Windsor Nursing And Rehabilitation Center Of Edinburg

Inspection findings

1. Aug 28, 2025 Health · 9 findings
   • Not serious Scope/severity D

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Aug 29, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0690 Quality of Life and Care Deficiencies

     Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

     Corrected Aug 29, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0694 Quality of Life and Care Deficiencies

     Provide for the safe, appropriate administration of IV fluids for a resident when needed.

     Corrected Aug 29, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0711 Nursing and Physician Services Deficiencies

     Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

     Corrected Aug 29, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Aug 29, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0842 Resident Assessment and Care Planning Deficiencies

     Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

     Corrected Aug 29, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Aug 29, 2025 · CMS health inspection

   • Not serious Scope/severity D

     K0221 Egress Deficiencies

     Provide rooms that can be unlocked from inside without a key.

     Corrected Aug 29, 2025 · CMS fire safety

   • Not serious Scope/severity C

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     Corrected Aug 27, 2026 · CMS fire safety

2. Sep 19, 2024 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Sep 24, 2024 · CMS health inspection

3. Jul 24, 2024 Health · 5 findings
   • Not serious Scope/severity D

     F0558 Resident Rights Deficiencies

     Reasonably accommodate the needs and preferences of each resident.

     Corrected Jul 25, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Jul 25, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Jul 25, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0758 Pharmacy Service Deficiencies

     Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

     Corrected Jul 25, 2024 · CMS health inspection

   • Not serious Scope/severity C

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     Corrected Aug 2, 2024 · CMS fire safety

4. Apr 14, 2023 Health · 5 findings
   • Not serious Scope/severity D

     F0686 Quality of Life and Care Deficiencies

     Provide appropriate pressure ulcer care and prevent new ulcers from developing.

     Corrected May 15, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected May 15, 2023 · CMS health inspection

   • Not serious Scope/severity C

     F0814 Nutrition and Dietary Deficiencies

     Dispose of garbage and refuse properly.

     Corrected May 15, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected May 15, 2023 · CMS health inspection

   • Not serious Scope/severity C

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     Corrected Apr 15, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• CHARTRAND, DANIEL — managing control - governing body, NOT APPLICABLE, since 05/19/2014
• CLAPP, BARBARA — managing control - governing body, NOT APPLICABLE, since 06/01/2021
• DEKOWSKI, DONOVAN — operational/managerial control, NOT APPLICABLE, since 12/15/2022
• DEKOWSKI, DONOVAN — adp of the snf, NOT APPLICABLE, since 01/01/2025
• DIAZ, CRIS — managing control - governing body, NOT APPLICABLE, since 05/22/2022
• GARCIA, HILLARY — adp of the snf, NOT APPLICABLE, since 01/01/2025
• JURADO, JORGE — managing control - governing body, NOT APPLICABLE, since 10/13/2023
• JURADO, JORGE — corporate officer, NOT APPLICABLE, since 10/13/2023
• MANDELBAUM, ELLIOT — managing control - governing body, NOT APPLICABLE, since 01/01/2025
• MOLINA SALINAS, MONICA — adp of the snf, NOT APPLICABLE, since 01/01/2025
• NUNEZ URIBURU, HUMBERTO — adp of the snf, NOT APPLICABLE, since 01/01/2025
• OTAZO, JULIO — managing control - governing body, NOT APPLICABLE, since 05/25/2022
• PALMER, ROBIN — managing control - governing body, NOT APPLICABLE, since 11/18/2020
• QUINTERO, GRISELDA — adp of the snf, NOT APPLICABLE, since 08/16/2024
• QUINTERO, GRISELDA — operational/managerial control, NOT APPLICABLE, since 08/16/2024
• CSV RHEA MANAGEMENT HOLDCO, LLC — indirect ownership interest, NOT APPLICABLE, since 12/15/2022
• DWD TX HOLDINGS LLC — indirect ownership interest, NOT APPLICABLE, since 12/15/2022
• JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC — indirect ownership interest, NOT APPLICABLE, since 12/15/2022
• REG LEASED OPCO LLC — indirect ownership interest, NOT APPLICABLE, since 12/15/2022
• REG OPERATOR HOLDCO LLC — indirect ownership interest, NOT APPLICABLE, since 12/15/2022
• REGENCY IHS CLINICAL CONSULTING, LLC — adp of the snf, NOT APPLICABLE, since 12/15/2022
• REGENCY IHS OF EDINBURG MANOR LLC — direct ownership interest, NOT APPLICABLE, since 12/15/2022
• REGENCY IHS OF EDINBURG MANOR LLC — operational/managerial control, NOT APPLICABLE, since 12/15/2022
• REGENCY IHS OF EDINBURG MANOR LLC — adp of the snf, NOT APPLICABLE, since 11/21/2024
• REGENCY IHS REHAB LLC — indirect ownership interest, NOT APPLICABLE, since 12/15/2022
• REGENCY IHS REHAB LLC — adp of the snf, NOT APPLICABLE, since 04/24/2025
• REGENCY INTEGRATED HEALTH SERVICES LLC — adp of the snf, NOT APPLICABLE, since 04/24/2025
• REGENCY INTEGRATED HEALTH SERVICES LLC — operational/managerial control, NOT APPLICABLE, since 12/15/2022
• REGENCY INTEGRATED HEALTH SERVICES LLC — indirect ownership interest, NOT APPLICABLE, since 12/15/2022
• REGENCY TEXAS HOLDINGS LLC — indirect ownership interest, NOT APPLICABLE, since 12/15/2022
• VAL VERDE COUNTY HOSPITAL DISTRICT — adp of the snf, NOT APPLICABLE, since 04/24/2025
• VAL VERDE COUNTY HOSPITAL DISTRICT — operational/managerial control, NOT APPLICABLE, since 12/15/2022
• VAL VERDE COUNTY HOSPITAL DISTRICT — 5% or greater direct ownership interest, 100%, since 12/15/2022