Windsor Atrium 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 Harlingen facility should carefully review its inspection history and quality metrics.
Staffing at Windsor Atrium is near the national average, with 3.84 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 36 deficiencies at Windsor Atrium, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standar.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.84 | 3.8 | Average |
| Registered Nurses (RN) | 0.31 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.18 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.35 | 2.4 | Average |
| Weekend Total Nursing | 3.44 | 3.8 | Average |
| Weekend RN Hours | 0.31 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0842 Severity ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standarDec 8, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0656 Severity DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Dec 8, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0761 Severity DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiDec 8, 2025 · Pharmacy Service Deficiencies
- Tag 0684 Severity JProvide appropriate treatment and care according to orders, resident’s preferences and goals.Aug 28, 2025 · Quality of Life and Care Deficiencies
- Tag 0925 Severity EMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.Aug 28, 2025 · Environmental 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 | 0.7% | 4.5% | Better |
| Falls with major injury | 5.0% | 3.0% | Worse |
| On antipsychotic medication | 3.4% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 7.9% | 14.0% | Better |
| Excessive weight loss | 6.0% | 7.5% | Better |
| New/worsened incontinence | 21.0% | 45.0% | Better |
⚠️ Penalties & Fines
3 penalties recorded by CMS
Total fines: $37,457
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: 3★ → 24 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -3 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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