Windsor Mission Oaks: Staffing, Turnover, and Inspection Record
Windsor Mission Oaks is a 150-bed nonprofit nursing home in San Antonio, Texas, part of Wellsential Health. In the CMS August 2026 release it reported 1.60 nurse aide hours per resident per day, 20% below the Texas average of 2.00, and 23.2% nursing staff turnover (Texas average 55.3%).
Windsor Mission Oaks
3030 S Roosevelt AveSan Antonio, TX 78214
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 Windsor Mission Oaks, nurse aides logged 1.60 hours per resident per day, 20% below the Texas average. With about 123 residents a day, that works out to roughly 198 aide hours a day, or about 25 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 19% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.60 | 2.00 | 2.32 |
| Licensed practical nurses | 0.85 | 0.95 | 0.86 |
| Registered nurses | 0.29 | 0.43 | 0.69 |
| All nursing staff | 2.74 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.22 | 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
23.2% of nursing staff at Windsor Mission Oaks left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 0.0%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jun 27, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 11 health deficiencies (Texas average 9.3). CMS lists 1 fine totaling $10,842 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| May 8, 2024 | Fine | $10,842 |
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. Windsor Mission Oaks holds 3 of 5 overall; the Texas average is 2.6.
About Windsor Mission Oaks
- Ownership: Non profit - Other
- Chain: Wellsential Health, 67 homes
- Legal name: Val Verde County Hospital District
- Medicare and Medicaid certified since: Oct 20, 1994
- Councils: resident council
- Area: urban
Nursing homes near Windsor Mission Oaks
The closest homes by distance, with the same CMS figures. Select a column to sort.
| The Rio at Mission Trails San Antonio | 1.4 | 124 | 2.14 | 3.71 | 97.2% | 1 | $153,825 |
| San Jose Nursing Center San Antonio | 2.0 | 55 | 1.97 | 3.16 | 33.3% | 3 | None |
| Highland Nursing Center San Antonio · staffing data not validated | 2.7 | 53 | — | — | 42.4% | 1 | None |
| Pecan Valley Rehabilitation and Healthcare San Antonio | 3.6 | 124 | 1.98 | 3.41 | 45.2% | 4 | None |
| Buena Vida Nursing and Rehab-San Antonio San Antonio · SFF candidate · abuse citation | 3.7 | 222 | 1.63 | 2.93 | — | 1 | $174,889 |
| Legend Oaks Healthcare and Rehabilitation Center San Antonio | 3.8 | 126 | 1.96 | 3.62 | 46.2% | 3 | None |
| Avir at San Antonio San Antonio · many days without an RN | 4.1 | 119 | 1.70 | 2.63 | 60.7% | 1 | $29,494 |
| River City Care Center San Antonio · abuse citation | 4.2 | 92 | 1.95 | 3.22 | — | 1 | $18,503 |
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.