What is Windsor Nursing and Rehabilitation Center of San D's Medicare star rating?

CMS rates Windsor Nursing and Rehabilitation Center of San D 5 out of 5 stars overall, with 5 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).

Has Windsor Nursing and Rehabilitation Center of San D been fined?

CMS lists no fines in the last three years.

Does Windsor Nursing and Rehabilitation Center of San D accept Medicaid?

It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.

Who owns Windsor Nursing and Rehabilitation Center of San D?

CMS lists 42 owners and managers, and links the home to Wellsential Health. Legal business name: UVALDE COUNTY HOSPITAL AUTHORITY.

Windsor Nursing and Rehabilitation Center of San D

The record in brief

At its most recent standard inspection, on April 29, 2026, inspectors cited 3 health deficiencies (the Texas average is 9.4, the national average 9.2).

None of its 8 health citations since October 2023 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.25 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.51 of those hours.

42.4% of nursing staff left within the year CMS measured (Texas average 55.3%).

CMS links it to Wellsential Health, an affiliated group of 67 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

110/23

211/23

102/25

304/26

107/26

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 8 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

July 28, 2026Complaint inspection · 1 citation

D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · deficient, provider has July 29, 2026

Inspectors wroteBased on interview, and record review, the facility failed to develop and implement a comprehensive person-centered care plan for 1 (Resident #1) of 3 residents whose care plans were reviewed. The facility failed to ensure Resident #1's comprehensive care plan was implemented by not providing the required two-person assistance during bathing. Resident #1 received bathing assistance from only one staff member on 07/16/26. This failure could place residents in the facility at risk of not being provided with the necessary care or services, and the implementation of personalized plan of care developed to address their specific needs.

April 29, 2026Standard inspection · 3 citations

D

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

F628 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 5, 2026

Inspectors wroteBased on record reviews and interviews, the facility failed to send a copy of the residents' discharge notice, prior to discharge, to the representative of the Office of State Long-Term Care (LTC) Ombudsman of the residents' transfer or discharge and the reasons for the move for 1 of 1 resident (Resident #46) reviewed for residents' discharge. Resident #46 was discharged home on [DATE] without a notice to the LTC state ombudsman. This failure could place residents at risk of not knowing their rights and receiving the services of the state LTC Ombudsman. Record review of Resident #46's face sheet dated 04/29/2026 reflected a [AGE] year-old female admitted on [DATE]. [...]
D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 5, 2026

Inspectors wroteBased on record review and interviews, the facility failed to develop and implement a person-centered care plan for each resident that included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that were identified in the comprehensive assessment for 2 (Resident #34 and Resident #6) of 6 residents reviewed for comprehensive care plans in that: 1. The facility failed to develop and implement a comprehensive person-centered care plan for Resident #34's diagnosis of Viral Hepatitis C (a blood-borne virus that causes severe liver inflammation and long-term damage). 2. The facility failed to revise Resident #6's comprehensive care plan to include the resident's use of an antibiotic medication (Clindamycin). [...]
D

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 5, 2026

Inspectors wroteBased on observation, record review, and interview, the facility failed to establish and maintain an infection prevention and control program, designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections, for one of five Residents (Resident #21) that were reviewed for infection control and transmission-based precautions policies and practices. The facility failed to ensure LVN A sanitized the blood pressure cuff prior to taking Resident #21's blood pressure. This failure could place residents at risk of infection through cross contamination of pathogens and infectious diseases.

February 12, 2025Standard inspection · 1 citation

D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 13, 2025

Inspectors wroteBased on interviews and record review, the facility failed to maintain clinical records on each resident that were complete and accurately documented in accordance with accepted professional standards and practices for 1 (Resident #17) of 6 residents reviewed for accuracy and completeness of clinical records. The facility failed to accurately document the correct duration of time for Resident #17's order for enteral nutrition. The order stated the hours were 6:00 AM to 10:00 PM, when the correct duration was 10:00 PM to 6:00 AM. This failure could result in residents' records not accurately reflecting the administration of enteral nutrition and could result in further error including weight gain/loss.

November 17, 2023Standard inspection · 2 citations

E

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 18, 2023

Inspectors wroteBased on observation, interview and record review the facility failed to establish and maintain an Infection Prevention and Control Program designed to help prevent the standard and transmission-based precautions to be followed to prevent the spread of infections or diseases for 2 of 4 units reviewed for laundry services. -Laundry Aide A left the laundry bin with clean linens uncovered on units 100 and 200. These failures could affect residents and staff and place them at risk for healthcare associated cross contamination, infections, and COVID-19 (coronavirus).
D

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 18, 2023

Inspectors wroteBased on observations, interviews, and record reviews the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of each resident, for 1 of 7 residents (Resident # 9) reviewed for pharmacy services, in that; Resident # 9 was administered Memantine (used to treat memory loss/Dementia) at a dose not prescribed. This failure could place residents at risk for not receiving the therapeutic effects of the medications prescribed.

October 5, 2023Complaint inspection · 1 citation

F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) October 24, 2023

Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for sanitation: 1. The facility failed to ensure utensils were clean. 2. The facility failed to keep accurate temperature and chemical logs for the dishwasher. 3. The facility failed to dispose of expired foods. These failures could place residents at risk of foodborne illnesses.

Fire safety inspections

2 fire safety citations on file: 2 on April 29, 2026.

Every fire safety citation2 citations

E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

K 222 · April 29, 2026 · Corrected (the home has a date of correction)
E
Inspect, test, and maintain automatic sprinkler systems.

K 353 · April 29, 2026 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

Measure	This home	Texas	United States
All nursing staff (RN, LPN and aides)	3.25	3.39	3.86
Registered nurses	0.51	0.43	0.69
All nursing staff on weekends	2.89	2.98	3.42
Nurse aides	1.51
Licensed practical nurses	1.23
Nursing staff turnover (share who left in a year)	42.4%	55.3%	45.8%
Registered nurse turnover	not reported	54.6%	42.9%
Administrators who left	1

CMS expects 3.97 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.39 on weekdays and 2.89 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.24 in April to June 2025 to 3.25 in January to March 2026.

Quarter	All nursing staff	Registered nurses	Weekdays	Weekends	Contract staff share	Days with no RN hours	Residents a day
Jan to Mar 2026	3.25	0.51	3.39	2.89	0.0%	0 of 90	41
Oct to Dec 2025	3.20	0.42	3.36	2.79	0.0%	0 of 92	43
Jul to Sep 2025	3.18	0.39	3.29	2.88	0.0%	0 of 92	43
Apr to Jun 2025	3.24	0.37	3.39	2.86	0.0%	0 of 91	42
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
Texas, Jan to Mar 2026	3.33	0.40	3.50	2.93	2.2%	0.7% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Texas

Job	Median	Middle half	Employed
Texas, all employers
CNAs (nursing assistants)	$18.03	$16.97 to $20.71	88,680
LPNs and LVNs	$29.92	$27.46 to $32.89	57,560
Registered nurses	$46.14	$38.06 to $50.53	271,380
United States, nursing care facilities
CNAs (nursing assistants)	$20.67	$17.91 to $22.55	534,270
LPNs and LVNs	$33.86	$30.05 to $37.40	188,210
Registered nurses	$41.11	$37.85 to $47.68	142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

Measure	This home	Texas	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	16.0	15.8	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.0	0.3	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	0.0	0.8	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	3.2	3.3	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	2.9	1.5	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	7.5	14.0	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	1.1	3.8	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	1.1	9.6	15.4

Owners and operators

Legal business name: UVALDE COUNTY HOSPITAL AUTHORITY. CMS links this home to Wellsential Health, a group of 67 nursing homes averaging 2.7 stars overall.

Name	Role	Type	Since
Regency IHS of La Paloma LLC	Direct ownership interest	Organization	10/01/2022
Cantu, Sergio	Direct ownership interest	Individual	01/01/2025
Leal, Cruz	Direct ownership interest	Individual	01/01/2025
Stone, Amanda	Direct ownership interest	Individual	07/01/2024
Vela, Dorothy	Direct ownership interest	Individual	01/01/2025
Csv Rhea Management Holdco, LLC	Indirect ownership interest	Organization	10/01/2022
Dwd Tx Holdings LLC	Indirect ownership interest	Organization	10/01/2022
Jack and Nancy Dwyer Workforce Development Center Inc	Indirect ownership interest	Organization	10/01/2022
Reg Leased Opco LLC	Indirect ownership interest	Organization	10/01/2022
Reg Operator Holdco LLC	Indirect ownership interest	Organization	10/01/2022
Regency Integrated Health Services LLC	Indirect ownership interest	Organization	10/01/2022
Regency Texas Holdings LLC	Indirect ownership interest	Organization	10/01/2022
Baird, Daniel	Indirect ownership interest	Individual	04/13/2021
Clapp, Barbara	Indirect ownership interest	Individual	06/01/2021
Cortese, Daren	Indirect ownership interest	Individual	08/10/2021
Dekowski, Donovan	Indirect ownership interest	Individual	10/01/2022
Gibson, Patricia	Indirect ownership interest	Individual	08/01/2021
Mandelbaum, Elliot	Indirect ownership interest	Individual	01/01/2025
Apolinar, Adam	Corporate officer	Individual	07/23/2015
Contreras, Terri	Corporate officer	Individual	04/29/2019
Elliott, Benjamin	Corporate officer	Individual	07/23/2015
Faglie, Kelly	Corporate officer	Individual	01/25/2016
Gaitonde, Gajanan	Corporate officer	Individual	02/28/2015
Gonzales, Hector	Corporate officer	Individual	03/27/2001
Gutierrez, Monica	Corporate officer	Individual	02/28/2015
Kessler, William	Corporate officer	Individual	02/28/2015
Zamora, Raul	Corporate officer	Individual	02/28/2015
Regency IHS of La Paloma LLC	Operational/managerial control	Organization	10/01/2022
Regency Integrated Health Services LLC	Operational/managerial control	Organization	10/01/2022
Uvalde County Hospital Authority	Operational/managerial control	Organization	10/01/2022
Dekowski, Donovan	Operational/managerial control	Individual	10/01/2022
Stone, Amanda	Operational/managerial control	Individual	07/01/2024
Regency IHS Clinical Consulting, LLC	Adp of the SNF	Organization	10/01/2022
Regency IHS of La Paloma LLC	Adp of the SNF	Organization	04/18/2025
Regency IHS Rehab LLC	Adp of the SNF	Organization	10/01/2022
Regency Integrated Health Services LLC	Adp of the SNF	Organization	04/18/2025
Uvalde County Hospital Authority	Adp of the SNF	Organization	04/18/2025
Cantu, Sergio	Adp of the SNF	Individual	01/01/2025
Dekowski, Donovan	Adp of the SNF	Individual	10/01/2022
Leal, Cruz	Adp of the SNF	Individual	01/01/2025
Stone, Amanda	Adp of the SNF	Individual	07/01/2024
Vela, Dorothy	Adp of the SNF	Individual	01/01/2025

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on July 28, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on April 29, 2026: "Provide and implement an infection prevention and control program."
How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on April 29, 2026: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on November 17, 2023: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.89 hours per resident per day, below the Texas average of 2.98.
How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

The Premier SNF of Alice
Alice, 9.8 mi · 3 of 5 stars · 14 citations
Meridian Care of Alice
Alice, 10.4 mi · 1 of 5 stars · 17 citations
Windsor Nursing and Rehabilitation Center of Alice
Alice, 11.9 mi · 2 of 5 stars · 23 citations

Texas contacts for a concern about a nursing home

These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.

Resident advocate: Texas Office of the State Long-Term Care Ombudsman, 800-252-2412. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.

Common questions

What is Windsor Nursing and Rehabilitation Center of San D's Medicare star rating?: CMS rates Windsor Nursing and Rehabilitation Center of San D 5 out of 5 stars overall, with 5 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Windsor Nursing and Rehabilitation Center of San D get at its last inspection?: 3 health deficiencies at the standard inspection on April 29, 2026. The Texas average is 9.4.
Has Windsor Nursing and Rehabilitation Center of San D been fined?: CMS lists no fines in the last three years.
Does Windsor Nursing and Rehabilitation Center of San D accept Medicaid?: It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Windsor Nursing and Rehabilitation Center of San D?: CMS lists 42 owners and managers, and links the home to Wellsential Health. Legal business name: UVALDE COUNTY HOSPITAL AUTHORITY.

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.