Windcrest Nursing And Rehabilitation
8800 FOURWINDS DR., Windcrest, TX, 78239
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 Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Caraday Healthcare
- Certified beds
- 180 · avg 77 residents/day
- Total nursing staff turnover
- 61.6% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 57.1% — higher 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)
- 5 fines · $211,423 total
- Payment denials
- 1 denial
State licensing & capacity
- License number
- 312786
- Service type
- Medicare Only
- Licensed capacity
- 180 beds
- Bed type breakdown
- 48 Medicare-only · 132 Medicaid/Medicare
- Current license effective
- September 1, 2025
- Current license expires
- September 1, 2028
- Initial license date
- August 1, 1982
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Medina County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Caraday Windcrest, Llc
- Administrator
- Elizabeth Cantu
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (14 on record)
- Cara Capital Llc
5% or Greater Indirect Ownership Interest · 20% · since 2020
- Caraday Healthcare, Llc
5% or Greater Direct Ownership Interest · 100% · since 2020
- Caraday Holdings Llc
5% or Greater Indirect Ownership Interest · 100% · since 2020
- Caraday Management, Llc
Operational/managerial Control · since 2020
- Daybach Investments, lp
5% or Greater Indirect Ownership Interest · 20% · since 2020
- Gregory w Moore
Corporate Officer · since 2020
+ 8 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, 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 41)
- 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 · $124K
- 20241 fine · $80K
- 20231 fine · $7,443 · 1 payment denial
Most recent events
- Jul 31, 2025Fine · $14K
- Mar 3, 2025Fine · $93K
- Mar 3, 2025Fine · $16K
- May 30, 2024Fine · $80K
- May 25, 2023Payment denial · 27 days · starting Jun 23, 2023
- May 25, 2023Fine · $7,443
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 Mar 1, 2026.
About this community
Windcrest Nursing And Rehabilitation is a 180-bed nursing home in Windcrest, Bexar County, licensed since 1982 and managed by Caraday Healthcare. CMS rates it 1 star overall, with a 1-star health inspection rating and substantiated findings of resident abuse or neglect within the past 36 months. Five fines totaling $211,423 have been assessed. The facility is operating at roughly 43% of its licensed beds.
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 bottom tier among Texas nursing homes, shared by about 38% of facilities statewide. Each resident receives approximately 174 minutes of total nursing care per day, roughly 67 minutes less than at a 4-star-staffing facility in Texas. Residents here need more hands-on care than at a typical facility — less mobile or more medically complex on average — so those 174 minutes stretch thinner than the raw number suggests. RN coverage runs to about 17 minutes per resident per day, compared with 37 minutes at a 4-star-staffing Texas facility.
Roughly 6 in 10 nursing staff left in the past year. That rate sits above Texas's 75th percentile — worse than at least three-quarters of nursing homes in the state. A long-stay resident will likely go through two or three primary caregivers over the course of a year.
CMS has substantiated findings of resident abuse or neglect at this facility within the past 36 months. This is a formal regulatory finding, not an allegation.
Five CMS fines totaling $211,423 have been levied against this facility. The state median across all fined Texas nursing homes is about $20,699; about 30% of Texas facilities have no fines at all. This facility's total is roughly ten times the state median.
The facility is operating at approximately 43% of its 180 licensed beds — 77 residents on average against 180 available. This is lower than typical occupancy for Texas nursing homes and coincides with the other signals in this record.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Substantiated abuse findings explained
CMS records substantiated abuse or neglect findings here within the past 36 months — ask what happened, what corrective steps were taken, and how the facility monitors for recurrence.
Five fines totaling $211,423
Ask what specific deficiencies generated each of the five CMS fines and what policy or staffing changes followed each citation.
Staff turnover above 60 percent
With roughly 6 in 10 nursing staff leaving in the past year, ask how care-plan continuity is maintained when a resident's primary caregivers change.
174 minutes of daily nursing care
Each resident receives about 174 minutes of total nursing care per day — ask how staffing is allocated on nights and weekends, when coverage is typically thinnest.
Why occupancy is near 43 percent
The facility averages about 77 residents against 180 licensed beds — ask what accounts for the low census and whether any beds or units are closed.
Resident and family council access
No resident or family council is on record here — ask whether one exists, how residents and families formally raise concerns, and who receives those complaints.
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.