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 HHS 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 HHS licensing registry · as of April 16, 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 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.