01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-04-01 | 8 | 2026-04-01 | 3 |
| Cycle 2 | 2025-02-26 | 11 | 2025-02-26 | 2 |
| Cycle 3 | 2023-12-07 | 6 | 2023-12-07 | 1 |
CMS CCN 6753092026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Windsor Nursing And Rehabilitation Center Of Alice
606 Coyote Tr · Alice, TX 78332 · Jim Wells County
Certified beds136CMS provider file
Recent citation rows31current CMS citation release
Penalty rows3current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
31 rows in the current release
3 rows carry G–L scope/severity codes; 3 carry J–L. 8 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-04-01 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2026-04-022026-04-01 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2026-04-022026-04-01 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2026-04-022026-04-01 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Correction field: Deficient, Provider has date of correction · 2026-04-022026-04-01 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2026-04-022026-04-01 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-04-022026-04-01 · FIREK0321Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2026-04-022026-04-01 · FIREK0521Severity C · widespread; potential for minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: No revisit needed2026-04-01 · FIREK0923Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2026-04-022026-03-03 · HEALTHF0757Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction field: Deficient, Provider has date of correction · 2026-03-04 · complaint2025-12-09 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-12-10 · complaint2025-07-03 · HEALTHF0600Severity J · isolated immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Past Non-Compliance · 2025-04-23 · complaint2025-07-03 · HEALTHF0607Severity E · pattern; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction field: Deficient, Provider has date of correction · 2025-07-04 · complaint2025-07-03 · HEALTHF0689Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-07-04 · complaint2025-02-26 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2025-03-102025-02-26 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2025-03-102025-02-26 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2025-03-102025-02-26 · HEALTHF0732Severity C · widespread; potential for minimal harm
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Correction field: Deficient, Provider has date of correction · 2025-03-102025-02-26 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2025-03-102025-02-26 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-03-102025-02-26 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-03-102025-02-26 · FIREK0521Severity C · widespread; potential for minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Waiver has been granted · 2025-02-262025-02-26 · FIREK0741Severity D · isolated; potential for more than minimal harm
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Correction field: Deficient, Provider has date of correction · 2025-03-112025-01-03 · HEALTHF0689Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Past Non-Compliance · 2024-09-04 · complaint03 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-07-03 | Fine | $9,113 | 0 |
| 2025-07-03 | Fine | $14,069 | 0 |
| 2025-01-03 | Fine | $8,281 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- REGENCY IHS OF ALICE LLCOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/01/2022
- BOEHM, VERONICAIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/01/2025
- BREEDEN, VICTORIAIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 12/30/2024
- CANTU, SERGIOIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/01/2025
- SANCHEZ, MARIOLAIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/01/2025
- CSV RHEA MANAGEMENT HOLDCO, LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/01/2022
- DWD TX HOLDINGS LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/01/2022
- JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/01/2022
- REG LEASED OPCO LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/01/2022
- REG OPERATOR HOLDCO LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/01/2022
- REGENCY INTEGRATED HEALTH SERVICES LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/01/2022
- REGENCY TEXAS HOLDINGS LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/01/2022
- BAIRD, DANIELIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 04/13/2021
- CLAPP, BARBARAIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 06/01/2021
- CORTESE, DARENIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 08/10/2021
- DEKOWSKI, DONOVANIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/01/2022
- GIBSON, PATRICIAIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 08/01/2021
- MANDELBAUM, ELLIOTIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/01/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.20per resident day
RN hours0.21per resident day
Weekend nurse hours2.86per resident day
Staff turnover41.4%CMS reported field
06 / LOCAL RECORDS
Open the Alice ledger →