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Nursing HomeMedicaid Investigative

Windcrest Nursing and Rehabilitation

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

8800 Fourwinds Dr., Northeast Side · Windcrest, TX 78239180 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.8/5

based on 30 Google reviews

5
4
3
2
1

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8/ 10
critical Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Abuse citation on record
  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (16 vs median 8.0)
  • High staff turnover (62%)
  • High RN turnover (57%)

Bottom 25% in Texas · Critically understaffed (RN) · Worst in CARADAY HEALTHCARE chain · $211,423 in fines · Abuse citation

Source: Medicare data

What this means for your family

This facility offers highly effective physical therapy and a compassionate memory care unit. However, you must be extremely vigilant regarding weekend care, as multiple families have reported significant lapses in hygiene, cleaning, and basic monitoring during those times.

Google Reviews

Google Reviews

30 reviews on Google
Families seeking rehabilitation may find excellent results, as several reviewers praise the physical therapy team for helping patients regain mobility. However, there are serious, recurring reports of neglect regarding hygiene, medication, and basic care, particularly during weekends and night shifts.

Quality Themes

Tap a score for details
Food3.0Staff6.0Clean4.0Activities7.0Meds2.0Memory9.0Comms2.0ValueN/A

Strengths

  • Effective physical and occupational therapy
  • Compassionate nursing and CNA staff
  • Dedicated memory care unit
  • Welcoming and warm atmosphere

Concerns

  • Neglect of hygiene and basic care (showers, changing) during weekends (mentioned by 3 reviewers)
  • Poor communication and difficulty reaching staff by phone (mentioned by 2 reviewers)
  • Inconsistent medication management and monitoring (mentioned by 2 reviewers)
  • Staffing shortages affecting quality of care (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2344.02020(1)4.02021(4)4.02022(8)4.32023(6)2.42024(5)4.52025(11)

Distribution · 35 analyzed

5
22
4
5
3
0
2
1
1
7

How They Respond to Reviews

77%response rate
Good

The owner provides highly personalized, warm responses to 5-star reviews, often addressing specific family members by name. For negative reviews, they consistently attempt to move the conversation offline by providing a phone number and inviting direct discussion.

Questions for Your Tour

  • 1It's wonderful to see how much the management engages with feedback from families; how do you use that communication to improve the daily care for residents?
  • 2We've heard great things about your therapy programs; could you tell us more about how the physical and occupational therapy teams work with residents on their mobility goals?
  • 3How do you ensure that consistent hygiene care and personal attention are maintained during the weekends and overnight shifts?
  • 4Can you walk us through your specific protocols for medication management and how you ensure every dose is monitored accurately?
  • 5What is your process for communicating important medical updates or changes in condition to family members, especially if we are unable to reach the facility by phone?
  • 6What kind of daily activities or social programs are available to help residents stay engaged and connected with the community?

Personalized based on this facility's data


Key Review Excerpts

the physical therapy team has worked a miracle 🙏 I can say this team has what it take to get the job done.

Stroke patient · 2023★★★★★

The memory care unit goes above and beyond for my Dad.

Memory care family member · 2025★★★★★

My experience with Wincrest Nursing and Rehab in Windcrest, Texas, was extremely disappointing. During my client’s stay, she was left in bed and not given a shower for five days.

Caregiver/Client representative · 2025☆☆☆☆
Source: 30 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.21hrs
28%
Registered nurses for medical care
Total Nursing
2.91hrs
71%
All nurses + aides combined
Staff Turnover
56%
Lower is better (< 30% = good)
RN Turnover
60%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

12

measures

Worse Than Avg

2

measures

Mixed Results

3

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Bexar
94.0%
😔

Residents with depression symptoms

↓ Lower is better
This Facility5.7%
Mixed vs Avgs
Here
5.7%
US
12.1%
TX
2.5%
Bexar
1.8%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility9.3%
Better than Avg
Here
9.3%
US
15.4%
TX
9.4%
Bexar
10.4%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility14.7%
Mixed vs Avgs
Here
14.7%
US
19.4%
TX
14.2%
Bexar
17.1%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
TX
98.0%
Bexar
98.0%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility18.1%
Better than Avg
Here
18.1%
US
19.5%
TX
18.4%
Bexar
22.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility92.2%
Better than Avg
Here
92.2%
US
79.7%
TX
88.0%
Bexar
84.1%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility91.3%
Better than Avg
Here
91.3%
US
81.8%
TX
89.2%
Bexar
81.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Bexar
2.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

11deficiencies
6penalties
Above state avg (9.1)
20 complaint-triggered
$211,423 in fines

This facility shows concerning patterns with families filing multiple complaints over three years, triggering 20 of 47 total deficiencies. The most frequent issues involve care planning and treatment quality, protection from abuse and neglect, and safety hazards. While the facility has corrected identified problems, the recurring complaints about fundamental care areas suggest ongoing operational challenges that warrant careful evaluation during any visit.

Aug 14, 2025Routine
12
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0727Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0355Potential for harm · PatternCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0805Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Jul 31, 2025Complaint
1
0689Immediate jeopardy · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Mar 3, 2025Complaint
5
0600Immediate jeopardy · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0684Immediate jeopardy · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

Jun 28, 2024Routine
12
0607Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0609Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0690Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0809Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0676Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Jun 24, 2024Complaint
1
0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

May 30, 2024Complaint
4
0600Immediate jeopardy · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0684Immediate jeopardy · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0602Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Federal Penalties

Fine

Jul 31, 2025

$9,113

Fine

Mar 3, 2025

$16,149

Fine

Mar 3, 2025

$93,356

Fine

May 30, 2024

$80,455

Fine

May 25, 2023

$7,443

Payment Denial

May 25, 2023

27-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Medina County Hospital District

Organization Type

for profit

Management Company

CARADAY WINDCREST, LLC

Administrator

ELIZABETH CANTU

Chain Affiliation

Chain Name

Caraday Healthcare

Chain Size

9 facilities nationwide

Chain avg rating: 2.6/5 · Rank 8 of 9 (Worst)

Ownership & Management

Owners

Undisclosed

Ownership Data Not Available · Organization

Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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