Windcrest Nursing And Rehabilitation
8800 Fourwinds Dr, Windcrest, TX, 78239
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Order the reportFederal 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 June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Caraday Healthcare
- Certified beds
- 180 · avg 79 residents/day
- Total nursing staff turnover
- 56.1% — near the Texas averageTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 60% — higher than most Texas nursing homesTexas avg: 52.8% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 4 fines · $199,073 total
Medicare certification
- CMS Certification Number
- 455533
- Certified beds
- 180 beds · avg 79 residents/day
- Ownership type
- For profit - Corporation
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Medina County Hospital District
- Chain affiliation
- Caraday Healthcare
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Caraday Healthcare chain — 9 facilities. Chain-wide average overall rating 2.6 / 5.
Disclosed owners (7 on record)
- Granite Windcrest, Llc
Adp of The Snf · since 2025
- Billie Bell
Corporate Officer · since 2025
- Caraday Windcrest Llc
Operational/managerial Control · since 2025
- Elizabeth Cantu
Adp of The Snf · since 2025
- Gregory w Moore
Operational/managerial Control · since 2025
- Medina County Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2025
+ 1 additional owner on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 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 38)
- E0880·Aug 14, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0842·Aug 14, 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.
- F0812·Aug 14, 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.
- D0805·Aug 14, 2025
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- E0761·Aug 14, 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.
- E0727·Aug 14, 2025
Nursing and Physician Services Deficiencies
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.
- D0684·Aug 14, 2025
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E0677·Aug 14, 2025
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Federal penalties
By year
- 20253 fines · $119K
- 20241 fine · $80K
Most recent events
- Jul 31, 2025Fine · $9,113
- Mar 3, 2025Fine · $93K
- Mar 3, 2025Fine · $16K
- May 30, 2024Fine · $80K
Largest single fine on record: $93K.
Fire-safety citations
6 Life-Safety-Code citations on file. Most recent: Aug 14, 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 Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Windcrest Nursing And Rehabilitationinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.