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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
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.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 277th out of 289 homes in Texas. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 19m per day | ▼ 27% State avg: 26m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 11m per day | ▲ 25% State avg: 57m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 21m per day | ▲ 17% State avg: 2h 1m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 41m per day | ▼ 10% State avg: 2h 59m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 3m per day | ▼ 25% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 18m per day | ▼ 14% State avg: 21m per day · National avg: 29m per day |
Higher than the Texas average: 63.5%Windsor Atrium is administrated 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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Texas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 3 | 6 | This facility has 50% fewer total citations than a typical Texas nursing home (3 vs. TX avg 6).↓ 50% better |
|
Health citations
Violations related to resident care, clinical practices, and day-to-day operations.
| 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
Violations related to building safety — fire prevention, emergency egress, and similar.
| 2 | 6 | This facility has 67% fewer life safety citations than a typical Texas nursing home (2 vs. TX avg 6).↓ 67% better |
|
Citations per year
Average citations per year since 2023.
| 1 | 2 | This facility has 50% fewer citations per year than a typical Texas nursing home (1 vs. TX avg 2).↓ 50% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Texas average 7.4
Last Health inspection on Jun 2025
Texas average 25.9
Texas 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).
In line with Texas averageTexas average: 2
100% better than Texas averageTexas average: 0.4
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
12% worse than Texas average
0% compared with Texas average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 4 RN Staff are full-time employees. No contractors work on this role.
4
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11.4 hoursAssists with medical care and medications.
All 26 LPN Staff are full-time employees. No contractors work on this role.
26
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursHelps with daily care and mobility.
All 43 CNA Staff are full-time employees. No contractors work on this role.
43
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,711 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| 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)
70% lower than Texas averageTexas average: $80K
20% fewer fines than Texas averageTexas average: 2.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Texas averageTexas average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jun 27, 2024 · $15K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 27, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.6
23% better than Texas averageTexas average: 8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.2
12% better than Texas averageTexas average: 16.0
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
7.8%
52% better than Texas averageTexas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
14.2%
13% better than Texas averageTexas average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.5%
31% worse than Texas averageTexas average: 15.7%
Percent of long-stay residents experiencing one or more falls with major injury
4.2%
30% worse than Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
0.6%
86% better than Texas averageTexas average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Texas averageTexas average: 0.8%
Percent of long-stay residents who lose too much weight
6.4%
84% worse than Texas averageTexas average: 3.5%
Percent of long-stay residents who have depressive symptoms
3.5%
20% worse than Texas averageTexas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
3.0%
62% better than Texas averageTexas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Texas averageTexas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Texas averageTexas average: 97.9%
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
11% better than Texas averageTexas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
74% better than Texas averageTexas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.9%
12% better than Texas averageTexas average: 88.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
23.8%
8% better than Texas averageTexas average: 25.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
5.7%
53% better than Texas averageTexas average: 12.0%
Percentage of SNF residents who experience falls with major injury during their stay.
1.5%
100% worse than Texas averageTexas average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
60.0%
12% better than Texas averageTexas average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
58.6%
16% better than Texas averageTexas average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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)
Total residents
97Residents 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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Windsor Atrium based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #174 / 297Payroll — State benchmarkedThis home is ranked 174th out of 297 homes in Texas. Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total Residents: 120
Housing Options: Private / Suite
Building Type: Single-story
Transportation Services
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
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
Windsor Atrium is located in Harlingen, Texas.
Here are the financial assistance programs available to residents in Texas.
The information below is reported by the Texas Health and Human Services Commission.
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NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
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| Harlingen Nursing and Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Harlingen (Hale Avenue) | 120 | - | - | 2.98 | -25% | -18% | $6.0k | 17 | 3.4 | 1 | 18 | 49 | Regency Ihs Of Harlingen LLC | $9.1M | $4.1M | 45.4% | 675606 | ||||
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| Windsor Atrium |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Harlingen | 120 | 74.0% | +17% | 2.73 | -58% | -25% | $24.4k | 22 | 2.4 | 2 | 101 | 14 | Jason Rodriguez | $10.5M | $4.6M | 44.2% | 676125 |
The legal owner and operator of Windsor Atrium is Starr County Hospital District.
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.
According to TX state health department records, Windsor Atrium's license expires on January 4, 2026.
Windsor Atrium's occupancy is 74%.
Timothy G Beall is the administrator of Windsor Atrium.
Windsor Atrium has 120 beds.
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