Nursing homeActive

Windsor Nursing And Rehabilitation Center Of Wesla

721 S Airport Dr, Weslaco, TX 785969569688502120 certified beds · 81 residentsGovernment - Hospital districtMedicare and Medicaid
Surveys on file
11
since 2023
Deficiencies
26
1232
Penalties · 3 yrs
$31,541
2 fines
Last survey
2026-05-29
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 3
Staffing 1
Quality 4
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Texas Health and Human Services Commission · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-05-29Complaint001CMS-2567 (Care Compare)
2026-03-03Complaint020CMS-2567 (Care Compare)
2026-01-14Complaint010CMS-2567 (Care Compare)
2025-12-18Complaint010CMS-2567 (Care Compare)
2025-05-20Standard060CMS-2567 (Care Compare)
2025-04-28Complaint020CMS-2567 (Care Compare)
2024-03-29Standard070CMS-2567 (Care Compare)
2024-03-12Complaint001CMS-2567 (Care Compare)
2023-12-18Complaint010CMS-2567 (Care Compare)
2023-10-20Complaint010CMS-2567 (Care Compare)
2023-01-27Standard120CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Texas Health and Human Services Commission publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-05-29Complaint survey · 1 deficiencyOfficial report
F760Ensure that residents are free from significant medication errors.Scope/severity JHarm
Medication
Isolated; immediate jeopardy to resident health or safety.Correction not yet recordedRecord 675363-20260529-F760
2026-03-03Complaint survey · 2 deficienciesOfficial report
F635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-04Record 675363-20260303-F635
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-04Record 675363-20260303-F655
2026-01-14Complaint survey · 1 deficiencyOfficial report
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-15Record 675363-20260114-F880
2025-12-18Complaint survey · 1 deficiencyOfficial report
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-19Record 675363-20251218-F842
2025-05-20Standard survey · 6 deficienciesOfficial report
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-21Record 675363-20250520-F655
F680Ensure the activities program is directed by a qualified professional.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-21Record 675363-20250520-F680
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-21Record 675363-20250520-F689
F727Have 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.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-21Record 675363-20250520-F727
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-21Record 675363-20250520-F757
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-21Record 675363-20250520-F842
2025-04-28Complaint survey · 2 deficienciesOfficial report
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-29Record 675363-20250428-F755
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-29Record 675363-20250428-F842
2024-03-29Standard survey · 7 deficienciesOfficial report
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-15Record 675363-20240329-F552
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-15Record 675363-20240329-F695
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-15Record 675363-20240329-F755
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-15Record 675363-20240329-F757
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-15Record 675363-20240329-F842
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-15Record 675363-20240329-F880
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-15Record 675363-20240329-F921
2024-03-12Complaint survey · 1 deficiencyOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2022-06-27Record 675363-20240312-F689
2023-12-18Complaint survey · 1 deficiencyOfficial report
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-19Record 675363-20231218-F842
2023-10-20Complaint survey · 1 deficiencyOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-21Record 675363-20231020-F689
2023-01-27Standard survey · 3 deficienciesOfficial report
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-17Record 675363-20230127-F656
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-03-17Record 675363-20230127-F812
F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.Scope/severity BPaperwork
Care planningRecords
Pattern; potential for minimal harm.Corrected 2023-03-17Record 675363-20230127-F640

Penalties & enforcement

DateActionAmountSource
2026-05-29Civil money penalty$23,520CMS · Penalties
2024-03-12Civil money penalty$8,021CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.34
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day2.41
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours2.14
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover40%
Facility
Texas
National
Texas 55% · National 46%
Registered nurse turnover83%
Facility
Texas
National
Texas 55% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityTexasNational
Percentage of long-stay residents with pressure ulcers
lower is better
3.3%3.8%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
3.7%3.3%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
3.2%9.6%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.4%0.8%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.0%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
10.1%15.8%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
1.4%3.0%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
11.9%18.0%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Val Verde County Hospital District
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Dekowski, Donovan
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Garcia, Casandra
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Regency Ihs Of Orchard Park LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Regency Integrated Health Services LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Val Verde County Hospital District
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Asuaje, Juan
Individual
ADP OF THE SNFNOT APPLICABLE
Benavidez, Lori
Individual
ADP OF THE SNFNOT APPLICABLE
Chartrand, Daniel
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Clapp, Barbara
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Csv Rhea Management Holdco, LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Dekowski, Donovan
Individual
ADP OF THE SNFNOT APPLICABLE
Diaz, Cris
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Dwd Tx Holdings LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Garcia, Casandra
Individual
ADP OF THE SNFNOT APPLICABLE
Jack And Nancy Dwyer Workforce Development Center Inc
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Jurado, Jorge
Individual
CORPORATE OFFICERNOT APPLICABLE
Jurado, Jorge
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Mandelbaum, Elliot
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Otazo, Julio
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Palmer, Robin
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Reg Leased Opco LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Reg Operator Holdco LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Regency Ihs Clinical Consulting, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Regency Ihs Of Orchard Park LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Regency Ihs Of Orchard Park LLC
Organization
DIRECT OWNERSHIP INTERESTNOT APPLICABLE
Regency Ihs Rehab LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Regency Integrated Health Services LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Regency Integrated Health Services LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Regency Texas Holdings LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Val Verde County Hospital District
Organization
ADP OF THE SNFNOT APPLICABLE
Warwas, Ivanna
Individual
ADP OF THE SNFNOT APPLICABLE
Part of a chain
Wellsential Health67 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Texas.

No county cost figures on file for Hidalgo.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Valley Grande Manor
Weslaco
0.6 mi2026-07-020496
Weslaco Nursing And Rehabilitation Center
Weslaco
1.1 mi2026-04-240220
Mid Valley Nursing & Rehabilitation
Mercedes
6.1 mi2026-06-100244
Veranda Rehabilitation and Healthcare
Harlingen
7.4 mi2026-04-090151
The Heights Of Alamo
Alamo
9.5 mi2025-11-130111
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01