Nursing home
Windsor Mission Oaks
3030 S Roosevelt Ave, San Antonio, TX 78214 · Map
Non profit - Other · Part of Wellsential Health (67 facilities) · 150 certified beds
Windsor Mission Oaks is a Medicare-certified nursing home in San Antonio, Texas. CMS rates it 2 out of 5 stars overall (2/5 for staffing, 3/5 for health inspections). Nurse staffing is 2.68 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Jun 27, 2025 cited 10 deficiencies.
- 1 fine totaling $10,842In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Windsor Mission Oaks compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 2.68 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.28 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.58 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 23.8% | 51.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 10.0 | 9.1 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $10,842, 1 total penalty.
What inspectors found at Windsor Mission Oaks
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jun 27, 2025 · Full report (PDF) - Potential for harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Jun 27, 2025 · Full report (PDF) - Potential for harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Jun 27, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jun 27, 2025 · Full report (PDF) - Potential for harm
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 · Jun 27, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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 · Jun 27, 2025 · Full report (PDF) - Potential for harm
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 · Jun 27, 2025 · Full report (PDF) - Potential for harm
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies · Jun 27, 2025 · Full report (PDF) - Potential for harm
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 · Jun 27, 2025 · Full report (PDF) - Potential for harm
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Jun 27, 2025 · Full report (PDF) - Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · May 23, 2024 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · May 23, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 3030 S Roosevelt Ave
San Antonio, TX 78214 - CMS certification #
- 675409
- Ownership
- Non profit - Other
- Certified beds
- 150
- Avg residents/day
- 128.0
- Provider type
- Medicare and Medicaid
- First certified
- 1994-10-20
- Chain
- Wellsential Health (67 facilities)
- Setting
- Urban
Part of Wellsential Health
Wellsential Health operates 67 nursing facilities across the United States. View all Wellsential Health facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Windsor Mission Oaks using Google Maps.
Other public records
- Website says Respite stays, transportation
- Workplace safety 1 OSHA workplace safety inspection since 2023, 1 violation cited
Full public records, with dates and sources
Care and services
From the community’s website
What Windsor Mission Oaks says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Feb 8, 2023: referral inspection, partial (safety). Case closed Jun 23, 2023. 1 violation cited (1 other). Penalties: $10,046 proposed, $6,000 now. OSHA record. OSHA recorded the employer as Val Verde County Hospital District Windsor Mission Oaks. Matched by street address; the name OSHA recorded differs from the community's.
Details
- Other than serious: Reporting a death, hospitalization, amputation or eye loss to OSHA (1904.39(a)(2)). Penalty $10,046 proposed, $6,000 now.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Baptist Medical Center, San Antonio. 4.5 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- The Rio at Mission Trails, San Antonio. 1.4 miles away, straight line.
- Nearest home health agency office
- Axis Home Health, San Antonio. 3.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 1.0 mile away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 78214 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita The Mission Home Dialysis, San Antonio, 1.0 mile away, straight line (CMS rating 5 of 5 stars)
Davita South San Antonio Dialysis Center, San Antonio, 1.0 mile away, straight line (CMS rating 5 of 5 stars)
Southside Kidney Disease Clinic, San Antonio, 1.0 mile away, straight line (CMS rating 4 of 5 stars) - Hospice
- 81 Medicare hospices tell CMS they serve ZIP code 78214.
Mi Casa Hospice-San Antonio, office in San Antonio, 1.4 miles away, straight line
La Diferencia Hospice, office in San Antonio, 1.5 miles away, straight line
Gentiva Hospice, office in San Antonio, 5.0 miles away, straight line - Nearest geriatric medicine practice
- University Of Texas Health Science Center At San Antonio, San Antonio. 4.5 miles away, straight line. 2 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively low, inland flooding relatively high, wildfire relatively low, tornado relatively high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Windsor Mission Oaks a good nursing home?
CMS gives Windsor Mission Oaks an overall rating of 2 out of 5 stars, including 2/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Windsor Mission Oaks staffed?
Windsor Mission Oaks reports 2.68 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Windsor Mission Oaks had inspection problems?
Its most recent CMS inspection cited 10 deficiencies.
How many beds does Windsor Mission Oaks have?
Windsor Mission Oaks is certified for 150 beds.