Non profit - Corporation · 110 certified beds · CMS number 455662

Windsor Nursing and Rehabilitation Center of Mcall, McAllen, TX

CMS records 18 health deficiencies at Windsor Nursing and Rehabilitation Center of Mcall in McAllen, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Dec 3, 2025. The highest severity cited is G (actual harm (not immediate jeopardy)). CMS lists 1 fine totaling $24,083 in the last three years.

Inspections and deficiencies

CMS findings for Windsor Nursing and Rehabilitation Center of Mcall as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Windsor Nursing and Rehabilitation Center of Mcall may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (4 deficiencies)

Standard inspection Dec 3, 2025. CMS counts 4 health deficiencies and 1 fire safety deficiency in this cycle.

Dec 3, 2025 · Standard inspection

2 deficiencies, highest D

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 5, 2025

F690 · Bladder, bowel, and catheter care

Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 5, 2025

Nov 21, 2025 · Complaint inspection

2 deficiencies, highest G

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
G Actual harm (not immediate jeopardy), isolated
Status
Correction date Nov 22, 2025

F610 · Investigating and responding to allegations

Requirement cited (CMS): Respond appropriately to all alleged violations.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Nov 22, 2025
Previous cycle: 7 deficiencies (standard inspection Sep 12, 2024)

Standard inspection Sep 12, 2024. CMS counts 7 health deficiencies and 1 fire safety deficiency in this cycle.

Jul 9, 2025 · Complaint inspection

2 deficiencies, highest E

F609 · Reporting suspected abuse and crimes

Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 18, 2025

F600 · Freedom from abuse and neglect

Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jul 18, 2025

Sep 12, 2024 · Standard + complaint inspection

5 deficiencies, highest E

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 27, 2024

F758 · Psychotropic drug safeguards

Requirement cited (CMS): Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Sep 27, 2024

F756 · Monthly pharmacist medication review

Requirement cited (CMS): Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 27, 2024

F645 · Pre-admission screening for mental disorder or intellectual disability

Requirement cited (CMS): PASARR screening for Mental disorders or Intellectual Disabilities

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 27, 2024

F578 · Refusing treatment and advance directives

Requirement cited (CMS): Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 27, 2024
Earlier cycle: 7 deficiencies (standard inspection Jun 9, 2023)

Standard inspection Jun 9, 2023. CMS counts 7 health deficiencies and 1 fire safety deficiency in this cycle.

Aug 9, 2024 · Complaint inspection

3 deficiencies, highest D

F842 · Complete, confidential medical records

Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 16, 2024

F657 · Care plan timing and team review

Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 16, 2024

F580 · Telling residents and families about changes

Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 16, 2024

Mar 1, 2024 · Complaint inspection

3 deficiencies, highest E

F842 · Complete, confidential medical records

Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Mar 8, 2024

F726 · Competent nurses and nurse aides

Requirement cited (CMS): Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Mar 8, 2024

F690 · Bladder, bowel, and catheter care

Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Mar 8, 2024

Jun 9, 2023 · Standard inspection

1 deficiency, highest D

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 13, 2023

Tags cited in more than one inspection

2 tags cited on more than one inspection date at Windsor Nursing and Rehabilitation Center of Mcall; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F690 Bladder, bowel, and catheter care2Dec 3, 2025; Mar 1, 2024
F842 Complete, confidential medical records2Aug 9, 2024; Mar 1, 2024

Fines and payment denials

DateTypeAmount / length
Nov 21, 2025Fine$24,083

Staffing and CMS ratings

Total nurse staff hours per resident per day
3.04 h (below the Texas median of 3.27 h)
RN hours per resident per day
0.24 h (below the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
2.67 h
Nursing staff turnover
50.0% (Texas median 52.1%)
Administrators who left
0
CMS overall rating
3 of 5
Health inspection rating
4 of 5
Staffing rating
1 of 5
Quality measure rating
4 of 5

CMS figures for Windsor Nursing and Rehabilitation Center of Mcall, copied as published; Texas medians are ours.

Facility details

Address
900 S 12th St, McAllen, TX 78501
Phone
(956) 682-4171
County
Hidalgo
Accepts
Medicare and Medicaid
Ownership
Non profit - Corporation
Chain (CMS)
Wellsential Health
Certified beds
110
Average residents per day
77.1
In Medicare/Medicaid since
Jul 9, 1986
Inside a hospital
No
Continuing care retirement community
No
Resident and family council
Resident
Sprinklers in all required areas
Yes

Questions to ask on a visit

Based on the tags cited most often here.

  • How does the home support residents who need help with toileting or incontinence? (F690, cited 2 times)
  • Does the home use electronic health records, and can families get access through a portal? (F842, cited 2 times)
  • How does the home record and follow a resident's advance directive? (F578, cited 1 time)
  • How quickly is the family called if a resident falls or their condition changes? (F580, cited 1 time)

Other nursing homes in McAllen and the same chain

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

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