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 HHS 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 HHS licensing registry · as of April 16, 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 HHS 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.