Ellery Care
D

Windsor Atrium

1814 Atrium Place Dr, Harlingen, TX 78550 · Cameron County

For-profit · 120 certified beds · 79% occupancy · (956) 230-2300

Deciding as a family?

Windsor Atrium reviews: what the government record shows

The U.S. government (CMS) rates Windsor Atrium 2 out of 5 stars overall, below average. Its nurse staffing is at or above the Texas median. Inspectors cited it for 3 immediate-jeopardy findings in recent inspection cycles.

Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.

At a glance

CMS overall rating
2 of 5 stars
Nurse staffing
3.55 hrs/resident/day (+9% vs TX median)
Antipsychotic drug use
3% of long-stay residents (TX median 8.3%)
Falls with major injury
4.3% of long-stay residents (TX median 3%)
Federal fines (3 yrs)
$23,154
Inspection findings
37 cited, 3 immediate-jeopardy
Federal abuse-warning flag
No

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.

What this means for your family

A mixed record. The strengths and concerns below are worth weighing against a visit.

Strengths

  • ✓Nurse staffing of 3.55 hrs/resident/day is at or above the Texas median of 3.27.

Concerns

  • !CMS rates it just 2 of 5 stars overall.
  • !Cited for 3 immediate-jeopardy findings (the most serious category) in recent inspections.

Questions to ask on your visit

  • ·Can we see the most recent inspection report and the plan of correction?

Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.

A plain-English read of this home's public record. Not advice — always visit in person.

Common questions about Windsor Atrium

Is Windsor Atrium a good nursing home?

Windsor Atrium in Harlingen, Texas holds a 2 of 5 star CMS overall rating. A mixed record. The strengths and concerns below are worth weighing against a visit.

How is Windsor Atrium staffed?

Windsor Atrium reports 3.55 nurse hours per resident per day, at or above the Texas median of 3.27 hours per resident per day.

Has Windsor Atrium been fined or flagged for abuse?

Windsor Atrium has paid approximately $23,154 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.

CMS quality ratings

Overall★★★★★
Health inspections★★★★★
Staffing★★★★★
Quality of resident care★★★★★

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.

Nurse staffing

Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.

TX median 3.27

3.55 nurse hours per resident per day. 9% above the Texas median of 3.27.

Total nurse
3.55 hrs
RN
0.25 hrs
LPN
1.17 hrs
Aide
2.13 hrs

Nursing staff turnover: 40.2% · RN turnover: 55.6%

Safety & compliance flags

No CMS warning flags on record.

Recent inspection findings

The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.

37
total findings
3
immediate jeopardy
0
caused actual harm
14
from complaints
  • Immediate jeopardyTag F0684 · Aug 29, 2025Corrected Aug 30, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Quality of Life and Care Deficiencies

  • Potential for harmTag F0842 · Dec 9, 2025ComplaintCorrected Dec 10, 2025

    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

  • Potential for harmTag F0925 · Aug 29, 2025Corrected Aug 30, 2025

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Environmental Deficiencies

  • Potential for harmTag F0756 · May 8, 2026ComplaintCorrected May 9, 2026

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Pharmacy Service Deficiencies

  • Potential for harmTag F0842 · May 8, 2026ComplaintCorrected May 9, 2026

    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

  • Potential for harmTag F0656 · Dec 9, 2025ComplaintCorrected Dec 10, 2025

    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

  • Potential for harmTag F0761 · Dec 9, 2025ComplaintCorrected Dec 10, 2025

    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.

    Pharmacy Service Deficiencies

  • Potential for harmTag F0552 · Aug 29, 2025Corrected Aug 30, 2025

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Resident Rights Deficiencies

  • Potential for harmTag F0656 · Aug 29, 2025Corrected Aug 30, 2025

    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

  • Potential for harmTag F0657 · Aug 29, 2025Corrected Aug 30, 2025

    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

Showing the 10 most recent and serious of 37 findings. See the full inspection history on Medicare.gov.

Antipsychotic drug use

The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.

3%
of long-stay residents
Texas median 8.3%
National median 13.4%

This is at or below the Texas median, which is a reassuring sign for how the home manages dementia care.

Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study

Preventable harm

Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.

Falls with major injury
4.3%
of long-stay residents
Texas median 3% · National median 2.8%
Pressure ulcers (bedsores)
1.6%
of long-stay residents
Texas median 3.3% · National median 4.2%

The serious-fall rate here is above the national median. It is worth asking how the home prevents falls and whether recent injuries prompted any changes.

Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study

Federal fines and penalties

Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.

Total fines
$23,154
Number of fines
2
Payment denials
0

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas

Ownership

This home is for-profit (for profit - limited liability company). It is part of the Wellsential Health chain, which operates 67 facilities, with a chain-average CMS rating of 2.7 stars.