Nursing homeActive

Windsor Nursing And Rehabilitation Center Of Raymo

1700 S Expressway 77, Raymondville, TX 785809566892126120 certified beds · 53 residentsGovernment - Hospital districtMedicare and Medicaid
Surveys on file
11
since 2023
Deficiencies
33
0330
Penalties · 3 yrs
none on file
Last survey
2026-04-30
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 2
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
2026-04-30Complaint010CMS-2567 (Care Compare)
2026-02-26Standard090CMS-2567 (Care Compare)
2026-01-21Complaint030CMS-2567 (Care Compare)
2025-08-11Complaint010CMS-2567 (Care Compare)
2024-12-04Standard060CMS-2567 (Care Compare)
2024-11-15Complaint020CMS-2567 (Care Compare)
2024-10-11Complaint010CMS-2567 (Care Compare)
2024-08-19Complaint010CMS-2567 (Care Compare)
2024-08-06Complaint020CMS-2567 (Care Compare)
2024-06-13Complaint010CMS-2567 (Care Compare)
2023-09-22Standard060CMS-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.

2026-04-30Complaint survey · 1 deficiencyOfficial report
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-01Record 675475-20260430-F558
2026-02-26Standard survey · 9 deficienciesOfficial report
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-27Record 675475-20260226-F609
F610Respond appropriately to all alleged violations.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-27Record 675475-20260226-F610
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 2026-02-27Record 675475-20260226-F695
F759Ensure medication error rates are not 5 percent or greater.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-27Record 675475-20260226-F759
F760Ensure that residents are free from significant medication errors.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-27Record 675475-20260226-F760
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 2026-02-27Record 675475-20260226-F812
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-02-27Record 675475-20260226-F880
F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-02-27Record 675475-20260226-F887
F908Keep all essential equipment working safely.Scope/severity FStandard
Environment
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-02-27Record 675475-20260226-F908
2026-01-21Complaint 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 2026-01-22Record 675475-20260121-F656
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 2026-01-22Record 675475-20260121-F842
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 2026-01-22Record 675475-20260121-F880
2025-08-11Complaint survey · 1 deficiencyOfficial report
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-12Record 675475-20250811-F609
2024-12-04Standard survey · 6 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-13Record 675475-20241204-F550
F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-13Record 675475-20241204-F584
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 2024-12-13Record 675475-20241204-F655
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-13Record 675475-20241204-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-13Record 675475-20241204-F812
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 2024-12-13Record 675475-20241204-F880
2024-11-15Complaint survey · 2 deficienciesOfficial report
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-04Record 675475-20241115-F609
F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-04Record 675475-20241115-F625
2024-10-11Complaint survey · 1 deficiencyOfficial report
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-18Record 675475-20241011-F609
2024-08-19Complaint survey · 1 deficiencyOfficial report
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-20Record 675475-20240819-F609
2024-08-06Complaint 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 2024-08-07Record 675475-20240806-F635
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 2024-08-07Record 675475-20240806-F842
2024-06-13Complaint 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 2024-06-16Record 675475-20240613-F842
2023-09-22Standard survey · 6 deficienciesOfficial report
F578Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-25Record 675475-20230922-F578
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-25Record 675475-20230922-F607
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 2023-09-25Record 675475-20230922-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-25Record 675475-20230922-F657
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 2023-09-25Record 675475-20230922-F755
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 2023-09-25Record 675475-20230922-F880

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.38
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day3.28
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours2.80
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover41%
Facility
Texas
National
Texas 55% · National 46%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityTexasNational
Percentage of long-stay residents with pressure ulcers
lower is better
0.5%3.8%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
6.2%3.3%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
13.8%9.6%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.0%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
5.0%15.8%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
4.8%3.0%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
9.6%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
Starr County Hospital District
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Dekowski, Donovan
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Platas, Yesenia
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Regency Ihs Of Raymondville LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Regency Integrated Health Services LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Starr County Hospital District
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Baird, Daniel
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Clapp, Barbara
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Cortese, Daren
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Csv Rhea Management Holdco, LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Dekowski, Donovan
Individual
ADP OF THE SNFNOT APPLICABLE
Dwd Tx Holdings LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Gibson, Patricia
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Guerra, Adrian
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Jack And Nancy Dwyer Workforce Development Center Inc
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Mandelbaum, Elliot
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Mcclimans, Crystal
Individual
ADP OF THE SNFNOT APPLICABLE
Mercado, Imelda
Individual
ADP OF THE SNFNOT APPLICABLE
Munoz, Thalia
Individual
CORPORATE OFFICERNOT APPLICABLE
Munoz, Thalia
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Pena, Elisa
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Platas, Yesenia
Individual
ADP OF THE SNFNOT 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 Raymondville LLC
Organization
DIRECT OWNERSHIP INTERESTNOT APPLICABLE
Regency Ihs Of Raymondville LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Regency Ihs Rehab LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Regency Integrated Health Services LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Regency Integrated Health Services LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Regency Texas Holdings LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Rodriguez, Jose
Individual
ADP OF THE SNFNOT APPLICABLE
Salinas, Arcadio
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Starr County Hospital District
Organization
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 Willacy.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Windsor Atrium
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20.0 mi2026-05-080263
Treasure Hills Healthcare and Rehabilitation Cente
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21.7 mi2026-06-100240
Golden Palms Rehabilitation and Retirement
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21.7 mi2026-05-130212
Harlingen Nursing and Rehabilitation Center
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21.9 mi2026-02-241132
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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