Mcallen, TX

Windsor Las Palmas Nursing And Rehabilitation Cent

4-star overall rating with 4-star inspections with $38,393 in total fines with 6 recent health deficiencies

1301 E Quebec Ave, Mcallen, TX

(956) 972-0049

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

94

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Wellsential Health

Operator or chain grouping

Approved since

1994-11-02

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

67 facilities

Chain averages 3 overall / 3 health / 2 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.31

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

0.82

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

2.13

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

3.26

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.13

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

2.86

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.16

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.30

CMS adjusted RN staffing hours

Adjusted total hours

3.13

CMS adjusted total nurse staffing hours

Case-mix index

1.43

Higher values indicate more complex resident acuity

RN turnover

63%

Annual RN turnover · state 52% · national 45%

Total nurse turnover

48%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

4,423

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

40.05

Composite VBP score used to determine payment impact.

Payment multiplier

0.9930

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

7.42

Baseline 34.72% · Performance 33.33% · Measure score 7.42 · Achievement 7.42 · Improvement 0.91

Adjusted total nurse staffing

0.59

Baseline 3.23 hours · Performance 3.24 hours · Measure score 0.59 · Achievement 0.59 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.4%	10.72% 0.3 pts better	No Different than the National Rate · Eligible stays 34 · Observed rate 8.82% · Lower 95% interval 6.54%
Discharge to community	44.6%	50.57% 6 pts worse	No Different than the National Rate · Eligible stays 28 · Observed rate 32.14% · Lower 95% interval 28.4%
Medicare spending per beneficiary	1.18	1.02 0.2 pts worse
Drug regimen review with follow-up	96.97%	95.27% 1.7 pts better	Numerator 32 · Denominator 33
Falls with major injury	3.03%	0.77% 2.3 pts worse	Numerator 1 · Denominator 33
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 33 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 20 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	14.17%	8.2% 6 pts better	Numerator 17 · Denominator 120
Staff flu vaccination coverage	100%	42% 58 pts better	Numerator 117 · Denominator 117
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	4.35%	25.2% 20.9 pts worse	Numerator 1 · Denominator 23

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	97.1% 2.9 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	97.9% 2.1 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	1.9%	3.3% 1.4 pts better	3.3% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 1.3% · Q3 2.4% · Q4 1.3% · 4Q avg 1.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.3%	2.7% 2.4 pts better	11.4% 11.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.2% · Q4 0.0% · 4Q avg 0.3%
Percentage of long-stay residents who lose too much weight	1.0%	3.3% 2.3 pts better	5.4% 4.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.3% · Q3 1.3% · Q4 1.3% · 4Q avg 1.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	6.7%	18.9% 12.2 pts better	19.6% 12.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 9.1% · Q3 3.9% · Q4 8.0% · 4Q avg 6.7%
Percentage of long-stay residents who received an antipsychotic medication	13.3%	10.8% 2.5 pts worse	16.7% 3.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 10.3% · Q3 17.1% · Q4 20.0% · 4Q avg 13.3% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	2.3%	15.4% 13.1 pts better	16.3% 14 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 0.0% · Q3 0.0% · Q4 5.8% · 4Q avg 2.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	3.5%	16.1% 12.6 pts better	14.9% 11.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 4.5% · Q3 1.5% · Q4 3.0% · 4Q avg 3.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.5% 0.5 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	0.8% 0.8 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	3.6%	15.0% 11.4 pts better	19.8% 16.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 1.4% · Q3 2.5% · Q4 8.6% · 4Q avg 3.6%
Percentage of long-stay residents with pressure ulcers	1.6%	4.2% 2.6 pts better	5.1% 3.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 2.6% · Q3 2.3% · Q4 0.0% · 4Q avg 1.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	89.7% 10.3 pts better	81.7% 18.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of short-stay residents who had an outpatient emergency department visit	7.3%	12.0% 4.7 pts better	12.0% 4.7 pts better	Short Stay · 20240701-20250630 · Adjusted 7.3% · Observed 8.8% · Expected 13.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.6%	1.5% 0.9 pts better	1.6% 1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.4% · Q3 1.1% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	99.2%	88.0% 11.2 pts better	79.7% 19.5 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 99.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	28.9%	25.9% 3 pts worse	23.9% 5 pts worse	Short Stay · 20240701-20250630 · Adjusted 28.9% · Observed 32.4% · Expected 26.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-06 · Fire 2025-03-06

6 health deficiencies

Top issue: Infection Control (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2023-12-13 · Fire 2023-12-13

1 health deficiencies

Top issue: Resident Assessment and Care Planning (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2022-09-24 · Fire 2022-09-24

7 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2022-09-24

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-09-26

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-09-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-09-09

D · Potential for more than minimal harm 2025-03-06

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-03-14

D · Potential for more than minimal harm 2025-03-06

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-03-14

D · Potential for more than minimal harm 2025-03-06

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-03-14

D · Potential for more than minimal harm 2025-03-06

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-03-14

D · Potential for more than minimal harm 2025-03-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-03-14

D · Potential for more than minimal harm 2023-12-13

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-12-20

E · Potential for more than minimal harm 2023-05-17

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2023-06-28