Windsor Mission Oaks

Nursing home in San Antonio, TX

Medicare & Medicaid certified3★ overall (CMS)

Call (210) 924-8151 Send a message Map ↗

Public-record details

Address: 3030 S Roosevelt Ave, San Antonio, TX 78214
Phone: (210) 924-8151
Listed under: Nonprofit
Medicare CCN: 675409
Overall star rating: 3 of 5 ★★★☆☆
Health inspection rating: 3 of 5
Staffing rating: 2 of 5
Certified beds: 150
Average residents per day: 123
Ownership: Nonprofit, other
Legal business name: Val Verde County Hospital District
Chain: Wellsential Health (67 facilities)
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Oct 20, 1994
Changed ownership in last 12 months: No
Continuing care retirement community: No
Located inside a hospital: No
Resident or family council: Resident council
Sprinklers in all required areas: Yes

CMS certification number 675409. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jun 27, 2025. CMS lists 37 health citations for this facility across its last three standard inspection cycles and complaint inspections (Mar 31, 2023 to Jun 12, 2026): 16 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

Inspection	Citation	Severity
Jun 12, 2026	Provide and implement an infection prevention and control program. Infection Control · complaint inspection	D Potential for more than minimal harm, isolated
Jun 27, 2025	Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights	D Potential for more than minimal harm, isolated
Jun 27, 2025	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	D Potential for more than minimal harm, isolated
Jun 27, 2025	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	D Potential for more than minimal harm, isolated
Jun 27, 2025	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	E Potential for more than minimal harm, pattern
Jun 27, 2025	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	E Potential for more than minimal harm, pattern
Jun 27, 2025	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… Pharmacy Service	E Potential for more than minimal harm, pattern
Jun 27, 2025	Provide and implement an infection prevention and control program. Infection Control	E Potential for more than minimal harm, pattern
Jun 27, 2025	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental	E Potential for more than minimal harm, pattern
Jun 27, 2025	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental	E Potential for more than minimal harm, pattern
Jun 27, 2025	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary	F Potential for more than minimal harm, widespread
May 23, 2024	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation · complaint inspection	D Potential for more than minimal harm, isolated

Showing the 12 most recent of 37. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $10,842 in the last three years.

May 8, 2024

Fine: $10,842

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 2.74 hours
Registered nurse (RN) time per resident per day: 0.29 hours
Nurse aide time per resident per day: 1.60 hours
Total nurse staffing on weekends: 2.22 hours
Nursing staff turnover (yearly): 23%
RN turnover (yearly): 0%
Administrators who left in the past year: 0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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