healthcarefacts

Nursing home in San Antonio, Texas

Windsor Mission Oaks

Medicare and Medicaid

3030 S ROOSEVELT AVE, San Antonio, TX 78214
(210) 924-8151

CMS star ratings

CMS gives this nursing home an overall star rating of 3 out of 5. Each rating is compared with the mean of rated nursing homes in Texas (1,165 for the overall rating) and in the U.S. (14,565). How to read an inspection report.

Overall rating

  • This nursing home3
  • Texas average2.7 (1,165 rated)
  • U.S. average3.0 (14,565 rated)

Health inspections

  • This nursing home3
  • Texas average2.8 (1,165 rated)
  • U.S. average2.8 (14,565 rated)

Staffing

  • This nursing home2
  • Texas average1.9 (1,163 rated)
  • U.S. average2.9 (14,494 rated)

Quality measures

Not available[20]
  • This nursing homeNot available
  • Texas average3.7 (1,162 rated)
  • U.S. average3.6 (14,495 rated)

Health inspections

Most recent standard health inspection (rating cycle 1): Jun 27, 2025. CMS counts 11 health deficiencies in rating cycle 1.

  • This nursing home11
  • Texas average9.4 (1,171 with data)
  • U.S. average9.2 (14,652 with data)

Rating cycle 1 health deficiencies. Averages include every nursing home with a count in the CMS file; fewer is better.

Deficiencies since Sep 30, 2023

Inspectors cited 26 health deficiencies on 4 inspection dates since Sep 30, 2023. By level of harm: 1 immediate jeopardy, 25 potential for harm.

  • 1 Immediate jeopardy to resident health or safety
  • 0 Actual harm
  • 25 No actual harm, potential for more than minimal harm
  • 0 No actual harm, potential for minimal harm
The 10 most recent of 26 health deficiencies since Sep 30, 2023
DateTagDeficiencyScope and severityInspection typeStatus
Jun 12, 2026F0880Provide and implement an infection prevention and control program.Infection Control DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction Jun 13, 2026
Jun 27, 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary DeficienciesF Potential for harm, widespreadStandardDeficient, Provider has date of correction Jun 28, 2025
Jun 27, 2025F0690Provide 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 DeficienciesE Potential for harm, patternStandardDeficient, Provider has date of correction Jun 28, 2025
Jun 27, 2025F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Nursing and Physician Services DeficienciesE Potential for harm, patternStandardDeficient, Provider has date of correction Jun 28, 2025
Jun 27, 2025F0761Ensure 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 DeficienciesE Potential for harm, patternStandardDeficient, Provider has date of correction Jun 28, 2025
Jun 27, 2025F0880Provide and implement an infection prevention and control program.Infection Control DeficienciesE Potential for harm, patternStandardDeficient, Provider has date of correction Jun 28, 2025
Jun 27, 2025F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Environmental DeficienciesE Potential for harm, patternStandardDeficient, Provider has date of correction Jun 28, 2025
Jun 27, 2025F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.Environmental DeficienciesE Potential for harm, patternStandardDeficient, Provider has date of correction Jun 28, 2025
Jun 27, 2025F0552Ensure that residents are fully informed and understand their health status, care and treatments.Resident Rights DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Jun 28, 2025
Jun 27, 2025F0657Develop 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 DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Jun 28, 2025
Show the other 16 deficiencies
Older health deficiencies since Sep 30, 2023
DateTagDeficiencyScope and severityInspection typeStatus
Jun 27, 2025F0693Ensure 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.Quality of Life and Care DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Jun 28, 2025
May 23, 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Freedom from Abuse, Neglect, and Exploitation DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction May 24, 2024
May 23, 2024F0610Respond appropriately to all alleged violations.Freedom from Abuse, Neglect, and Exploitation DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction May 24, 2024
May 8, 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care DeficienciesJ Immediate jeopardy, isolatedStandard, ComplaintPast Non-Compliance May 4, 2024
May 8, 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary DeficienciesF Potential for harm, widespreadStandard, ComplaintDeficient, Provider has date of correction May 9, 2024
May 8, 2024F0761Ensure 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 DeficienciesE Potential for harm, patternStandard, ComplaintDeficient, Provider has date of correction May 9, 2024
May 8, 2024F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Environmental DeficienciesE Potential for harm, patternStandard, ComplaintDeficient, Provider has date of correction May 9, 2024
May 8, 2024F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.Environmental DeficienciesE Potential for harm, patternStandard, ComplaintDeficient, Provider has date of correction May 9, 2024
May 8, 2024F0942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.Resident Rights DeficienciesE Potential for harm, patternStandard, ComplaintDeficient, Provider has date of correction May 9, 2024
May 8, 2024F0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.Freedom from Abuse, Neglect, and Exploitation DeficienciesE Potential for harm, patternStandard, ComplaintDeficient, Provider has date of correction May 9, 2024
May 8, 2024F0558Reasonably accommodate the needs and preferences of each resident.Resident Rights DeficienciesD Potential for harm, isolatedStandard, ComplaintDeficient, Provider has date of correction May 9, 2024
May 8, 2024F0583Keep residents' personal and medical records private and confidential.Resident Rights DeficienciesD Potential for harm, isolatedStandard, ComplaintDeficient, Provider has date of correction May 9, 2024
May 8, 2024F0690Provide 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 DeficienciesD Potential for harm, isolatedStandard, ComplaintDeficient, Provider has date of correction May 9, 2024
May 8, 2024F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Nursing and Physician Services DeficienciesD Potential for harm, isolatedStandard, ComplaintDeficient, Provider has date of correction May 9, 2024
May 8, 2024F0758Implement 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.Pharmacy Service DeficienciesD Potential for harm, isolatedStandard, ComplaintDeficient, Provider has date of correction May 9, 2024
May 8, 2024F0880Provide and implement an infection prevention and control program.Infection Control DeficienciesD Potential for harm, isolatedStandard, ComplaintDeficient, Provider has date of correction May 9, 2024

Staffing

Total nurse staffing

Reported hours per resident per day.

  • This nursing home2.74 hours
  • Texas average3.39 hours (1,148 with data)
  • U.S. average3.86 hours (14,351 with data)

Registered nurse staffing

Reported hours per resident per day.

  • This nursing home0.29 hours
  • Texas average0.43 hours (1,148 with data)
  • U.S. average0.69 hours (14,351 with data)

Nursing staff turnover

Share of nursing staff who left during the year, as reported to CMS.

  • This nursing home23.2%
  • Texas average55.3% (1,051 with data)
  • U.S. average45.8% (13,538 with data)

Penalties

CMS lists 1 penalty for this nursing home: 1 fine totaling $10,842, and 0 payment denials. CMS counts penalties from the last 3 years.

Facility details

Certified beds150
Average residents per day123.1
OwnershipNon profit - Other
Provider typeMedicare and Medicaid
Inside a hospitalNo
Continuing care retirement communityNo
Resident and family councilResident
Automatic sprinklers in all required areasYes
ChainWellsential Health (67 facilities)
Legal business nameVAL VERDE COUNTY HOSPITAL DISTRICT
First approved for Medicare and MedicaidOct 20, 1994
CountyBexar
CMS certification number675409

Also in San Antonio

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Avir at San Antonio119For profit - Corporation
Broadway Nursing & Rehabilitation237For profit - Limited Liability company
Buena Vida Nursing and Rehab-San Antonio222Government - Hospital district
Castle Hills Rehabilitation and Care Center143For profit - Limited Liability company
Memorial Medical Nursing and Rehabilitation135Government - Hospital district
Meridian Care Monte Vista106For profit - Individual
Mesa Vista Inn Health Center144For profit - Corporation
Northeast Rehabilitation and Healthcare Center120Government - Hospital district
The Lev at San Antonio106For profit - Limited Liability company
Hospitals in San Antonio
HospitalCMS overall ratingTypeEmergency services
San Antonio VA Medical Center (VA South Texas Healthcare System)Acute Care - Veterans AdministrationYes
Methodist HospitalAcute Care HospitalsYes
Baptist Medical CenterAcute Care HospitalsYes
CHRISTUS Santa Rosa Medical CenterAcute Care HospitalsYes
University Health SystemAcute Care HospitalsYes
Children's Hospital of San AntonioNot availableChildrensYes
San Antonio State Hosp State SchoolNot availablePsychiatricNo
South Texas Spine and Surgical HospitalNot availableAcute Care HospitalsYes

All 58 nursing homes and 19 hospitals in San Antonio

CMS footnotes on this page

[20]
The accuracy of the data for this rating could not be validated by CMS.