Texas › Bexar County › San Antonio
Windsor Mission Oaks
3030 S Roosevelt Ave, San Antonio, TX 78214
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.
Certified for 150 beds, Windsor Mission Oaks serves San Antonio in Bexar County, Texas and has taken Medicare and Medicaid residents since 1994.
CMS gives it 3 of 5 stars overall, equal to the Texas median; the health inspection rating is 3, staffing 2 and quality measures —.
Inspectors recorded 37 health deficiencies across the three most recent survey cycles (11, 13, 13 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 24.7 per 100 beds, about the same as the state median of 22.5.
CMS lists 1 penalty in the period covered: fines totalling $11K.
Reported nurse staffing is 2.7 hours per resident per day (0.3 RN), close to the Texas median of 3.3; nursing staff turnover is 23.2%.
Compared with county, state and nation
| Measure | This facility | Bexar Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 37 | 38 | 25 | 28.7 |
| Citations per 100 beds | 24.7 | 32.6 | 22.5 | 26.8 |
| Total nurse hours per resident day | 2.7 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.3 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 23.2% | 50.0% | 52.1% | 45.8% |
| Fines listed | $10,842 | $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: 27 Jun 2025, 8 May 2024.
Severity mix: J ×1 D ×18 E ×14 F ×3 C ×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 |
|---|---|---|---|---|---|
| 12 Jun 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 13 Jun 2026 |
| 27 Jun 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 | 28 Jun 2025 |
| 27 Jun 2025 | 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 | 28 Jun 2025 |
| 27 Jun 2025 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Standard survey | 28 Jun 2025 |
| 27 Jun 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 | 28 Jun 2025 |
| 27 Jun 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 28 Jun 2025 |
| 27 Jun 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 28 Jun 2025 |
| 27 Jun 2025 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard survey | 28 Jun 2025 |
| 27 Jun 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 28 Jun 2025 |
| 27 Jun 2025 | 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 | Standard survey | 28 Jun 2025 |
| 27 Jun 2025 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 28 Jun 2025 |
| 23 May 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 24 May 2024 |
| 23 May 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 24 May 2024 |
| 8 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 4 May 2024 |
| 8 May 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 9 May 2024 |
| 8 May 2024 | 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 | Complaint investigation | 9 May 2024 |
| 8 May 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint investigation | 9 May 2024 |
| 8 May 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Complaint investigation | 9 May 2024 |
| 8 May 2024 | F0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | E | Complaint investigation | 9 May 2024 |
| 8 May 2024 | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | Complaint investigation | 9 May 2024 |
| 8 May 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 9 May 2024 |
| 8 May 2024 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 9 May 2024 |
| 8 May 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. | D | Complaint investigation | 9 May 2024 |
| 8 May 2024 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Complaint investigation | 9 May 2024 |
| 8 May 2024 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Complaint investigation | 9 May 2024 |
| 8 May 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 9 May 2024 |
| 31 Mar 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 1 Apr 2023 |
| 31 Mar 2023 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | Standard survey | 1 Apr 2023 |
| 31 Mar 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 1 Apr 2023 |
| 31 Mar 2023 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard survey | 1 Apr 2023 |
| 31 Mar 2023 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 1 Apr 2023 |
| 31 Mar 2023 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 1 Apr 2023 |
| 31 Mar 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 1 Apr 2023 |
| 31 Mar 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 | Standard survey | 1 Apr 2023 |
| 31 Mar 2023 | 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. | D | Standard survey | 1 Apr 2023 |
| 31 Mar 2023 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 1 Apr 2023 |
| 31 Mar 2023 | F0814 | Dispose of garbage and refuse properly. | C | Standard survey | 1 Apr 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 8 May 2024 | Fine | $10,842 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 23.2%, RNs 0.0%; 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 | 10.2% | 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 | 1.4% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.2% | 3.0% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 7.8% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.6% | 3.4% | 4.2% |
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: non-profit, other. Legal business name: Val Verde County Hospital District. Chain: Wellsential Health (67 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Val Verde County Hospital District | 5% or greater direct ownership interest | 100% | 04/01/2022 |
| Regency Ihs of Windsor Mission Oaks, LLC | Direct ownership interest | NOT APPLICABLE | 04/01/2022 |
| Csv Rhea Management Holdco, LLC | Indirect ownership interest | NOT APPLICABLE | 04/01/2022 |
| Dwd Tx Holdings LLC | Indirect ownership interest | NOT APPLICABLE | 04/01/2022 |
| Jack and Nancy Dwyer Workforce Development Center Inc | Indirect ownership interest | NOT APPLICABLE | 04/01/2022 |
| Reg Hg Opco 1, LLC | Indirect ownership interest | NOT APPLICABLE | 04/01/2022 |
| Reg Hg Opco LLC | Indirect ownership interest | NOT APPLICABLE | 04/01/2022 |
| Reg Operator Holdco LLC | Indirect ownership interest | NOT APPLICABLE | 04/01/2022 |
| Regency Integrated Health Services LLC | Indirect ownership interest | NOT APPLICABLE | 04/01/2022 |
| Regency Texas Holdings LLC | Indirect ownership interest | NOT APPLICABLE | 04/01/2022 |
| Regency Ihs of Windsor Mission Oaks, LLC | Operational/managerial control | NOT APPLICABLE | 04/01/2022 |
| Regency Integrated Health Services LLC | Operational/managerial control | NOT APPLICABLE | 04/01/2022 |
| Val Verde County Hospital District | Operational/managerial control | NOT APPLICABLE | 04/01/2022 |
| 300 S Roosevelt Avenue LLC | Adp of the snf | NOT APPLICABLE | 04/01/2022 |
| Regency Ihs Clinical Consulting, LLC | Adp of the snf | NOT APPLICABLE | 04/01/2022 |
| Regency Ihs Master Tenant LLC | Adp of the snf | NOT APPLICABLE | 04/01/2022 |
| Regency Ihs of Windsor Mission Oaks, LLC | Adp of the snf | NOT APPLICABLE | 11/14/2024 |
| Regency Ihs Rehab LLC | Adp of the snf | NOT APPLICABLE | 04/01/2022 |
| Regency Integrated Health Services LLC | Adp of the snf | NOT APPLICABLE | 11/14/2024 |
| Val Verde County Hospital District | Adp of the snf | NOT APPLICABLE | 04/24/2025 |
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 Windsor Mission Oaks been cited for?
37 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Windsor Mission Oaks been fined?
Yes. CMS lists fines totalling $11K in the period covered.
How does staffing at Windsor Mission Oaks compare?
Reported total nurse staffing is 2.7 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Windsor Mission Oaks?
It is part of the Wellsential Health chain. Ownership type is non-profit, other. Organisations in the CMS ownership record include Val Verde County Hospital District, Regency Ihs of Windsor Mission Oaks, LLC and Csv Rhea Management Holdco, LLC. Individual owners and managers are not listed on this site.
When was Windsor Mission Oaks last inspected?
The most recent survey or investigation in the CMS record is dated 12 Jun 2026; the most recent standard health survey was 27 Jun 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.