Windcrest Nursing and Rehabilitation
Nursing Home · Windcrest, TX
CMS certification number455533
Contact & location
8800 Fourwinds Dr.Windcrest, TX 78239
Bexar County
- Phone
- (210) 637-2700
- ZIP code
- 78239 – all care providers
Facility details
- Certified beds
- 180
- Residents per day
- 73.0 (41% occupied)
- Ownership
- For profit - Corporation
- Legal name
- Medina County Hospital District
- Chain
- Caraday Healthcare (8 facilities, avg 2.8★)
- Medicare certified since
- July 1, 1985
- Participates in
- Medicare and Medicaid
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 2.90 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.22 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 1.00 (state 0.95 · U.S. 0.86)
- Nurse aides
- 1.67 (state 2.00 · U.S. 2.32)
- Weekend total
- 2.71 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 59.4 (state 55.3 · U.S. 45.8)%
- RN turnover
- 60.0 (state 54.6 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- August 14, 2025
- Health deficiencies (last cycle)
- 10.0 (state 9.3 · U.S. 9.3)
- From complaints
- 0
- Citations on record (3 years)
- 38 health · 6 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2025-08-14 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-08-29 |
| 2025-08-14 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-08-29 |
| 2025-08-14 | Have 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. F0727 · Nursing and Physician Services Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-08-29 |
| 2025-08-14 | 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. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-08-29 |
| 2025-08-14 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-08-29 |
| 2025-08-14 | Honor 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. F0584 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-08-29 |
| 2025-08-14 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-08-29 |
| 2025-08-14 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-08-29 |
| 2025-08-14 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. F0805 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-08-29 |
| 2025-08-14 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-08-29 |
| 2025-07-31 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2025-06-04 |
| 2025-03-03 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2025-03-04 |
| 2025-03-03 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-10-16 |
| 2025-03-03 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-04 |
| 2025-03-03 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-04 |
| 2025-03-03 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-04 |
| 2024-06-28 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-02 |
| 2024-06-28 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-02 |
| 2024-06-28 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-02 |
| 2024-06-28 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-02 |
| 2024-06-28 | Ensure 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. F0809 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-02 |
| 2024-06-28 | Honor 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. F0584 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-02 |
| 2024-06-28 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-02 |
| 2024-06-28 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. F0676 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-02 |
| 2024-06-28 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-02 |
| 2024-06-28 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-02 |
| 2024-06-28 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-02 |
| 2024-06-24 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-25 |
| 2024-05-30 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-06-01 |
| 2024-05-30 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-02-24 |
| 2024-05-30 | Protect each resident from the wrongful use of the resident's belongings or money. F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-01 |
| 2024-05-30 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-01 |
| 2023-11-07 | Honor the resident's right to manage his or her financial affairs. F0567 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-11-17 |
| 2023-11-07 | Give the resident's representative the ability to exercise the resident's rights. F0551 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-17 |
| 2023-11-07 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-17 |
| 2023-11-07 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-17 |
| 2023-11-07 | Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. F0772 · Administration Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-17 |
| 2023-11-07 | Employ 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. F0840 · Administration Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-17 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
4 penalties in the last three years, including $199,073 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-07-31 | Fine | $9,113 |
| 2025-03-03 | Fine | $93,356 |
| 2025-03-03 | Fine | $16,149 |
| 2024-05-30 | Fine | $80,455 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Medina County Hospital District (organization) | 5%+ Direct Ownership Interest · 100% | |
| Cantu, Elizabeth (individual) | Administrator · NOT APPLICABLE | |
| Granite Windcrest, LLC (organization) | Administrator · NOT APPLICABLE | |
| Zarate, Rudolfo (individual) | Administrator · NOT APPLICABLE | |
| Bell, Billie (individual) | Corporate Officer · NOT APPLICABLE | |
| Choi, Maryann (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Choi, Robert (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Cunningham, Ernest (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| O'donoghue-Stallard, Maire (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Stallard, Thomas (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Caraday Windcrest LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Moore, Gregory (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Zarate, Rudolfo (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Windcrest Nursing and Rehabilitation?
Windcrest Nursing and Rehabilitation has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.
How many beds does Windcrest Nursing and Rehabilitation have?
It has 180 certified beds and cares for about 73 residents per day.
Has Windcrest Nursing and Rehabilitation been fined?
Yes. CMS lists 4 penalties totaling $199,073 in the last three years.
Who owns Windcrest Nursing and Rehabilitation?
It is part of Caraday Healthcare and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Windcrest Nursing and Rehabilitation?
(210) 637-2700. The facility is located at 8800 Fourwinds Dr., Windcrest, TX 78239.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.