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.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-06-27 | 10 | 9.1 | 9.5 | +0.9 worse |
| 2 | 2024-05-08 | 15 | 9.4 | 9.8 | +5.6 worse |
| 3 | 2023-03-31 | 12 | 8.1 | 9.3 | +3.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 2 |
| Resident assessment and care planning | 1 |
| Nursing and physician services | 1 |
| Resident rights | 1 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
| Environmental | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 2.68 | 23.8% |
| RN staffing (reported) | 0.28 | 0.0% |
| 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- EF0880Provide and implement an infection prevention and control program.2025-06-27 · Health · corrected 2025-06-28
Potential for more than minimal harm
- 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
- 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
- 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
- DF0610Respond appropriately to all alleged violations.2024-05-23 · Health · corrected 2024-05-24
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2024-05-08 · Health · corrected 2024-05-09
Potential for more than minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2024-05-08 · Health · corrected 2024-05-09
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- DF0880Provide and implement an infection prevention and control program.2024-05-08 · Health · corrected 2024-05-09
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- EF0760Ensure that residents are free from significant medication errors.2023-07-02 · Health · corrected 2023-07-03
Potential for more than minimal harm
- 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
- DF0583Keep residents' personal and medical records private and confidential.2023-03-31 · Health · corrected 2023-04-01
Potential for more than minimal harm
- 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
- DF0641Ensure each resident receives an accurate assessment.2023-03-31 · Health · corrected 2023-04-01
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- CF0814Dispose of garbage and refuse properly.2023-03-31 · Health · corrected 2023-04-01
Potential for minimal harm
- 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
- 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
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| VAL VERDE COUNTY HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-04-01 |
| REGENCY IHS OF WINDSOR MISSION OAKS, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-04-01 |
| REGENCY INTEGRATED HEALTH SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-04-01 |
| VAL VERDE COUNTY HOSPITAL DISTRICT | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-04-01 |
| DEKOWSKI, DONOVAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-04-01 |
| RAMIREZ, HERMELINDO | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-11-08 |
| JURADO, JORGE | Individual | CORPORATE OFFICER | — | 2023-10-13 |
Other facilities in SAN ANTONIO
| Name | Overall | Beds |
|---|---|---|
| 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.