Windcrest Nursing and Rehabilitation

    8800 Fourwinds Dr, San Antonio, TX, 78239
    3.6 · 37 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    3.0

    Compassionate staff but inconsistent care

    I'm grateful for the compassionate, family-like staff and outstanding physical therapy that helped my loved one improve - nurses and CNAs were attentive, gave clear updates, and made residents feel at home. That said, chronic understaffing, poor phone/communication, spotty upkeep/odors and occasional missed or sloppy care mean the facility can be uneven - good for rehab and caring staff, but monitor care closely.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    3.65 · 37 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.5
    • Staff

      3.6
    • Meals

      3.1
    • Amenities

      2.9
    • Value

      1.0

    Pros

    • Compassionate, kind and warm staff
    • Attentive and communicative nursing (daily updates)
    • Skilled, effective physical and occupational therapy
    • Successful rehabilitation outcomes for many residents
    • Helpful, engaged CNAs and therapy aides
    • Individual staff members repeatedly praised by name
    • Home-like atmosphere and social engagement
    • Pets/dogs and activity-driven engagement (e.g., bird feeding, games)
    • Rooms described as spacious, bright and with private baths (in some units)
    • Cleanliness and good housekeeping reported by many reviewers
    • Good, plentiful and well-liked meals by several families
    • Administration and office staff sometimes helpful with logistics and insurance
    • Hospice team involvement and compassionate end-of-life care noted
    • Staff who go above and beyond (flexible bathing, extra attention)

    Cons

    • Inconsistent quality of care across shifts/units
    • Serious hygiene and safety failures reported (soiled/naked residents)
    • Strong urine odor and urine-stained carpets in some areas
    • Apparent neglect on weekends (limited cleaning and attention)
    • High staff turnover among department heads and direct care staff
    • Understaffing and frequent short-handed situations
    • Behavior/memory unit overcrowding and wandering residents
    • Pest/critter problems causing distress
    • Missed medications, missing items (e.g., feeding tube, liquids) and alleged theft
    • Incidents of bedsores or neglect related injuries reported
    • Poor or inconsistent communication and phone responsiveness
    • Variable food quality across reviews
    • Loss of clothing and personal items reported
    • Rude or bullying staff reported in some cases
    • Facility perceived as old, run-down or not matching online photos
    • Perceived poor value—paying for care that sometimes is not delivered

    Summary review

    Overall sentiment across reviews for Windcrest Nursing and Rehabilitation is strongly mixed, with a clear split between many families who praise the staff, therapy and rehabilitation outcomes, and others who report troubling safety, hygiene and management failures. A substantial number of reviews describe compassionate, attentive caregivers, excellent physical and occupational therapy, successful rehabilitation (including return to walking and progress toward discharge goals), and staff who create a home-like, socially engaging environment. Multiple reviewers named specific nurses, CNAs and therapists as exceptional contributors, and several noted that administration and office staff helped with logistics such as financial/insurance matters. Positive accounts emphasize clean rooms, good meals, dogs and activities that eased residents’ transition and improved quality of life.

    Counterbalancing those positives are serious and specific negative reports that indicate systemic problems at times. Several reviews describe alarming incidents: missing feeding supplies and liquids, residents found naked or soiled with urine, urine-stained carpets and strong odors persisting over weekends, and claims of bedsores or missed blood glucose monitoring. Some reviewers explicitly describe the facility as neglectful for periods (particularly weekends or certain shifts), and there are allegations of missed medications and even theft of personal items. These are not minor complaints—they are safety and dignity issues that several families experienced or perceived.

    A recurring pattern across negative reviews is staffing instability and understaffing. High turnover among leadership and direct-care staff, frequent short-handed shifts, and reports of inexperienced nurses on duty contribute to inconsistent care. Multiple reviewers linked poorer outcomes (missed hygiene, limited therapy, wandering residents, unattended behavior unit issues) to staffing shortages and to times when staff were out sick or during weekend coverage. Conversely, reviews that praise the facility often do so by calling out specific staff who are working hard despite being overworked, suggesting that quality may depend heavily on which individuals are on duty.

    Therapy and rehabilitation are one of the facility’s most consistent strengths according to the positive reviews. Many families credited Windcrest’s PT/OT teams with measurable mobility improvement and successful rehab that led to discharge home. Staff in therapy were frequently described as patient, professional and effective. However, there are also reports that some residents experienced wasted rehab days or insufficient therapy—again pointing to variability in care delivery.

    Facility condition and housekeeping also show mixed reports. Several reviewers describe clean, roomy, bright rooms and good overall upkeep, while others report persistent odors, urine-stained carpets, critter problems and a facility that appears older or run-down compared with photos. Some accounts specifically call out a lack of weekend cleaning and a sense that certain common areas or hallways are used to “park” residents, which raises concerns about activity levels and staff availability.

    Communication and management impressions are similarly inconsistent. Many families praised attentive communication, nurses who provide daily updates, and administrators who met them on admission and assisted with planning. Yet other reviews report poor phone responsiveness (long hold times, calls dropped, limited hours), rude or dismissive staff, miscommunication about care, and an impression of profit-driven management or a facility that may be up for sale. These conflicting reports suggest variability in administrative responsiveness across cases or times.

    Dining and activities receive both praise and critique: numerous reviewers say the food is good and plentiful and that meals were enjoyed, while a smaller set of reviews report poor food quality. Activity programming is noted as engaging by some (including individualized attention by staff members who created social connections), but other reviewers felt there were not many activities and that residents were often idle or confined to rooms or hallways.

    In short, Windcrest appears to provide excellent, compassionate care and strong therapy outcomes for many residents, driven by committed staff members who are frequently singled out for praise. At the same time, a significant minority of reviews describe troubling safety, hygiene and management lapses—especially related to understaffing, weekend coverage and particular units (e.g., memory/behavior unit). These divergent accounts suggest that the resident experience at Windcrest can vary widely depending on timing, staffing, and possibly the specific unit or team involved. Prospective families should weigh the facility’s demonstrated strengths in therapy and dedicated staff against documented reports of neglectful incidents, check staffing patterns (including weekends and nights), ask for recent inspection/complaint records, and visit multiple times and at different hours to gauge consistency before making decisions.

    Location

    Map showing location of Windcrest Nursing and Rehabilitation

    About Windcrest Nursing and Rehabilitation

    Windcrest Nursing and Rehabilitation sits in Windcrest, Texas, just minutes from three major hospitals, and runs 24 hours a day, always open for admissions, with nursing staff ready around the clock. This facility works as a Skilled Nursing Facility, taking in people for short-term rehabilitation so they can recover after a hospital stay before heading home, and it also has long-term care for residents who need regular nursing help because they're frail or dependent on care. Windcrest Nursing and Rehabilitation offers a wide range of healthcare services, including medication management, highly skilled wound care, and therapy for people recovering from joint replacement or serious illness like diabetes, stroke, COPD, and congestive heart failure. Residents get help with daily living if needed, and those with memory problems can receive dementia and Alzheimer's care from specially trained staff in a coed Memory Care unit. There's also a WanderGuard System, so residents with memory loss can stay safe, and staff provide activities designed for people with different abilities, organized by a full-time life enrichment director, along with programs that support emotional and spiritual needs. Residents can choose to live in all-male or all-female households, and care covers physical, emotional, and spiritual support, so people are treated as a whole. The kitchen team offers specialized nutritional care for everyone. Rehabilitation services include on-site occupational, physical, speech, and wellness therapy. Hospice and palliative care are also available for those at the end stages of life. The community stays rooted in serving people in San Antonio and holds a 3.9 rating from 17 online reviews, which suggests mixed experiences. The facility operates with different care programs, offers comprehensive support, and tries to make sure residents feel as comfortable and safe as possible.

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