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8800 Fourwinds Dr. Windcrest, TX 78239 · Bexar County
CMS certification number 455533 · See this home on Medicare Care Compare
Is Windcrest Nursing and Rehabilitation a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Windcrest Nursing and Rehabilitation as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 2.87 hours per resident per day at Windcrest Nursing and Rehabilitation, below the Texas median of 3.30 (US median: 3.72). About 0.22 of those hours are from registered nurses. Weekend staffing is close to its all-week average. 52.2% of nursing staff left within a year (Texas median 50.2%).
About this nursing home
Paying for care at Windcrest Nursing and Rehabilitation: Medicare and Medicaid
Windcrest Nursing and Rehabilitation is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on August 14, 2025 and found 10 deficiencies. In total, inspectors issued 38 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 38 citations at Windcrest Nursing and Rehabilitation across 7 inspection dates, 17 of them from complaint investigations. 5 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on July 31, 2025 (complaint inspection). The most common areas cited were quality of life and care (10) and freedom from abuse, neglect, and exploitation (7). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level J, July 31, 2025). 7 citations were under CMS's abuse, neglect and exploitation rules.
August 14, 2025 · 10 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EHave 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.
EEnsure 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.
EProvide and implement an infection prevention and control program.
DHonor 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.
DEnsure each resident receives an accurate assessment.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
July 31, 2025 · 1 citation, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
March 3, 2025 · 5 citations, includes immediate jeopardy · includes complaint inspection
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
JProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
June 28, 2024 · 11 citations
EDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
EEnsure 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.
DHonor 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.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DEnsure that residents are free from significant medication errors.
June 24, 2024 · 1 citation · includes complaint inspection
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
May 30, 2024 · 4 citations, includes immediate jeopardy · includes complaint inspection
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
JProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProtect each resident from the wrongful use of the resident's belongings or money.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
November 7, 2023 · 6 citations · includes complaint inspection
EHonor the resident's right to manage his or her financial affairs.
DGive the resident's representative the ability to exercise the resident's rights.
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DHave an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.
DEmploy 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.
Questions to ask on a tour of Windcrest Nursing and Rehabilitation
- Inspectors cited the home at the immediate-jeopardy level on July 31, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on March 3, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- The home averages about 45% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
4 penalties in the last three years, including $199,073 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jul 31, 2025 | Fine | $9,113 |
| Mar 3, 2025 | Fine | $16,149 |
| Mar 3, 2025 | Fine | $93,356 |
| May 30, 2024 | Fine | $80,455 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 2/5 | 1/5 | 4/5 |
| August 2026 | 1/5 | 2/5 | 1/5 | 4/5 |
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Location
Hospitals near Windcrest Nursing and Rehabilitation
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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4.4 mi
Brooke Army Medical Center (Ft Sam Houston) Fort Sam HoustonEmergency roomMedian ER visit 2h 48m for patients treated and sent home
- 6.4 mi
-
6.7 mi
Baptist Neighborhood Hospital Thousand Oaks San AntonioEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 1h 55m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Compare Windcrest Nursing and Rehabilitation with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Army Residence Community · San Antonio · 5 stars · 3.0 mi
- St. Francis Nursing Home · San Antonio · 5 stars · 8.0 mi
- Coronado at Stone Oak · San Antonio · 5 stars · 9.9 mi
- The Village at Incarnate Word · San Antonio · 4 stars · 5.5 mi
Other Caraday Healthcare nursing homes in Texas
- Regency House · San Angelo · 4 stars
- Sagebrook Nursing and Rehabilitation · Cedar Park · 4 stars
- Stonebridge Health Rehab · Austin · 3 stars
- Caraday of Lampasas · Lampasas · 3 stars
- Trinity Care Center · Round Rock · 3 stars
- Wurzbach Nursing and Rehabilitation · San Antonio · 3 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 8 Caraday Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.