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Public Record

Windsor Nursing and Rehabilitation Center of Mcall

Nursing HomeMcallen, TXCMS 455662
22 citations on record

Operated by Wellsential Health

From CMS

Facility profile

CMS overall rating
3 / 5

*CMS Five-Star

Certified beds
110

*CMS

Avg. residents per day
76.3

*CMS

Inspection record

On record from CMS

Health citations
22

*CMS

Fire safety findings
9

*CMS

Inspections on file
13

*CMS

Last inspection
2025-12-03

*CMS

Citations

22 citations on record

Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0812Generalpotential for harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • 0690Generalpotential for harm

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  • 0610Generalpotential for harm

    Respond appropriately to all alleged violations.

  • 0689Seriousactual harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • 0600Generalpotential for harm

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • 0609Generalpotential for harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • 0578Generalpotential for harm

    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.

  • 0756Generalpotential for harm

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

  • 0645Generalpotential for harm

    PASARR screening for Mental disorders or Intellectual Disabilities

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0758Generalpotential for harm

    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.

  • 0657Generalpotential for harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • 0842Generalpotential for harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  • 0580Generalpotential for harm

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

  • 0726Generalpotential for harm

    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.

  • 0842Generalpotential for harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  • 0690Generalpotential for harm

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  • 0656Generalpotential for harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • 0656Generalpotential for harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • 0644Generalpotential for harm

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

  • 0656Generalpotential for harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • 0658Generalpotential for harm

    Ensure services provided by the nursing facility meet professional standards of quality.

Inspection history

Every health inspection on record

Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.

  • Inspection2 deficiencies

    455662 12/03/2025 Windsor Nursing and Rehabilitation Center of McAll 900 S 12th St McAllen, TX 78501 F 0690 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate…

    Read full statement of deficiencies
  • InspectionFire Safety1 deficiency
    View inspection report
  • Inspection2 deficiencies

    455662 11/21/2025 Windsor Nursing and Rehabilitation Center of McAll 900 S 12th St McAllen, TX 78501 F 0610 Respond appropriately to all alleged violations. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based…

    Read full statement of deficiencies
  • Inspection2 deficiencies

    455662 07/09/2025 Windsor Nursing and Rehabilitation Center of McAll 900 S 12th St McAllen, TX 78501 F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical…

    Read full statement of deficiencies
  • InspectionFire Safety1 deficiency
    View inspection report
  • Inspection5 deficiencies

    455662 09/12/2024 Windsor Nursing and Rehabilitation Center of McAll 900 S 12th St McAllen, TX 78501 F 0578 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or…

    Read full statement of deficiencies
  • Inspection3 deficiencies

    455662 08/09/2024 Windsor Nursing and Rehabilitation Center of McAll 900 S 12th St McAllen, TX 78501 F 0580 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Immediately tell the resident, the resident's doctor, and a family member of situations…

    Read full statement of deficiencies
  • Inspection3 deficiencies

    455662 03/01/2024 Windsor Nursing and Rehabilitation Center of McAll 900 S 12th St McAllen, TX 78501 F 0690 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate…

    Read full statement of deficiencies
  • Inspection1 deficiency

    455662 06/09/2023 Windsor Nursing and Rehabilitation Center of McAll 900 S 12th St McAllen, TX 78501 F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Develop and implement a complete care plan that meets all the resident's needs, with timetables and…

    Read full statement of deficiencies
  • InspectionFire Safety1 deficiency
    View inspection report

Showing the 10 most recent inspections. 3 earlier inspections are also on record.

Ownership

Wellsential Health

68nursing homes nationwide, in CMS records

All 68 are in Texas.

Counted from the chain CMS itself discloses for this home, which matches CMS Care Compare. ReadyRule's own common-control analysis is a separate and broader lens, and the two can differ.

FAQ

Questions and answers

What is Windsor Nursing and Rehabilitation Center of Mcall?
Windsor Nursing and Rehabilitation Center of Mcall is a Medicare- and Medicaid-certified nursing home in Mcallen, TX, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 455662.
What is the CMS rating for Windsor Nursing and Rehabilitation Center of Mcall?
Windsor Nursing and Rehabilitation Center of Mcall has a CMS overall rating of 3 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
How many beds does Windsor Nursing and Rehabilitation Center of Mcall have?
Windsor Nursing and Rehabilitation Center of Mcall is certified for 110 beds. It serves an average of 76.3 residents per day.
How many citations does Windsor Nursing and Rehabilitation Center of Mcall have?
Windsor Nursing and Rehabilitation Center of Mcall has 22 citations on record from CMS health inspections, each tied to a federal deficiency tag.
When was Windsor Nursing and Rehabilitation Center of Mcall last inspected?
Windsor Nursing and Rehabilitation Center of Mcall was last inspected on December 3, 2025. CMS surveys nursing homes about once a year and after complaints.
What can I do if I have concerns about care at this facility?
Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.

*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.

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