Windsor Mission Oaks
3030 S Roosevelt Ave, San Antonio, TX 78214 · (210) 924-8151
Non profit - Other · 150 certified beds
Windsor Mission Oaks has a 3-star overall rating from Medicare, out of 5. Its last standard inspection, in June 2025, found 10 citations (the Texas average is 9.4). It was fined 1 time in the last three years, $10,842 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 3 out of 5 stars · Average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 3 out of 5 stars · Average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | Not available |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 2 out of 5 stars · Below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on June 27, 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.June 27, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.June 27, 2025 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.June 27, 2025 · F0726 · 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.June 27, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.June 27, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.June 27, 2025 · F0921 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.June 27, 2025 · F0925 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that residents are fully informed and understand their health status, care and treatments.June 27, 2025 · F0552 · 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.June 27, 2025 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.June 27, 2025 · F0693 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 16 citations.
- Provide and implement an infection prevention and control program.June 12, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.May 23, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.May 23, 2024 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Reasonably accommodate the needs and preferences of each resident.May 8, 2024 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Keep residents' personal and medical records private and confidential.May 8, 2024 · F0583 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 8, 2024 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.May 8, 2024 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.May 8, 2024 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.May 8, 2024 · F0758 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.May 8, 2024 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.May 8, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide and implement an infection prevention and control program.May 8, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.May 8, 2024 · F0921 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.May 8, 2024 · F0925 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.May 8, 2024 · F0942 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.May 8, 2024 · F0943 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Fines and payment denials
- Fine of $10,842May 8, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Texas average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 2.74 | 3.39 | 3.86 |
| Registered nurses (RN) | 0.29 | 0.43 | 0.69 |
| Licensed practical nurses (LPN) | 0.85 | 0.95 | 0.86 |
| Nurse aides | 1.60 | 2.01 | 2.32 |
| Total nursing staff turnover | 23.2% | 55.3% | 45.8% |
About this home
| Ownership | Non profit - Other |
| Certified beds | 150 |
| Average residents per day | 123.1 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Army Residence Community San Antonio · ★★★★★ 5 out of 5 stars
- Coronado at Stone Oak San Antonio · ★★★★★ 5 out of 5 stars
- Lakeside Nursing and Rehabilitation Center San Antonio · ★★★★★ 5 out of 5 stars
- The Mission at Blue Skies of Texas East San Antonio · ★★★★★ 5 out of 5 stars
- Pecan Valley Rehabilitation and Healthcare San Antonio · ★★★★★ 4 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Windsor Mission Oaks on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.