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.
| Form CMS-2540-10 | 2024 · report 1403915 | 2023 · report 1375304 | 2022 · report 1346230 | 2021 · report 1355399 | 2020 · report 1312175 | 2019 · report 1300631 | 2018 · report 1252497 | 2017 · report 1189895 | 2016 · report 1173081 | 2015 · report 1142610 | 2014 · report 1149881 | 2013 · report 1113725 | 2012 · report 1081511 | 2011 · report 1052734 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | October 1, 2023 | October 1, 2022 | October 1, 2021 | October 1, 2020 | October 1, 2019 | October 1, 2018 | October 1, 2017 | April 1, 2017 | February 22, 2016 | January 1, 2015 | January 1, 2014 | January 1, 2013 | January 1, 2012 | January 1, 2011 |
| Period ended | September 30, 2024 | September 30, 2023 | September 30, 2022 | September 30, 2021 | September 30, 2020 | September 30, 2019 | September 30, 2018 | September 30, 2017 | December 31, 2016 | December 31, 2015 | December 31, 2014 | December 31, 2013 | December 31, 2012 | December 31, 2011 |
| Days in the period | 365 | 364 | 364 | 364 | 365 | 364 | 364 | 182, not a full year | 313 | 364 | 364 | 364 | 365 | 364 |
| Processed by CMS | February 19, 2025 | March 20, 2024 | April 21, 2023 | June 28, 2023 | March 16, 2022 | September 20, 2021 | March 13, 2020 | May 16, 2018 | August 14, 2017 | August 25, 2016 | December 22, 2016 | December 2, 2015 | December 3, 2014 | December 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 components | 120 | 120 | 120 | 120 | 120 | 120 | 120 | 120 | 120 | 120 | 120 | 120 | 120 | 120 |
| Bed days available, all components | 43,920 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 2,029 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 23,852 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 9,134 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 35,015 | 32,424 | 31,613 | 26,982 | 33,154 | 39,242 | 39,100 | 20,068 | 34,857 | 39,041 | 36,774 | 38,302 | 37,450 | 20,745 |
| Medicare discharges | 59 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 115 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 366 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 540 | 595 | 609 | 375 | 383 | 599 | 538 | 208 | 390 | 479 | 248 | 328 | 257 | 69 |
| Average length of stay, Medicare, in days | 34.39 | 24.43 | 24.06 | 29.89 | 37.06 | 25.81 | 28.92 | 34.54 | 33.88 | 30.55 | 31.95 | 29.46 | 43.55 | 43.49 |
| Average length of stay, Medicaid, in days | 207.41 | 184.77 | 169.39 | 205.14 | 188.91 | 205.21 | 202.13 | 293.24 | 203.21 | 185.87 | — | — | — | — |
| Average length of stay, all patients, in days | 64.84 | 54.49 | 51.91 | 71.95 | 86.56 | 65.51 | 72.68 | 96.48 | 89.38 | 81.51 | 148.28 | 116.77 | 145.72 | 300.65 |
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.
| Form CMS-2540-96 | 2010 · report 407672 | 2009 · report 382374 | 2008 · report 358081 |
|---|---|---|---|
| Period began | January 1, 2010 | January 1, 2009 | January 1, 2008 |
| Period ended | December 31, 2010 | December 31, 2009 | October 31, 2008 |
| Days in the period | 364 | 364 | 304 |
| Report status | as submitted | settled | settled |
| Processed by CMS | June 24, 2011 | July 19, 2010 | October 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 components | 60 | 60 | 60 |
| Total patient days, all components | 19,266 | 19,461 | 12,470 |
| Total discharges, all components | 75 | 67 | 26 |
| Average length of stay, Medicare, in days | 43.88 | 56.26 | 52.25 |
| Average length of stay, Medicaid, in days | 928 | 625.38 | 1,621.43 |
| Average length of stay, all patients, in days | 256.88 | 290.46 | 479.62 |
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 manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| STARR COUNTY HOSPITAL DISTRICT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 04/01/2017 |
| 1814 ATRIUM PLACE DRIVE LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/01/2017 |
| CAMPOS, MICHAEL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/30/2024 |
| CASTILLO, CRISOFORO | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2025 |
| DEKOWSKI, DONOVAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/01/2017 |
| LUCIO, DELMA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2025 |
| REGENCY IHS CLINICAL CONSULTING, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/01/2017 |
| REGENCY IHS MASTER TENANT LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/01/2017 |
| REGENCY IHS OF WINDSOR ATRIUM LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/14/2025 |
| REGENCY IHS REHAB LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/01/2017 |
| REGENCY INTEGRATED HEALTH SERVICES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/14/2025 |
| REYNOSO, LUIS | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2025 |
| STARR COUNTY HOSPITAL DISTRICT | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/14/2025 |
| MUNOZ, THALIA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/1982 |
| REGENCY IHS OF WINDSOR ATRIUM LLC | DIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 04/01/2017 |
| DWD TX HOLDINGS LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 04/01/2017 |
| JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 04/01/2017 |
| REG HG OPCO 1, LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 04/01/2017 |
| REG HG OPCO LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 04/01/2017 |
| REG OPERATOR HOLDCO LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 04/01/2017 |
| REGENCY INTEGRATED HEALTH SERVICES LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 04/01/2017 |
| REGENCY TEXAS HOLDINGS LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 04/01/2017 |
| BAIRD, DANIEL | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 04/13/2021 |
| CLAPP, BARBARA | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 06/01/2021 |
| CORTESE, DAREN | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 08/10/2021 |
| GIBSON, PATRICIA | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 08/01/2021 |
| GUERRA, ADRIAN | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 05/01/2016 |
| MANDELBAUM, ELLIOT | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/01/2025 |
| MUNOZ, THALIA | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/01/1982 |
| PENA, ELISA | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 05/01/2022 |
| SALINAS, ARCADIO | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 09/17/2024 |
| CAMPOS, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/30/2024 |
| DEKOWSKI, DONOVAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2017 |
| REGENCY IHS OF WINDSOR ATRIUM LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 04/01/2017 |
| REGENCY INTEGRATED HEALTH SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 04/01/2017 |
| STARR COUNTY HOSPITAL DISTRICT | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 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.
| Owner | Individual or organization | Role | Ownership percentage | Association date |
|---|---|---|---|---|
| STARR COUNTY HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100.00 | 04/01/2017 |
| 1814 ATRIUM PLACE DRIVE LLC | Organization | ADP OF THE SNF | Not stated in the filing | 04/01/2017 |
| CRISOFORO CASTILLO | Individual | ADP OF THE SNF | Not stated in the filing | 01/01/2025 |
| DELMA LUCIO | Individual | ADP OF THE SNF | Not stated in the filing | 01/01/2025 |
| DONOVAN R DEKOWSKI | Individual | ADP OF THE SNF | Not stated in the filing | 04/01/2017 |
| LUIS A REYNOSO | Individual | ADP OF THE SNF | Not stated in the filing | 01/01/2025 |
| MICHAEL CAMPOS | Individual | ADP OF THE SNF | Not stated in the filing | 12/30/2024 |
| REGENCY IHS CLINICAL CONSULTING, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 04/01/2017 |
| REGENCY IHS MASTER TENANT LLC | Organization | ADP OF THE SNF | Not stated in the filing | 04/01/2017 |
| REGENCY IHS OF WINDSOR ATRIUM LLC | Organization | ADP OF THE SNF | Not stated in the filing | 04/14/2025 |
| REGENCY IHS REHAB LLC | Organization | ADP OF THE SNF | Not stated in the filing | 04/01/2017 |
| REGENCY INTEGRATED HEALTH SERVICES LLC | Organization | ADP OF THE SNF | Not stated in the filing | 04/14/2025 |
| STARR COUNTY HOSPITAL DISTRICT | Organization | ADP OF THE SNF | Not stated in the filing | 04/14/2025 |
| THALIA H MUNOZ | Individual | CORPORATE OFFICER | 0.00 | 01/01/1982 |
| REGENCY IHS OF WINDSOR ATRIUM LLC | Organization | DIRECT OWNERSHIP INTEREST | 100.00 | 04/01/2017 |
| DWD TX HOLDINGS LLC | Organization | INDIRECT OWNERSHIP INTEREST | 100.00 | 04/01/2017 |
| JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC | Organization | INDIRECT OWNERSHIP INTEREST | 100.00 | 04/01/2017 |
| REG HG OPCO 1, LLC | Organization | INDIRECT OWNERSHIP INTEREST | 100.00 | 04/01/2017 |
| REG HG OPCO LLC | Organization | INDIRECT OWNERSHIP INTEREST | 100.00 | 04/01/2017 |
| REG OPERATOR HOLDCO LLC | Organization | INDIRECT OWNERSHIP INTEREST | 100.00 | 04/01/2017 |
| REGENCY INTEGRATED HEALTH SERVICES LLC | Organization | INDIRECT OWNERSHIP INTEREST | 100.00 | 04/01/2017 |
| REGENCY TEXAS HOLDINGS LLC | Organization | INDIRECT OWNERSHIP INTEREST | 100.00 | 04/01/2017 |
| ADRIAN GUERRA | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 05/01/2016 |
| ARCADIO J SALINAS | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 09/17/2024 |
| BARBARA B CLAPP | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 06/01/2021 |
| DANIEL S BAIRD | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 04/13/2021 |
| DAREN A CORTESE | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 08/10/2021 |
| ELISA G PENA | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 05/01/2022 |
| ELLIOT J MANDELBAUM | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 01/01/2025 |
| PATRICIA GIBSON | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 08/01/2021 |
| THALIA H MUNOZ | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 01/01/1982 |
| DONOVAN R DEKOWSKI | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 04/01/2017 |
| MICHAEL CAMPOS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/30/2024 |
| REGENCY IHS OF WINDSOR ATRIUM LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 04/01/2017 |
| REGENCY INTEGRATED HEALTH SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 04/01/2017 |
| STARR COUNTY HOSPITAL DISTRICT | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100.00 | 04/01/2017 |
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 date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| August 29, 2025 | Fine | $8,457 | 135000 | ||
| June 27, 2024 | Fine | $14,697 | 112998 |
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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