Windsor Arbor View — nursing home in Edinburg, TX

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 120 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 107.2 CMS, MDS-derived
CMS Certification Number: 676206
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Feb 18, 2009
Ownership type: Government - Hospital district
Operator (legal business name): Starr County Hospital District
CMS chain: Wellsential Health 67 facilities
Phone: (956) 316-2533
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

12

latest Jul 31, 2026

Citations

24

23 health · 1 fire

Harm or worse

1

1 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G·	H·	I·
Potential harm	D19	E4	F·
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

1

$8,281

Payment denials

0

Latest

Sep 11, 2025

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 676206
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 120
First approved: Feb 18, 2009
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Texas.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Jul 31, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Jun 5, 2026	Health	Health Complaint	3	Potential harm	—	Open →
Dec 17, 2025	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Dec 17, 2025	Health	Health Standard	6	Potential harm	—	Open →
Dec 2, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Sep 11, 2025	Health	Health Complaint	3	Immediate jeopardy	—	Open →
Feb 6, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Sep 25, 2024	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Sep 25, 2024	Health	Health Complaint, Health Standard	3	Potential harm	—	Open →
Jul 11, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Jun 22, 2023	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Jun 22, 2023	Health	Health Standard	4	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Sep 11, 2025	Civil money penalty (fine)	$8,281	—	676206\|Fine\|135247

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G·	H·	I·
Potential harm	D19	E4	F·
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jul 31, 2026	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 3, 2026	Complaint
Jun 5, 2026	F-0559	Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 8, 2026	Complaint
Jun 5, 2026	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jun 8, 2026	Complaint
Jun 5, 2026	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 8, 2026	Complaint
Dec 17, 2025	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Dec 18, 2025
Dec 17, 2025	F-0584	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Dec 18, 2025
Dec 17, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 18, 2025
Dec 17, 2025	F-0694	Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 18, 2025
Dec 17, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Dec 18, 2025
Dec 17, 2025	F-0925	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 18, 2025
Dec 2, 2025	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 3, 2025	Complaint
Sep 11, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Past non-compliance Jun 7, 2025	Complaint
Sep 11, 2025	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Sep 15, 2025	Complaint
Sep 11, 2025	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 15, 2025	Complaint
Feb 6, 2025	F-0692	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 7, 2025	Complaint
Sep 25, 2024	F-0558	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Sep 30, 2024	Complaint
Sep 25, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Sep 30, 2024
Sep 25, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Sep 30, 2024
Jul 11, 2024	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 12, 2024	Complaint
Jun 22, 2023	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 23, 2023
Jun 22, 2023	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 25, 2023
Jun 22, 2023	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 25, 2023
Jun 22, 2023	F-0758	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jun 25, 2023
Jun 22, 2023	F-0921	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 25, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 2.8

Health inspectionsstate 2.8

Staffingstate 1.9

Quality measuresstate 3.8

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.31

State avg 3.42US avg 3.90

Registered nurse (RN)0.34

State avg 0.44US avg 0.69

Licensed practical nurse0.85

State avg 0.94US avg 0.86

Nurse aide2.12

State avg 2.03US avg 2.35

Weekend total nurse2.86

State avg 2.99US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.91 (case-mix index 1.59).

Staff turnover

Total nursing staff turnover40.2%

State avg 50.8%US avg 45.3%

Registered nurse turnover33.3%

State avg 49.8%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Dec 17, 2025
Cycle 1 health score: 52
Total weighted score: 52

Operating entity

Starr County Hospital District

CMS legal business name of the certified provider. Operates 7 facilities.

VerifiedLinked by exact legal name

CMS chain

Wellsential Health

67 facilities in 1 states. CMS chain ID 670.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.8

Ownership disclosures

Disclosures

30

Organizations

10

Individuals

17

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Starr County Hospital District	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Apr 1, 2017
218 Baltic Avenue LLC	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Apr 1, 2017
Dwd Tx Holdings LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Apr 1, 2017
Jack and Nancy Dwyer Workforce Development Center Inc	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Apr 1, 2017
Reg Leased Opco LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Apr 1, 2017
Reg Operator Holdco LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Apr 1, 2017
Regency Integrated Health Services LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Apr 1, 2017
Regency Texas Holdings LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Apr 1, 2017

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Starr County Hospital District	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Apr 1, 2017
218 Baltic Avenue LLC	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Apr 1, 2017
Dwd Tx Holdings LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Apr 1, 2017
Jack and Nancy Dwyer Workforce Development Center Inc	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Apr 1, 2017
Reg Leased Opco LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Apr 1, 2017
Reg Operator Holdco LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Apr 1, 2017
Regency Integrated Health Services LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Apr 1, 2017
Regency Texas Holdings LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Apr 1, 2017
Daniel Baird	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Apr 13, 2021
Barbara Clapp	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jun 1, 2021
Daren Cortese	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Aug 10, 2021
Patricia Gibson	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Aug 1, 2021
Adrian Guerra	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	May 1, 2016
Elliot Mandelbaum	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jan 1, 2025
Thalia Munoz	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jan 1, 1982
Elisa Pena	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	May 1, 2022
Arcadio Salinas	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Sep 17, 2024
Starr County Hospital District	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2017
Donovan Dekowski	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2017
Ana Reyes	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 8, 2024
Thalia Munoz	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 1, 1982
218 Baltic Avenue LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2017
Regency Ihs Clinical Consulting, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2017
Regency Ihs Rehab LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2017
Starr County Hospital District	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 14, 2025
Nitza Alaniz	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2025
Donovan Dekowski	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2017
Ana Reyes	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 8, 2024
Ryan Silvera	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2025
Angelica Zepeda	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2025

Other facilities operated by Starr County Hospital District

All 6 →

Facility	Beds	Last inspection	Citations (window)	Fines
Windsor Nursing and Rehabilitation Center of Mcall 900 S 12th St, Mcallen, TX 78501 CCN 455662	110	Dec 3, 2025	211 harm	$24k
Windsor Nursing and Rehabilitation Center of Harli 820 Camelot Dr, Harlingen, TX 78550 CCN 455822	154	Aug 12, 2026	28	—
Windsor Nursing and Rehabilitation Center of Raymo 1700 S Expressway 77, Raymondville, TX 78580 CCN 675475	120	Apr 30, 2026	32	—
Weslaco Nursing and Rehabilitation Center 422 E 18th St, Weslaco, TX 78596 CCN 676037	120	Jul 28, 2026	33	—
Rio Grande City Nursing and Rehabilitation Center 2530 Central Palm Dr, Rio Grande City, TX 78582 CCN 676119	110	Jun 11, 2026	181 harm	$14k
Windsor Atrium 1814 Atrium Place Dr, Harlingen, TX 78550 CCN 676125	120	May 8, 2026	403 IJ	$23k

Same chain in Texas

All 66 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Laredo West Nursing and Rehabilitation Center 1200 E Lane St, Laredo, TX 78043 CCN 455528	188	Jul 28, 2026	583 IJ	$50k
Windsor Nursing and Rehabilitation Center of Morga 2322 Morgan Ave, Corpus Christi, TX 78405 CCN 455575Abuse icon	176	Jul 16, 2026	371 IJ4 harm	$19k
Heritage Park Rehabilitation and Skilled Nursing C 2806 Real St, Austin, TX 78722 CCN 455599	197	Feb 20, 2026	523 IJ2 harm1 open	$56k
Windsor Nursing and Rehabilitation Center of Mcall 900 S 12th St, Mcallen, TX 78501 CCN 455662	110	Dec 3, 2025	211 harm	$24k
Longview Hill Nursing and Rehabilitation Center 3201 N Fourth St, Longview, TX 75605 CCN 455684	198	Mar 18, 2026	683 IJ1 harm	$225k
Monument Hill Nursing and Rehabilitation Center 120 State Loop 92, La Grange, TX 78945 CCN 455715	104	Aug 6, 2026	311 IJ	$8,281
Spindletop Hill Nursing and Rehabilitation Center 1020 S 23rd St, Beaumont, TX 77707 CCN 455757	148	Aug 5, 2026	443 IJ	$83k
Town and Country Nursing and Rehabilitation Center 625 N Main St, Boerne, TX 78006 CCN 455796	126	Jul 31, 2026	763 IJ	$151k

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 218 Baltic Ave, Edinburg, TX 78539
ZIP: 78539
County: Hidalgo County FIPS 48215
State: Texas
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Windsor Nursing and Rehabilitation Center of Edinb 1505 S Closner Blvd, Edinburg, TX 78539 CCN 675414	3.1 km	96	Jul 3, 2026	241 open	—
Hidalgo Nursing and Rehabilitation Center 4503 S Sugar Rd, Edinburg, TX 78539 CCN 676346Abuse icon	4.5 km	126	Apr 29, 2026	261 IJ	$7,582
Edinburg Nursing and Rehabilitation Center 5215 S Sugar Rd, Edinburg, TX 78539 CCN 675785	5.4 km	120	Aug 27, 2026	382 IJ1 open	$17k
Colonial Manor Advanced Rehab & Healthcare 1100 W Minnesota Rd, Pharr, TX 78577 CCN 675044	6.9 km	123	Aug 12, 2026	441 IJ1 harm2 open	$55k
Briarcliff Nursing and Rehabilitation Center 3201 N Ware Rd, Mcallen, TX 78501 CCN 675162Abuse icon	10 km	194	Aug 20, 2026	544 IJ1 harm	$63k
Mcallen Nursing Center 600 N Cynthia St, Mcallen, TX 78501 CCN 455560	11 km	122	Aug 5, 2026	412 IJ5 open	$17k
Village Healthcare and Rehabilitation 615 N Ware Rd, Mcallen, TX 78501 CCN 675689	12.3 km	114	Aug 17, 2026	273 IJ	$29k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	676206	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	676206	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 676206

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction