Windsor Atrium
1814 Atrium Place · Harlingen, TX · 78550 · 9562302300
120 certified beds For profit - Limited Liability company Chain: Wellsential Health Hospital-based
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
RN staffing in the bottom 10% nationally
0.29 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.44 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.29 | 0.55–0.75 |
| Weekend hours / resident-day | 3.05 | ≈ weekday level |
| Nursing turnover / year | 47% | median 45% |
| Fines (3-yr window) | 2 · $23,154 |
Inspection citations (35 in the current record)
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Potential for harm · D December 9, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 9, 2025 · found via complaint
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 December 10, 2025 · Pharmacy Service
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Potential for harm · E December 9, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected December 10, 2025 · Resident Assessment and Care Planning
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Immediate jeopardy · J August 29, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 30, 2025 · Quality of Life and Care
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Potential for harm · D August 29, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected August 30, 2025 · Resident Rights
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Potential for harm · D August 29, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 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.
Corrected August 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 29, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 30, 2025 · Quality of Life and Care
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Potential for harm · D August 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.
Corrected August 30, 2025 · Quality of Life and Care
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Potential for harm · D August 29, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected August 30, 2025 · Quality of Life and Care
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Potential for harm · D August 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.
Corrected August 30, 2025 · Pharmacy Service
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Potential for harm · D August 29, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 30, 2025 · Nutrition and Dietary
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Potential for harm · D August 29, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected August 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 29, 2025
Provide and implement an infection prevention and control program.
Corrected August 30, 2025 · Infection Control
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Potential for harm · E August 29, 2025
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected August 30, 2025 · Environmental
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Potential for harm · D June 26, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 27, 2025 · Quality of Life and Care
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Potential for harm · D June 21, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected June 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 21, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 18, 2024 · Quality of Life and Care
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Potential for harm · D July 25, 2024 · found via complaint
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 July 26, 2024 · Quality of Life and Care
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Immediate jeopardy · J June 27, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 15, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J June 27, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 15, 2024 · Quality of Life and Care
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Potential for harm · D June 27, 2024
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected June 28, 2024 · Resident Rights
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Potential for harm · D June 27, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 28, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 27, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 28, 2024 · Quality of Life and Care
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Potential for harm · D June 27, 2024 · found via complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected June 28, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 29, 2025 | Fine | $8,457 |
| June 27, 2024 | Fine | $14,697 |
Better-scoring options nearby
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676125 · certified since February 1, 2007. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.