| Windsor Atrium | |
| 1814 Atrium Place Dr, Harlingen, Texas 78550 | |
| (956) 230-2300 | |
| Name | Windsor Atrium |
|---|---|
| Location | 1814 Atrium Place Dr, Harlingen, Texas |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 120 |
| Occupancy Rate | 78.58% |
| Medicare ID (CCN) | 676125 |
| Legal Business Name | Starr County Hospital District |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Wellsential Health (67 nursing homes) |
| Chain Average Overall Rating | 2.7 out of 5 |
| NPI Number | 1558768259 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Starr County Hospital District |
| Doing Business As | Windsor Atrium |
| Address | 1814 Atrium Place Dr, Harlingen, TX 78550 |
| Phone Number | 956-230-2300 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.55 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.25 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.17 | 0.86 |
| Nurse aide hours per resident per day | 2.13 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.13 | 3.42 |
| RN hours per resident per day on the weekend | 0.2 | 0.48 |
| Physical therapist hours per resident per day | 0.05 | 0.07 |
| Total nursing staff turnover | 40.2% | 45.8% |
| Registered nurse turnover | 55.6% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 2 |
| Total Amount of Fines in Dollars | $23,154 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 2 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| May 8, 2026 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by May 9, 2026 |
| May 8, 2026 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by May 9, 2026 |
| Dec 9, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, pattern | Corrected by Dec 10, 2025 |
| Dec 9, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Dec 10, 2025 |
| Dec 9, 2025 | 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. F0761, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by Dec 10, 2025 |
| Aug 29, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Immediate jeopardy, isolated | Corrected by Aug 30, 2025 |
| Aug 29, 2025 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925, Environmental, Standard inspection | Potential for harm, pattern | Corrected by Aug 30, 2025 |
| Aug 29, 2025 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Aug 30, 2025 |
| Aug 29, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Aug 30, 2025 |
| Aug 29, 2025 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Aug 30, 2025 |
| Aug 29, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Aug 30, 2025 |
| Aug 29, 2025 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Aug 30, 2025 |
| Aug 29, 2025 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Aug 30, 2025 |
| Aug 29, 2025 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Aug 30, 2025 |
| Aug 29, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Aug 30, 2025 |
| Aug 29, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Aug 30, 2025 |
| Aug 29, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Aug 30, 2025 |
| Jun 26, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Jun 27, 2025 |
| Jun 21, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Jun 22, 2025 |
| Aug 21, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Sep 18, 2024 |
| Jul 25, 2024 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Jul 26, 2024 |
| Jun 27, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Standard inspection, Complaint inspection | Immediate jeopardy, isolated | Past non-compliance (already corrected) |
| Jun 27, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection, Complaint inspection | Immediate jeopardy, isolated | Past non-compliance (already corrected) |
| Jun 27, 2024 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. F0577, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jun 28, 2024 |
| Jun 27, 2024 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644, Resident Assessment and Care Planning, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Jun 28, 2024 |
| Jun 27, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jun 28, 2024 |
| Jun 27, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 28, 2024 |
| May 9, 2024 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by May 23, 2024 |
| May 9, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by May 23, 2024 |
| Apr 6, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Apr 21, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.87 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 2.02 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 1.95 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0.36 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.33 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.62 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 11.5 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.17 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.88 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 1.58 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 19.63 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 3.05 | 15.38 |
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