Windsor Calallen
Strong Medicare quality ratings; families often praise exceptional physical therapy and rehab teams. Still worth an in-person visit.
based on 55 Google reviews
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What this means for your family
This facility offers an excellent rehabilitation program and several highly compassionate individual caregivers. However, families must be extremely vigilant regarding night-shift staffing and hygiene, as multiple reports indicate that call lights often go unanswered and patients may be left unattended for long periods.
Google Reviews
Google Reviews
55 reviews on Google“Families considering Windsor Calallen will find a facility with highly praised rehabilitation and therapy teams, as well as several standout individual caregivers. However, there are significant, recurring reports of severe understaffing, particularly at night, which has led to serious concerns regarding patient falls, hygiene neglect, and delayed medication administration.”
Quality Themes
Tap a score for detailsStrengths
- Exceptional physical therapy and rehab teams
- Compassionate and dedicated individual nurses/CNAs
- Clean and well-maintained building
- Professional admissions and business office staff
Concerns
- Severe understaffing leading to slow response times (mentioned by 5 reviewers)
- Inadequate hygiene and patient neglect (e.g., not being changed) (mentioned by 3 reviewers)
- Medication errors or delays in administration (mentioned by 3 reviewers)
- Poor food quality and dietary management (mentioned by 3 reviewers)
- Difficulty communicating with administration/staff (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 59 analyzed
How They Respond to Reviews
The owner uses highly personalized, warm, and appreciative language for positive reviews, often naming specific staff members mentioned. For negative reviews, they utilize a consistent, templated script to acknowledge the issue and invite further private discussion via email.
Questions for Your Tour
- 1We've heard wonderful things about your physical therapy and rehab teams; could you tell us more about how they support residents in their recovery?
- 2Since we know how important regular updates are, what is the best way for our family to stay in consistent communication with the nursing staff and administration?
- 3How does the nursing team manage medication schedules to ensure everything is administered accurately and on time?
- 4Could you describe the daily dining experience and how the dietary team manages specific nutritional needs or meal quality?
- 5What specific protocols are in place to ensure residents are checked frequently for hygiene and comfort throughout the day?
- 6In the event of a medical emergency after hours, what is the immediate process for contacting doctors and notifying the family?
Personalized based on this facility's data
Key Review Excerpts
“Her time in the therapy team really enabled her to remain as independent as possible for as long as possible. When the time came for our family to make a difficult decision, we were able to allow her to age in place.”
“I want to thank him deeply for everything he did for my Grandma during her time at the nursing home and during her transition into hospice care. I truly can’t express how much it meant to us that he was there always checking on her, the family, showing her so much love, and keeping her spirits up.”
“My mother was there for 3 days when we decided to bring her home. We were confident of the program and facility; however, that changed when we saw that she was soaked. It was evident that she had enough not been changed for several hours.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
14
measures
1
measures
2
measures
Residents on antipsychotic medication
Residents whose walking got worse
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed 16 complaints against this facility across recent years, triggering multiple inspections that revealed recurring problems with medication management, care planning, and infection control. The facility has consistently struggled with pharmaceutical services, showing repeated deficiencies in drug labeling, medication reviews, and medication errors across multiple surveys from 2023 through 2025. While all violations have been corrected according to provider dates, the persistent nature of these critical care issues suggests ongoing challenges in maintaining consistent quality standards.
Aug 21, 2025Complaint1
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.
Aug 8, 2025Complaint1
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
May 7, 2025Routine12
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous Deficiencies
Have restrictions on the use of highly flammable decorations.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
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.
Apr 9, 2025Complaint4
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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.
Apr 4, 2025Complaint2
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Feb 20, 2025Complaint2
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Federal Penalties
Fine
Jan 25, 2024
$4,823
Ownership & Operations
Who Operates This Facility
Dewitt Medical District
for profit
REGENCY IHS OF WINDSOR CALALLEN LLC
FRANCISCO DOMINGUEZ, JR
Chain Affiliation
Wellsential Health
68 facilities nationwide
Chain avg rating: 2.8/5 · Rank 13 of 67
Ownership & Management
Owners
Regency Ihs of Windsor Calallen, LLC
Owner · Organization
Csv Rhea Management Holdco, LLC
Owner (parent company) · Organization
Dwd TX Holdings LLC
Owner (parent company) · Organization
Jack and Nancy Dwyer Workforce Development Center INC
Owner (parent company) · Organization
Reg Hg Opco 1, LLC
Owner (parent company) · Organization
Reg Hg Opco LLC
Owner (parent company) · Organization
Reg Operator Holdco LLC
Owner (parent company) · Organization
Regency Integrated Health Services LLC
Owner (parent company) · Organization
Regency Texas Holdings LLC
Owner (parent company) · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
55 reviews from families & visitors
Official Website
Visit wellsentialhealth.org
Medicare data downloads
Original nursing home datasets
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