The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Windsor Nursing and Rehabilitation Center of Mcall
Mcallen, TX · Medicare-certified · 110 beds
Needs attention
Non-profitChain member
3 of 5 overall
Windsor Nursing and Rehabilitation Center of Mcall has a 3 out of 5 overall rating. Its strongest scores are health inspections and quality measures at 4 stars, but staffing is low at 1 star, reported nurse staffing is 3.24 hours per resident per day versus the 4.1-hour federal benchmark, and it had $37,050 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.2446 hrs/resident/day
Quality measures
Last inspection: December 3, 2025Penalties, last 24 months: $37,050recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2446.
Staffing detail
- Registered nurses
- 0.26
- Licensed practical nurses
- 1.01
- Nurse aides
- 1.97
- Weekend nursing
- 2.84
Hours per resident per day.
Total staff turnover: 55%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
35.1%Improving
Residents with a fall causing major injury
5.4%Worsening
Residents with pressure ulcers (bedsores)
1.7%Worsening
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
6.1%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
10.4%Improving
Residents whose ability to walk got worse
7.8%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
6.1%Worsening
Short-stay residents newly given an antipsychotic
8%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
11.6%Improving
Residents with depressive symptoms
2.6%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
96.6%Steady
Short-stay residents given the pneumonia vaccine
91.9%Worsening
What the inspectors found
The nursing home failed to protect residents from abuse and neglect by others. Cited July 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: E
The home failed to properly reduce or limit psychotropic medication use and try safer non-drug approaches when appropriate. Cited September 2024 — limited pattern, potential for harm.
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F-Tag 758 — 42 CFR §483.45(e) — S/S: E
The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited March 2024 — 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 develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited May 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — 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 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $37,050 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $37,050 in total fines.
- $37,050
Federal fine
Nov 21, 2025
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of WELLSENTIAL HEALTH · 68 homes · 2.6 stars avg
- Occupancy
- 76.3 residents on an average day (69% of 110 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 39 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.