nursing home in Windcrest, TX
Windcrest Nursing and Rehabilitation
8800 Fourwinds Dr., Windcrest, TX 78239 · (210) 637-2700
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★1
- Quality measures★★★★★4
- New owner (last 12 months)
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Windcrest Nursing and Rehabilitation at a glance
Windcrest Nursing and Rehabilitation is a 180-bed for-profit nursing home in Windcrest, Texas (Bexar County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 2.9 hours of nursing care per day (0.2 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (August 14, 2025) found 10 health citations. The Texas average is 9.4.
Federal regulators fined it 4 times in the past three years, totaling $199,073.
Nursing staff turnover is 59.4% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 180
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Caraday Healthcare
- Medicare-certified since
- July 1, 1985
- Resident/family council
- None
- County
- Bexar County
- CMS Certification Number
- 455533
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.7 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 5 / 5 | 4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.2 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.90 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.22 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.67 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.71 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 59.4% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 60% | 54.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 10 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 132.5 | 102 | 80.6 | Worse |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 4 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $199,073 | $44,141 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 4 | 2 | 1 | Worse |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 180 | 113 | 107 | |
| Average residents per day | 73 | 76 | 86 | |
| Occupancy | 40.6% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 5.9% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 4.1% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 11.6% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 12.1% | 15.8% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 14.2% | 14% | 14.1% | Average |
| Long-stay residents who lose too much weight (lower is better) | 6.5% | 3% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 6.6% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 18.4% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 12.8% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.6% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 92.2% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 91.7% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 38 health deficiencies and 6 fire safety deficiencies in the inspection records CMS currently publishes. 5 citations involved actual harm, including 5 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| August 14, 2025 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | E Potential harm, pattern | Corrected August 29, 2025 |
| August 14, 2025 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected September 20, 2025 |
| August 14, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected August 29, 2025 |
| August 14, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected August 29, 2025 |
| August 14, 2025 Standard | 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 · Tag F0761 | E Potential harm, pattern | Corrected August 29, 2025 |
| August 14, 2025 Standard | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Tag F0727 | E Potential harm, pattern | Corrected August 29, 2025 |
| August 14, 2025 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected August 29, 2025 |
| August 14, 2025 Standard | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Tag F0805 | D Potential harm, isolated | Corrected August 29, 2025 |
| August 14, 2025 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected August 29, 2025 |
| August 14, 2025 Standard | 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 · Tag F0842 | D Potential harm, isolated | Corrected August 29, 2025 |
| August 14, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected August 29, 2025 |
| August 14, 2025 Standard | 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 · Tag F0584 | D Potential harm, isolated | Corrected August 29, 2025 |
| July 31, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected June 4, 2025 |
| March 3, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | J Immediate jeopardy, isolated | Corrected October 16, 2024 |
| March 3, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | J Immediate jeopardy, isolated | Corrected March 4, 2025 |
| March 3, 2025 Complaint | 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 · Tag F0656 | D Potential harm, isolated | Corrected March 4, 2025 |
| March 3, 2025 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected March 4, 2025 |
| March 3, 2025 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected March 4, 2025 |
| June 28, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected July 3, 2024 |
| June 28, 2024 Standard | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Nutrition and Dietary Deficiencies · Tag F0809 | E Potential harm, pattern | Corrected August 2, 2024 |
| June 28, 2024 Standard | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | E Potential harm, pattern | Corrected August 2, 2024 |
| June 28, 2024 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | E Potential harm, pattern | Corrected August 2, 2024 |
| June 28, 2024 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected August 2, 2024 |
| June 28, 2024 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | E Potential harm, pattern | Corrected August 2, 2024 |
| June 28, 2024 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected August 2, 2024 |
| June 28, 2024 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected August 2, 2024 |
| June 28, 2024 Standard | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Tag F0676 | D Potential harm, isolated | Corrected August 2, 2024 |
| June 28, 2024 Standard | 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 · Tag F0656 | D Potential harm, isolated | Corrected August 2, 2024 |
| June 28, 2024 Standard | 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 · Tag F0584 | D Potential harm, isolated | Corrected August 2, 2024 |
| June 28, 2024 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected August 2, 2024 |
| June 24, 2024 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected June 25, 2024 |
| May 30, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | J Immediate jeopardy, isolated | Corrected February 24, 2024 |
| May 30, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | J Immediate jeopardy, isolated | Corrected June 1, 2024 |
| May 30, 2024 Complaint | 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 · Tag F0657 | D Potential harm, isolated | Corrected June 1, 2024 |
| May 30, 2024 Complaint | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | D Potential harm, isolated | Corrected June 1, 2024 |
| November 7, 2023 Complaint | Honor the resident's right to manage his or her financial affairs. Resident Rights Deficiencies · Tag F0567 | E Potential harm, pattern | Corrected November 17, 2023 |
| November 7, 2023 Complaint | Give the resident's representative the ability to exercise the resident's rights. Resident Rights Deficiencies · Tag F0551 | D Potential harm, isolated | Corrected November 17, 2023 |
| November 7, 2023 Complaint | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. Administration Deficiencies · Tag F0840 | D Potential harm, isolated | Corrected November 17, 2023 |
| November 7, 2023 Complaint | Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. Administration Deficiencies · Tag F0772 | D Potential harm, isolated | Corrected November 17, 2023 |
| November 7, 2023 Complaint | 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 · Tag F0656 | D Potential harm, isolated | Corrected November 17, 2023 |
| November 7, 2023 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected November 17, 2023 |
| April 14, 2023 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | F Potential harm, widespread | Corrected May 28, 2023 |
| April 14, 2023 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | E Potential harm, pattern | Corrected May 28, 2023 |
| April 14, 2023 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected May 28, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 4 federal penalties in the past three years, including $199,073 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| July 31, 2025 | Fine | $9,113 |
| March 3, 2025 | Fine | $93,356 |
| March 3, 2025 | Fine | $16,149 |
| May 30, 2024 | Fine | $80,455 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| MEDINA COUNTY HOSPITAL DISTRICT Organization | 5% or greater direct ownership interest | 100% | 05/01/2025 |
| CANTU, ELIZABETH Individual | adp of the snf | NOT APPLICABLE | 05/01/2025 |
| GRANITE WINDCREST, LLC Organization | adp of the snf | NOT APPLICABLE | 05/08/2025 |
| ZARATE, RUDOLFO Individual | adp of the snf | NOT APPLICABLE | 05/01/2025 |
| BELL, BILLIE Individual | corporate officer | NOT APPLICABLE | 05/01/2025 |
| CHOI, MARYANN Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 05/08/2025 |
| CHOI, ROBERT Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 05/08/2025 |
| CUNNINGHAM, ERNEST Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 05/08/2025 |
| O'DONOGHUE-STALLARD, MAIRE Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 05/08/2025 |
| STALLARD, THOMAS Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 05/08/2025 |
| CARADAY WINDCREST LLC Organization | operational/managerial control | NOT APPLICABLE | 05/01/2025 |
| MOORE, GREGORY Individual | operational/managerial control | NOT APPLICABLE | 05/01/2025 |
| ZARATE, RUDOLFO Individual | operational/managerial control | NOT APPLICABLE | 05/01/2025 |
Other nursing homes near Windcrest Nursing and Rehabilitation
Avir at Heritage
5437 Eisenhauer Road, San Antonio, TX 78218 · 1.8 mi
For-profit · 150 beds · Part of Avir Health Group
★★★★★1Much below averageNortheast Rehabilitation and Healthcare Center
603 Corinne Drive, San Antonio, TX 78218 · 2.7 mi
Government · 120 beds · Part of The Ensign Group
★★★★★1Much below averageCrestway Nursing & Rehabilitation
7181 Crestway Rd., San Antonio, TX 78239 · 2.8 mi
For-profit · 120 beds
★★★★★1Much below averageArmy Residence Community
7400 Crestway Dr, San Antonio, TX 78239 · 3 mi
Non-profit · 91 beds
- CMS high performer
★★★★★5Much above averageAvir at Converse
7700 Mesquite Pass, Converse, TX 78109 · 3.5 mi
For-profit · 100 beds · Part of Avir Health Group
★★★★★1Much below averageBroadway Nursing & Rehabilitation
8223 Broadway, San Antonio, TX 78209 · 4.4 mi
For-profit · 237 beds · Part of Opco Skilled Management
★★★★★1Much below average
Frequently asked questions
What is Windcrest Nursing and Rehabilitation's rating?
Windcrest Nursing and Rehabilitation has 1 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Windcrest Nursing and Rehabilitation receive?
Its most recent standard health inspection found 10 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Windcrest Nursing and Rehabilitation accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Windcrest Nursing and Rehabilitation?
It is for profit - corporation and part of Caraday Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Windcrest Nursing and Rehabilitation and how do I contact it?
Windcrest Nursing and Rehabilitation is at 8800 Fourwinds Dr., Windcrest, TX 78239. Phone: (210) 637-2700.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.