Windcrest Nursing and Rehabilitation
8800 Fourwinds Dr., Windcrest, TX 78239 · (210) 637-2700 · CMS certification number 455533
Windcrest Nursing and Rehabilitation is a 180-bed for-profit nursing home in Windcrest, Texas, certified for Medicare and Medicaid since 1985. CMS rates it 1 out of 5 stars overall. Its last three inspection cycles produced 38 health citations, 5 of them at the level CMS classes as actual harm or immediate jeopardy.
CMS star ratings
| Overall | ★★★★★ |
|---|---|
| Health inspections | ★★★★★ |
| Staffing | ★★★★★ |
| Quality measures | ★★★★★ |
How it compares
| This facility | Texas average | |
|---|---|---|
| Health citations, most recent inspection cycle | 10 | 9.6 |
| Nurse staffing hours per resident per day | 2.87 | 3.42 |
| Nursing staff turnover | 52.2% | 50.8% |
| Overall star rating | 1 | 2.8 |
Facility details
| Ownership | For profit - Corporation |
|---|---|
| Chain | Caraday Healthcare (8 facilities) |
| Certified beds | 180 (about 82 residents a day) |
| County | Bexar |
| Last standard inspection | August 14, 2025 |
Inspection history
38 citations from 7 inspections, 17 of them from complaint inspections. Newest first; select an inspection to see its citations.
August 14, 2025 10 citations · standard inspection Potential harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Potential for more than minimal harm (widespread) Nutrition and Dietary
Tag F0812 · severity code F · corrected Aug 29, 2025
Provide and implement an infection prevention and control program.
Potential for more than minimal harm (pattern) Infection Control
Tag F0880 · severity code E · corrected Aug 29, 2025
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.
Potential for more than minimal harm (pattern) Pharmacy Service
Tag F0761 · severity code E · corrected Aug 29, 2025
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.
Potential for more than minimal harm (pattern) Nursing and Physician Services
Tag F0727 · severity code E · corrected Aug 29, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Potential for more than minimal harm (pattern) Quality of Life and Care
Tag F0677 · severity code E · corrected Aug 29, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Potential for more than minimal harm (isolated) Resident Assessment and Care Planning
Tag F0842 · severity code D · corrected Aug 29, 2025
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Potential for more than minimal harm (isolated) Nutrition and Dietary
Tag F0805 · severity code D · corrected Aug 29, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Potential for more than minimal harm (isolated) Quality of Life and Care
Tag F0684 · severity code D · corrected Aug 29, 2025
Ensure each resident receives an accurate assessment.
Potential for more than minimal harm (isolated) Resident Assessment and Care Planning
Tag F0641 · severity code D · corrected Aug 29, 2025
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.
Potential for more than minimal harm (isolated) Resident Rights
Tag F0584 · severity code D · corrected Aug 29, 2025
July 31, 2025 1 citation · complaint inspection Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate jeopardy to resident health or safety (isolated) Quality of Life and Care Complaint
Tag F0689 · severity code J · corrected Jun 4, 2025
March 3, 2025 5 citations · complaint inspection Immediate jeopardy
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Immediate jeopardy to resident health or safety (isolated) Freedom from Abuse, Neglect, and Exploitation Complaint
Tag F0600 · severity code J · corrected Mar 4, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Immediate jeopardy to resident health or safety (isolated) Quality of Life and Care Complaint
Tag F0684 · severity code J · corrected Oct 16, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Potential for more than minimal harm (isolated) Pharmacy Service Complaint
Tag F0755 · severity code D · corrected Mar 4, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Potential for more than minimal harm (isolated) Resident Assessment and Care Planning Complaint
Tag F0656 · severity code D · corrected Mar 4, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Potential for more than minimal harm (isolated) Freedom from Abuse, Neglect, and Exploitation Complaint
Tag F0609 · severity code D · corrected Mar 4, 2025
June 28, 2024 11 citations · standard inspection Potential harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Potential for more than minimal harm (pattern) Quality of Life and Care
Tag F0677 · severity code E · corrected Aug 2, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Potential for more than minimal harm (pattern) Quality of Life and Care
Tag F0690 · severity code E · corrected Aug 2, 2024
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.
Potential for more than minimal harm (pattern) Nutrition and Dietary
Tag F0809 · severity code E · corrected Aug 2, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Potential for more than minimal harm (pattern) Freedom from Abuse, Neglect, and Exploitation
Tag F0609 · severity code E · corrected Aug 2, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Potential for more than minimal harm (pattern) Freedom from Abuse, Neglect, and Exploitation
Tag F0607 · severity code E · corrected Aug 2, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Potential for more than minimal harm (isolated) Quality of Life and Care
Tag F0686 · severity code D · corrected Aug 2, 2024
Ensure that residents are free from significant medication errors.
Potential for more than minimal harm (isolated) Pharmacy Service
Tag F0760 · severity code D · corrected Aug 2, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Potential for more than minimal harm (isolated) Quality of Life and Care
Tag F0689 · severity code D · corrected Aug 2, 2024
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Potential for more than minimal harm (isolated) Quality of Life and Care
Tag F0676 · severity code D · corrected Aug 2, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Potential for more than minimal harm (isolated) Resident Assessment and Care Planning
Tag F0656 · severity code D · corrected Aug 2, 2024
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.
Potential for more than minimal harm (isolated) Resident Rights
Tag F0584 · severity code D · corrected Aug 2, 2024
June 24, 2024 1 citation · complaint inspection Potential harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Potential for more than minimal harm (isolated) Resident Rights Complaint
Tag F0580 · severity code D · corrected Jun 25, 2024
May 30, 2024 4 citations · complaint inspection Immediate jeopardy
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Immediate jeopardy to resident health or safety (isolated) Quality of Life and Care Complaint
Tag F0684 · severity code J · corrected Feb 24, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Immediate jeopardy to resident health or safety (isolated) Freedom from Abuse, Neglect, and Exploitation Complaint
Tag F0600 · severity code J · corrected Jun 1, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Potential for more than minimal harm (isolated) Resident Assessment and Care Planning Complaint
Tag F0657 · severity code D · corrected Jun 1, 2024
Protect each resident from the wrongful use of the resident's belongings or money.
Potential for more than minimal harm (isolated) Freedom from Abuse, Neglect, and Exploitation Complaint
Tag F0602 · severity code D · corrected Jun 1, 2024
November 7, 2023 6 citations · complaint inspection Potential harm
Honor the resident's right to manage his or her financial affairs.
Potential for more than minimal harm (pattern) Resident Rights Complaint
Tag F0567 · severity code E · corrected Nov 17, 2023
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.
Potential for more than minimal harm (isolated) Administration Complaint
Tag F0840 · severity code D · corrected Nov 17, 2023
Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.
Potential for more than minimal harm (isolated) Administration Complaint
Tag F0772 · severity code D · corrected Nov 17, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Potential for more than minimal harm (isolated) Resident Assessment and Care Planning Complaint
Tag F0656 · severity code D · corrected Nov 17, 2023
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Potential for more than minimal harm (isolated) Freedom from Abuse, Neglect, and Exploitation Complaint
Tag F0607 · severity code D · corrected Nov 17, 2023
Give the resident's representative the ability to exercise the resident's rights.
Potential for more than minimal harm (isolated) Resident Rights Complaint
Tag F0551 · severity code D · corrected Nov 17, 2023
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| Jul 31, 2025 | Fine | $9,113 |
| Mar 3, 2025 | Fine | $16,149 |
| Mar 3, 2025 | Fine | $93,356 |
| May 30, 2024 | Fine | $80,455 |
Covers roughly the last three years, as CMS publishes them.
Nursing home negligence lawyers in Texas
Lawbamba lists 234 nursing home negligence lawyers with an office in Texas, the practice area that deals with the nursing home inspection records on this page. These 4 come first in that listing (how the order is set).
Matched by practice area and office location only. These lawyers are not connected to the records on this page and have not reviewed or endorsed it.
Concerned about a resident's care at Windcrest Nursing and Rehabilitation?
Compare nursing home negligence lawyers in TexasSource: the Centers for Medicare & Medicaid Services (CMS) nursing home data published on data.cms.gov and Medicare's Care Compare, updated on Lawbamba November 12, 2026. Citations come from state health inspections, standard and complaint-driven, over each facility's last three inspection cycles. A citation describes what inspectors found on the inspection date; facilities can dispute citations, and most are corrected afterwards. Star ratings, fines and the abuse icon are CMS's own.
Lawbamba is not affiliated with CMS or any nursing home, and this page is general information, not legal advice. Report a concern about a nursing home to your state survey agency or long-term care ombudsman.