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D
Poor

WINDCREST NURSING AND REHABILITATION

8800 FOURWINDS DR · WINDCREST, TX 78239

2106372700 · For profit - Corporation

180 beds76.9 residents124 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
D
Poor
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

WINDCREST NURSING AND REHABILITATION receives an overall staffing grade of D (Poor). With 2.9118 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.2834 HPRD, below the recommended 0.75. It is 0.98 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 9.58% compared to weekdays. The facility has low agency staff usage (3.87% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 2.9118 HPRD — needs 0.57 more hours per resident per day.
⚠️RN staffing (0.2834 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (4)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (3.87%) — mostly permanent, familiar staff
✅Consistent weekend staffing — only 9.58% drop-off
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
2.9118hrs/resident/day▼ 0.98
CMS benchmark: 3.48
RN HPRD
0.2834hrs/resident/day▼ 0.40
Recommended: 0.75
Weekend Drop-off
9.58%
2.9928 weekday → 2.7061 weekend
Agency Staff
3.87%
2.04% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.4254hrs/resident/day
Direct care aides
LPN HPRD
0.8769hrs/resident/day
Licensed practical nurses
Consistency
0.2998std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Bexar County Average-0.47 HPRD
3.39
02.91 HPRD
vs. Texas State Average-0.49 HPRD
3.40
02.91 HPRD
vs. National Average-0.98 HPRD
3.90
02.91 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
WINDCREST NURSING AND REHABILITATION ★
WINDCREST · This facility
—
D
2.91180.2834★☆☆☆☆
NORTHEAST REHABILITATION AND HEALTHCARE CENTER
SAN ANTONIO
2.7 mi
C
3.44710.5534★★☆☆☆
ASBURY CARE CENTER OF ALAMO
SAN ANTONIO
4.4 mi
F
3.29390.2061★☆☆☆☆
SAN ANTONIO WELLNESS & REHABILITATION
SAN ANTONIO
4.7 mi
D
3.32270.3492★★☆☆☆
Castle Hills Rehabilitation and Care Center
San Antonio
6.8 mi
D
2.53580.3521★☆☆☆☆
SAN PEDRO MANOR
SAN ANTONIO
7.9 mi
D
3.40360.3485★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

8
Inspections
41
Total Deficiencies
$211,423
Fines Assessed
Aug 14, 2025Health
10 deficiencies cited
▼
Jul 31, 2025Health
1 deficiency cited· Includes actual harm
▼
Mar 3, 2025Health
5 deficiencies cited· Includes actual harm
▼
Jun 28, 2024Health
11 deficiencies cited
▼
Jun 24, 2024Health
1 deficiency cited
▼
May 30, 2024Health
4 deficiencies cited· Includes actual harm
▼
Nov 7, 2023Health
6 deficiencies cited
▼
May 25, 2023Health
3 deficiencies cited· Includes actual harm
▼

Penalty History

Jul 31, 2025Fine
$14,020
Mar 3, 2025Fine
$16,149
Mar 3, 2025Fine
$93,356
May 30, 2024Fine
$80,455
May 25, 2023Fine
$7,443
May 25, 2023Payment Denial
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.