At a glance
Official CMS profileCMS overall rating
1 / 5
Certified beds
180
Residents / day
81.5
Ownership
For profit - Corporation
Facility information
- Certification
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- County
- Bexar
- Certified beds
- 180
- Average residents per day
- 81.5
- First certified
- July 1, 1985
CMS quality ratings
- Overall
- 1 / 5
- Health inspections
- 2 / 5
- Staffing
- 1 / 5
- Quality measures
- 4 / 5
These are CMS quality ratings, not customer reviews.
How this home compares locally
Other homes in Bexar, Texas. Missing values are excluded; this home is excluded from peer averages.
| Measure | This home | County peers | State peers |
|---|---|---|---|
| CMS overall rating / 5 | 1.00 | 2.51 (n=61) | 2.76 |
| Nurse hours / resident / day | 2.87 | 3.45 (n=60) | 3.42 (n=1151) |
| Weekend nurse hours / resident / day | 2.80 | 2.97 (n=60) | 2.99 (n=1151) |
| Nursing staff turnover (%) | 52.20 | 47.69 (n=58) | 50.80 (n=1095) |
CMS overall rating / 5
- This home
- 1.00
- County peers
- 2.51
- n=61
- State peers
- 2.76
Nurse hours / resident / day
- This home
- 2.87
- County peers
- 3.45
- n=60
- State peers
- 3.42
- n=1151
Weekend nurse hours / resident / day
- This home
- 2.80
- County peers
- 2.97
- n=60
- State peers
- 2.99
- n=1151
Nursing staff turnover (%)
- This home
- 52.20
- County peers
- 47.69
- n=58
- State peers
- 50.80
- n=1095
Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology
Questions for your visit
- Reported weekend staffing is 2.6% below the all-days average. How is weekend coverage maintained?
- What has changed since your latest health inspection?
- CMS reports 52.2% total nursing staff turnover. How do you retain staff and maintain continuity of care?
- Which services are included, what costs extra, and can you provide a written care and payment plan?
Published record coverage
- Hospital measures
- 4
- Fire safety citations
- 6
- Health citations
- 38
- Resident measures
- 17
- Ownership records
- 13
- Penalties
- 4
- SNF rehabilitation measures
- 57
- Inspection summaries
- 3
- Medicare performance records
- 1
Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.
Full CMS profile
Staffing & operations
Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.
- Reported Total Nurse Staffing Hours per Resident per Day
- 2.87451
- Reported RN Staffing Hours per Resident per Day
- 0.22165
- Reported LPN Staffing Hours per Resident per Day
- 0.97160
- Reported Nurse Aide Staffing Hours per Resident per Day
- 1.68126
- Total number of nurse staff hours per resident per day on the weekend
- 2.79863
- Registered Nurse hours per resident per day on the weekend
- 0.20131
- Reported Physical Therapist Staffing Hours per Resident Per Day
- 0.00000
- Total nursing staff turnover
- 52.2
- Registered Nurse turnover
- 50.0
- Number of administrators who have left the nursing home
- 0
- Chain Name
- CARADAY HEALTHCARE
- Number of Facilities in Chain
- 8
- Chain Average Overall 5-star Rating
- 3.0
- Special Focus Status
- Not reported
- Provider Changed Ownership in Last 12 Months
- N
- With a Resident and Family Council
- None
- Automatic Sprinkler Systems in All Required Areas
- Yes
All provider source fields
- State
- TX
- Urban
- Y
- Chain ID
- 103
- Latitude
- 29.5197
- Location
- 8800 Fourwinds Dr.,WINDCREST,TX,78239
- ZIP Code
- 78239
- City/Town
- WINDCREST
- Longitude
- -98.394
- QM Rating
- 4
- Abuse Icon
- N
- Chain Name
- CARADAY HEALTHCARE
- County/Parish
- Bexar
- Provider Name
- Windcrest Nursing and Rehabilitation
- Provider Type
- Medicare and Medicaid
- Overall Rating
- 1
- Ownership Type
- For profit - Corporation
- Number of Fines
- 4
- Processing Date
- 2026-10-01
- Staffing Rating
- 1
- Provider Address
- 8800 Fourwinds Dr.
- Telephone Number
- 2106372700
- Geocoding Footnote
- Not reported
- QM Rating Footnote
- Not reported
- Legal Business Name
- MEDINA COUNTY HOSPITAL DISTRICT
- Long-Stay QM Rating
- 5
- High Performing Icon
- N
- Short-Stay QM Rating
- 4
- Special Focus Status
- Not reported
- Nursing Case-Mix Index
- 1.37209
- Chain Average QM Rating
- 3.8
- Overall Rating Footnote
- Not reported
- Health Inspection Rating
- 2
- Number of Certified Beds
- 180
- Provider SSA County Code
- 130
- Staffing Rating Footnote
- Not reported
- Number of Payment Denials
- 0
- Registered Nurse turnover
- 50.0
- Total Number of Penalties
- 4
- Reported Staffing Footnote
- Not reported
- Long-Stay QM Rating Footnote
- Not reported
- Nursing Case-Mix Index Ratio
- 0.97294
- Provider Resides in Hospital
- N
- Total nursing staff turnover
- 52.2
- Chain Average Staffing Rating
- 1.8
- Number of Facilities in Chain
- 8
- Short-Stay QM Rating Footnote
- Not reported
- CMS Certification Number (CCN)
- 455533
- Administrator turnover footnote
- Not reported
- Total Amount of Fines in Dollars
- 199073.00
- Health Inspection Rating Footnote
- Not reported
- Rating Cycle 1 Total Health Score
- 68
- Registered Nurse turnover footnote
- Not reported
- Total Weighted Health Survey Score
- 132.500
- With a Resident and Family Council
- None
- Average Number of Residents per Day
- 81.5
- Chain Average Overall 5-star Rating
- 3.0
- Rating Cycle 1 Health Revisit Score
- 0
- Rating Cycle 2/3 Total Health Score
- 326
- Continuing Care Retirement Community
- N
- Physical Therapist Staffing Footnote
- Not reported
- Rating Cycle 2/3 Health Revisit Score
- 0
- Total nursing staff turnover footnote
- Not reported
- Chain Average Health Inspection Rating
- 3.1
- Rating Cycle 1 Health Deficiency Score
- 68
- Rating Cycle 1 Standard Survey Footnote
- Not reported
- Rating Cycle 2 Standard Survey Footnote
- Not reported
- Rating Cycle 1 Number of Health Revisits
- 1
- Rating Cycle 2/3 Health Deficiency Score
- 326
- Rating Cycle 1 Standard Survey Health Date
- 2025-08-14
- Rating Cycle 2 Standard Health Survey Date
- 2024-06-28
- Rating Cycle 2/3 Number of Health Revisits
- 1
- Average Number of Residents per Day Footnote
- Not reported
- Provider Changed Ownership in Last 12 Months
- N
- Adjusted RN Staffing Hours per Resident per Day
- 0.22602
- Case-Mix RN Staffing Hours per Resident per Day
- 0.67292
- Reported RN Staffing Hours per Resident per Day
- 0.22165
- Adjusted LPN Staffing Hours per Resident per Day
- 0.99079
- Case-Mix LPN Staffing Hours per Resident per Day
- 0.83854
- Reported LPN Staffing Hours per Resident per Day
- 0.97160
- Automatic Sprinkler Systems in All Required Areas
- Yes
- Rating Cycle 1 Total Number of Health Deficiencies
- 10
- Most Recent Health Inspection More Than 2 Years Ago
- N
- Rating Cycle 2/3 Total Number of Health Deficiencies
- 28
- Rating Cycle 1 Number of Standard Health Deficiencies
- 10
- Rating Cycle 2 Number of Standard Health Deficiencies
- 11
- Reported Licensed Staffing Hours per Resident per Day
- 1.19325
- Number of Citations from Infection Control Inspections
- Not reported
- Rating Cycle 1 Number of Complaint Health Deficiencies
- 0
- Adjusted Nurse Aide Staffing Hours per Resident per Day
- 1.71446
- Case-Mix Nurse Aide Staffing Hours per Resident per Day
- 2.28383
- Number of administrators who have left the nursing home
- 0
- Reported Nurse Aide Staffing Hours per Resident per Day
- 1.68126
- Adjusted Total Nurse Staffing Hours per Resident per Day
- 2.93128
- Case-Mix Total Nurse Staffing Hours per Resident per Day
- 3.79528
- Rating Cycle 2/3 Number of Complaint Health Deficiencies
- 17
- Reported Total Nurse Staffing Hours per Resident per Day
- 2.87451
- Registered Nurse hours per resident per day on the weekend
- 0.20131
- Date First Approved to Provide Medicare and Medicaid Services
- 1985-07-01
- Reported Physical Therapist Staffing Hours per Resident Per Day
- 0.00000
- Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
- 2.85390
- Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
- 3.34012
- Total number of nurse staff hours per resident per day on the weekend
- 2.79863
COMMUNITY EXPERIENCE
Reviews of Windcrest Nursing and Rehabilitation
Consumer experiences, separate from CMS ratings. Accounts are verified; care experiences are not independently verified.
No published community reviews yet.
Community reviews & discussions
Explore independent experiences alongside the official record. These links search the named source; a matching listing or discussion is not guaranteed. Confirm the address before relying on a review.
Third-party opinions are not verified CMS findings. Reviews have not been imported or combined into the CMS rating.
Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026