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 measures | CMS withheld this rating (footnote 20) |
Staffing
| Total nurse staffing | 2.74293 hours per resident per day |
|---|---|
| Registered nurses | 0.28733 hours per resident per day |
| Weekend total | 2.21839 hours per resident per day |
| Nursing staff turnover | 23.2% (registered nurses 0%) |
| Administrators who left | 0 |
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.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 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
| Date | Penalty | Amount |
|---|---|---|
| 2024-05-08 | Fine | $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.
| Name | Role | Share | Since |
|---|---|---|---|
| Val Verde County Hospital District Organization | 5% or greater direct ownership interest | 100% | 2022-04-01 |
| 300 S Roosevelt Avenue LLC Organization | adp of the snf | — | 2022-04-01 |
| Regency Ihs Clinical Consulting, LLC Organization | adp of the snf | — | 2022-04-01 |
| Regency Ihs Master Tenant LLC Organization | adp of the snf | — | 2022-04-01 |
| Regency Ihs Of Windsor Mission Oaks, LLC Organization | adp of the snf | — | 2024-11-14 |
| Regency Ihs Rehab LLC Organization | adp of the snf | — | 2022-04-01 |
| Regency Integrated Health Services LLC Organization | adp of the snf | — | 2024-11-14 |
| Val Verde County Hospital District Organization | adp of the snf | — | 2025-04-24 |
| Regency Ihs Of Windsor Mission Oaks, LLC Organization | direct ownership interest | — | 2022-04-01 |
| Csv Rhea Management Holdco, LLC Organization | indirect ownership interest | — | 2022-04-01 |
| Dwd Tx Holdings LLC Organization | indirect ownership interest | — | 2022-04-01 |
| Jack And Nancy Dwyer Workforce Development Center Inc. Organization | indirect ownership interest | — | 2022-04-01 |
| Reg Hg Opco 1, LLC Organization | indirect ownership interest | — | 2022-04-01 |
| Reg Hg Opco LLC Organization | indirect ownership interest | — | 2022-04-01 |
| Reg Operator Holdco LLC Organization | indirect ownership interest | — | 2022-04-01 |
| Regency Integrated Health Services LLC Organization | indirect ownership interest | — | 2022-04-01 |
| Regency Texas Holdings LLC Organization | indirect ownership interest | — | 2022-04-01 |
| Regency Ihs Of Windsor Mission Oaks, LLC Organization | operational/managerial control | — | 2022-04-01 |
| Regency Integrated Health Services LLC Organization | operational/managerial control | — | 2022-04-01 |
| Val Verde County Hospital District Organization | operational/managerial control | — | 2022-04-01 |
| Dekowski, Donovan Individual | adp of the snf | — | 2022-04-01 |
| Diaz, Christoper Individual | adp of the snf | — | 2025-01-01 |
| Givens, Laura Individual | adp of the snf | — | 2015-07-01 |
| Johnson, Nicholas Individual | adp of the snf | — | 2025-01-01 |
| Ramirez, Hermelindo Individual | adp of the snf | — | 2023-11-08 |
| Jurado, Jorge Individual | corporate officer | — | 2023-10-13 |
| Baird, Daniel Individual | managing control - governing body | — | 2021-04-13 |
| Clapp, Barbara Individual | managing control - governing body | — | 2021-06-01 |
| Cortese, Daren Individual | managing control - governing body | — | 2021-08-10 |
| Diaz, Cris Individual | managing control - governing body | — | 2020-11-18 |
| Gibson, Patricia Individual | managing control - governing body | — | 2021-08-01 |
| Jurado, Jorge Individual | managing control - governing body | — | 2023-10-13 |
| Mandelbaum, Elliot Individual | managing control - governing body | — | 2025-01-01 |
| Otazo, Julio Individual | managing control - governing body | — | 2022-05-25 |
| Palmer, Robin Individual | managing control - governing body | — | 2020-11-18 |
| Dekowski, Donovan Individual | operational/managerial control | — | 2022-04-01 |
| Ramirez, Hermelindo Individual | operational/managerial control | — | 2023-11-08 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Windsor Mission Oaks.
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.