Windsor Mission Oaks
3030 S ROOSEVELT AVE, San Antonio, TX, 78214
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Non profit - Other · Chain: Wellsential Health
- Certified beds
- 150 · avg 128 residents/day
- Total nursing staff turnover
- 23.8% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 0% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $10,842 total
State licensing & capacity
- License number
- 308584
- Service type
- Medicare/medicaid
- Licensed capacity
- 150 beds
- Bed type breakdown
- 2 Medicare-only · 148 Medicaid/Medicare
- Current license effective
- April 1, 2025
- Current license expires
- April 1, 2028
- Initial license date
- May 1, 1975
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Val Verde County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Regency Ihs Of Windsor Mission Oaks Llc
- Administrator
- Hermelindo Ramirez
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Wellsential Health chain — 67 facilities. Chain-wide average overall rating 2.8 / 5.
Parent entity
Jack And Nancy Dwyer Workforce Development Center Inc
Disclosed owners (28 on record)
- Val Verde County Hospital District
Adp of The Snf · since 2025
- Christoper Diaz
Adp of The Snf · since 2025
- Elliot j Mandelbaum
Managing Control - Governing Body · since 2025
- Nicholas Johnson
Adp of The Snf · since 2025
- Regency Ihs of Windsor Mission Oaks, Llc
Adp of The Snf · since 2024
- Regency Integrated Health Services Llc
Adp of The Snf · since 2024
+ 22 additional owners on the federal record.
Recent change of ownership
April 2022 (4 years ago) · acquired from Windsor Mission Oaks
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 37)
- E0925·Jun 27, 2025
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- E0921·Jun 27, 2025
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- E0880·Jun 27, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- F0812·Jun 27, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0761·Jun 27, 2025
Pharmacy Service Deficiencies
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.
- E0726·Jun 27, 2025
Nursing and Physician Services Deficiencies
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.
- D0693·Jun 27, 2025
Quality of Life and Care Deficiencies
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.
- E0690·Jun 27, 2025
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Federal penalties
By year
- 20241 fine · $11K
Most recent events
- May 8, 2024Fine · $11K
Fire-safety citations
15 Life-Safety-Code citations on file. Most recent: Jun 27, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Windsor Mission Oaks is a 150-bed nursing home in San Antonio's Bexar County, licensed since 1975 and currently operating at about 128 residents per day. CMS rates it 2 stars overall, with a 1-star quality-of-care rating pulling the score down. Staffing is rated 2 stars. One positive stands out: staff turnover is exceptionally low — roughly 2 in 10 nursing staff left in the past year, well below the Texas median.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 2 stars. Residents receive about 161 minutes of nursing care per day — roughly 80 minutes less than at a 4-star-staffing facility in Texas. That gap is wider than the raw number suggests: residents here need more hands-on care than at a typical facility — less mobile or more medically complex on average — so those 161 minutes stretch thinner than they would at a facility with a lighter resident population.
Turnover tells a different story. Roughly 2 in 10 nursing staff left in the past year, placing this facility below Texas's 25th-percentile cutoff — better retention than about three-quarters of nursing homes in the state. RN turnover was zero over the same period. A long-stay resident is unlikely to cycle through multiple primary caregivers, which is uncommon at this staffing rating.
The quality-of-care rating is 1 star — the lowest tier CMS assigns, covering measures like pressure wounds, falls with injury, and the use of antipsychotic medications. That rating sits alongside exceptionally stable staffing, which separates this facility from those where low ratings accompany high chaos. The combination points to something other than workforce instability as the driver.
CMS recorded one fine totaling $10,842. Texas's median fine amount across fined facilities is $20,699, and about 30% of Texas nursing homes have no fines at all.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
What drives the 1-star quality rating
CMS rates quality of care 1 star despite exceptionally low staff turnover — ask which specific measures are failing and what the facility is doing to address them.
Staffing hours on nights and weekends
Reported weekend nursing hours are 2.195 hours per resident per day — lower than the already-low weekday figure; ask how many nurses and aides are on each overnight and weekend shift.
RN presence during off-hours
Reported RN hours work out to about 17 minutes per resident per day; ask whether a registered nurse is physically on-site overnight or reachable only by phone.
The $10,842 CMS fine
CMS issued one fine here — ask what the citation was for and how the facility changed its practices in response.
Resident Council access and function
The facility has a Resident Council but no Family Council; ask how families surface concerns and who reviews complaints on their behalf.
Waitlist and admission timeline
With 128 residents in 150 licensed beds, the facility is running at about 85% occupancy — ask whether specific care levels or room types have longer waits.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.