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Nursing home report

Windsor Atrium

Harlingen, TX · Medicare-certified · 120 beds

Needs attention
For-profitChain member
2 of 5 overall

Windsor Atrium in Harlingen, TX has a 2-star overall rating, with a 2-star health inspection rating and a 1-star staffing rating despite 5 stars for quality measures. It reported 3.44 nurse staffing hours per resident per day versus the 4.1 federal benchmark, had $23,154 in fines over the last 24 months, and has a recent federal penalty flag.

Facility ratings

Health inspections

Staffing

3.4405 hrs/resident/day

Quality measures

Last inspection: December 9, 2025Penalties, last 24 months: $23,154recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4405.

Staffing detail

Registered nurses
0.29
Licensed practical nurses
1.09
Nurse aides
2.06
Weekend nursing
3.05

Hours per resident per day.

Total staff turnover: 47%
Registered nurse turnover: 56%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

2%2.1%No change

Residents with a fall causing major injury

5.6%3%Improving

Residents with pressure ulcers (bedsores)

0%1.8%Worsening

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

7.7%0%Improving

Residents who were physically restrained

1.4%0%Improving

Residents needing more help with daily activities

5.3%7.5%Worsening

Residents whose ability to walk got worse

13.8%12.5%Improving

Long-stay residents on antianxiety or sleep medication

13.6%16.4%Worsening

Short-stay residents newly given an antipsychotic

0.8%3.1%Worsening

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

21.9%16.3%Improving

Residents with depressive symptoms

3.2%3.3%No change

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

100%

Long-stay residents given the pneumonia vaccine

100%100%No change

Short-stay residents given the seasonal flu vaccine

98.9%

Short-stay residents given the pneumonia vaccine

100%100%No change

What the inspectors found

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited August 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: J

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The nursing home failed to protect residents from abuse and neglect by others. Cited June 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 600 — 42 CFR §483.12 — S/S: J

The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited December 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 842 — 42 CFR §483.70 — S/S: E

The nursing home failed to make sure it had a pest control program to prevent or deal with mice, insects, and other pests. Cited August 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 925 — 42 CFR §483.90 — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  3. PENALTY

    A federal fine of $8,457 was recorded.

  4. INSPECTION

    Health inspection found 12 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  6. PENALTY

    A federal fine of $14,697 was recorded.

Penalties & enforcement

On record with Medicare: 2 fines · $23,154 in total fines.

  • Federal fine

    Aug 29, 2025

    $8,457
  • Federal fine

    Jun 27, 2024

    $14,697

Operator & ownership

Ownership
For profit - Limited Liability company
Chain
Part of WELLSENTIAL HEALTH · 68 homes · 2.6 stars avg
Occupancy
91 residents on an average day (76% of 120 beds)
Resident voice
Resident council
Medicare history
Certified for 19 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.