Windsor Mission Oaks
3030 S Roosevelt Ave, San Antonio, TX 78214 · Bexar County
Non-profit · 150 certified beds · 82% occupancy · (210) 924-8151
Windsor Mission Oaks reviews: what the government record shows
The U.S. government (CMS) rates Windsor Mission Oaks 3 out of 5 stars overall, average. Its nurse staffing is 16% below the Texas median. Inspectors cited it for 1 immediate-jeopardy finding in recent inspection cycles.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 3 of 5 stars
- Nurse staffing
- 2.74 hrs/resident/day (-16% vs TX median)
- Antipsychotic drug use
- Not reported
- Falls with major injury
- 2.2% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $10,842
- Inspection findings
- 37 cited, 1 immediate-jeopardy
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
A mixed record. The strengths and concerns below are worth weighing against a visit.
Concerns
- !Nurse staffing of 2.74 hrs/resident/day is below the Texas median of 3.27.
- !Cited for 1 immediate-jeopardy finding (the most serious category) in recent inspections.
Questions to ask on your visit
- ·How many residents does each nurse and aide care for on the day, evening, and overnight shifts?
- ·Can we see the most recent inspection report and the plan of correction?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about Windsor Mission Oaks
Is Windsor Mission Oaks a good nursing home?
Windsor Mission Oaks in San Antonio, Texas holds a 3 of 5 star CMS overall rating. A mixed record. The strengths and concerns below are worth weighing against a visit.
How is Windsor Mission Oaks staffed?
Windsor Mission Oaks reports 2.74 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.
Has Windsor Mission Oaks been fined or flagged for abuse?
Windsor Mission Oaks has paid approximately $10,842 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
2.74 nurse hours per resident per day. 16% below the Texas median of 3.27.
Nursing staff turnover: 23.2% · RN turnover: 0%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0812 · Jun 27, 2025Corrected Jun 28, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0690 · Jun 27, 2025Corrected Jun 28, 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 Deficiencies
- Potential for harmTag F0726 · Jun 27, 2025Corrected Jun 28, 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 Deficiencies
- Potential for harmTag F0761 · Jun 27, 2025Corrected Jun 28, 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 locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies
- Potential for harmTag F0880 · Jun 27, 2025Corrected Jun 28, 2025
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0921 · Jun 27, 2025Corrected Jun 28, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies
- Potential for harmTag F0925 · Jun 27, 2025Corrected Jun 28, 2025
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies
- Potential for harmTag F0880 · Jun 12, 2026ComplaintCorrected Jun 13, 2026
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0552 · Jun 27, 2025Corrected Jun 28, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies
- Potential for harmTag F0657 · Jun 27, 2025Corrected Jun 28, 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 Deficiencies
Showing the 10 most recent and serious of 37 findings. See the full inspection history on Medicare.gov.
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is at or below the Texas median, a reassuring sign for how closely the home supervises residents.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas
Ownership
This home is non-profit (non profit - other). It is part of the Wellsential Health chain, which operates 67 facilities, with a chain-average CMS rating of 2.7 stars.