Alice, TX

Windsor Nursing and Rehabilitation Center of Alice

3-star overall rating with 2-star inspections with abuse icon flag with $8,281 in total fines with 11 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

606 Coyote Tr, Alice, TX

(361) 664-5479

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

136

Certified beds

Average residents

72

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Wellsential Health

Operator or chain grouping

Approved since

1994-05-04

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.20

Registered nurse staffing

LPN hours / resident day

1.08

Licensed practical nurse staffing

Aide hours / resident day

1.93

Nurse aide staffing

Weekend hours

2.88

Weekend nurse staffing

RN turnover

0%

Annual RN turnover

Total nurse turnover

28%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 95.4%
97.1%
1.7 pts worse
93.4%
2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.2%
97.9%
0.3 pts better
95.5%
2.7 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 3.3%
3.3%
About the same
3.3%
About the same
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.0%
2.7%
2.7 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 5.3%
3.3%
2 pts worse
5.4%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 22.3%
18.9%
3.4 pts worse
19.6%
2.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 5.9%
10.8%
4.9 pts better
16.7%
10.8 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 15.1%
15.4%
0.3 pts better
16.3%
1.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 12.0%
16.1%
4.1 pts better
14.9%
2.9 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents with a urinary tract infection 0.4%
0.8%
0.4 pts better
1.7%
1.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 20.0%
15.0%
5 pts worse
19.8%
0.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 3.1%
4.2%
1.1 pts better
5.1%
2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 84.0%
89.7%
5.7 pts worse
81.7%
2.3 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who newly received an antipsychotic medication 2.5%
1.5%
1 pts worse
1.6%
0.9 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 83.6%
88.0%
4.4 pts worse
79.7%
3.9 pts better
Short Stay · 2024Q3-2025Q2

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-26 · Fire 2025-02-26

11 health deficiencies

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

2 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 2 Health 2023-12-07 · Fire 2023-12-07

4 health deficiencies

Top issue: Environmental (1 deficiency)

1 fire-safety deficiencies

Top issue: Services (1 deficiency)

Cycle 3 Health 2022-08-31 · Fire 2022-08-31

6 health deficiencies

Top issue: Infection Control (2 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-02-26

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2025-03-11

C · Minimal harm 2025-02-26

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-02-26

C · Minimal harm 2023-12-07

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-12-25

F · Potential for more than minimal harm 2022-08-31

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-09-23

E · Potential for more than minimal harm 2022-08-31

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2022-09-23

D · Potential for more than minimal harm 2022-08-31

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2022-09-23

C · Minimal harm 2022-08-31

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2022-09-23

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-12-10

J · Immediate jeopardy 2025-07-03

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2025-04-23

J · Immediate jeopardy 2025-07-03

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-07-04

E · Potential for more than minimal harm 2025-07-03

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2025-07-04

F · Potential for more than minimal harm 2025-02-26

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 2025-03-10

D · Potential for more than minimal harm 2025-02-26

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-03-10

D · Potential for more than minimal harm 2025-02-26

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 2025-03-10

D · Potential for more than minimal harm 2025-02-26

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-03-10

D · Potential for more than minimal harm 2025-02-26

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-03-10

D · Potential for more than minimal harm 2025-02-26

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-03-10

C · Minimal harm 2025-02-26

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2025-03-10

J · Immediate jeopardy 2025-01-03

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-09-04

F · Potential for more than minimal harm 2023-12-07

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 2023-12-28

F · Potential for more than minimal harm 2023-12-07

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2023-12-28

D · Potential for more than minimal harm 2023-12-07

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 2023-12-28

D · Potential for more than minimal harm 2023-11-02

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2023-11-03

D · Potential for more than minimal harm 2023-08-03

F690 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-08-11

D · Potential for more than minimal harm 2023-08-03

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-08-11

D · Potential for more than minimal harm 2023-03-30

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-04-21

E · Potential for more than minimal harm 2022-08-31

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2022-09-21

D · Potential for more than minimal harm 2022-08-31

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2022-09-21

Penalties and ownership

What sits behind the stars

$8,281 2025-01-03

Fine

Fine · fine $8,281

Fine

Ownership

Uvalde County Hospital Authority

5% Or Greater Direct Ownership Interest · Organization

100% 36 facilities 2022-10-01
Apolinar, Adam

Corporate Officer · Individual

0% 37 facilities 2015-07-23
Breeden, Victoria

Operational/Managerial Control · Individual

0% 2 facilities 2024-12-30
Contreras, Terri

Corporate Officer · Individual

0% 20 facilities 2019-04-29
Dekowski, Donovan

Operational/Managerial Control · Individual

0% 59 facilities 2022-10-01
Elliott, Benjamin

Corporate Officer · Individual

0% 9 facilities 2016-01-13
Faglie, Kelly

Corporate Officer · Individual

0% 9 facilities 2017-03-31
Gaitonde, Gajanan

Corporate Officer · Individual

0% 8 facilities 2006-02-28
Gonzales, Hector

Corporate Officer · Individual

0% 9 facilities 2001-03-27
Gutierrez, Monica

Corporate Officer · Individual

0% 8 facilities 2016-01-13
Kessler, William

Corporate Officer · Individual

0% 8 facilities 2015-02-28
Regency Ihs Of Alice LLC

Operational/Managerial Control · Organization

0% 1 facilities 2022-10-01
Regency Integrated Health Services LLC

Operational/Managerial Control · Organization

0% 55 facilities 2022-10-01
Uvalde County Hospital Authority

Operational/Managerial Control · Organization

0% 36 facilities 2022-10-01
Zamora, Raul

Corporate Officer · Individual

0% 8 facilities 1980-12-30

Nearby options

Other facilities in reach

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Alice, TX

3-star overall rating with 4-star inspections with 6 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

Overall
3 / 5
Health
4 / 5
Staffing
1 / 5
Fines
$0
#2

Meridian Care Of Alice

Alice, TX

4-star overall rating with 5-star inspections with 4 recent health deficiencies

Overall
4 / 5
Health
5 / 5
Staffing
4 / 5
Fines
$0

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