Overview of Windsor Atrium 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.
