F

Windsor Nursing and Rehabilitation Center of Mcall

900 S 12th St, Mcallen, TX 78501
Score: 39 / 100

Windsor Nursing And Rehabilitation Center Of Mcall has received an F grade based on CMS data, with a score of 39/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Mcallen facility should carefully review its inspection history and quality metrics.

With 3.14 total nurse hours per resident per day, Windsor Nursing And Rehabilitation Center Of Mcall falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.

Recent inspections identified 20 deficiencies at Windsor Nursing And Rehabilitation Center Of Mcall. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.14 3.8 Below Average
Registered Nurses (RN) 0.30 0.7 Below Average
Licensed Practical Nurses (LPN) 0.95 0.7 Above Average
Certified Nursing Assistants (CNA) 1.89 2.4 Below Average
Weekend Total Nursing 2.76 3.8 Below Average
Weekend RN Hours 0.22 0.7 Below Average

🔍 Inspection & Deficiency History

20
Total Deficiencies
Nov 20, 2025
Most Recent Inspection
🟠 20 Moderate
View recent deficiencies (5 shown)
  • Tag 0689 Severity G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Nov 20, 2025 · Quality of Life and Care Deficiencies
  • Tag 0610 Severity D
    Respond appropriately to all alleged violations.
    Nov 20, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0600 Severity E
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    Jul 8, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0609 Severity D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    Jul 8, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0758 Severity E
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psy
    Sep 11, 2024 · Pharmacy Service Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 1.2% 4.5% Better
Falls with major injury 5.0% 3.0% Worse
On antipsychotic medication 36.0% 14.5% Worse
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 9.1% 14.0% Better
Excessive weight loss 5.3% 7.5% Better
New/worsened incontinence 13.3% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $37,050

How This Grade Was Calculated

This facility's grade of F is based on a score of 39 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 1★ → 4 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -3 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Corporation
Certified Beds
110
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Sep 11, 2024
Deficiencies (Cycle 1)
9