Texas › Bexar County › Windcrest
Windcrest Nursing and Rehabilitation
8800 Fourwinds Dr., Windcrest, TX 78239
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Windcrest Nursing and Rehabilitation, in Windcrest, Texas, is certified for 180 beds under for-profit, corporation ownership and belongs to the Caraday Healthcare chain.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 2, staffing 1 and quality measures 4.
Inspectors recorded 38 health deficiencies across the three most recent survey cycles (10, 17, 11 by cycle, most recent first), 5 of them at the actual-harm or immediate-jeopardy level. That is 21.1 per 100 beds, about the same as the state median of 22.5.
CMS lists 4 penalties in the period covered: fines totalling $199K.
Reported nurse staffing is 2.9 hours per resident per day (0.2 RN), close to the Texas median of 3.3; nursing staff turnover is 59.4%.
CMS flags that the facility changed ownership in the last 12 months.
Compared with county, state and nation
| Measure | This facility | Bexar Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 38 | 38 | 25 | 28.7 |
| Citations per 100 beds | 21.1 | 32.6 | 22.5 | 26.8 |
| Total nurse hours per resident day | 2.9 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.2 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 59.4% | 50.0% | 52.1% | 45.8% |
| Fines listed | $199,073 | $15,616 | $16,801 | — |
County and state figures are medians across facilities (62 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 14 Aug 2025, 28 Jun 2024.
Severity mix: J ×5 D ×22 E ×10 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 14 Aug 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 29 Aug 2025 |
| 14 Aug 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 29 Aug 2025 |
| 14 Aug 2025 | F0727 | 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. | E | Standard survey | 29 Aug 2025 |
| 14 Aug 2025 | F0761 | 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. | E | Standard survey | 29 Aug 2025 |
| 14 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 29 Aug 2025 |
| 14 Aug 2025 | F0584 | 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. | D | Standard survey | 29 Aug 2025 |
| 14 Aug 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 29 Aug 2025 |
| 14 Aug 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 29 Aug 2025 |
| 14 Aug 2025 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard survey | 29 Aug 2025 |
| 14 Aug 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 29 Aug 2025 |
| 31 Jul 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 4 Jun 2025 |
| 3 Mar 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 4 Mar 2025 |
| 3 Mar 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 16 Oct 2024 |
| 3 Mar 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 4 Mar 2025 |
| 3 Mar 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 4 Mar 2025 |
| 3 Mar 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 4 Mar 2025 |
| 28 Jun 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 2 Aug 2024 |
| 28 Jun 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Standard survey | 2 Aug 2024 |
| 28 Jun 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 2 Aug 2024 |
| 28 Jun 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Standard survey | 2 Aug 2024 |
| 28 Jun 2024 | F0809 | 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. | E | Standard survey | 2 Aug 2024 |
| 28 Jun 2024 | F0584 | 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. | D | Standard survey | 2 Aug 2024 |
| 28 Jun 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 2 Aug 2024 |
| 28 Jun 2024 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 2 Aug 2024 |
| 28 Jun 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 2 Aug 2024 |
| 28 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 2 Aug 2024 |
| 28 Jun 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 2 Aug 2024 |
| 24 Jun 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 25 Jun 2024 |
| 30 May 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 1 Jun 2024 |
| 30 May 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 24 Feb 2024 |
| 30 May 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 1 Jun 2024 |
| 30 May 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 1 Jun 2024 |
| 7 Nov 2023 | F0567 | Honor the resident's right to manage his or her financial affairs. | E | Complaint investigation | 17 Nov 2023 |
| 7 Nov 2023 | F0551 | Give the resident's representative the ability to exercise the resident's rights. | D | Complaint investigation | 17 Nov 2023 |
| 7 Nov 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 17 Nov 2023 |
| 7 Nov 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 17 Nov 2023 |
| 7 Nov 2023 | F0772 | Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | D | Complaint investigation | 17 Nov 2023 |
| 7 Nov 2023 | F0840 | 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. | D | Complaint investigation | 17 Nov 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 31 Jul 2025 | Fine | $9,113 | |
| 3 Mar 2025 | Fine | $93,356 | |
| 3 Mar 2025 | Fine | $16,149 | |
| 30 May 2024 | Fine | $80,455 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 59.4%, RNs 60.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 12.1% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.9% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 14.2% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.1% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 11.6% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Medina County Hospital District. Chain: Caraday Healthcare (8 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Medina County Hospital District | 5% or greater direct ownership interest | 100% | 05/01/2025 |
| Caraday Windcrest LLC | Operational/managerial control | NOT APPLICABLE | 05/01/2025 |
| Granite Windcrest, LLC | Adp of the snf | NOT APPLICABLE | 05/08/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Bexar County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Army Residence Community | San Antonio | 91 | 5 | 5 | 4 | 18 | 19.8 | — | 5 Jun 2025 |
| Coronado At Stone Oak | San Antonio | 112 | 5 | 4 | 3 | 24 | 21.4 | — | 28 Jan 2026 |
| Lakeside Nursing and Rehabilitation Center | San Antonio | 118 | 5 | 4 | 2 | 23 | 19.5 | $15K | 5 Jun 2026 |
| The Mission At Blue Skies of Texas East | San Antonio | 80 | 5 | 4 | 4 | 25 | 31.3 | $17K | 8 Aug 2025 |
| Morningside Manor | San Antonio | 147 | 4 | 3 | 3 | 26 | 17.7 | $5K | 11 Apr 2026 |
| Pecan Valley Rehabilitation and Healthcare | San Antonio | 124 | 4 | 4 | 1 | 25 | 20.2 | — | 29 Apr 2026 |
| Remington Transitional Care of San Antonio | San Antonio | 60 | 4 | 3 | 3 | 23 | 38.3 | — | 15 Dec 2025 |
| San Pedro Manor | San Antonio | 150 | 4 | 3 | 2 | 30 | 20.0 | $24K | 30 Apr 2026 |
All 62 facilities in Bexar County
Questions and answers
How many deficiencies has Windcrest Nursing and Rehabilitation been cited for?
38 health deficiencies across the three most recent survey cycles, 5 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Windcrest Nursing and Rehabilitation been fined?
Yes. CMS lists fines totalling $199K in the period covered.
How does staffing at Windcrest Nursing and Rehabilitation compare?
Reported total nurse staffing is 2.9 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Windcrest Nursing and Rehabilitation?
It is part of the Caraday Healthcare chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Medina County Hospital District and Caraday Windcrest LLC. Individual owners and managers are not listed on this site.
When was Windcrest Nursing and Rehabilitation last inspected?
The most recent survey or investigation in the CMS record is dated 14 Aug 2025; the most recent standard health survey was 14 Aug 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.