The Rio at Mission Trails
San Antonio · 1.2 mi · 124 beds
Citations0Substantiated0
Windsor Mission Oaks
3030 S ROOSEVELT AVE, San Antonio, TX, 78214
Nursing home150 licensed beds0 citations on record
6 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 10 deficiencies against Windsor Mission Oaks in San Antonio, Texas at its most recent standard inspection on 2025-06-27. 1 finding has been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 1 time, totalling $10,842. Medicare rates it 3 out of 5 overall.
3 / 5Medicare overall rating
150certified beds
10deficiencies at the last inspection
1immediate-jeopardy findings on record
0actual-harm findings on record
1federal fines, $10,842
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.1
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.35
Potential for minimal harmThe least serious band.1
Most recentFEEEEEEDDDDDJFEEEEED
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2025-06-27 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · F0690 · 2025-06-27 · standard survey · No actual harm, potential for more than minimal harm
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.
Nursing and Physician Services Deficiencies · F0726 · 2025-06-27 · standard survey · No actual harm, potential for more than minimal harm
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.
Pharmacy Service Deficiencies · F0761 · 2025-06-27 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-06-27 · standard survey · No actual harm, potential for more than minimal harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · F0921 · 2025-06-27 · standard survey · No actual harm, potential for more than minimal harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · F0925 · 2025-06-27 · standard survey · No actual harm, potential for more than minimal harm
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · F0552 · 2025-06-27 · standard survey · No actual harm, potential for more than minimal harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · F0657 · 2025-06-27 · standard survey · No actual harm, potential for more than minimal harm
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.
Quality of Life and Care Deficiencies · F0693 · 2025-06-27 · standard survey · No actual harm, potential for more than minimal harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2024-05-23 · from a complaint · No actual harm, potential for more than minimal harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0610 · 2024-05-23 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2024-05-08 · from a complaint · Immediate jeopardy to resident health or safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2024-05-08 · from a complaint · No actual harm, potential for more than minimal harm
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.
Pharmacy Service Deficiencies · F0761 · 2024-05-08 · from a complaint · No actual harm, potential for more than minimal harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · F0921 · 2024-05-08 · from a complaint · No actual harm, potential for more than minimal harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · F0925 · 2024-05-08 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Resident Rights Deficiencies · F0942 · 2024-05-08 · from a complaint · No actual harm, potential for more than minimal harm
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0943 · 2024-05-08 · from a complaint · No actual harm, potential for more than minimal harm
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · F0558 · 2024-05-08 · from a complaint · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below3 of 5
Health inspectionBased on the last three inspection cycles3 of 5
StaffingNurse hours per resident, adjusted for how sick residents are2 of 5
Quality measuresResident outcomes reported by the home—
Nurse hours per resident per dayReported by the home to CMS2.74293
Nursing staff turnoverShare of nursing staff who left in a year23.2%
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS1
Total fined$10,842
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one1
Ownership
Who owns Windsor Mission Oaks
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| VAL VERDE COUNTY HOSPITAL DISTRICT | Organization | 100% | since 04/01/2022 |
| REGENCY IHS OF WINDSOR MISSION OAKS, LLC | Organization | NOT APPLICABLE | since 04/01/2022 |
| CSV RHEA MANAGEMENT HOLDCO, LLC | Organization | NOT APPLICABLE | since 04/01/2022 |
| DWD TX HOLDINGS LLC | Organization | NOT APPLICABLE | since 04/01/2022 |
| JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC | Organization | NOT APPLICABLE | since 04/01/2022 |
| REG HG OPCO 1, LLC | Organization | NOT APPLICABLE | since 04/01/2022 |
| REG HG OPCO LLC | Organization | NOT APPLICABLE | since 04/01/2022 |
| REG OPERATOR HOLDCO LLC | Organization | NOT APPLICABLE | since 04/01/2022 |
| REGENCY INTEGRATED HEALTH SERVICES LLC | Organization | NOT APPLICABLE | since 04/01/2022 |
| REGENCY TEXAS HOLDINGS LLC | Organization | NOT APPLICABLE | since 04/01/2022 |
| BAIRD, DANIEL | Individual | NOT APPLICABLE | since 04/13/2021 |
| CLAPP, BARBARA | Individual | NOT APPLICABLE | since 06/01/2021 |
Part of the WELLSENTIAL HEALTH group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
San Jose Nursing Center
San Antonio · 1.9 mi · 55 beds
Citations0Substantiated0
Highland Nursing Center
San Antonio · 2.6 mi · 53 beds
Citations0Substantiated0
Pecan Valley Rehabilitation and Healthcare
San Antonio · 3.4 mi · 124 beds
Citations0Substantiated0
Buena Vida Nursing and Rehab-san Antonio
San Antonio · 3.5 mi · 222 beds
Citations0Substantiated0
Legend Oaks Healthcare and Rehabilitation Center -
San Antonio · 3.6 mi · 126 beds
Citations0Substantiated0
Contact
Ask Windsor Mission Oaks a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 675409.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction