Windcrest Nursing and Rehabilitation: Staffing, Turnover, and Inspection Record
Windcrest Nursing and Rehabilitation is a 180-bed for-profit nursing home in Windcrest, Texas, part of Caraday Healthcare. In the CMS August 2026 release it reported 1.67 nurse aide hours per resident per day, 16% below the Texas average of 2.00, and 59.4% nursing staff turnover (Texas average 55.3%).
Windcrest Nursing and Rehabilitation
8800 Fourwinds Dr.Windcrest, TX 78239
Bexar County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Windcrest Nursing and Rehabilitation, nurse aides logged 1.67 hours per resident per day, 16% below the Texas average. With about 73 residents a day, that works out to roughly 122 aide hours a day, or about 15 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 6% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.67 | 2.00 | 2.32 |
| Licensed practical nurses | 1.00 | 0.95 | 0.86 |
| Registered nurses | 0.22 | 0.43 | 0.69 |
| All nursing staff | 2.90 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.71 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
59.4% of nursing staff at Windcrest Nursing and Rehabilitation left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 60.0%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Aug 14, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 10 health deficiencies (Texas average 9.3). CMS lists 4 fines totaling $199,073 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jul 31, 2025 | Fine | $9,113 |
| Mar 3, 2025 | Fine | $16,149 |
| Mar 3, 2025 | Fine | $93,356 |
| May 30, 2024 | Fine | $80,455 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Windcrest Nursing and Rehabilitation holds 1 of 5 overall; the Texas average is 2.6.
About Windcrest Nursing and Rehabilitation
- Ownership: For profit - Corporation
- Chain: Caraday Healthcare, 8 homes
- Legal name: Medina County Hospital District
- Medicare and Medicaid certified since: Jul 1, 1985
- Changed ownership in the last 12 months
- Area: urban
Nursing homes near Windcrest Nursing and Rehabilitation
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Avir at Heritage San Antonio · many days without an RN | 1.8 | 150 | 2.06 | 3.26 | 54.3% | 3 | None |
| Northeast Rehabilitation and Healthcare Center San Antonio | 2.7 | 120 | 2.00 | 3.45 | 41.8% | 1 | $15,616 |
| Crestway Nursing & Rehabilitation San Antonio | 2.8 | 120 | 2.01 | 3.57 | 100.0% | 1 | $73,977 |
| Army Residence Community San Antonio | 3.0 | 91 | 2.63 | 4.19 | 40.0% | 5 | None |
| Avir at Converse Converse | 3.5 | 100 | 1.73 | 3.00 | 67.2% | 1 | $43,845 |
| Broadway Nursing & Rehabilitation San Antonio | 4.4 | 237 | 2.29 | 3.65 | 51.4% | 1 | $84,129 |
| Advanced Rehabilitation & Healthcare of Live Oak Live Oak | 4.7 | 123 | 2.32 | 3.90 | 52.2% | 3 | $12,424 |
| San Antonio Wellness & Rehabilitation San Antonio | 4.7 | 154 | 2.05 | 3.45 | 35.4% | 2 | $104,627 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.