Starfile

Starfile / Texas

WINDSOR MISSION OAKS

3030 S ROOSEVELT AVE, SAN ANTONIO, TX 78214 · CCN 675409

Ratings

Overall
★★☆☆☆ 2
Health inspection
★★★☆☆ 3
Quality measures
★☆☆☆☆ 1
Staffing
★★☆☆☆ 2

Facility

Ownership type
Non profit - Other
Certified beds
150
Avg residents/day
128.0
Phone
2109248151

Inspection history vs Texas & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityTexas avgNational avgvs state
12025-06-27109.19.5+0.9 worse
22024-05-08159.49.8+5.6 worse
32023-03-31128.19.3+3.9 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care2
Resident assessment and care planning1
Nursing and physician services1
Resident rights1
Nutrition and dietary1
Pharmacy service1
Environmental2
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)2.6823.8%
RN staffing (reported)0.280.0%
Total nurse staffing (adjusted)3.04

Fines & penalties

Total fines
$10,842
Number of fines
1
Number of penalties
1
Payment denials
0

Chain

Chain
WELLSENTIAL HEALTH
Facilities in chain
67
Chain avg overall
2.80 / 5

Inspection citations (37)1 immediate jeopardy

  1. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-06-27 · Health · corrected 2025-06-28

    Potential for more than minimal harm

  2. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-06-27 · Health · corrected 2025-06-28

    Potential for more than minimal harm

  3. EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-06-27 · Health · corrected 2025-06-28

    Potential for more than minimal harm

  4. DF0693Ensure 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.2025-06-27 · Health · corrected 2025-06-28

    Potential for more than minimal harm

  5. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-06-27 · Health · corrected 2025-06-28

    Potential for more than minimal harm

  6. EF0761Ensure 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.2025-06-27 · Health · corrected 2025-06-28

    Potential for more than minimal harm

  7. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-06-27 · Health · corrected 2025-06-28

    Potential for more than minimal harm

  8. EF0880Provide and implement an infection prevention and control program.2025-06-27 · Health · corrected 2025-06-28

    Potential for more than minimal harm

  9. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-06-27 · Health · corrected 2025-06-28

    Potential for more than minimal harm

  10. EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2025-06-27 · Health · corrected 2025-06-28

    Potential for more than minimal harm

  11. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-05-23 · Health · corrected 2024-05-24

    Potential for more than minimal harm

  12. DF0610Respond appropriately to all alleged violations.2024-05-23 · Health · corrected 2024-05-24

    Potential for more than minimal harm

  13. DF0558Reasonably accommodate the needs and preferences of each resident.2024-05-08 · Health · corrected 2024-05-09

    Potential for more than minimal harm

  14. DF0583Keep residents' personal and medical records private and confidential.2024-05-08 · Health · corrected 2024-05-09

    Potential for more than minimal harm

  15. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-08 · Health · corrected 2024-05-04

    Immediate jeopardy

  16. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-05-08 · Health · corrected 2024-05-09

    Potential for more than minimal harm

  17. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-05-08 · Health · corrected 2024-05-09

    Potential for more than minimal harm

  18. DF0758Implement 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.2024-05-08 · Health · corrected 2024-05-09

    Potential for more than minimal harm

  19. EF0761Ensure 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.2024-05-08 · Health · corrected 2024-05-09

    Potential for more than minimal harm

  20. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-05-08 · Health · corrected 2024-05-09

    Potential for more than minimal harm

  21. DF0880Provide and implement an infection prevention and control program.2024-05-08 · Health · corrected 2024-05-09

    Potential for more than minimal harm

  22. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-05-08 · Health · corrected 2024-05-09

    Potential for more than minimal harm

  23. EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2024-05-08 · Health · corrected 2024-05-09

    Potential for more than minimal harm

  24. EF0942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.2024-05-08 · Health · corrected 2024-05-09

    Potential for more than minimal harm

  25. EF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2024-05-08 · Health · corrected 2024-05-09

    Potential for more than minimal harm

  26. EF0760Ensure that residents are free from significant medication errors.2023-07-02 · Health · corrected 2023-07-03

    Potential for more than minimal harm

  27. EF0578Honor 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.2023-03-31 · Health · corrected 2023-04-01

    Potential for more than minimal harm

  28. DF0583Keep residents' personal and medical records private and confidential.2023-03-31 · Health · corrected 2023-04-01

    Potential for more than minimal harm

  29. DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2023-03-31 · Health · corrected 2023-04-01

    Potential for more than minimal harm

  30. DF0641Ensure each resident receives an accurate assessment.2023-03-31 · Health · corrected 2023-04-01

    Potential for more than minimal harm

  31. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-03-31 · Health · corrected 2023-04-01

    Potential for more than minimal harm

  32. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-03-31 · Health · corrected 2023-04-01

    Potential for more than minimal harm

  33. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-03-31 · Health · corrected 2023-04-01

    Potential for more than minimal harm

  34. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-03-31 · Health · corrected 2023-04-01

    Potential for more than minimal harm

  35. CF0814Dispose of garbage and refuse properly.2023-03-31 · Health · corrected 2023-04-01

    Potential for minimal harm

  36. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2023-03-31 · Health · corrected 2023-04-01

    Potential for more than minimal harm

  37. EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2023-03-31 · Health · corrected 2023-04-01

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
VAL VERDE COUNTY HOSPITAL DISTRICTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2022-04-01
REGENCY IHS OF WINDSOR MISSION OAKS, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2022-04-01
REGENCY INTEGRATED HEALTH SERVICES LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2022-04-01
VAL VERDE COUNTY HOSPITAL DISTRICTOrganizationOPERATIONAL/MANAGERIAL CONTROL2022-04-01
DEKOWSKI, DONOVANIndividualOPERATIONAL/MANAGERIAL CONTROL2022-04-01
RAMIREZ, HERMELINDOIndividualOPERATIONAL/MANAGERIAL CONTROL2023-11-08
JURADO, JORGEIndividualCORPORATE OFFICER2023-10-13

Other facilities in SAN ANTONIO

NameOverallBeds
LAKESIDE NURSING AND REHABILITATION CENTER★★★★★118
THE ARMY RESIDENCE COMMUNITY HEALTH CARE CENTER★★★★★91
LEGEND OAKS HEALTHCARE AND REHABILITATION CENTER -★★★★★126
THE HEIGHTS ON HUEBNER★★★★★120
ST. FRANCIS NURSING HOME★★★★☆107

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.