Senior Home Review
Home›Browse›Texas›San Antonio›Windsor Mission Oaks
Nursing homeFAID #14092

Windsor Mission Oaks

3030 S ROOSEVELT AVE, SAN ANTONIO, TX, 78214
(210) 924-8151
150 licensed beds

CMS rates Windsor Mission Oaks 3 out of 5 overall. Federal inspectors issued 52 citations across 9 inspections in the last three years, with $10,842 in fines. Listing last updated 2026-11-06.

★★★★★3/5CMS Five-Star overall3/5 health inspections2/5 staffingSource: CMS Care Compare

Generate this report

Delivered within 24–48 hours
Photo of WINDSOR MISSION OAKS
Photo via Google · Windsor Mission Oaks
What we can show you for free.
Bed capacity
150
CMS facility ID
675409
Care type
Nursing home
County
Bexar
Facility name
Windsor Mission Oaks
Street address
3030 S ROOSEVELT AVE
City / state / ZIP
San Antonio, TX 78214
Phone
(210) 924-8151

Windsor Mission Oaks is a Medicare/Medicaid-certified skilled nursing facility in San Antonio, Texas. It is licensed for 150 beds — above the median for skilled nursing facilities in Texas (120 beds).

It is one of 341 senior care facilities in San Antonio and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Wellsential Health, a group of 67 facilities on this site.

Federal inspectors have cited Windsor Mission Oaks 52 times across 9 inspections in the last three years, including 4 food-safety citations, and CMS has imposed $10,842 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 November 6, 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
Wellsential Health
Ownership type
Non profit - Other

Registered owners & officers

Val Verde County Hospital District
Direct owner · Operational control · Additional disclosable party — 100% stake — since 2022
300 S Roosevelt Avenue Llc
Additional disclosable party — since 2022
Baird, Daniel
Governing body — since 2021
Clapp, Barbara
Governing body — since 2021
Cortese, Daren
Governing body — since 2021
Csv Rhea Management Holdco, Llc
Indirect owner — since 2022
Dekowski, Donovan
Operational control · Additional disclosable party — since 2022
Diaz, Christoper
Additional disclosable party — since 2025
Diaz, Cris
Governing body — since 2020
Dwd Tx Holdings Llc
Indirect owner — since 2022
Gibson, Patricia
Governing body — since 2021
Givens, Laura
Additional disclosable party — since 2015
Jack and Nancy Dwyer Workforce Development Center Inc
Indirect owner — since 2022
Johnson, Nicholas
Additional disclosable party — since 2025
Jurado, Jorge
Governing body · Officer — since 2023
Mandelbaum, Elliot
Governing body — since 2025
Otazo, Julio
Governing body — since 2022
Palmer, Robin
Governing body — since 2020
Ramirez, Hermelindo
Operational control · Additional disclosable party — since 2023
Reg Hg Opco 1, Llc
Indirect owner — since 2022
Reg Hg Opco Llc
Indirect owner — since 2022
Reg Operator Holdco Llc
Indirect owner — since 2022
Regency Ihs Clinical Consulting, Llc
Additional disclosable party — since 2022
Regency Ihs Master Tenant Llc
Additional disclosable party — since 2022
Regency Ihs of Windsor Mission Oaks, Llc
Direct owner · Operational control · Additional disclosable party — since 2022
Regency Ihs Rehab Llc
Additional disclosable party — since 2022
Regency Integrated Health Services Llc
Indirect owner · Operational control · Additional disclosable party — since 2022
Regency Texas Holdings Llc
Indirect owner — since 2022

Regulatory standing

Licensed / certified since
1994-10-20
CMS overall rating
3 of 5 stars
Health deficiencies
11 at the last standard inspection
Federal fines
$10,842 total
Last standard inspection
2025-06-27
Nurse staffing
2.8 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$197 per day (≈ $5,990/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
96% Medicaid · 2% Medicare · 2% private/other
Occupancy
82% (fiscal year 2023)
Vs. state median
29% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
150
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 2026-11-06. 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 4 food-safety citations on its three-year record — flagged below among the inspections.
2026-06-12Health inspectionComplaint-triggered1 citation
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-06-13
2025-06-27Health inspection10 citations
F-0552
D · No harm found
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-06-28
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-06-28
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 2025-06-28
F-0693
D · No harm found
Ensure 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.
Corrected 2025-06-28
F-0726
E · No harm found
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2025-06-28
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 2025-06-28
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 2025-06-28
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-06-28
F-0921
E · No harm found
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-06-28
F-0925
E · No harm found
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2025-06-28
6 earlier / fire-safety inspections (41 citations)
2024-05-23Health inspectionComplaint-triggered2 citations
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 2024-05-24
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2024-05-24
2024-05-08Health inspectionComplaint-triggered13 citations
F-0558
D · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-05-09
F-0583
D · No harm foundFrom a complaint
Keep residents' personal and medical records private and confidential.
Corrected 2024-05-09
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 2024-05-04
F-0690
D · No harm foundFrom a complaint
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 2024-05-09
F-0726
D · No harm foundFrom a complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2024-05-09
F-0758
D · No harm foundFrom a complaint
Implement 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.
Corrected 2024-05-09
F-0761
E · No harm foundFrom a complaint
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 2024-05-09
F-0812
F · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-05-09
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-05-09
F-0921
E · No harm foundFrom a complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-05-09
F-0925
E · No harm foundFrom a complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2024-05-09
F-0942
E · No harm foundFrom a complaint
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Corrected 2024-05-09
F-0943
E · No harm foundFrom a complaint
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected 2024-05-09
2023-03-31Health inspection11 citations
F-0578
E · No harm found
Honor 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.
Corrected 2023-04-01
F-0583
D · No harm found
Keep residents' personal and medical records private and confidential.
Corrected 2023-04-01
F-0640
D · No harm found
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2023-04-01
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2023-04-01
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 2023-04-01
F-0689
E · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-04-01
F-0690
D · 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 2023-04-01
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 2023-04-01
F-0814
C · No harm foundFood safety
Dispose of garbage and refuse properly.
Corrected 2023-04-01
F-0849
D · No harm found
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2023-04-01
F-0925
E · No harm found
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2023-04-01
2025-06-27Fire-safety inspection4 citations
K-0351
D · No harm found
Install an approved automatic sprinkler system.
Corrected 2025-06-28
K-0511
E · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2025-06-28
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
K-0929
E · No harm found
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2025-06-28
2024-05-08Fire-safety inspection6 citations
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-09
K-0355
F · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-05-09
K-0511
E · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2024-05-09
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-05-08
K-0918
E · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-05-09
K-0929
D · No harm found
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2024-05-09
2023-03-31Fire-safety inspection5 citations
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-04-01
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2023-04-01
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-04-01
K-0741
D · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-04-01
K-0918
D · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-04-01

Federal penalties

2024-05-08Fine$10,842
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 675409.
How it compares in Texas.
Inspection citations, 3 years
52
More than 81% of nursing homes in the state
State median: 33
Federal fines, 3 years
$10,842
More than 42% of nursing homes in the state
State median: $15,642
Nurse staffing, hours per resident per day
2.8
Higher than 6% of nursing homes in the state
State median: 3.3
Nursing staff turnover, annual
30%
Higher than 6% of nursing homes in the state
State median: 50%

Resident outcomes

On 14 federal quality measures, this facility does better than the Texas average on 7 and worse on 5. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased10.0%15.8%13.5%Better than state
Lose too much weight3.2%2.9%5.1%Worse than state
With a catheter inserted and left in their bladder0.0%0.3%0.7%Better than state
With a urinary tract infection1.0%0.8%1.5%Worse than state
Have depressive symptoms1.5%2.3%13.5%Better than state
Were physically restrained0.0%0.0%0.1%Better than state
Experiencing one or more falls with major injury1.6%3.2%3.2%Better than state
Assessed and appropriately given the pneumococcal vaccine99.8%96.4%93.7%Near state average
Ability to walk independently worsened6.6%12.9%12.7%Better than state
Received an antianxiety or hypnotic medication39.4%17.8%19.5%Worse than state
Assessed and appropriately given the seasonal influenza vaccine96.9%97.0%95.3%Near state average
With pressure ulcers1.8%3.7%4.5%Better than state
With new or worsened bowel or bladder incontinence13.9%12.5%18.3%Worse than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine61.2%88.7%82.3%Worse than state
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0880 3 inspections. Provide and implement an infection prevention and control program.
  • F-0690 3 inspections. Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  • F-0812 3 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  • F-0925 3 inspections. Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  • K-0511 3 inspections. Have properly installed electrical wiring and gas equipment.
  • K-0521 3 inspections. Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

What its owners also hold

  • Regency Integrated Health Services Llc has an ownership stake on file at 70 nursing homes, averaging 2.9 of 5 on CMS's overall rating.
  • Jack and Nancy Dwyer Workforce Development Center Inc has an ownership stake on file at 68 nursing homes, averaging 2.8 of 5 on CMS's overall rating.
  • Regency Texas Holdings Llc has an ownership stake on file at 63 nursing homes, averaging 2.8 of 5 on CMS's overall rating.
  • Reg Operator Holdco Llc has an ownership stake on file at 63 nursing homes, averaging 2.8 of 5 on CMS's overall rating.
Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.
Where to check, and what's nearby.

Who to contact in Texas

  • Licensing: Texas Health and Human Services
  • File a complaint: 800-458-9858 · Online
  • Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
  • Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Children's Hospital of San Antonio, about 4.3 miles.
  • Baptist Medical Center, about 4.5 miles. CMS rating 3 of 5.
  • Brooke Army Medical Center (ft Sam Houston), about 7.4 miles.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

What people say on Google.
3.828 ratings on Google
★★★★★Kriselda Mendez · 2022-01-04 · via Google

“I believe the staff has to have a lot of patience to work in this facility. It’s a facility with residents that have unique care needs. It’s not easy, yet the staff goes above and beyond to provide the residents with great care. The activity department is phenomenal with keeping the residents entertained and involved. It’s like one big family.”

★★★★★Maria Castillo · 2022-07-17 · via Google

“I want to thank all staff members who cared for my sister Esperanza Castillo. We feel she was in the best place for the short time she was in your care. We couldn't be more pleased with the care she got there. The nurses went above an beyond to make her comfortable.”

★★★★★Martha Ruiz · 2019-11-14 · via Google

“The residents are very unique and complex but the staff is well trained with these residents. I applaud the staff with taking care of the residents day in and day out. Administration has been in place for a long time and they make a huge difference in the continuity of care for the residents.”

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 52 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 2026-11-06
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