resident who needs respiratory care was provided with professional standards of practice for 1 of 3 residents (Resident #1) reviewed for oxygen in that: Resident #7's oxygen was administered at 4.0 Lpm instead of 2 Lpm via nasal cannula as ordered by physician. This failure could place residents who receive respiratory care at risk of developing respiratory complications and a decreased qualify of care.
  5. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 15, 2024
    Inspectors wroteResident #38 FTag Initiation 03/29/24 09:42 AM Care Plan: • I receive antidepressant medication (Zoloft) r/t s/s of major depressive disorder- anxietyH •I will be free from discomfort or adverse reactions related to antidepressant therapy through the review date. •Administer ANTIDEPRESSANT medications as ordered by physician. Monitor/document side effects and effectiveness Q-SHIFT. •Black Box Warning Zoloft Warning: Suicidality and antidepressant drugs Antidepressants increased the risk of suicidal thoughts and behavior in pediatric and young adult patients in short-term studies. Closely monitor all antidepressant-treated patients for clinical worsening, and for emergence of suicidal thoughts and behaviors. •Black Box Warning: Zoloft Warning: [...]
  6. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 15, 2024
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure each resident's drug regimen was free from unnecessary drugs for 1 Resident (Resident #36) of 6 residents reviewed for medications in that: Resident #36 was administered Risperdal (antipsychotic medication) twice daily for vascular dementia. This failure could place residents on psychoactive medications at risk for adverse consequences such as impairment or decline of an individual's mental or physical condition.
  7. D
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 15, 2024
    Inspectors wroteObservation and interview revealed the facility failed to provide a safe and functional environment for residents, staff, and the public in 1 of 4 resident rooms, and in 1 of 1 patio smoking area, observed for environmental conditions. 1. Cold water in Resident #38's bathroom was not functioning. 2. The facility failed to ensure the designated smoking area was free from cigarette butt trash. These failures could affect residents by placing them at risk for diminished quality of life due to no running cold water, the lack of a well-kept environment that could place residents at risk, resulting in an environment that is not safe, sanitary, or comfortable for residents, staff, and visitors.
March 12, 2024Complaint inspection · 1 citation
  1. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure each resident recieved adequate supervision for one resident (Resident#44) of 2 residents whose records were reviewed for elopements. Resident #44 eloped from the facility undetected on 05/05/23. Resident #44 was able to remove her wanderguard bracelet and exit the facility on 06/24/23. Resident #44 eloped from the facility undetected after removing wanderguard bracelet for a second time 06/26/23. The non-compliance was identified at PNC (Past non-compliance). The Immediate Jeopardy (IJ) situation began on 06/26/23 and ended 06/27/23 The facility had corrected the noncompliance before the survey began. This failure could place the residents with exit seeking behaviors at risk for injury or death.
December 18, 2023Complaint inspection · 1 citation
  1. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 19, 2023
    Inspectors wroteBased on interview and record review, the facility failed to maintain medical records in accordance with accepted professional standards and practices that were complete and accurately documented for 3 of 3 residents (R #1, R #2, and R #3) reviewed for accuracy of records. 1. The facility did not document R #1's nursing progress note on 12/09/23 reflecting LVN A's communication with NP regarding a follow up after R #1 had a fall on 12/05/23. 2. The facility did not completely document R #2 and R #3's neurological checks started on 11/18/23 and 12/05/23 for R #2 and on 10/26/23, 12/04/23, and 12/13/23 for R #3 for falls. This failure could place residents with falls at risk of not receiving adequate care and services.
October 20, 2023Complaint inspection · 1 citation
  1. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 21, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that each resident received adequate supervision for 1 resident (Resident #1) of 5 residents reviewed for supervision, in that The facility failed to ensure Resident #1 received supervision to prevent Resident #1 from ingesting chemicals he found in another resident's room at the facility. The facility failed to ensure Resident #2 did not bring chemicals into the facility he kept hidden in a Pringles can in his room while at the facility. These failures could place residents at risk of being in an unsafe environment and at risk for accidents and injury.

Fire safety inspections

8 fire safety citations on file: 2 on July 16, 2026, 3 on May 20, 2025, 3 on March 29, 2024.

Every fire safety citation8 citations
  1. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · July 16, 2026 · Not yet corrected
  2. C
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · July 16, 2026 · Not yet corrected
  3. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · May 20, 2025 · Corrected (the home has a date of correction)
  4. E
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · May 20, 2025 · Corrected (the home has a date of correction)
  5. C
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · May 20, 2025 · Waiver
  6. E
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · March 29, 2024 · Corrected (the home has a date of correction)
  7. E
    Have proper medical gas storage and administration areas.
    K 923 · March 29, 2024 · Corrected (the home has a date of correction)
  8. C
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · March 29, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
May 29, 2026Fine $15,288
March 12, 2024Fine $8,021

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)2.413.393.86
Registered nurses0.340.430.69
All nursing staff on weekends2.142.983.42
Nurse aides1.33
Licensed practical nurses0.74
Nursing staff turnover (share who left in a year)40.0%55.3%45.8%
Registered nurse turnover83.3%54.6%42.9%
Administrators who left0

CMS expects 3.89 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 2.53 on weekdays and 2.14 on weekends, 15% 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 2.79 in April to June 2025 to 2.41 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20262.410.342.532.14 0.0%0 of 9081
Oct to Dec 20252.400.332.492.18 0.0%0 of 9274
Jul to Sep 20252.710.332.842.39 0.0%0 of 9270
Apr to Jun 20252.790.342.952.40 0.0%0 of 9169
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. If you work here, your report helps start one.

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.

Work here? Share your pay anonymously

For Windsor Nursing and Rehabilitation Center of Wesla. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
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Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

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
10.115.813.9
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
0.40.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.73.33.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.81.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
7.614.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.33.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
3.29.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
29.525.723.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
28.812.312.0

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Windsor Nursing and Rehabilitation Center of Wesla's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (58.1% 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

58.1% 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. 34 eligible stays.

Potentially preventable readmissions

10.2% 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. 43 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. 24 eligible stays.

Self-care and mobility at discharge

27.8% 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. 36 residents counted.

Falls with major injury

0.0% 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. 53 residents counted.

New or worsened pressure ulcers

1.5% 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. 53 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. 16 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 Orchard Park 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 Orchard Park 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
Garcia, CasandraOperational/managerial controlIndividual04/08/2024
Regency IHS Clinical Consulting, LLCAdp of the SNFOrganization12/15/2022
Regency IHS of Orchard Park 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
Asuaje, JuanAdp of the SNFIndividual06/01/2023
Benavidez, LoriAdp of the SNFIndividual12/15/2022
Dekowski, DonovanAdp of the SNFIndividual12/15/2022
Garcia, CasandraAdp of the SNFIndividual04/08/2024
Warwas, IvannaAdp 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 8 problems in this area, most recently on March 3, 2026: "Provide doctor's orders for the resident's immediate care at the time the resident was admitted."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 6 problems in this area, most recently on July 16, 2026: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs."
  3. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on May 20, 2025: "Ensure the activities program is directed by a qualified professional."
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on July 16, 2026: "Provide and implement an infection prevention and control program."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.14 hours per resident per day, below the Texas average of 2.98.

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Common questions

What is Windsor Nursing and Rehabilitation Center of Wesla's Medicare star rating?
CMS rates Windsor Nursing and Rehabilitation Center of Wesla 2 out of 5 stars overall, with 3 for health inspections, 1 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Windsor Nursing and Rehabilitation Center of Wesla get at its last inspection?
3 health deficiencies at the standard inspection on July 16, 2026. The Texas average is 9.4.
Has Windsor Nursing and Rehabilitation Center of Wesla been fined?
Yes. CMS lists 2 fines totaling $23,309 in the last three years.
Does Windsor Nursing and Rehabilitation Center of Wesla 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 Nursing and Rehabilitation Center of Wesla?
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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