Windsor Nursing and Rehabilitation Center of Alice
606 Coyote Tr · Alice, TX · 78332 · 3616645479
136 certified beds Government - Hospital district Chain: Wellsential Health
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $31,463 in fines in the last 24 months.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
RN staffing in the bottom 10% nationally
0.20 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.13 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.20 | 0.55–0.75 |
| Weekend hours / resident-day | 2.80 | ≈ weekday level |
| Nursing turnover / year | 35% | median 45% |
| Fines (3-yr window) | 3 · $31,463 |
Inspection citations (25 in the current record)
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Potential for harm · D April 1, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 2, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D April 1, 2026
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected April 2, 2026 · Quality of Life and Care
-
Potential for harm · D April 1, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 2, 2026 · Quality of Life and Care
-
Potential for harm · D April 1, 2026
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.
Corrected April 2, 2026 · Pharmacy Service
-
Potential for harm · E April 1, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 2, 2026 · Nutrition and Dietary
-
Potential for harm · D April 1, 2026
Provide and implement an infection prevention and control program.
Corrected April 2, 2026 · Infection Control
-
Potential for harm · D March 3, 2026 · found via complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected March 4, 2026 · Pharmacy Service
-
Potential for harm · D December 9, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 10, 2025 · Infection Control
-
Immediate jeopardy · J July 3, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 23, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Immediate jeopardy · J July 3, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 4, 2025 · Quality of Life and Care
-
Potential for harm · E July 3, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected July 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 26, 2025
Ensure each resident receives an accurate assessment.
Corrected March 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 26, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 10, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D February 26, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 10, 2025 · Quality of Life and Care
-
Potential for harm · D February 26, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 10, 2025 · Pharmacy Service
-
Potential for harm · F February 26, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 10, 2025 · Nutrition and Dietary
-
Potential for harm · D February 26, 2025
Provide and implement an infection prevention and control program.
Corrected March 10, 2025 · Infection Control
-
No harm found · C February 26, 2025
Post nurse staffing information every day.
Corrected March 10, 2025 · Nursing and Physician Services
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Immediate jeopardy · J January 3, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 4, 2024 · Quality of Life and Care
-
Potential for harm · D December 7, 2023 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 28, 2023 · Resident Assessment and Care Planning
-
Potential for harm · F December 7, 2023 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 28, 2023 · Nutrition and Dietary
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Potential for harm · F December 7, 2023 · found via complaint
Keep all essential equipment working safely.
Corrected December 28, 2023 · Environmental
-
Potential for harm · D November 2, 2023 · found via complaint
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.
Corrected November 3, 2023 · Pharmacy Service
-
Potential for harm · D August 3, 2023 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected August 11, 2023 · Quality of Life and Care
-
Potential for harm · D August 3, 2023 · found via complaint
Provide and implement an infection prevention and control program.
Corrected August 11, 2023 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 3, 2025 | Fine | $9,113 |
| July 3, 2025 | Fine | $14,069 |
| January 3, 2025 | Fine | $8,281 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675309 · certified since May 4, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.