Windsor Atrium
Nursing Home, Home Care, Hospice Care, Respite Care & Skilled Nursing · Harlingen, TX
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Windsor Atrium

Nursing Home, Home Care, Hospice Care, Respite Care & Skilled Nursing · Harlingen, TX
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Windsor Atrium accepts Medicaid, Medicare, and private pay.

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.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▼ 28.4% Below TX avg. ▼ 28.4% Below TX avg.TX average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▼ 27.6% Below TX avg. ▼ 27.6% Below TX avg.TX average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▼ 52.9% Below TX avg. ▼ 52.9% Below TX avg.TX average: 2.1Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▲ 33.2% Above TX avg. ▲ 33.2% Above TX avg.TX average: 3.8Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info 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.

Hours per resident per day vs Texas averages

Rank #141 / 234Nurse hours — State benchmarkedThis home is ranked 141st out of 234 homes we track in Texas for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Texas average, with a ranking across 234 Texas facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Texas that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 141st out of 234 homes we track in Texas for nurse hours. 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.

3h 11m

12% below state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info 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.
14m
−47% State avg: 26m per day · National avg: 41m per day
LPN / LVN Info 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 3m
+10% State avg: 57m per day · National avg: 52m per day
Nurse Aide Info 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.
1h 54m
−6% State avg: 2h 1m per day · National avg: 2h 21m per day
Weekend Total Nursing Info 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 48m
−6% State avg: 2h 59m per day · National avg: 3h 26m per day
Physical Therapist Info 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
−25% State avg: 4m per day · National avg: 4m per day
Weekend RN Info 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.
12m
−43% State avg: 21m per day · National avg: 29m per day

5 of 6 metrics below state avg

Capacity and availability

Residents per day (avg)
94
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
54 days
Bed community size
120-bed community Rank #192 / 980Bed count — State benchmarkedThis home is ranked 192nd out of 980 homes we track in Texas for bed count. Shows this facility's certified or reported bed count compared to other Texas facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Texas that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
50 years in operation Rank #40 / 587Years in operation — State benchmarkedThis home is ranked 40th out of 587 homes we track in Texas for years in operation. Shows how long this facility has been in operation compared to other Texas facilities. Longer operating histories may benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Texas that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 14 / 100 Rank #1180 / 1345Walk Score — State benchmarkedThis home is ranked 1180th out of 1,345 homes we track in Texas for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Texas facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Texas that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate
79%
Rank #58 / 163Occupancy rate — State benchmarkedThis home is ranked 58th out of 163 homes we track in Texas for occupancy. Shows this facility's occupancy rate versus the Texas average, with its Statewide rank out of 163. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Texas that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the Texas average: 63.5%
Occupied beds
94 / 120
Average occupied beds in Texas homes 75 beds

License Details

Facility TypeNursing
IssuanceJanuary 4, 2023
CountyCameron
License Number147600
Year Opened9/25/1975
QualificationNursing

Ownership & Operating Entity

Windsor Atrium is administered by Timothy G Beall.

Management CompanyREGENCY IHS OF WINDSOR ATRIUM LLC
OwnerStarr County Hospital District
Ownership TypeHOSPITAL DISTRICT/AUTHORITY

Type Of Units

Medicaid and Medicare
120 units
Total beds
120 units

Staffing

Key information about the people who lead and staff this community.

Leadership

Administrator Emailfmigl@regencyhealthcare.com

Contact Windsor Atrium

Inspection History

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.

Inspection Scorecard Info 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.

Overall vs. TX average 0 Worse No metrics in this bucket. 3 Better Metrics better than Texas average:
• Total citations (63% below)
• Health citations (50% below)
• Life safety citations (67% below)

Citations Info Citations are formal regulatory issues recorded during state inspections.

This FacilityTX Averagevs. TX Avg
Total citations Info Formal regulatory issues recorded by inspectors across all inspection types. 38 This facility has 63% fewer total citations than a typical Texas nursing home (3 vs. TX avg 8).↓ 63% better
Health citations Info Citations related to resident care, clinical practices, and day-to-day operations. 12 This facility has 50% fewer health citations than a typical Texas nursing home (1 vs. TX avg 2).↓ 50% better
Life safety citations Info Citations related to building safety — fire prevention, emergency egress, and similar. 26 This facility has 67% fewer life safety citations than a typical Texas nursing home (2 vs. TX avg 6).↓ 67% better

CMS Health Inspection History

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Inspections Since 2022 · 4 years of data
Total health inspections 9

State average 7.4


Last Health inspection on Jun 2025

Total health citations
22 Rank #129 / 234Health citations — State benchmarkedThis home is ranked 129th out of 234 homes we track in Texas for health citations. Shows this facility's total health deficiency citations benchmarked to the Texas State average, with a ranking across all 234 TX facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Texas that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 25.9

Citations per inspection
2.44 Rank #44 / 234Citations per inspection — State benchmarkedThis home is ranked 44th out of 234 homes we track in Texas for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Texas mean across 234 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Texas that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

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).

Breakdown of citation severity (last 4 years)
Critical health citations
2
In line with State average

State average: 2


Serious health citations
0
100% better than State average

State average: 0.4

2 critical citations State average: 2

0 serious citations State average: 0.4

20 moderate citations State average: 23

0 minor citations State average: 0.4
Citations history (last 4 years)
Quality of Care moderate citation Jun 26, 2025
Corrected

Care Planning moderate citation Jun 21, 2025
Corrected

Quality of Care moderate citation Aug 21, 2024
Corrected

Quality of Care moderate citation Jul 25, 2024
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 126
Employees 109
Contractors 17
Staff to resident ratio 1.30 : 1
12% fewer staff per resident than Texas average
Texas average ratio: 1.48 : 1 Texas average ratio: 1.48 : 1See full Texas ranking
Avg staff/day 48
Average shift 7.8 hours
0% compared with Texas average
Texas average: 8.1 hours Texas average shift: 8.1 hoursSee full Texas ranking
Total staff hours (quarter) 34,383

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 4 RN Staff are full-time employees. No contractors work on this role. 4
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 11.4 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 26 LPN Staff are full-time employees. No contractors work on this role. 26
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.8 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 43 CNA Staff are full-time employees. No contractors work on this role. 43
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.5 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

7.9%

2,711 contractor hours this quarter

Physical Therapy Assistant: 4 Occupational Therapy Aide: 4 Speech Language Pathologist: 3 Respiratory Therapy Technician: 2 Medical Director: 2 Physical Therapy Aide: 1 Occupational Therapy Assistant: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant4304312,97292100%7.5
Licensed Practical Nurse260268,17992100%8.8
Medication Aide/Technician8082,50892100%8.1
Nurse Aide in Training110111,74992100%7
Clinical Nurse Specialist3031,0857278%7.8
RN Director of Nursing3039887480%7.7
Speech Language Pathologist0339597784%7.2
Other Dietary Services Staff5059218592%7.6
Physical Therapy Assistant0448657278%7
Registered Nurse4048245661%11.4
Nurse Practitioner1015036166%8.2
Qualified Activities Professional1014975964%8.4
Administrator1014946065%8.2
Dietitian1014826773%7.2
Mental Health Service Worker2024716065%7.6
Respiratory Therapy Technician0223566065%5.8
Physical Therapy Aide0113395358%6.4
Occupational Therapy Aide0441071718%6
Medical Director022441516%2.4
Occupational Therapy Assistant0114167%6.8
43 Certified Nursing Assistant
% of Days 100%
26 Licensed Practical Nurse
% of Days 100%
8 Medication Aide/Technician
% of Days 100%
11 Nurse Aide in Training
% of Days 100%

Penalties and fines

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)

Total fines amount $24K Rank #118 / 237Federal fines — State benchmarkedThis home is ranked 118th out of 237 homes we track in Texas for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Texas average among facilities with fines, and where it ranks among 237 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Texas that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
70% lower than Texas average

Texas average: $80K

Number of fines 2
20% fewer fines than Texas average

Texas average: 2.5

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Texas average

Texas average: 0.2

Fines amount comparison
Fines amount comparison
This facility $24K
Texas average $80K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Jun 27, 2024 · $15K

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jun 27, 2024
$15K

Last updated: Jan 2026

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info 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 average

Texas average: 8.6

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 14.2
12% better than Texas average

Texas average: 16.0

Long-stay resident measures
Significantly above average Texas avg: 4.1 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 7.8%
52% better than Texas average

Texas average: 16.2%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 14.2%
13% better than Texas average

Texas average: 16.2%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 20.5%
31% worse than Texas average

Texas average: 15.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.2%
30% worse than Texas average

Texas average: 3.2%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 0.6%
86% better than Texas average

Texas average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than Texas average

Texas average: 0.8%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 6.4%
84% worse than Texas average

Texas average: 3.5%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 3.5%
20% worse than Texas average

Texas average: 2.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 3.0%
62% better than Texas average

Texas average: 7.9%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
In line with Texas average

Texas average: 97.3%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with Texas average

Texas average: 97.9%

Short-stay resident measures
Significantly above average Texas avg: 3.1 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
11% better than Texas average

Texas average: 90.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.4%
74% better than Texas average

Texas average: 1.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 98.9%
12% better than Texas average

Texas average: 88.0%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 23.8%
8% better than Texas average

Texas average: 25.9%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 5.7%
53% better than Texas average

Texas average: 12.0%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 1.5%
100% worse than Texas average

Texas average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 60.0%
12% better than Texas average

Texas average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 58.6%
16% better than Texas average

Texas average: 50.6%

Breakdown by payment type

Medicare

18% of new residents, usually for short-term rehab.

Typical stay 30 days

Private pay

73% of new residents, often for short stays.

Typical stay 1 months

Medicaid

9% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 97
Medicare
4
4.1% of residents
Medicaid
67
69.1% of residents
Private pay or other
26
26.8% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 09/2023.

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$8.8M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$328.4K
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$8.8M Rank #100 / 218Net patient revenue — State benchmarkedThis home is ranked 100th out of 218 homes we track in Texas. Shows this facility's net patient revenue compared to the Texas average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Texas that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$328.4K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$1.2M
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #148 / 218Payroll costs — State benchmarkedThis home is ranked 148th out of 218 homes we track in Texas. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Texas average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Texas that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$3.9M 44.8% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #172 / 199Payroll % of net patient revenue — State benchmarkedThis home is ranked 172nd out of 199 homes we track in Texas. Shows payroll as a percentage of net patient revenue versus the Texas average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Texas that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$4.5M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$8.5M

What does this home offer?

Pets allowed icon
Pets allowed icon

No pets allowed

Housing options icon
Housing options icon

Housing Options: Private / Suite

Building type icon
Building type icon

Building Type: Single-story

Transportation services icon
Transportation services icon

Transportation Services

Who this home usually serves

TYPE OF STAY

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.

Admissions
406 total

Coverage residents most often arrive under.

Medicare 18%
Private pay 73%
Medicaid 9%
Discharges
595 total

Coverage residents most often leave under.

Medicare 15%
Private pay 66%
Medicaid 19%

Places of interest near Windsor Atrium

Address 3.5 miles from city center Info Estimated distance in miles from Harlingen's city center to Windsor Atrium's address, calculated via Google Maps.

Calculate Travel Distance to Windsor Atrium

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Compare Nursing Homes around the area

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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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
167A+
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
8105-
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
4184-
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
294-
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

Frequently Asked Questions about Windsor Atrium

Who is the owner of Windsor Atrium?

Windsor Atrium is legally operated by Starr County Hospital District, and administered by Timothy G Beall.

Is Windsor Atrium in a walkable area?

Windsor Atrium has a walk score of 14. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Windsor Atrium?

According to TX state health department records, Windsor Atrium's license number is 147600.

What is the occupancy rate at Windsor Atrium?

Windsor Atrium's occupancy is 79%.

How long has Windsor Atrium been in business?

Windsor Atrium has been operating for approximately 50 years, based on available licensing and registration records.

Are pets allowed at Windsor Atrium?

No, Windsor Atrium has a no-pet policy.

Does Windsor Atrium operate as a for-profit or non-profit?

Windsor Atrium is registered as a for-profit in TX.

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