Harlingen, TX

Windsor Nursing And Rehabilitation Center Of Harli

5-star overall rating with 4-star inspections with 7 recent health deficiencies

820 Camelot Dr, Harlingen, TX

(956) 423-2663

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 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

154

Certified beds

Average residents

123

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Wellsential Health

Operator or chain grouping

Approved since

1989-06-12

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

0.42

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

0.93

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

1.97

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

3.33

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.36

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

2.98

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.30

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.39

CMS adjusted RN staffing hours

Adjusted total hours

3.12

CMS adjusted total nurse staffing hours

Case-mix index

1.46

Higher values indicate more complex resident acuity

RN turnover

25%

Annual RN turnover · state 52% · national 45%

Total nurse turnover

29%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

6,807

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

Performance score

31.65

Composite VBP score used to determine payment impact.

Payment multiplier

0.9866

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.02

Baseline 17.53% · Performance 19.57% · Measure score 4.02 · Achievement 4.02 · Improvement 0

Healthcare-associated infections

2.23

Baseline 6.17% · Performance 7.17% · Measure score 2.23 · Achievement 2.23 · Improvement 0

Total nurse turnover

6.41

Performance 37.50% · Measure score 6.41 · Achievement 6.41 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

0

Baseline 3.66 hours · Performance 3.14 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.1%	10.72% 1.4 pts worse	No Different than the National Rate · Eligible stays 138 · Observed rate 13.04% · Lower 95% interval 8.45%
Discharge to community	60.57%	50.57% 10 pts better	Better than the National Rate · Eligible stays 135 · Observed rate 57.78% · Lower 95% interval 53.27%
Medicare spending per beneficiary	0.88	1.02 0.1 pts better
Drug regimen review with follow-up	89.47%	95.27% 5.8 pts worse	Numerator 102 · Denominator 114
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 114
Discharge self-care score	59.04%	53.69% 5.4 pts better	Numerator 49 · Denominator 83
Discharge mobility score	60.24%	50.94% 9.3 pts better	Numerator 50 · Denominator 83
Pressure ulcers or injuries, new or worsened	3.51%	2.29% 1.2 pts worse	Numerator 4 · Denominator 114 · Adjusted rate 4.09%
Healthcare-associated infections requiring hospitalization	7.17%	7.12% About the same	No Different than the National Rate · Eligible stays 83 · Observed rate 6.02% · Lower 95% interval 4.31%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 124
Staff flu vaccination coverage	90.4%	42% 48.4 pts better	Numerator 179 · Denominator 198
Discharge function score	65.06%	56.45% 8.6 pts better	Numerator 54 · Denominator 83
Transfer of health information to provider	96.67%	95.95% 0.7 pts better	Numerator 29 · Denominator 30
Transfer of health information to patient	92.96%	96.28% 3.3 pts worse	Numerator 66 · Denominator 71
Resident COVID-19 vaccinations up to date	0%	25.2% 25.2 pts worse	Numerator 0 · Denominator 68

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.4%	97.1% 2.3 pts better	93.4% 6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 98.7% · Q2 100.0% · Q3 98.8% · Q4 100.0% · 4Q avg 99.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.9%	97.9% 1 pts better	95.5% 3.4 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.9%
Percentage of long-stay residents experiencing one or more falls with major injury	2.5%	3.3% 0.8 pts better	3.3% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 1.3% · Q3 3.6% · Q4 2.4% · 4Q avg 2.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.0%	2.7% 1.7 pts better	11.4% 10.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.0% · Q3 1.4% · Q4 1.3% · 4Q avg 1.0%
Percentage of long-stay residents who lose too much weight	1.7%	3.3% 1.6 pts better	5.4% 3.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 1.4% · Q3 1.4% · Q4 1.3% · 4Q avg 1.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	12.6%	18.9% 6.3 pts better	19.6% 7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.1% · Q2 12.3% · Q3 13.7% · Q4 14.1% · 4Q avg 12.6%
Percentage of long-stay residents who received an antipsychotic medication	2.1%	10.8% 8.7 pts better	16.7% 14.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 1.7% · Q3 1.7% · Q4 1.6% · 4Q avg 2.1% · 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	5.8%	15.4% 9.6 pts better	16.3% 10.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 6.8% · Q3 3.1% · Q4 8.5% · 4Q avg 5.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	14.3%	16.1% 1.8 pts better	14.9% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 7.6% · Q3 19.7% · Q4 23.9% · 4Q avg 14.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.6%	0.5% 0.1 pts worse	1.0% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · 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	23.6%	15.0% 8.6 pts worse	19.8% 3.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 34.4% · Q2 16.9% · Q3 21.1% · Q4 22.0% · 4Q avg 23.6%
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 · Q1 4.1% · Q2 2.4% · Q3 3.0% · Q4 3.1% · 4Q avg 3.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	98.8%	89.7% 9.1 pts better	81.7% 17.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 98.1% · Q2 98.6% · Q3 99.1% · Q4 99.4% · 4Q avg 98.8%
Percentage of short-stay residents who had an outpatient emergency department visit	7.1%	12.0% 4.9 pts better	12.0% 4.9 pts better	Short Stay · 20240701-20250630 · Adjusted 7.1% · Observed 6.7% · Expected 10.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.2%	1.5% 1.3 pts better	1.6% 1.4 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.4% · Q3 0.0% · Q4 0.4% · 4Q avg 0.2% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	89.1%	88.0% 1.1 pts better	79.7% 9.4 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 89.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	24.2%	25.9% 1.7 pts better	23.9% 0.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 24.2% · Observed 21.1% · Expected 20.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-12 · Fire 2025-06-12

7 health deficiencies

Top issue: Infection Control (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-04-19 · Fire 2024-04-19

5 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 3 Health 2023-02-17 · Fire 2023-02-17

2 health deficiencies

Top issue: Infection Control (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-04-19

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 2024-04-18

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-11-20

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-11-21

D · Potential for more than minimal harm 2025-11-20

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 2025-11-21