Windsor Nursing And Rehabilitation Center Of Alice

Penalties

• Jul 3, 2025 — Fine ($9,113)
• Jul 3, 2025 — Fine ($14,069)
• Jan 3, 2025 — Fine ($8,281)

Inspection findings

1. Apr 1, 2026 Health · 9 findings
   • 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 Apr 2, 2026 · 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 Apr 2, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Apr 2, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0761 Pharmacy Service Deficiencies

     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.

     Corrected Apr 2, 2026 · 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 Apr 2, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Apr 2, 2026 · CMS health inspection

   • Not serious Scope/severity D

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected Apr 2, 2026 · 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.

     CMS fire safety

   • Not serious Scope/severity D

     K0923 Gas, Vacuum, and Electrical Systems Deficiencies

     Have proper medical gas storage and administration areas.

     Corrected Apr 2, 2026 · CMS fire safety

2. Mar 3, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0757 Pharmacy Service Deficiencies

     Ensure each resident’s drug regimen must be free from unnecessary drugs.

     Corrected Mar 4, 2026 · CMS health inspection

3. Dec 9, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Dec 10, 2025 · CMS health inspection

4. Jul 3, 2025 Health · 3 findings
   • Serious Scope/severity J Complaint

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

     Corrected Apr 23, 2025 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Develop and implement policies and procedures to prevent abuse, neglect, and theft.

     Corrected Jul 4, 2025 · CMS health inspection

   • Serious Scope/severity J Complaint

     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 Jul 4, 2025 · CMS health inspection

5. Feb 26, 2025 Health · 9 findings
   • Not serious Scope/severity D

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Mar 10, 2025 · 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 Mar 10, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Mar 10, 2025 · CMS health inspection

   • Not serious Scope/severity C

     F0732 Nursing and Physician Services Deficiencies

     Post nurse staffing information every day.

     Corrected Mar 10, 2025 · 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 Mar 10, 2025 · CMS health inspection

   • Not serious Scope/severity F

     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 Mar 10, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Mar 10, 2025 · 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 Feb 26, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0741 Miscellaneous Deficiencies

     Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

     Corrected Mar 11, 2025 · CMS fire safety

6. Jan 3, 2025 Health · 1 finding
   • Serious Scope/severity J Complaint

     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 Sep 4, 2024 · CMS health inspection

7. Dec 7, 2023 Health · 4 findings
   • 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 Dec 28, 2023 · CMS health inspection

   • Not serious Scope/severity F Complaint

     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 Dec 28, 2023 · CMS health inspection

   • Not serious Scope/severity F Complaint

     F0908 Environmental Deficiencies

     Keep all essential equipment working safely.

     Corrected Dec 28, 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 Dec 25, 2023 · CMS fire safety

8. Nov 2, 2023 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0761 Pharmacy Service Deficiencies

     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.

     Corrected Nov 3, 2023 · CMS health inspection

9. Aug 3, 2023 Health · 2 findings
   • Not serious Scope/severity D Complaint

     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 11, 2023 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Aug 11, 2023 · CMS health inspection

Owners and managers (as published by CMS)

• APOLINAR, ADAM — corporate officer, NOT APPLICABLE, since 07/23/2015
• BAIRD, DANIEL — indirect ownership interest, NOT APPLICABLE, since 04/13/2021
• BOEHM, VERONICA — adp of the snf, NOT APPLICABLE, since 01/01/2025
• BOEHM, VERONICA — direct ownership interest, NOT APPLICABLE, since 01/01/2025
• BREEDEN, VICTORIA — operational/managerial control, NOT APPLICABLE, since 12/30/2024
• BREEDEN, VICTORIA — direct ownership interest, NOT APPLICABLE, since 12/30/2024
• BREEDEN, VICTORIA — adp of the snf, NOT APPLICABLE, since 12/30/2024
• CANTU, SERGIO — direct ownership interest, NOT APPLICABLE, since 01/01/2025
• CANTU, SERGIO — adp of the snf, NOT APPLICABLE, since 01/01/2025
• CLAPP, BARBARA — indirect ownership interest, NOT APPLICABLE, since 06/01/2021
• CONTRERAS, TERRI — corporate officer, NOT APPLICABLE, since 04/29/2019
• CORTESE, DAREN — indirect ownership interest, NOT APPLICABLE, since 08/10/2021
• DEKOWSKI, DONOVAN — indirect ownership interest, NOT APPLICABLE, since 10/01/2022
• DEKOWSKI, DONOVAN — operational/managerial control, NOT APPLICABLE, since 10/01/2022
• DEKOWSKI, DONOVAN — adp of the snf, NOT APPLICABLE, since 10/01/2022
• ELLIOTT, BENJAMIN — corporate officer, NOT APPLICABLE, since 01/13/2016
• FAGLIE, KELLY — corporate officer, NOT APPLICABLE, since 03/31/2017
• GAITONDE, GAJANAN — corporate officer, NOT APPLICABLE, since 02/28/2006
• GIBSON, PATRICIA — indirect ownership interest, NOT APPLICABLE, since 08/01/2021
• GONZALES, HECTOR — corporate officer, NOT APPLICABLE, since 03/27/2001
• GUTIERREZ, MONICA — corporate officer, NOT APPLICABLE, since 01/13/2016
• KESSLER, WILLIAM — corporate officer, NOT APPLICABLE, since 02/28/2015
• MANDELBAUM, ELLIOT — indirect ownership interest, NOT APPLICABLE, since 01/01/2025
• SANCHEZ, MARIOLA — direct ownership interest, NOT APPLICABLE, since 01/01/2025
• SANCHEZ, MARIOLA — adp of the snf, NOT APPLICABLE, since 01/01/2025
• ZAMORA, RAUL — corporate officer, NOT APPLICABLE, since 12/30/1980
• CSV RHEA MANAGEMENT HOLDCO, LLC — indirect ownership interest, NOT APPLICABLE, since 10/01/2022
• DWD TX HOLDINGS LLC — indirect ownership interest, NOT APPLICABLE, since 10/01/2022
• JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC — indirect ownership interest, NOT APPLICABLE, since 10/01/2022
• REG LEASED OPCO LLC — indirect ownership interest, NOT APPLICABLE, since 10/01/2022
• REG OPERATOR HOLDCO LLC — indirect ownership interest, NOT APPLICABLE, since 10/01/2022
• REGENCY IHS CLINICAL CONSULTING, LLC — adp of the snf, NOT APPLICABLE, since 01/01/2025
• REGENCY IHS OF ALICE LLC — operational/managerial control, NOT APPLICABLE, since 10/01/2022
• REGENCY IHS OF ALICE LLC — adp of the snf, NOT APPLICABLE, since 04/18/2025
• REGENCY IHS OF ALICE LLC — direct ownership interest, NOT APPLICABLE, since 10/01/2022
• REGENCY IHS REHAB LLC — adp of the snf, NOT APPLICABLE, since 01/01/2025
• REGENCY INTEGRATED HEALTH SERVICES LLC — indirect ownership interest, NOT APPLICABLE, since 10/01/2022
• REGENCY INTEGRATED HEALTH SERVICES LLC — adp of the snf, NOT APPLICABLE, since 04/18/2025
• REGENCY INTEGRATED HEALTH SERVICES LLC — operational/managerial control, NOT APPLICABLE, since 10/01/2022
• REGENCY TEXAS HOLDINGS LLC — indirect ownership interest, NOT APPLICABLE, since 10/01/2022
• UVALDE COUNTY HOSPITAL AUTHORITY — adp of the snf, NOT APPLICABLE, since 04/18/2025
• UVALDE COUNTY HOSPITAL AUTHORITY — operational/managerial control, NOT APPLICABLE, since 10/01/2022