Nursing Care Index

Windsor Mission Oaks

San Antonio, Bexar County, Texas · CCN 675409 · Non-profit (Other) · part of Wellsential Health (67 facilities, chain average 2.7 stars)

CMS rates Windsor Mission Oaks 3 of 5 overall as of August 2026. 150 certified beds, 123 residents a day on average. 37 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $10,842.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★☆☆ 3 of 5
Health inspections★★★☆☆ 3 of 5
Staffing★★☆☆☆ 2 of 5
Quality measuresCMS withheld this rating (footnote 20)

Staffing

Total nurse staffing2.74293 hours per resident per day
Registered nurses0.28733 hours per resident per day
Weekend total2.21839 hours per resident per day
Nursing staff turnover23.2% (registered nurses 0%)
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-06-12
complaint survey
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-06-13
2025-06-27 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2025-06-28
2025-06-27 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · tag F0690
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-06-28
2025-06-27 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.
Nursing and Physician Services Deficiencies · tag F0726
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-06-28
2025-06-27 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.
Pharmacy Service Deficiencies · tag F0761
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-06-28
2025-06-27 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-06-28
2025-06-27 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · tag F0921
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-06-28
2025-06-27 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · tag F0925
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-06-28
2025-06-27 Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · tag F0552
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-06-28
2025-06-27 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · tag F0657
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-06-28
2025-06-27 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.
Quality of Life and Care Deficiencies · tag F0693
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-06-28
2024-05-23
complaint survey
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-24
2024-05-23
complaint survey
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-24
2024-05-08
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
J Immediate jeopardy to resident health or safety; isolated Past Non-Compliance
2024-05-04
2024-05-08
complaint survey
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-05-09
2024-05-08
complaint survey
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.
Pharmacy Service Deficiencies · tag F0761
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-05-09
2024-05-08
complaint survey
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · tag F0921
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-05-09
2024-05-08
complaint survey
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · tag F0925
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-05-09
2024-05-08
complaint survey
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Resident Rights Deficiencies · tag F0942
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-05-09
2024-05-08
complaint survey
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0943
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-05-09
2024-05-08
complaint survey
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · tag F0558
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-09
2024-05-08
complaint survey
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · tag F0583
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-09
2024-05-08
complaint survey
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · tag F0690
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-09
2024-05-08
complaint survey
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.
Nursing and Physician Services Deficiencies · tag F0726
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-09
2024-05-08
complaint survey
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.
Pharmacy Service Deficiencies · tag F0758
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-09
2024-05-08
complaint survey
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-09
2023-03-31 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2023-04-01
2023-03-31 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.
Resident Rights Deficiencies · tag F0578
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-04-01
2023-03-31 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-04-01
2023-03-31 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · tag F0925
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-04-01
2023-03-31 Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · tag F0583
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-04-01
2023-03-31 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies · tag F0640
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-04-01
2023-03-31 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-04-01
2023-03-31 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-04-01
2023-03-31 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · tag F0690
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-04-01
2023-03-31 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.
Administration Deficiencies · tag F0849
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-04-01
2023-03-31 Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · tag F0814
C No actual harm, with potential for minimal harm; widespread Deficient, Provider has date of correction
2023-04-01

Fines and payment denials

DatePenaltyAmount
2024-05-08Fine$10,842

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Val Verde County Hospital District
Organization
5% or greater direct ownership interest100%2022-04-01
300 S Roosevelt Avenue LLC
Organization
adp of the snf2022-04-01
Regency Ihs Clinical Consulting, LLC
Organization
adp of the snf2022-04-01
Regency Ihs Master Tenant LLC
Organization
adp of the snf2022-04-01
Regency Ihs Of Windsor Mission Oaks, LLC
Organization
adp of the snf2024-11-14
Regency Ihs Rehab LLC
Organization
adp of the snf2022-04-01
Regency Integrated Health Services LLC
Organization
adp of the snf2024-11-14
Val Verde County Hospital District
Organization
adp of the snf2025-04-24
Regency Ihs Of Windsor Mission Oaks, LLC
Organization
direct ownership interest2022-04-01
Csv Rhea Management Holdco, LLC
Organization
indirect ownership interest2022-04-01
Dwd Tx Holdings LLC
Organization
indirect ownership interest2022-04-01
Jack And Nancy Dwyer Workforce Development Center Inc.
Organization
indirect ownership interest2022-04-01
Reg Hg Opco 1, LLC
Organization
indirect ownership interest2022-04-01
Reg Hg Opco LLC
Organization
indirect ownership interest2022-04-01
Reg Operator Holdco LLC
Organization
indirect ownership interest2022-04-01
Regency Integrated Health Services LLC
Organization
indirect ownership interest2022-04-01
Regency Texas Holdings LLC
Organization
indirect ownership interest2022-04-01
Regency Ihs Of Windsor Mission Oaks, LLC
Organization
operational/managerial control2022-04-01
Regency Integrated Health Services LLC
Organization
operational/managerial control2022-04-01
Val Verde County Hospital District
Organization
operational/managerial control2022-04-01
Dekowski, Donovan
Individual
adp of the snf2022-04-01
Diaz, Christoper
Individual
adp of the snf2025-01-01
Givens, Laura
Individual
adp of the snf2015-07-01
Johnson, Nicholas
Individual
adp of the snf2025-01-01
Ramirez, Hermelindo
Individual
adp of the snf2023-11-08
Jurado, Jorge
Individual
corporate officer2023-10-13
Baird, Daniel
Individual
managing control - governing body2021-04-13
Clapp, Barbara
Individual
managing control - governing body2021-06-01
Cortese, Daren
Individual
managing control - governing body2021-08-10
Diaz, Cris
Individual
managing control - governing body2020-11-18
Gibson, Patricia
Individual
managing control - governing body2021-08-01
Jurado, Jorge
Individual
managing control - governing body2023-10-13
Mandelbaum, Elliot
Individual
managing control - governing body2025-01-01
Otazo, Julio
Individual
managing control - governing body2022-05-25
Palmer, Robin
Individual
managing control - governing body2020-11-18
Dekowski, Donovan
Individual
operational/managerial control2022-04-01
Ramirez, Hermelindo
Individual
operational/managerial control2023-11-08

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Bexar County.