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.
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).
Last yrNowTrend
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).
Last yrNowTrend
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.
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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.
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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
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $8,457 was recorded.
INSPECTION
Health inspection found 12 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
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.