Federal inspection record · CMS data as of October 1, 2026
Windsor Nursing and Rehabilitation Center of Alice
606 Coyote Tr, Alice, TX · (361) 664-5479
- Certified beds
- 136
- Residents per day
- 77
- Ownership
- Government
- Chain
- Wellsential Health
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 4, 1994
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
-
Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Windsor Nursing and Rehabilitation Center of Alice carries 76.75 inspection points. That is fewer than 47% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
23 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (3)
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Resident Assessment and Care Planning4D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pharmacy Service4D
- D
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.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
Nutrition and Dietary3F
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care3D
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Infection Control3D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation1E
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Nursing and Physician Services1C
- C
Post nurse staffing information every day.
Environmental1F
- F
Keep all essential equipment working safely.
Inspection history
2026-04-01
8 health deficiencies · 3 fire-safety deficiencies
Top issue: Infection Control (2 deficiencies)
2025-02-26
11 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2023-12-07
4 health deficiencies · 1 fire-safety deficiencies
Top issue: Environmental (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 10 min of nursing staff time a day, 12 min of it from a registered nurse.
This home
3 h 10 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 44% of nursing staff and 0% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$31,463 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-07-03 | Fine | $9,113 |
| 2025-07-03 | Fine | $14,069 |
| 2025-01-03 | Fine | $8,281 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.5 pts worse | 95.9% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.2 pts better | 97.2% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.1 pts worse | 3.3% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.3 pts better | 0.0% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.7 pts worse | 5.6% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.4 pts worse | 22.2% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.9 pts better | 3.9% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.4 pts worse | 16.3% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.9 pts worse | 16.7% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts better | 0.4% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.3 pts worse | 13.8% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.2 pts worse | 3.9% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine0.1 pts better | 88.8% | 88.7% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts worse | 1.6% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine1 pts better | 86.4% | 85.4% | 80.1% |
·
Who owns and runs it
42 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Apolinar, Adam | Corporate Officer · Individual | 0% | 38 facilities |
| Baird, Daniel | Indirect Ownership Interest · Individual | 0% | 58 facilities |
| Boehm, Veronica | Direct Ownership Interest · Individual | 0% | 1 facilities |
| Boehm, Veronica | Adp Of The SNF · Individual | 0% | 1 facilities |
| Breeden, Victoria | Direct Ownership Interest · Individual | 0% | 2 facilities |
| Breeden, Victoria | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Breeden, Victoria | Adp Of The SNF · Individual | 0% | 2 facilities |
| Cantu, Sergio | Direct Ownership Interest · Individual | 0% | 2 facilities |
| Cantu, Sergio | Adp Of The SNF · Individual | 0% | 2 facilities |
| Clapp, Barbara | Indirect Ownership Interest · Individual | 0% | 69 facilities |
| Contreras, Terri | Corporate Officer · Individual | 0% | 19 facilities |
| Cortese, Daren | Indirect Ownership Interest · Individual | 0% | 58 facilities |
| Csv Rhea Management Holdco, LLC | Indirect Ownership Interest · Organization | 0% | 63 facilities |
| Dekowski, Donovan | Indirect Ownership Interest · Individual | 0% | 69 facilities |
| Dekowski, Donovan | Operational/Managerial Control · Individual | 0% | 69 facilities |
| Dekowski, Donovan | Adp Of The SNF · Individual | 0% | 69 facilities |
| Dwd Tx Holdings LLC | Indirect Ownership Interest · Organization | 0% | 63 facilities |
| Elliott, Benjamin | Corporate Officer · Individual | 0% | 9 facilities |
| Faglie, Kelly | Corporate Officer · Individual | 0% | 9 facilities |
| Gaitonde, Gajanan | Corporate Officer · Individual | 0% | 8 facilities |
| Gibson, Patricia | Indirect Ownership Interest · Individual | 0% | 57 facilities |
| Gonzales, Hector | Corporate Officer · Individual | 0% | 9 facilities |
| Gutierrez, Monica | Corporate Officer · Individual | 0% | 8 facilities |
| Jack And Nancy Dwyer Workforce Development Center Inc | Indirect Ownership Interest · Organization | 0% | 68 facilities |
| Kessler, William | Corporate Officer · Individual | 0% | 8 facilities |
| Mandelbaum, Elliot | Indirect Ownership Interest · Individual | 0% | 61 facilities |
| Reg Leased Opco LLC | Indirect Ownership Interest · Organization | 0% | 24 facilities |
| Reg Operator Holdco LLC | Indirect Ownership Interest · Organization | 0% | 63 facilities |
| Regency Ihs Clinical Consulting, LLC | Adp Of The SNF · Organization | 0% | 70 facilities |
| Regency Ihs Of Alice LLC | Direct Ownership Interest · Organization | 0% | 1 facilities |
| Regency Ihs Of Alice LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Regency Ihs Of Alice LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Regency Ihs Rehab LLC | Adp Of The SNF · Organization | 0% | 68 facilities |
| Regency Integrated Health Services LLC | Indirect Ownership Interest · Organization | 0% | 70 facilities |
| Regency Integrated Health Services LLC | Operational/Managerial Control · Organization | 0% | 70 facilities |
| Regency Integrated Health Services LLC | Adp Of The SNF · Organization | 0% | 70 facilities |
| Regency Texas Holdings LLC | Indirect Ownership Interest · Organization | 0% | 63 facilities |
| Sanchez, Mariola | Direct Ownership Interest · Individual | 0% | 1 facilities |
| Sanchez, Mariola | Adp Of The SNF · Individual | 0% | 1 facilities |
| Uvalde County Hospital Authority | Operational/Managerial Control · Organization | 0% | 9 facilities |
| Uvalde County Hospital Authority | Adp Of The SNF · Organization | 0% | 9 facilities |
| Zamora, Raul | Corporate Officer · Individual | 0% | 8 facilities |
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Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Services3C
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Smoke1D
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Gas, Vacuum, and Electrical Systems1D
- D
Have proper medical gas storage and administration areas.
Miscellaneous1D
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
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Other homes nearby
-
Meridian Care Of Alice
Alice, TX · Abuse icon
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 28 min
- Fines
- $137,794
-
The Premier SNF of Alice
Alice, TX · Creative Solutions In Healthcare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 2 h 40 min
- Fines
- $0
-
Windsor Nursing and Rehabilitation Center of San D
San Diego, TX · Wellsential Health
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 22 min
- Fines
- $0