Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around November 2026
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 Nursing And Rehabilitation Center Of Edinb during CMS and state inspections, most recent first.
A resident with Alzheimer's and a history of removing his peg tube did not have a comprehensive care plan addressing this behavior, leading to two hospitalizations for reinsertion. Despite family-provided monitoring and the use of an abdominal binder, the facility failed to document specific interventions in the care plan.
The facility failed to ensure that expired medications were not stored with non-expired ones in the main medication storage room. Expired IV antibiotics, including Aztreonam and Azithromycin, were found alongside non-expired medications, posing a risk of administration errors. Staff interviews revealed inadequate procedures for handling expired medications, and the facility's policy on storage was incomplete.
A resident with severe cognitive and physical impairments was not provided with a padded call light as required by their care plan. Observations showed the resident unable to use the standard call light due to physical limitations. Staff interviews confirmed the resident's inability to use the call light, necessitating frequent checks. The care plan was not updated to reflect the resident's needs, contrary to the facility's policy on accommodating unique resident needs.
A resident's care plan failed to accurately reflect the need for consistent two-person assistance for ADLs, despite severe cognitive impairment and multiple health conditions. Staff relied on personal judgment without formal training, leading to potential inconsistencies in care. The facility's policy required measurable objectives, but the care plan's ambiguity highlighted a gap in adherence.
Two residents were administered antipsychotic medications without appropriate diagnoses, contrary to facility policy. One resident received Risperidone for dementia without behavioral disturbances, while another was given Lurasidone for unspecified dementia. Interviews with staff, including an LVN, ADON, and DON, confirmed the medications were used to manage behaviors rather than for a diagnosed condition. The facility's policy requires psychotropic drugs to be given only when necessary for a specific condition.
Failure to Implement Comprehensive Care Plan for Resident with Peg Tube
Penalty
Summary
The facility failed to develop and implement a comprehensive person-centered care plan for a resident with a history of removing his peg tube, which led to two hospitalizations for reinsertion. The resident, who has Alzheimer's Disease, chronic kidney disease, and other medical conditions, was admitted with a known behavior of removing his peg tube. Despite this, the care plan did not include specific interventions to address this behavior, even though the family had informed the facility about it upon admission. The resident's care plan only noted the need for tube feeding due to dysphagia, without addressing the behavior of peg tube removal. Interviews with facility staff revealed that the resident had removed his peg tube on two separate occasions, requiring hospital visits for reinsertion. The MDS nurse acknowledged the lack of specific interventions in the care plan and admitted responsibility for this oversight. The Director of Nursing (DON) mentioned that the family was providing monitoring through private pay sitters and family members taking turns staying with the resident, which was not documented in the care plan. Despite the use of an abdominal binder as a preventive measure, the facility did not document any interventions for the resident's behavior of removing the peg tube.
Expired Medications Found in Storage
Penalty
Summary
The facility failed to provide adequate pharmaceutical services by not ensuring that all medical supplies in the main medication storage room were within their expiration dates. During an observation, it was found that several IV antibiotic medications, specifically Aztreonam and Azithromycin, were past their expiration dates. These expired medications were stored alongside non-expired medications, which could lead to the administration of expired drugs to residents if nursing staff did not check expiration dates. Interviews with staff revealed that expired medications were temporarily stored in a red bin in the main medication storage room until they were taken to the Director of Nursing's (DON) office for disposal. However, the DON was unable to articulate the negative outcomes of storing expired and non-expired medications together. The facility's policy on labeling and storage was requested but only a Labeling of Medication policy was provided, indicating a lack of comprehensive procedures for medication storage and expiration management.
Failure to Provide Padded Call Light for Resident
Penalty
Summary
The facility failed to provide a padded call light for a resident, as indicated in the resident's care plan. The resident, a male with severe cognitive impairment and multiple physical limitations, including Parkinsonism and hemiplegia, was observed without the necessary padded call light. This oversight was noted during observations and interviews, where it was found that the resident was unable to use the standard call light due to his physical condition. The resident's care plan, which was supposed to accommodate his needs, specified the use of a padded call light. However, during multiple observations, the resident was found with a non-padded call light within reach, which he was unable to use due to his contracted left hand and shaking right hand. Interviews with staff, including a CNA and an LVN, confirmed that the resident had never used the call light and required frequent checks by staff to ensure his needs were met. Further investigation revealed that the care plan had not been updated to reflect the resident's current needs accurately. The MDS-LVN and other staff members acknowledged the discrepancy and noted that the resident's care plan indicated a need for a padded call light, which was not provided. The facility's policy on call lights emphasized the need for evaluating each resident's unique needs, which was not adhered to in this case.
Inadequate Care Plan for Resident Assistance
Penalty
Summary
The facility failed to develop and implement a comprehensive person-centered care plan for a resident, identified as Resident #23, which did not accurately reflect the level of assistance required for activities of daily living (ADLs). The care plan, dated June 6, 2024, indicated that the resident required assistance from one to two staff members for various ADLs, despite the resident's condition necessitating consistent two-person assistance. This discrepancy was observed during interviews and record reviews, where it was noted that the resident was severely cognitively impaired and dependent on staff for all ADLs due to multiple health conditions, including Parkinsonism, vascular dementia, and hemiplegia. Interviews with staff, including CNAs and LVNs, revealed that the care plan's ambiguity allowed CNAs to determine whether one or two staff members were needed based on their judgment and the resident's condition on a given day. However, this approach lacked formal training or guidelines, relying instead on personal experience and the CNAs' comfort level. The MDS-LVN and DON confirmed that the care plan's flexibility was intended to accommodate varying conditions, but it did not provide clear, consistent instructions for staff, potentially leading to inadequate care. The facility's policy on comprehensive care planning emphasized the need for measurable objectives and timeframes to meet residents' needs, yet the care plan for Resident #23 did not align with these requirements. The policy required that care plans be based on comprehensive assessments, but the lack of specific training for CNAs on determining assistance levels and the reliance on subjective judgment highlighted a gap in the facility's adherence to its own policy. This deficiency could place residents at risk of not receiving the necessary care tailored to their specific needs.
Inappropriate Use of Antipsychotic Medications
Penalty
Summary
The facility failed to ensure that residents who have not used psychotropic drugs are not given these drugs unless necessary to treat a specific condition as diagnosed and documented in the clinical record. This deficiency was identified for two residents. Resident #1 was prescribed Risperidone, an antipsychotic medication, without an appropriate diagnosis. The resident had a diagnosis of dementia without behavioral disturbance, psychotic disturbance, or mood disturbance, which is not an appropriate indication for Risperidone. Despite a gradual dose reduction being initiated, the medication was still being administered based on an improper diagnosis. Resident #16 was similarly affected, receiving Lurasidone, another antipsychotic medication, without a proper diagnosis. The resident's diagnosis included unspecified dementia without behavioral disturbance, psychotic disturbance, or mood disturbance, which does not justify the use of Lurasidone. The facility's Pharmacy Consultant had recommended a gradual dose reduction due to the improper diagnosis, but the medication continued to be administered. Interviews with facility staff, including an LVN, the ADON, the Pharmacist Consultant, and the DON, revealed a consensus that the antipsychotic medications were not appropriate for the residents' diagnoses. The staff acknowledged that the medications were being used to manage behaviors rather than for a diagnosed condition that warranted such treatment. The facility's policy on psychotropic medication requires that such drugs are only given when necessary to treat a specific condition, which was not adhered to in these cases.
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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 Edinburg
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Windsor Arbor View | 1.9 mi | — | 11 | 1 |
| Hidalgo Nursing And Rehabilitation Center | 2.1 mi | — | 11 | 0 |
| Edinburg Nursing And Rehabilitation Center | 2.6 mi | — | 11 | 1 |
| Colonial Manor Advanced Rehab & Healthcare | 3.5 mi | — | 3 | 0 |
| Mcallen Nursing Center | 6.3 mi | — | 2 | 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.