Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Windsor Las Palmas Nursing And Rehabilitation Cent during CMS and state inspections, most recent first.
A resident with a permcath for dialysis did not have Enhanced Barrier Precautions (EBP) signage posted as required by facility policy and physician orders. Nursing staff and leadership confirmed the oversight, acknowledging that the absence of signage meant staff were not properly alerted to use PPE during high-contact care activities, despite the resident's increased risk due to an indwelling device.
Two residents in the facility had inaccuracies in their MDS assessments. One resident with end-stage renal disease was not documented as receiving dialysis, despite it being part of the care plan. Another resident's assessment failed to reflect the use of antipsychotic medications and insulin, despite physician orders. These errors were identified as coding oversights and did not impact the care provided, but they highlight the importance of accurate documentation for reimbursement and treatment clarity.
A facility failed to develop a comprehensive person-centered care plan for a resident with poly osteoarthritis, specifically omitting pain management. Despite the resident being prescribed Tramadol-Acetaminophen, the medication was not included in the care plan. The MDS nurse and DON acknowledged the oversight, although the medication was being administered. The facility's policy mandates a comprehensive care plan within seven days of assessment, which was not followed.
A medication aide in an LTC facility administered Losartan to a resident without checking the required blood pressure parameters, despite physician orders. The resident, with a history of hypertension and cognitive impairment, received the medication with a diastolic reading outside the specified parameters. The aide admitted to not checking due to nervousness, highlighting a lapse in following established protocols.
The facility failed to properly store dry foods, as observed with an open bag of pasta in a container without a lid. The Dietary Manager admitted the lid was broken and discarded, and the facility lacked a specific food storage policy. Interviews confirmed that containers should be sealed, but no negative outcomes for residents were identified.
The facility failed to maintain an effective infection prevention and control program, as evidenced by two incidents involving residents. An LVN did not perform hand hygiene for the required 20 seconds after wound care, and a CNA failed to clean a foley catheter tubing after perineal care. Both staff members acknowledged the importance of these practices in preventing infections. Interviews with the ADON and DON confirmed the need for adherence to proper procedures.
Failure to Post Enhanced Barrier Precautions Signage for Resident with Permcath
Penalty
Summary
The facility failed to establish and maintain an infection prevention and control program by not posting Enhanced Barrier Precautions (EBP) signage for a resident who had a permcath for dialysis. The resident, a female recently admitted with diagnoses including dependence on renal dialysis, diabetes mellitus, acute kidney failure, and hypertensive heart disease, required EBP due to the presence of an indwelling medical device. The care plan and physician orders indicated the need for EBP, including the use of gowns and gloves for high-contact care activities, and the facility's policy required signage to alert staff to these precautions. Despite these requirements, observations revealed that no EBP sign was posted on the resident's door. Interviews with nursing staff, including an LVN, the ADON, and the DON, confirmed that the resident should have been under EBP from the date of re-admission and that the absence of signage was an oversight. Staff acknowledged that the lack of signage could result in staff not taking proper infection control precautions when providing care to the resident. The facility's own policy, reviewed as part of the investigation, specified that EBP signage should be posted for residents with indwelling medical devices such as permcaths. The failure to post the required signage was attributed to staff oversight, with multiple staff members confirming their responsibility to ensure signage was in place and acknowledging that it had not been done.
Inaccurate MDS Assessments for Two Residents
Penalty
Summary
The facility failed to ensure accurate assessments for two residents, leading to deficiencies in their care documentation. Resident #55, a male with end-stage renal disease and diabetes, was not accurately documented as receiving dialysis in his Quarterly MDS assessment. Despite the care plan indicating the need for dialysis, the MDS section for special treatments was not checked, which was identified as a coding error by the MDS/RN. The Director of Nursing (DON) confirmed that the error was related to reimbursement coding and did not affect the resident's care, as dialysis was still provided according to the care plan. Resident #212, a female with multiple diagnoses including diabetes and psychosis, had inaccuracies in her MDS admission assessment regarding high-risk drug classes. The assessment failed to reflect her use of antipsychotic medications and insulin, despite physician orders indicating their administration. The MDS RN acknowledged the oversight and noted that the information could be modified. The DON stated that the MDS assessments are crucial for maintaining an accurate paper trail, although the error did not result in a negative outcome for the resident. The report highlights the importance of accurate MDS assessments for both reimbursement and ensuring a clear understanding of the residents' treatment needs. The errors in documentation were attributed to coding oversights and did not directly impact the care provided to the residents, as confirmed by the facility staff. However, these inaccuracies could potentially lead to inadequate care if not addressed, as they affect the facility's ability to maintain accurate records of the residents' medical needs and treatments.
Failure to Develop Comprehensive Pain Management Care Plan
Penalty
Summary
The facility failed to develop and implement a comprehensive person-centered care plan for a resident, specifically addressing pain management. The resident, an elderly female with poly osteoarthritis, was admitted to the facility and had a moderate to severely impaired cognition as indicated by a BIMS score of 6. Despite being prescribed Tramadol-Acetaminophen for pain management, this medication was not included in the resident's care plan. The absence of a care plan for pain management was confirmed through interviews with the MDS nurse and the Director of Nursing (DON), who acknowledged the oversight. The MDS nurse admitted that the pain management aspect was overlooked and not included in the care plan, which was based on the MDS assessment. The DON confirmed that the resident did not have a pain management care plan, although the medication was being administered. The facility's policy requires the development of a comprehensive person-centered care plan within seven days of the completion of the resident's comprehensive assessment, which was not adhered to in this case.
Failure to Adhere to Blood Pressure Medication Parameters
Penalty
Summary
The facility failed to ensure that a resident was free from significant medication errors, specifically in the administration of blood pressure medication. A medication aide administered Losartan to a resident without checking the required blood pressure parameters, despite the physician's order to hold the medication if the systolic blood pressure was less than 110 or the diastolic blood pressure was less than 70. The resident's blood pressure reading was 142/64, which was outside the specified parameters for the diastolic measure. The medication aide admitted to not checking the parameters due to nervousness, although she acknowledged the importance of doing so to prevent adverse effects. The resident involved was an elderly female with a history of essential primary hypertension, type 2 diabetes mellitus, and muscle wasting and atrophy. Her cognitive function was severely impaired, as indicated by a BIMS score of 07. Interviews with the Assistant Director of Nursing (ADON) and the Director of Nursing (DON) revealed that the facility had protocols in place for medication administration, including checking vital signs and parameters. However, the medication aide did not follow these protocols, leading to the potential for adverse effects on the resident's health.
Deficiency in Food Storage Practices
Penalty
Summary
The facility failed to adhere to professional standards for food service safety, specifically in the storage of dry foods. During an observation and initial tour of the kitchen, it was noted that a plastic storage container with an open bag of pasta did not have a lid. The Dietary Manager initially stated that the lid was being washed, but later admitted that the lid had broken and been discarded. The Dietary Manager was unable to identify the staff member responsible for washing the lid or to confirm any negative outcomes resulting from the lack of a lid on the storage container. Interviews with the Dietician and the Administrator revealed that all food storage containers should be tightly sealed with lids, as per the facility's Food Storage policy. However, the Administrator acknowledged that the facility did not have a specific policy on food storage. The lack of a lid on the storage container was not linked to any specific negative outcomes for residents, but it was noted as a failure to comply with the established procedures for ensuring food safety.
Infection Control Deficiencies in Hand Hygiene and Catheter Care
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by two specific incidents involving residents. In the first incident, a Licensed Vocational Nurse (LVN) did not perform hand hygiene for the required 20 seconds after providing wound care to a resident with a stage IV pressure ulcer and severe cognitive impairment. The LVN acknowledged the importance of proper hand hygiene to prevent the spread of germs but did not adhere to the facility's policy, which mandates hand washing for at least 20 seconds. In the second incident, a Certified Nursing Assistant (CNA) failed to clean the foley catheter tubing after providing perineal care to a resident with an indwelling catheter and moderate cognitive impairment. The CNA admitted forgetting to clean the tubing due to nervousness, despite understanding the risk of infection. Interviews with the Assistant Director of Nursing (ADON) and the Director of Nursing (DON) confirmed the importance of proper hand hygiene and catheter care to prevent infections. The facility's hand hygiene policy and infection prevention program were reviewed, highlighting the need for adherence to established procedures to ensure a safe environment.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Mcallen
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Mcallen Transitional Care Center | 0.2 mi | — | 5 | 0 |
| Alfredo Gonzalez Texas State Veterans Home | 0.9 mi | — | 12 | 2 |
| Grand Terrace Rehabilitation And Healthcare | 1.5 mi | — | 6 | 0 |
| Mcallen Nursing Center | 1.6 mi | — | 2 | 0 |
| Windsor Nursing And Rehabilitation Center Of Mcall | 1.7 mi | — | 5 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.