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Nursing homeFAID #12091

Windcrest Nursing and Rehabilitation

8800 Fourwinds Dr., WINDCREST, TX, 78239
(210) 637-2700
180 licensed beds
★★★★★1/5CMS Five-Star overall2/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
180
CMS facility ID
455533
Care type
Nursing home
County
Bexar
Facility name
Windcrest Nursing and Rehabilitation
Street address
8800 Fourwinds Dr.
City / state / ZIP
Windcrest, TX 78239
Phone
(210) 637-2700

Windcrest Nursing and Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in Windcrest, Texas. It is licensed for 180 beds — well above the median for skilled nursing facilities in Texas (120 beds).

It is one of 1 senior care facility in Windcrest and 1,178 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Windcrest Nursing and Rehabilitation 44 times across 11 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $199,073 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
Caraday Healthcare
Ownership type
For profit - Corporation

Registered owners & officers

Medina County Hospital District
Direct owner — 100% stake — since 2025
Bell, Billie
Officer — since 2025
Cantu, Elizabeth
Additional disclosable party — since 2025
Caraday Windcrest Llc
Operational control — since 2025
Choi, Maryann
Owner of a disclosable party — since 2025
Choi, Robert
Owner of a disclosable party — since 2025
Cunningham, Ernest
Owner of a disclosable party — since 2025
Granite Windcrest, Llc
Additional disclosable party — since 2025
Moore, Gregory
Operational control — since 2025
O'donoghue-stallard, Maire
Owner of a disclosable party — since 2025
Stallard, Thomas
Owner of a disclosable party — since 2025
Zarate, Rudolfo
Operational control · Additional disclosable party — since 2025

Regulatory standing

Federal court records
1 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1985-07-01
CMS overall rating
1 of 5 stars
Health deficiencies
10 at the last standard inspection
Federal fines
$199,073 total
Last standard inspection
2025-08-14
Nurse staffing
2.9 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$242 per day (≈ $7,360/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
75% Medicaid · 6% Medicare · 20% private/other
Occupancy
52% (fiscal year 2023)
Vs. state median
13% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
180
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.
2025-08-14Health inspection10 citations
F-0584
D · No harm found
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.
Corrected 2025-08-29
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2025-08-29
F-0677
E · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-08-29
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-08-29
F-0727
E · No harm found
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.
Corrected 2025-08-29
F-0761
E · No harm found
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.
Corrected 2025-08-29
F-0805
D · No harm foundFood safety
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2025-08-29
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-08-29
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-08-29
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-08-29
2025-07-31Health inspectionComplaint-triggered1 citation
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-04
8 earlier / fire-safety inspections (33 citations)
2025-03-03Health inspectionComplaint-triggered5 citations
F-0600
J · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-03-04
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-03-04
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-03-04
F-0684
J · Immediate jeopardyFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-10-16
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-03-04
2024-06-28Health inspection11 citations
F-0584
D · No harm found
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.
Corrected 2024-08-02
F-0607
E · No harm found
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-08-02
F-0609
E · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-08-02
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-08-02
F-0676
D · No harm found
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2024-08-02
F-0677
E · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-08-02
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-08-02
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-02
F-0690
E · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-08-02
F-0760
D · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2024-08-02
F-0809
E · No harm foundFood safety
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.
Corrected 2024-08-02
2024-06-24Health inspectionComplaint-triggered1 citation
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-06-25
2024-05-30Health inspectionComplaint-triggered4 citations
F-0600
J · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-06-01
F-0602
D · No harm foundFrom a complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-06-01
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-06-01
F-0684
J · Immediate jeopardyFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-02-24
2023-11-07Health inspectionComplaint-triggered6 citations
F-0551
D · No harm foundFrom a complaint
Give the resident's representative the ability to exercise the resident's rights.
Corrected 2023-11-17
F-0567
E · No harm foundFrom a complaint
Honor the resident's right to manage his or her financial affairs.
Corrected 2023-11-17
F-0607
D · No harm foundFrom a complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-11-17
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-11-17
F-0772
D · No harm foundFrom a complaint
Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.
Corrected 2023-11-17
F-0840
D · No harm foundFrom a complaint
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.
Corrected 2023-11-17
2025-08-14Fire-safety inspection2 citations
K-0351
E · No harm found
Install an approved automatic sprinkler system.
Corrected 2025-08-29
K-0355
E · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-09-20
2024-06-28Fire-safety inspection1 citation
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-07-03
2023-04-14Fire-safety inspection3 citations
K-0223
E · No harm found
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2023-05-28
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2023-05-28
K-0741
F · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-05-28

Federal penalties

2025-07-31Fine$9,113
2025-03-03Fine$16,149
2025-03-03Fine$93,356
2024-05-30Fine$80,455
Total fines$199,073
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 455533.
What people say on Google.
3.933 ratings on Google
★★★★★Iris Woodard · 2026-06-19 · via Google

“I enjoyed being at this location after my hospital stay for therpay. Received excellent care and attention from the nursing staff and therapy department especially Von the PTA. The food was great as well. I HAVE NO COMPLAINTS AT ALL! Activities led by Chris and Sam were great they really get the patients going. Shootout to some of the nurses and cna's: Ladasha, Kaylyn, Chantel, Claudia, Ky, and Y…”

★★★★★Brenda Marie · 2025-06-29 · via Google

“I would like to say "Thank You" on behalf of myself and my family to the Windcrest Nursing and Rehabilitation facility of San Antonio. Our family member was a resident there for four months. We were very pleased with the care and comfort provided for our loved one, until their very last day of life. We were there on a daily bases to visit with our loved one, we would watch movies and had memorab…”

★Alegra McDonald · 2025-07-16 · via Google

“My experience with Wincrest Nursing and Rehab in Windcrest, Texas, was extremely disappointing. During my client’s stay, she was left in bed and not given a shower for five days. She didn’t have access to her own clothes and had to remain in a hospital gown and brace. I called ahead to let them know I would be picking her up at 4:00 pm, yet when I arrived, she was still in bed wearing the gown. …”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 44 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered