Windcrest Nursing and Rehabilitation

8800 Fourwinds Dr., San Antonio, TX 78239 · (210) 637-2700
For profit - Corporation · 180 certified beds

Windcrest Nursing and Rehabilitation has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in August 2025, found 10 citations (the Texas average is 9.4). It was fined 4 times in the last three years, $199,073 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on August 14, 2025 found 10 citations. What an inspection citation means

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.August 14, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Provide care and assistance to perform activities of daily living for any resident who is unable.August 14, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.August 14, 2025 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.August 14, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide and implement an infection prevention and control program.August 14, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.August 14, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident receives an accurate assessment.August 14, 2025 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.August 14, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.August 14, 2025 · F0805 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.August 14, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 17 citations.

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.July 31, 2025 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.March 3, 2025 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.March 3, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.March 3, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.March 3, 2025 · F0684 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.March 3, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.June 24, 2024 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.May 30, 2024 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Protect each resident from the wrongful use of the resident's belongings or money.May 30, 2024 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.May 30, 2024 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.May 30, 2024 · F0684 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Give the resident's representative the ability to exercise the resident's rights.November 7, 2023 · F0551 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor the resident's right to manage his or her financial affairs.November 7, 2023 · F0567 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Develop and implement policies and procedures to prevent abuse, neglect, and theft.November 7, 2023 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.November 7, 2023 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.November 7, 2023 · F0772 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.November 7, 2023 · F0840 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Fines and payment denials

• Fine of $9,113July 31, 2025
• Fine of $16,149March 3, 2025
• Fine of $93,356March 3, 2025
• Fine of $80,455May 30, 2024

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home