Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (73% of admissions), and a typical private pay stay runs around 1 months.
In Harlingen, Cameron County, Texas, Windsor Atrium operates a 120-bed skilled nursing facility managed by the Starr County Hospital District. Located at 1814 Atrium Place Drive, the facility has provided nursing services for five decades and currently holds state licensure. Administrator Timothy G. Beall leads the community, which serves Medicare, Medicaid, and private-pay residents requiring short-term rehabilitation and memory care services.
The facility maintains occupancy at 74%; that’s higher than Texas’s 63.5% average with average resident stays of 54 days. The payer mix leans heavily toward private-pay (73% of new admissions), with Medicare accounting for 18% and Medicaid 9%.
Daily hours per resident average 2 hours 44 minutes, placing the facility 277th among 289 Texas nursing homes.
Of that, registered nurses deliver only 19 minutes of care per resident daily, falling 27% below the state average, while lLicensed practical nurses contribute 1 hour 11 minutes per day, which is actually 25% above state average; certified nursing assistants provide 2 hours 21 minutes, 17% above state average. This staffing composition concentrates care delivery among aides and practical nurses with limited registered nurse clinical oversight.
Over three years, the facility accumulated 13.7 health deficiencies annually; nearly three times the Texas average of 3.5.
A substantiated 2024 complaint documented neglect: a nursing assistant failed to follow a resident’s two-person assistance requirement during bathing, resulting in a fall and fractured femur. The employee was terminated.
Inspectors have repeatedly cited incomplete care plans, unsecured medication systems, inaccurate medication documentation, improper wound care, and infection control failures. In June 2024, the facility received a $15,000 federal civil money penalty.
No license suspensions or payment denials have been issued.
Quality outcomes are inconsistent: pressure ulcer rates substantially exceed state benchmarks, but falls with major injury and unintended weight loss are notably worse than average. The facility’s CMS rating is 2 stars overall.
Windsor Atrium serves short-stay rehabilitation and memory care residents, with documented persistent gaps in care planning execution and medication management oversight at the nursing and supervisory level.
Windsor Atrium is administered by Timothy G Beall.
Key information about the people who lead and staff this community.
In Texas, the Health and Human Services Commission (HHSC) is the primary regulatory body that conducts unannounced inspections and publishes quality reports for all long-term care homes.
Citations
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Total citations
| 3 | 8 | This facility has 63% fewer total citations than a typical Texas nursing home (3 vs. TX avg 8).↓ 63% better |
|
Health citations
| 1 | 2 | This facility has 50% fewer health citations than a typical Texas nursing home (1 vs. TX avg 2).↓ 50% better |
|
Life safety citations
| 2 | 6 | This facility has 67% fewer life safety citations than a typical Texas nursing home (2 vs. TX avg 6).↓ 67% better |
Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.
State average 7.4
Last Health inspection on Jun 2025
State average 25.9
State average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
12 of 22 citations resulted from standard inspections; 7 of 22 resulted from complaint investigations; and 3 of 22 came from combined inspections (standard and complaint).
State average: 2
State average: 0.4
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
2,711 contractor hours this quarter
| Certified Nursing Assistant | 43 | 0 | 43 | 12,972 | 92 | 100% | 7.5 |
| Licensed Practical Nurse | 26 | 0 | 26 | 8,179 | 92 | 100% | 8.8 |
| Medication Aide/Technician | 8 | 0 | 8 | 2,508 | 92 | 100% | 8.1 |
| Nurse Aide in Training | 11 | 0 | 11 | 1,749 | 92 | 100% | 7 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,085 | 72 | 78% | 7.8 |
| RN Director of Nursing | 3 | 0 | 3 | 988 | 74 | 80% | 7.7 |
| Speech Language Pathologist | 0 | 3 | 3 | 959 | 77 | 84% | 7.2 |
| Other Dietary Services Staff | 5 | 0 | 5 | 921 | 85 | 92% | 7.6 |
| Physical Therapy Assistant | 0 | 4 | 4 | 865 | 72 | 78% | 7 |
| Registered Nurse | 4 | 0 | 4 | 824 | 56 | 61% | 11.4 |
| Nurse Practitioner | 1 | 0 | 1 | 503 | 61 | 66% | 8.2 |
| Qualified Activities Professional | 1 | 0 | 1 | 497 | 59 | 64% | 8.4 |
| Administrator | 1 | 0 | 1 | 494 | 60 | 65% | 8.2 |
| Dietitian | 1 | 0 | 1 | 482 | 67 | 73% | 7.2 |
| Mental Health Service Worker | 2 | 0 | 2 | 471 | 60 | 65% | 7.6 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 356 | 60 | 65% | 5.8 |
| Physical Therapy Aide | 0 | 1 | 1 | 339 | 53 | 58% | 6.4 |
| Occupational Therapy Aide | 0 | 4 | 4 | 107 | 17 | 18% | 6 |
| Medical Director | 0 | 2 | 2 | 44 | 15 | 16% | 2.4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 41 | 6 | 7% | 6.8 |
Includes penalties issued in 2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jun 27, 2024 · $15K
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
18% of new residents, usually for short-term rehab.
73% of new residents, often for short stays.
9% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Historical financial and operational data for Windsor Atrium from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 09/2023.
Based on CMS SNF Cost Report for fiscal year ending in 09/2023.
No pets allowed
Housing Options: Private / Suite
Building Type: Single-story
Transportation Services
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (73% of admissions), and a typical private pay stay runs around 1 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
3.5 miles from city center
Estimated distance in miles from Harlingen's city center to Windsor Atrium's address, calculated via Google Maps.
Add your location
Info below is compiled from CMS reports & the TX Health & Human Services Commission (HHSC), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
ADC (Adult Day Care):
Daytime supervision, health monitoring, and social activities for seniors who live at home.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Texas average is: 71.6% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Victoria Gardens of Allen | NH HOS MC PC RC SNF | Allen | 120
Facility
120
TX AVG
78
Rank
#192 / 980 |
72.7%
Facility
72.7%
TX AVG
71.2%
Rank
#80 / 163 | +2% | 2.98
Facility
2.98
TX AVG
3.63
Rank
#184 / 234 | -42% | -18% | $0
Facility
$0
TX AVG
$81.8k
Rank
#1 / 237 | 20
Facility
20
TX AVG
25.9
Rank
#110 / 234 | 2.0
Facility
2.0
TX AVG
3.7
Rank
#22 / 234 | - | 87 | - |
71
Facility
71
TX AVG
42
Rank
#124 / 1,345 | Harden Non-Hud Holdco, LLC | $8.0MFiscal year ending 12/2023
Facility
$8.0MFiscal year ending 12/2023
TX AVG
$9.4M
Rank
#129 / 218 | $6.2MFiscal year ending 12/2023
Facility
$6.2MFiscal year ending 12/2023
TX AVG
$5.4M
Rank
#57 / 218 | 76.8%Fiscal year ending 12/2023
Facility
76.8%Fiscal year ending 12/2023
TX AVG
71.6%
Rank
#32 / 199 | 675882 | ||||
| Good Samaritan Society – White Acres | NH ADC AL HC HOS IL MC RC | El Paso (Northwest El Paso) | 76
Facility
76
TX AVG
78
Rank
#468 / 980 |
91.1%
Facility
91.1%
TX AVG
71.2%
Rank
#19 / 163 | +28% | 3.06
Facility
3.06
TX AVG
3.63
Rank
#161 / 234 | +62% | -16% | $4.5k
Facility
$4.5k
TX AVG
$81.8k
Rank
#62 / 237 | 29
Facility
29
TX AVG
25.9
Rank
#171 / 234 | 2.9
Facility
2.9
TX AVG
3.7
Rank
#90 / 234 | 1 | 67 | A+ |
20
Facility
20
TX AVG
42
Rank
#1,094 / 1,345 | Ramsey Hazboun | $7.5MFiscal year ending 12/2023
Facility
$7.5MFiscal year ending 12/2023
TX AVG
$9.4M
Rank
#137 / 218 | $6.2MFiscal year ending 12/2023
Facility
$6.2MFiscal year ending 12/2023
TX AVG
$5.4M
Rank
#58 / 218 | 82.4%Fiscal year ending 12/2023
Facility
82.4%Fiscal year ending 12/2023
TX AVG
71.6%
Rank
#24 / 199 | 675025 | ||||
| James L. West Center for Dementia Care | NH ADC HC MC RC SNF | Fort Worth | 112
Facility
112
TX AVG
78
Rank
#280 / 980 |
93.8%
Facility
93.8%
TX AVG
71.2%
Rank
#12 / 163 | +32% | 5.44
Facility
5.44
TX AVG
3.63
Rank
#13 / 234 | -37% | +50% | $63.2k
Facility
$63.2k
TX AVG
$81.8k
Rank
#178 / 237 | 18
Facility
18
TX AVG
25.9
Rank
#79 / 234 | 2.6
Facility
2.6
TX AVG
3.7
Rank
#58 / 234 | 8 | 105 | - |
73
Facility
73
TX AVG
42
Rank
#95 / 1,345 | - | $12.5MFiscal year ending 06/2024
Facility
$12.5MFiscal year ending 06/2024
TX AVG
$9.4M
Rank
#32 / 218 | $9.8MFiscal year ending 06/2024
Facility
$9.8MFiscal year ending 06/2024
TX AVG
$5.4M
Rank
#18 / 218 | 78.1%Fiscal year ending 06/2024
Facility
78.1%Fiscal year ending 06/2024
TX AVG
71.6%
Rank
#30 / 199 | 745019 | ||||
| Cityview Nursing and Rehabilitation Center | NH HC HOS MC RC SNF | Fort Worth | 210
Facility
210
TX AVG
78
Rank
#12 / 980 |
87.8%
Facility
87.8%
TX AVG
71.2%
Rank
#28 / 163 | +23% | 3.33
Facility
3.33
TX AVG
3.63
Rank
#121 / 234 | +7% | -8% | $234.0k
Facility
$234.0k
TX AVG
$81.8k
Rank
#228 / 237 | 40
Facility
40
TX AVG
25.9
Rank
#200 / 234 | 3.6
Facility
3.6
TX AVG
3.7
Rank
#150 / 234 | 4 | 184 | - |
56
Facility
56
TX AVG
42
Rank
#364 / 1,345 | Regency Ihs Of Cityview Fort Worth LLC | $13.0MFiscal year ending 12/2023
Facility
$13.0MFiscal year ending 12/2023
TX AVG
$9.4M
Rank
#27 / 218 | $8.0MFiscal year ending 12/2023
Facility
$8.0MFiscal year ending 12/2023
TX AVG
$5.4M
Rank
#31 / 218 | 61.4%Fiscal year ending 12/2023
Facility
61.4%Fiscal year ending 12/2023
TX AVG
71.6%
Rank
#87 / 199 | 675622 | ||||
| Windsor Atrium | NH HC HOS RC SNF | Harlingen | 120
Facility
120
TX AVG
78
Rank
#192 / 980 |
78.6%
Facility
78.6%
TX AVG
71.2%
Rank
#58 / 163 | +10% | 3.18
Facility
3.18
TX AVG
3.63
Rank
#141 / 234 | -58% | -12% | $23.2k
Facility
$23.2k
TX AVG
$81.8k
Rank
#118 / 237 | 22
Facility
22
TX AVG
25.9
Rank
#129 / 234 | 2.4
Facility
2.4
TX AVG
3.7
Rank
#44 / 234 | 2 | 94 | - |
14
Facility
14
TX AVG
42
Rank
#1,180 / 1,345 | Jason Rodriguez | $8.8MFiscal year ending 09/2023
Facility
$8.8MFiscal year ending 09/2023
TX AVG
$9.4M
Rank
#100 / 218 | $3.9MFiscal year ending 09/2023
Facility
$3.9MFiscal year ending 09/2023
TX AVG
$5.4M
Rank
#148 / 218 | 44.8%Fiscal year ending 09/2023
Facility
44.8%Fiscal year ending 09/2023
TX AVG
71.6%
Rank
#172 / 199 | 676125 |
Windsor Atrium is legally operated by Starr County Hospital District, and administered by Timothy G Beall.
Windsor Atrium has a walk score of 14. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to TX state health department records, Windsor Atrium's license number is 147600.
Windsor Atrium's occupancy is 79%.
Windsor Atrium has been operating for approximately 50 years, based on available licensing and registration records.
No, Windsor Atrium has a no-pet policy.
Windsor Atrium is registered as a for-profit in TX.
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