Windsor Nursing And Rehabilitation Center Of San Diego
138 S FM 1329, San Diego, TX, 78384
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
- Government - Hospital district · Chain: Wellsential Health
- Certified beds
- 90 · avg 43 residents/day
- Total nursing staff turnover
- 47.2% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 144179
- Service type
- Medicare/medicaid
- Licensed capacity
- 90 beds
- Bed type breakdown
- 22 Medicare-only · 68 Medicaid/Medicare
- Current license effective
- February 28, 2025
- Current license expires
- February 28, 2028
- Initial license date
- August 26, 1993
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Uvalde County Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Regency Ihs Of La Paloma Llc
- Administrator
- Victoria Eileen Beltran-Garcia
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 (30 on record)
- Regency Ihs of la Paloma Llc
Adp of The Snf · since 2025
- Regency Integrated Health Services Llc
Adp of The Snf · since 2025
- Uvalde County Hospital Authority
Adp of The Snf · since 2025
- Cruz Leal
Direct Ownership Interest · 100% · since 2025
- Dorothy Vela
Adp of The Snf · since 2025
- Elliot j Mandelbaum
Indirect Ownership Interest · 100% · since 2025
+ 24 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 8)
- D0842·Feb 12, 2025
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E0880·Nov 17, 2023
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0755·Nov 17, 2023
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- F0812·Oct 5, 2023Complaint
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0689·May 22, 2023Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F0922·Aug 18, 2022
Environmental Deficiencies
Have enough backup water supply for essential areas of the nursing home.
- D0880·Aug 18, 2022
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Aug 18, 2022
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Fire-safety citations
1 Life-Safety-Code citation on file. Most recent: Aug 18, 2022. 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
A 90-bed Medicare/Medicaid nursing home in San Diego, Texas, licensed under Uvalde County Hospital Authority and managed by Regency IHS of La Paloma LLC. CMS rates it 5 stars overall — 5 stars on health inspections and quality measures — though staffing is rated 1 star. The facility is operating at roughly 48% of licensed capacity, about 43 residents on an average day.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the lowest tier, shared by about 38% of Texas nursing homes at this rating level. Nursing-hours data was not reported to CMS, so a precise minutes-per-resident figure isn't available, but a 1-star staffing rating at a 5-star quality-measures facility is an unusual pairing. High quality scores with low staffing can mean the resident population is relatively independent and doesn't yet strain the available staff — or it can mean the quality data hasn't yet caught up to staffing levels. The floor-level experience may look different from what the overall rating suggests.
The facility is running at roughly 48% of its 90 licensed beds — about 43 residents on an average day. That level of vacancy is lower than a typical occupied nursing home. Families should ask what is driving the low census before drawing conclusions.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing hours per resident daily
CMS rates staffing 1 star but didn't receive reported nursing-hours data — ask how many total nursing hours each resident receives on an average day.
Why so many beds are empty
The facility averages 43 residents against 90 licensed beds; ask whether the low census reflects a planned transition, reduced admissions, or something else.
How Regency IHS manages day-to-day operations
The licensed owner is a county hospital authority, but a separate management company runs operations — ask how decisions about staffing and care are divided between them.
Nurse coverage on nights and weekends
With a 1-star staffing rating, ask specifically how many nurses and aides are on duty overnight and on weekends when staffing is typically thinner.
Resident Council meeting frequency
A Resident Council is on record here but no Family Council — ask how often the Resident Council meets and how family members can raise concerns.
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.