Windsor Nursing And Rehabilitation Center Of Alice
606 COYOTE TR, Alice, TX, 78332
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- Non profit - Corporation · Chain: Wellsential Health
- Certified beds
- 136 · avg 72 residents/day
- Total nursing staff turnover
- 27.5% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $8,281 total
State licensing & capacity
- License number
- 144143
- Service type
- Medicare/medicaid
- Licensed capacity
- 136 beds
- Bed type breakdown
- 35 Medicare-only · 101 Medicaid/Medicare
- Current license effective
- February 28, 2025
- Current license expires
- February 28, 2028
- Initial license date
- March 18, 1974
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Uvalde County Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Regency Ihs Of Alice Llc
- Administrator
- Victoria Breeden
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Wellsential Health chain — 67 facilities. Chain-wide average overall rating 2.8 / 5.
Parent entity
Jack And Nancy Dwyer Workforce Development Center Inc
Disclosed owners (30 on record)
- Regency Ihs of Alice Llc
Adp of The Snf · since 2025
- Regency Integrated Health Services Llc
Adp of The Snf · since 2025
- Uvalde County Hospital Authority
Adp of The Snf · since 2025
- Elliot j Mandelbaum
Indirect Ownership Interest · 100% · since 2025
- Mariola Sanchez
Adp of The Snf · since 2025
- Regency Ihs Clinical Consulting, Llc
Adp of The Snf · since 2025
+ 24 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 21)
- D0880·Dec 9, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- J0689·Jul 3, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E0607·Jul 3, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- J0600·Jul 3, 2025Complaint
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.
- D0880·Feb 26, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- F0812·Feb 26, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0755·Feb 26, 2025
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- C0732·Feb 26, 2025
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Federal penalties
By year
- 20251 fine · $8,281
Most recent events
- Jan 3, 2025Fine · $8,281
Fire-safety citations
7 Life-Safety-Code citations on file. Most recent: Feb 26, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Windsor Nursing And Rehabilitation Center Of Alice is a 136-bed Medicare/Medicaid nursing home in Alice, TX, licensed since 1974 and currently active through 2028. CMS rates it 3 stars overall, with a 2-star staffing rating and a 2-star health inspection rating — but a 5-star quality-measures rating. CMS has substantiated findings of resident abuse or neglect here within the past 36 months. The facility is operating at roughly 53% of licensed beds.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 2 stars. Each resident receives about 193 minutes of nursing care per day — roughly 48 minutes less than at a 4-star-staffing facility in Texas. Residents here need more hands-on care than at a typical facility — less mobile or more medically complex on average — so the same staffing hours stretch thinner than the raw minutes suggest. RN coverage is 12 minutes per resident per day, well below the 37-minute threshold Texas 4-star facilities reach.
About 3 in 10 nursing staff left in the past year — below the state's 25th-percentile cutoff, meaning turnover is better than roughly three-quarters of nursing homes in Texas. One administrator has turned over in the past year, which is a step above typical but not the repeated churn seen at the most unstable facilities.
CMS has substantiated findings of resident abuse or neglect here within the past 36 months. This is a separate review track from the routine inspection record and reflects a confirmed finding, not an allegation.
The facility carries one CMS fine totaling $8,281. The median fine amount among Texas facilities that received any fine is $20,699, so this fine is below the state midpoint.
At roughly 53% of licensed beds occupied — 72 residents in a 136-bed building — the facility is running well below capacity. This is paired with the abuse substantiation and low staffing rating.
Despite the staffing and safety flags, the quality-measures rating is 5 stars for long-stay residents. Quality measures track clinical outcomes — things like pressure wounds, falls, and pain management — scored from Medicare claims and facility-reported data. A 5-star result here contrasts with the lower staffing and inspection scores.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Abuse finding and corrective steps
CMS has a substantiated abuse or neglect finding on record here — ask what happened, when, and what specific policy or staffing changes followed.
Staffing on nights and weekends
Reported weekend nursing hours run 2.88 hours per resident per day, below the already-low weekday figure — ask how many nurses and aides are on each shift Saturday and Sunday.
RN coverage each day
Reported RN time averages 12 minutes per resident per day; ask how many hours a registered nurse is physically on-site and whether an RN is present on all three shifts.
Current occupancy and waitlist status
The building is running at about 53% capacity — ask whether there are any wings or units that are closed or unstaffed as a result.
Administrator continuity going forward
One administrator turned over in the past year; ask how long the current administrator Victoria Breeden has been in the role and whether that position is considered stable.
How quality scores stay high despite staffing
The facility rates 5 stars on clinical outcomes but 2 stars on staffing — ask how care planning and oversight are structured to sustain those results with fewer nursing hours per resident.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.