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Skilled nursing facility · CMS certification number 676125

WINDSOR ATRIUM

Harlingen, Texas · Medicare and Medicaid

Certified beds, as filed in Care Compare: 120

Download this facility’s record (CSV)

In Care Compare’s provider information: Penalties: 2 · Fines: 2 · Fines, total amount: $23,154.00 · Payment denials: 0. The most recent penalty on file: August 29, 2025, Fine, $8,457. Every penalty on file ↓

For this facility: the citable document with full history — $295 · an email when this record changes — $99/month

What stands out

  • Its latest cost report on file is for fiscal year 2024, covering October 1, 2023 to September 30, 2024 (365 days), and CMS processed it on February 19, 2025.
  • Net patient revenue rose from $8.8M in fiscal year 2023 to $10.2M in fiscal year 2024.
  • Its result from service to patients: −$1.4M (2022), $328K (2023), $699K (2024).
  • Its cost reports on file run from fiscal year 2008 to fiscal year 2024.
  • Its net patient revenue of $10.2M ranks 144th of the 681 nursing facilities in Texas whose latest cost report on file is fiscal year 2024.
  • 2 of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2024, also report a gain on service to patients.

Every line is computed from figures on this page; nothing is estimated.

Finances, as filed

Medicare cost reports, one column per fiscal year, each year linked to its CMS file. The worksheet, line and column of every figure are in this record’s CSV.

Form CMS-2540-10: every report is settled.

Cost reports on form CMS-2540-10, fiscal years 2011 to 2024
Form CMS-2540-102024 · report 14039152023 · report 13753042022 · report 13462302021 · report 13553992020 · report 13121752019 · report 13006312018 · report 12524972017 · report 11898952016 · report 11730812015 · report 11426102014 · report 11498812013 · report 11137252012 · report 10815112011 · report 1052734
Period beganOctober 1, 2023October 1, 2022October 1, 2021October 1, 2020October 1, 2019October 1, 2018October 1, 2017April 1, 2017February 22, 2016January 1, 2015January 1, 2014January 1, 2013January 1, 2012January 1, 2011
Period endedSeptember 30, 2024September 30, 2023September 30, 2022September 30, 2021September 30, 2020September 30, 2019September 30, 2018September 30, 2017December 31, 2016December 31, 2015December 31, 2014December 31, 2013December 31, 2012December 31, 2011
Days in the period365364364364365364364182, not a full year313364364364365364
Processed by CMSFebruary 19, 2025March 20, 2024April 21, 2023June 28, 2023March 16, 2022September 20, 2021March 13, 2020May 16, 2018August 14, 2017August 25, 2016December 22, 2016December 2, 2015December 3, 2014December 19, 2013
Total patient revenue$12,417,301$9,251,909$8,201,503$6,244,900$8,062,037$9,784,574$9,389,778$4,888,361$7,763,510$8,839,403$9,383,983$9,795,220$10,068,253$4,038,355
Contractual allowances and discounts$2,175,246$462,584————————$1,510,756$1,445,213$1,942,441$311,837
Net patient revenue$10,242,055$8,789,325$8,201,503$6,244,900$8,062,037$9,784,574$9,389,778$4,888,361$7,763,510$8,839,403$7,873,227$8,350,007$8,125,812$3,726,518
Total operating expenses$9,542,920$8,460,922$9,560,094$7,196,429$9,804,914$10,068,003$9,652,097$4,909,426$7,293,174$8,772,768$7,759,970$8,431,994$8,806,548$4,330,819
Net income from service to patients$699,135$328,403−$1,358,591−$951,529−$1,742,877−$283,429−$262,319−$21,065$470,336$66,635$113,257−$81,987−$680,736−$604,301
Total other income$912,409$1,206,138$1,947,715$1,619,571$2,098,486$555,661$514,036$41,958$729$22,242$11,264$11,114$22,628$487
Net income after other income$1,611,544$1,534,541$589,124$668,042$355,609$272,232$251,717$20,893$471,065$88,877$124,521−$70,873−$658,108−$603,814
Net income$1,611,544$1,534,541$589,124$668,042$355,609$272,232$251,717$20,893$471,065$88,877$124,521−$70,873−$658,108−$603,814
Total facility beds, all components120120120120120120120120120120120120120120
Bed days available, all components43,920—————————————
Medicare (Title XVIII) patient days2,029—————————————
Medicaid (Title XIX) patient days23,852—————————————
Other-payer patient days9,134—————————————
Total patient days, all components35,01532,42431,61326,98233,15439,24239,10020,06834,85739,04136,77438,30237,45020,745
Medicare discharges59—————————————
Medicaid discharges115—————————————
Other-payer discharges366—————————————
Total discharges, all components54059560937538359953820839047924832825769
Average length of stay, Medicare, in days34.3924.4324.0629.8937.0625.8128.9234.5433.8830.5531.9529.4643.5543.49
Average length of stay, Medicaid, in days207.41184.77169.39205.14188.91205.21202.13293.24203.21185.87————
Average length of stay, all patients, in days64.8454.4951.9171.9586.5665.5172.6896.4889.3881.51148.28116.77145.72300.65

Net income, fiscal years 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.

Cost reports on form CMS-2540-96, fiscal years 2008 to 2010
Form CMS-2540-962010 · report 4076722009 · report 3823742008 · report 358081
Period beganJanuary 1, 2010January 1, 2009January 1, 2008
Period endedDecember 31, 2010December 31, 2009October 31, 2008
Days in the period364364304
Report statusas submittedsettledsettled
Processed by CMSJune 24, 2011July 19, 2010October 21, 2009
Net patient revenue$3,402,811$3,269,204$1,305,239
Total operating expenses$3,308,848$2,937,130$1,541,175
Net income from service to patients$93,963$332,074−$235,936
Total other income—$13,613$262,898
Total other expenses$91——
Net income$93,872$345,687$26,962
Total facility beds, all components606060
Total patient days, all components19,26619,46112,470
Total discharges, all components756726
Average length of stay, Medicare, in days43.8856.2652.25
Average length of stay, Medicaid, in days928625.381,621.43
Average length of stay, all patients, in days256.88290.46479.62

Net income, fiscal years 2010, 2009, 2008. Checked against the form’s own arithmetic: what that check shows.

Nurse staffing

WINDSOR ATRIUM: staffing hours by quarter →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated October 1, 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
STARR COUNTY HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 04/01/2017
1814 ATRIUM PLACE DRIVE LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 04/01/2017
CAMPOS, MICHAELADP OF THE SNFIndividualNOT APPLICABLEsince 12/30/2024
CASTILLO, CRISOFOROADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2025
DEKOWSKI, DONOVANADP OF THE SNFIndividualNOT APPLICABLEsince 04/01/2017
LUCIO, DELMAADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2025
REGENCY IHS CLINICAL CONSULTING, LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 04/01/2017
REGENCY IHS MASTER TENANT LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 04/01/2017
REGENCY IHS OF WINDSOR ATRIUM LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 04/14/2025
REGENCY IHS REHAB LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 04/01/2017
REGENCY INTEGRATED HEALTH SERVICES LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 04/14/2025
REYNOSO, LUISADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2025
STARR COUNTY HOSPITAL DISTRICTADP OF THE SNFOrganizationNOT APPLICABLEsince 04/14/2025
MUNOZ, THALIACORPORATE OFFICERIndividualNOT APPLICABLEsince 01/01/1982
REGENCY IHS OF WINDSOR ATRIUM LLCDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 04/01/2017
DWD TX HOLDINGS LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 04/01/2017
JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 04/01/2017
REG HG OPCO 1, LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 04/01/2017
REG HG OPCO LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 04/01/2017
REG OPERATOR HOLDCO LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 04/01/2017
REGENCY INTEGRATED HEALTH SERVICES LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 04/01/2017
REGENCY TEXAS HOLDINGS LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 04/01/2017
BAIRD, DANIELMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 04/13/2021
CLAPP, BARBARAMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 06/01/2021
CORTESE, DARENMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 08/10/2021
GIBSON, PATRICIAMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 08/01/2021
GUERRA, ADRIANMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 05/01/2016
MANDELBAUM, ELLIOTMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 01/01/2025
MUNOZ, THALIAMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 01/01/1982
PENA, ELISAMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 05/01/2022
SALINAS, ARCADIOMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 09/17/2024
CAMPOS, MICHAELOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/30/2024
DEKOWSKI, DONOVANOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/01/2017
REGENCY IHS OF WINDSOR ATRIUM LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 04/01/2017
REGENCY INTEGRATED HEALTH SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 04/01/2017
STARR COUNTY HOSPITAL DISTRICTOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 04/01/2017

Medicare enrollment

As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of STARR COUNTY HOSPITAL DISTRICT (enrollment ID O20170524001353).

Paused by CMS: Form CMS-855A, December 11, 2025.

OwnerIndividual or organizationRoleOwnership percentageAssociation date
STARR COUNTY HOSPITAL DISTRICTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100.0004/01/2017
1814 ATRIUM PLACE DRIVE LLCOrganizationADP OF THE SNFNot stated in the filing04/01/2017
CRISOFORO CASTILLOIndividualADP OF THE SNFNot stated in the filing01/01/2025
DELMA LUCIOIndividualADP OF THE SNFNot stated in the filing01/01/2025
DONOVAN R DEKOWSKIIndividualADP OF THE SNFNot stated in the filing04/01/2017
LUIS A REYNOSOIndividualADP OF THE SNFNot stated in the filing01/01/2025
MICHAEL CAMPOSIndividualADP OF THE SNFNot stated in the filing12/30/2024
REGENCY IHS CLINICAL CONSULTING, LLCOrganizationADP OF THE SNFNot stated in the filing04/01/2017
REGENCY IHS MASTER TENANT LLCOrganizationADP OF THE SNFNot stated in the filing04/01/2017
REGENCY IHS OF WINDSOR ATRIUM LLCOrganizationADP OF THE SNFNot stated in the filing04/14/2025
REGENCY IHS REHAB LLCOrganizationADP OF THE SNFNot stated in the filing04/01/2017
REGENCY INTEGRATED HEALTH SERVICES LLCOrganizationADP OF THE SNFNot stated in the filing04/14/2025
STARR COUNTY HOSPITAL DISTRICTOrganizationADP OF THE SNFNot stated in the filing04/14/2025
THALIA H MUNOZIndividualCORPORATE OFFICER0.0001/01/1982
REGENCY IHS OF WINDSOR ATRIUM LLCOrganizationDIRECT OWNERSHIP INTEREST100.0004/01/2017
DWD TX HOLDINGS LLCOrganizationINDIRECT OWNERSHIP INTEREST100.0004/01/2017
JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INCOrganizationINDIRECT OWNERSHIP INTEREST100.0004/01/2017
REG HG OPCO 1, LLCOrganizationINDIRECT OWNERSHIP INTEREST100.0004/01/2017
REG HG OPCO LLCOrganizationINDIRECT OWNERSHIP INTEREST100.0004/01/2017
REG OPERATOR HOLDCO LLCOrganizationINDIRECT OWNERSHIP INTEREST100.0004/01/2017
REGENCY INTEGRATED HEALTH SERVICES LLCOrganizationINDIRECT OWNERSHIP INTEREST100.0004/01/2017
REGENCY TEXAS HOLDINGS LLCOrganizationINDIRECT OWNERSHIP INTEREST100.0004/01/2017
ADRIAN GUERRAIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing05/01/2016
ARCADIO J SALINASIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing09/17/2024
BARBARA B CLAPPIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing06/01/2021
DANIEL S BAIRDIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing04/13/2021
DAREN A CORTESEIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing08/10/2021
ELISA G PENAIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing05/01/2022
ELLIOT J MANDELBAUMIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing01/01/2025
PATRICIA GIBSONIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing08/01/2021
THALIA H MUNOZIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing01/01/1982
DONOVAN R DEKOWSKIIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing04/01/2017
MICHAEL CAMPOSIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing12/30/2024
REGENCY IHS OF WINDSOR ATRIUM LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing04/01/2017
REGENCY INTEGRATED HEALTH SERVICES LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing04/01/2017
STARR COUNTY HOSPITAL DISTRICTOrganizationOPERATIONAL/MANAGERIAL CONTROL100.0004/01/2017

Private equity company, real estate investment trust and holding company: No: STARR COUNTY HOSPITAL DISTRICT; 1814 ATRIUM PLACE DRIVE LLC; REGENCY IHS CLINICAL CONSULTING, LLC; REGENCY IHS MASTER TENANT LLC; REGENCY IHS OF WINDSOR ATRIUM LLC; REGENCY IHS REHAB LLC; REGENCY INTEGRATED HEALTH SERVICES LLC; STARR COUNTY HOSPITAL DISTRICT; REGENCY IHS OF WINDSOR ATRIUM LLC; DWD TX HOLDINGS LLC; JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC; REG HG OPCO 1, LLC; REG HG OPCO LLC; REG OPERATOR HOLDCO LLC; REGENCY INTEGRATED HEALTH SERVICES LLC; REGENCY TEXAS HOLDINGS LLC; REGENCY IHS OF WINDSOR ATRIUM LLC; REGENCY INTEGRATED HEALTH SERVICES LLC; STARR COUNTY HOSPITAL DISTRICT.

Private equity company, real estate investment trust and holding company: Paused by CMS: CRISOFORO CASTILLO; DELMA LUCIO; DONOVAN R DEKOWSKI; LUIS A REYNOSO; MICHAEL CAMPOS; THALIA H MUNOZ; ADRIAN GUERRA; ARCADIO J SALINAS; BARBARA B CLAPP; DANIEL S BAIRD; DAREN A CORTESE; ELISA G PENA; ELLIOT J MANDELBAUM; PATRICIA GIBSON; THALIA H MUNOZ; DONOVAN R DEKOWSKI; MICHAEL CAMPOS.

Changes in ownership

  • June 1, 2025, Medicare enrollment ownership file; no longer listed: JASON RODRIGUEZ (CONTRACTED MANAGING EMPLOYEE); THALIA H MUNOZ (OPERATIONAL/MANAGERIAL CONTROL); THALIA H MUNOZ (W-2 MANAGING EMPLOYEE); JOSE A VAZQUEZ (OPERATIONAL/MANAGERIAL CONTROL); first listed: ELLIOT J MANDELBAUM (MANAGING CONTROL - GOVERNING BODY), associated since January 1, 2025; DAREN A CORTESE (MANAGING CONTROL - GOVERNING BODY), associated since August 10, 2021; DONOVAN R DEKOWSKI (ADP OF THE SNF), associated since April 1, 2017; DONOVAN R DEKOWSKI (OPERATIONAL/MANAGERIAL CONTROL), associated since April 1, 2017; 1814 ATRIUM PLACE DRIVE LLC (ADP OF THE SNF), associated since April 1, 2017; REGENCY IHS CLINICAL CONSULTING, LLC (ADP OF THE SNF), associated since April 1, 2017; ARCADIO J SALINAS (MANAGING CONTROL - GOVERNING BODY), associated since September 17, 2024; DANIEL S BAIRD (MANAGING CONTROL - GOVERNING BODY), associated since April 13, 2021; ELISA G PENA (MANAGING CONTROL - GOVERNING BODY), associated since May 1, 2022; REGENCY INTEGRATED HEALTH SERVICES LLC (INDIRECT OWNERSHIP INTEREST), associated since April 1, 2017; REGENCY INTEGRATED HEALTH SERVICES LLC (ADP OF THE SNF), associated since April 14, 2025; REGENCY INTEGRATED HEALTH SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL), associated since April 1, 2017; ADRIAN GUERRA (MANAGING CONTROL - GOVERNING BODY), associated since May 1, 2016; DWD TX HOLDINGS LLC (INDIRECT OWNERSHIP INTEREST), associated since April 1, 2017; CRISOFORO CASTILLO (ADP OF THE SNF), associated since January 1, 2025; REGENCY IHS MASTER TENANT LLC (ADP OF THE SNF), associated since April 1, 2017; REG HG OPCO 1, LLC (INDIRECT OWNERSHIP INTEREST), associated since April 1, 2017; DELMA LUCIO (ADP OF THE SNF), associated since January 1, 2025; REGENCY IHS OF WINDSOR ATRIUM LLC (DIRECT OWNERSHIP INTEREST), associated since April 1, 2017; REGENCY IHS OF WINDSOR ATRIUM LLC (ADP OF THE SNF), associated since April 14, 2025; REGENCY IHS OF WINDSOR ATRIUM LLC (OPERATIONAL/MANAGERIAL CONTROL), associated since April 1, 2017; MICHAEL CAMPOS (ADP OF THE SNF), associated since December 30, 2024; MICHAEL CAMPOS (OPERATIONAL/MANAGERIAL CONTROL), associated since December 30, 2024; REG HG OPCO LLC (INDIRECT OWNERSHIP INTEREST), associated since April 1, 2017; STARR COUNTY HOSPITAL DISTRICT (ADP OF THE SNF), associated since April 14, 2025; STARR COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST), associated since April 1, 2017; BARBARA B CLAPP (MANAGING CONTROL - GOVERNING BODY), associated since June 1, 2021; REG OPERATOR HOLDCO LLC (INDIRECT OWNERSHIP INTEREST), associated since April 1, 2017; JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC (INDIRECT OWNERSHIP INTEREST), associated since April 1, 2017; PATRICIA GIBSON (MANAGING CONTROL - GOVERNING BODY), associated since August 1, 2021; THALIA H MUNOZ (MANAGING CONTROL - GOVERNING BODY), associated since January 1, 1982; THALIA H MUNOZ (CORPORATE OFFICER), associated since January 1, 1982; LUIS A REYNOSO (ADP OF THE SNF), associated since January 1, 2025; REGENCY TEXAS HOLDINGS LLC (INDIRECT OWNERSHIP INTEREST), associated since April 1, 2017; REGENCY IHS REHAB LLC (ADP OF THE SNF), associated since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv

Recent changes on this record

40 changes on this record are listed in the sections above: owner changes under Changes in ownership, filed cost reports in the finances table.

Inspections

  • Cycle 1: health August 29, 2025 (17 deficiencies), fire safety August 29, 2025 (0)
  • Cycle 2: health June 27, 2024 (8 deficiencies), fire safety June 27, 2024 (2)
  • Cycle 3: health April 6, 2023 (12 deficiencies), fire safety April 6, 2023 (1)

Care Compare inspection summary: NH_SurveySummary_Oct2026.csv, October 1, 2026.

Deficiencies cited

37 deficiencies on file, by tag, newest citation first

every one from a health inspection; 14 cited from a complaint, marked below.

  • F 0756, Pharmacy Service Deficiencies: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Cited May 8, 2026 (scope and severity D, from a complaint, Deficient, Provider has date of correction, corrected May 9, 2026).
  • F 0842, Resident Assessment and Care Planning Deficiencies: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Cited May 8, 2026 (scope and severity D, from a complaint, Deficient, Provider has date of correction, corrected May 9, 2026); December 9, 2025 (scope and severity E, from a complaint, Deficient, Provider has date of correction, corrected December 10, 2025); August 29, 2025 (scope and severity D, Deficient, Provider has date of correction, corrected August 30, 2025); June 21, 2025 (scope and severity D, from a complaint, Deficient, Provider has date of correction, corrected June 22, 2025); April 6, 2023 (scope and severity D, Deficient, Provider has date of correction, corrected April 21, 2023).
  • F 0656, Resident Assessment and Care Planning Deficiencies: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Cited December 9, 2025 (scope and severity D, from a complaint, Deficient, Provider has date of correction, corrected December 10, 2025); August 29, 2025 (scope and severity D, Deficient, Provider has date of correction, corrected August 30, 2025); June 27, 2024 (scope and severity D, Deficient, Provider has date of correction, corrected June 28, 2024); May 9, 2024 (scope and severity D, from a complaint, Deficient, Provider has date of correction, corrected May 23, 2024); April 6, 2023 (scope and severity D, Deficient, Provider has date of correction, corrected April 21, 2023).
  • F 0761, Pharmacy Service Deficiencies: 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. Cited December 9, 2025 (scope and severity D, from a complaint, Deficient, Provider has date of correction, corrected December 10, 2025); August 29, 2025 (scope and severity D, Deficient, Provider has date of correction, corrected August 30, 2025); April 6, 2023 (scope and severity D, Deficient, Provider has date of correction, corrected April 21, 2023).
  • F 0552, Resident Rights Deficiencies: Ensure that residents are fully informed and understand their health status, care and treatments. Cited August 29, 2025 (scope and severity D, Deficient, Provider has date of correction, corrected August 30, 2025).
  • F 0657, Resident Assessment and Care Planning Deficiencies: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Cited August 29, 2025 (scope and severity D, Deficient, Provider has date of correction, corrected August 30, 2025).
  • F 0684, Quality of Life and Care Deficiencies: Provide appropriate treatment and care according to orders, resident’s preferences and goals. Cited August 29, 2025 (scope and severity J, Deficient, Provider has date of correction, corrected August 30, 2025); June 26, 2025 (scope and severity D, from a complaint, Deficient, Provider has date of correction, corrected June 27, 2025); August 21, 2024 (scope and severity D, from a complaint, Deficient, Provider has date of correction, corrected September 18, 2024).
  • F 0689, Quality of Life and Care Deficiencies: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Cited August 29, 2025 (scope and severity D, Deficient, Provider has date of correction, corrected August 30, 2025); June 27, 2024 (scope and severity J, from a complaint, Past Non-Compliance, corrected March 15, 2024).
  • F 0690, Quality of Life and Care Deficiencies: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Cited August 29, 2025 (scope and severity D, Deficient, Provider has date of correction, corrected August 30, 2025); July 25, 2024 (scope and severity D, from a complaint, Deficient, Provider has date of correction, corrected July 26, 2024).
  • F 0695, Quality of Life and Care Deficiencies: Provide safe and appropriate respiratory care for a resident when needed. Cited August 29, 2025 (scope and severity D, Deficient, Provider has date of correction, corrected August 30, 2025).
  • F 0812, Nutrition and Dietary Deficiencies: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Cited August 29, 2025 (scope and severity D, Deficient, Provider has date of correction, corrected August 30, 2025); April 6, 2023 (scope and severity E, Deficient, Provider has date of correction, corrected April 21, 2023).
  • F 0880, Infection Control Deficiencies: Provide and implement an infection prevention and control program. Cited August 29, 2025 (scope and severity D, Deficient, Provider has date of correction, corrected August 30, 2025); April 6, 2023 (scope and severity D, Deficient, Provider has date of correction, corrected April 21, 2023).
  • F 0925, Environmental Deficiencies: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Cited August 29, 2025 (scope and severity E, Deficient, Provider has date of correction, corrected August 30, 2025).
  • F 0577, Resident Rights Deficiencies: Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Cited June 27, 2024 (scope and severity D, Deficient, Provider has date of correction, corrected June 28, 2024).
  • F 0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Cited June 27, 2024 (scope and severity J, from a complaint, Past Non-Compliance, corrected March 15, 2024).
  • F 0644, Resident Assessment and Care Planning Deficiencies: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Cited June 27, 2024 (scope and severity D, from a complaint, Deficient, Provider has date of correction, corrected June 28, 2024).
  • F 0677, Quality of Life and Care Deficiencies: Provide care and assistance to perform activities of daily living for any resident who is unable. Cited June 27, 2024 (scope and severity D, Deficient, Provider has date of correction, corrected June 28, 2024).
  • F 0655, Resident Assessment and Care Planning Deficiencies: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Cited May 9, 2024 (scope and severity D, from a complaint, Deficient, Provider has date of correction, corrected May 23, 2024).
  • F 0558, Resident Rights Deficiencies: Reasonably accommodate the needs and preferences of each resident. Cited April 6, 2023 (scope and severity D, Deficient, Provider has date of correction, corrected April 21, 2023).
  • F 0692, Quality of Life and Care Deficiencies: Provide enough food/fluids to maintain a resident's health. Cited April 6, 2023 (scope and severity D, Deficient, Provider has date of correction, corrected April 21, 2023).
  • F 0755, Pharmacy Service Deficiencies: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Cited April 6, 2023 (scope and severity D, Deficient, Provider has date of correction, corrected April 21, 2023).

Care Compare health citations: NH_HealthCitations_Oct2026.csv, October 1, 2026.

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
August 29, 2025Fine$8,457135000
June 27, 2024Fine$14,697112998

From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.

Care Compare provider information

  • Provider Type: Medicare and Medicaid
  • Ownership Type: For profit - Limited Liability company
  • Legal Business Name: STARR COUNTY HOSPITAL DISTRICT
  • Date First Approved to Provide Medicare and Medicaid Services: 2007-02-01
  • Provider Resides in Hospital: Y
  • Continuing Care Retirement Community: N
  • Urban: Y
  • County/Parish: Cameron
  • Telephone Number: 9562302300
  • Chain Name: WELLSENTIAL HEALTH
  • Chain ID: 670
  • Provider Changed Ownership in Last 12 Months: N
  • With a Resident and Family Council: Resident
  • Automatic Sprinkler Systems in All Required Areas: Yes
  • Number of Certified Beds: 120
  • Average Number of Residents per Day: 91.6
  • Overall Rating: 3
  • Health Inspection Rating: 2
  • QM Rating: 5
  • Long-Stay QM Rating: 5
  • Short-Stay QM Rating: 4
  • Processing Date: 2026-10-01

Care Compare provider information: NH_ProviderInfo_Oct2026.csv, October 1, 2026.

The citable document with full history — $295

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