Where They Care · plain answers about nursing homes

Windsor Mission Oaks

3030 S Roosevelt Ave, San Antonio, TX 78214 · 150 beds · Non profit - Other

The records flag: 1 citation at the most serious level.

Everything here comes from Medicare's own inspection and payroll records. We don't rank facilities or take payment from them.

Medicare overall rating
★★★
Average · 3 of 5
All nursing staff, hours / resident
2.82
RNs, LPNs and aides · state average 3.46
Weekend RN coverage
−50%
vs weekdays
Staff turnover
23%
state average 55%
1 citation at the most serious level
Inspectors judged that residents were placed in danger of serious injury or death. See the inspection section for dates and whether each was corrected.
Staff turnover of 23% is below the state average
The average across this state is 55%.

These are drawn straight from Medicare's records. We report what the record says — we don't rate facilities or judge the care given in them.

Who's actually on the floor

Staffing is the thing most closely tied to day-to-day quality of care, and it's the number families most often never see. This is registered nurses only — a smaller figure than the all-staff total above, because it counts the most highly qualified staff on their own — per resident, per day, comparing an average weekday against an average weekend.

Weekdays
0.30 hrs
Weekends
0.15 hrs
TX average
0.44 hrs

Registered nurses only — hours per resident per day. Longer is better.

Registered nurse coverage drops about 50% at weekends.

Staff turnover: 23%

High turnover matters because continuity does — a nurse who knows your mother notices when something is different about her. Someone on their second shift doesn't have that baseline.

What inspectors found

State inspectors visit at least once a year and after complaints. Over the last three years this facility received 37 citations. Raw counts mislead, though — a paperwork slip and a resident being harmed both count as one. Here they are by how serious inspectors judged them.

SeverityCitations
Immediate jeopardy
Residents placed at risk of serious injury or death
1
Potential for harm
No one harmed yet, but conditions could allow it
35
No harm
Rule and paperwork findings
1

16 of these came from someone filing a complaint rather than a routine visit — worth weighing differently, because it means a person picked up the phone. All findings are recorded as corrected.

Medicare has issued $10,842 in fines here over the past three years.

Disclosed affiliations

Medicare requires every facility to disclose the people and companies connected to it. Most names below are not owners — they are officers, directors, managers, trustees, and what Medicare calls “additional disclosable parties.” The role beside each name is the one Medicare recorded. This is worth reading because operators tend to run their facilities alike: where the same group stands behind a dozen homes, the record across all twelve tells you more than any single inspection does.

NameRole recorded by MedicareSince
Val Verde County Hospital District
100% ownership interest
Direct owner (5% or more), Operational or managerial control, Additional disclosable party 04/01/2022
Csv Rhea Management Holdco, LLC Indirect owner 04/01/2022
Dwd Tx Holdings LLC Indirect owner 04/01/2022
Jack and Nancy Dwyer Workforce Development Center INC Indirect owner 04/01/2022
Reg Hg Opco 1, LLC Indirect owner 04/01/2022
Reg Hg Opco LLC Indirect owner 04/01/2022
Reg Operator Holdco LLC Indirect owner 04/01/2022
Regency Ihs of Windsor Mission Oaks, LLC Direct owner, Operational or managerial control, Additional disclosable party 04/01/2022
Regency Integrated Health Services LLC Indirect owner, Operational or managerial control, Additional disclosable party 04/01/2022
Regency Texas Holdings LLC Indirect owner 04/01/2022
Baird, Daniel Governing body 04/13/2021
Clapp, Barbara Governing body 06/01/2021
Cortese, Daren Governing body 08/10/2021
Dekowski, Donovan Operational or managerial control, Additional disclosable party 04/01/2022
Diaz, Cris Governing body 11/18/2020
Gibson, Patricia Governing body 08/01/2021
Jurado, Jorge Governing body, Corporate officer 10/13/2023
Mandelbaum, Elliot Governing body 01/01/2025
Otazo, Julio Governing body 05/25/2022
Palmer, Robin Governing body 11/18/2020
Ramirez, Hermelindo Operational or managerial control, Additional disclosable party 11/08/2023
300 S Roosevelt Avenue LLC Additional disclosable party 04/01/2022
Diaz, Christoper Additional disclosable party 01/01/2025
Givens, Laura Additional disclosable party 07/01/2015
Johnson, Nicholas Additional disclosable party 01/01/2025
Regency Ihs Clinical Consulting, LLC Additional disclosable party 04/01/2022
Regency Ihs Master Tenant LLC Additional disclosable party 04/01/2022
Regency Ihs Rehab LLC Additional disclosable party 04/01/2022

Of the 28 parties disclosed here, 10 hold an ownership interest; the rest are recorded in a management, officer, financial, or other disclosable capacity. A percentage is shown only where Medicare published one — for most disclosed parties it publishes none.

Other options nearby

Most families are choosing between whatever is close enough to visit often — and visiting often is itself one of the better protections a resident has. These are the closest 8 facilities.

FacilityMilesRating Nurse hrsWeekend
The Rio at Mission Trails
San Antonio
1.4 1 0.16 +52%
San Jose Nursing Center
San Antonio
2.0 3 0.44 −0%
Highland Nursing Center
San Antonio
2.7 2 0.53 −33%
Pecan Valley Rehabilitation and Healthcare
San Antonio
3.6 3 0.28 −26%
Buena Vida Nursing and Rehab-San Antonio
San Antonio
3.7 1 0.29 −21%
Legend Oaks Healthcare and Rehabilitation Center -
San Antonio
3.8 3 0.37 +37%
Avir at San Antonio
San Antonio
4.1 1 0.07 +17%
River City Care Center
San Antonio
4.2 1 0.44 +29%

Weekend column shows the change in registered-nurse coverage at weekends compared with weekdays.

Worth asking on a visit

Records only tell you so much. These are the questions this facility's particular numbers suggest you ask — go on a weekend if you possibly can.

  1. Can I visit on a Sunday rather than a weekday? How many registered nurses are on duty then, and for how many residents?
  2. Medicare's records show a citation at the most serious level. What happened, and what changed afterwards?
  3. Who will actually be caring for my relative at 3am on a Saturday — an agency nurse or someone on staff?

Where these numbers come from

All figures are published by the Centers for Medicare & Medicaid Services. Different measures cover different periods — some are considerably older than others, so each is dated separately below rather than under one "last updated" stamp.

Staffing hours
Jan–Mar 2026
Staff turnover
calendar year 2025
Inspections & citations
Jul 2023 – Jun 2026
Fines & penalties
last 3 years
Ownership
as reported to Medicare
Star rating & file release
CMS file dated 1 July 2026

We report what the records say and don't draw conclusions about care quality. If you believe something on this page is wrong — email a correction. It reaches a person, not a form. We check every report, fix what is wrong, and say so on the page; see how we handle corrections. If you work at this facility and our figures disagree with your own records, we want to hear that too.