Windcrest Nursing and Rehabilitation

    8800 Fourwinds Dr, San Antonio, TX 78239
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Professional caring staff and therapy

    I'm very pleased with the care my mother received - professional, caring nurses and CNAs, a hands-on administrator, and excellent PT/OT that helped her regain mobility. The facility is clean, secure and home-like, with good meals, engaging activities (and friendly therapy dogs), and staff who communicate and treat residents like family. I would definitely recommend this place.

    Loved one of resident
    Jul 2026

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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

    Reviews

    3.49·(61)

    Overall rating

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

      3.2
    • Staff

      3.5
    • Meals

      2.7
    • Amenities

      2.8
    • Value

      1.0

    Pros

    • Compassionate and attentive nursing staff
    • Dedicated CNAs providing individualized care
    • Effective physical and occupational therapy
    • Supportive rehabilitation outcomes and discharge planning
    • Warm, home-like atmosphere with personal engagement
    • Pet therapy and outdoor garden engagement
    • Generous, well-liked meal service in many cases
    • Spacious, bright rooms with private baths
    • Regular family communication and daily updates
    • Memory-care programming focused on engagement

    Cons

    • Chronic staffing shortages and high staff turnover
    • Inconsistent housekeeping and sanitation practices
    • Incontinence-care and bathing-schedule gaps
    • Communication and phone-response deficiencies
    • Variable meal quality and dining consistency
    • Gaps in supervision and unit security for higher-acuity residents
    • Inconsistent therapy scheduling and inefficient rehab utilization
    • Medication-management and alleged property-theft concerns
    • Pest-control concerns in some areas
    • Administrative and leadership instability

    Summary of reviews

    The reviews present a mixed picture of clinical and residential life at Windcrest Nursing and Rehabilitation. Many families and residents describe genuinely compassionate, hardworking staff — nurses, CNAs, and therapists who provide hands-on care, attentive daily updates, and individualized rehabilitation that leads to measurable mobility gains and successful discharges. Therapy teams (PT/OT) are frequently singled out as effective and patient-focused, and several accounts highlight helpful discharge planning and administrative assistance with finances and insurance. The facility’s memory-care programming, pet therapy, garden spaces, and some activity staff contributions are cited as meaningful contributors to residents’ social engagement and emotional comfort.

    At the same time, a consistent pattern of operational weaknesses recurs across reviews. Staffing shortages and high turnover — including leadership changes — are described as creating gaps in routine care and supervision. These staffing constraints are associated with inconsistent housekeeping and sanitation practices, weekend-service limitations, and delays in incontinence care and bathing. Several reviewers raised concerns about hygiene, odors, and room upkeep in particular areas or shifts; others, conversely, praised cleanliness and upkeep, indicating variability across units or times of day. There are also specific mentions of pest-control concerns that families expect the facility to address proactively.

    Communication and responsiveness are another area of divergence. Many families receive helpful, daily communications and responsive administrators, while others report unanswered calls, long hold times, and inconsistent engagement from nursing staff when questions arise. Similar inconsistency appears in meal service and activities: a number of reviewers praise plentiful, well-prepared meals and a welcoming dining room, while others find food quality variable. Activity programming is appreciated when staff members take extra time to engage residents, but some families report limited formal activities and residents spending extended periods inactive or in their rooms.

    Safety and clinical-process concerns are also surfaced. Several reviewers described gaps in supervision on higher-acuity or behavioral units, with implications for resident wandering and dignity in care; there are also accounts suggesting uneven application of therapy schedules, resulting in underutilized rehab days for some residents. A small number of serious allegations — including medication-management errors and an instance of alleged property loss — point to the need for clear inventory and medication-control processes; the word "allegations" is used here to indicate these were presented as specific claims rather than facility-established findings.

    Overall, Windcrest shows strengths in compassionate frontline caregivers, effective rehabilitation for many residents, and community-oriented elements (pets, gardens, engaged staff) that families value. Those considering the facility should weigh these strengths against recurrent operational issues: confirm current staffing levels and turnover, ask about weekend housekeeping and supervision in the unit where a prospective resident would live, review medication-control and personal-property procedures, and meet therapy staff to verify the expected intensity and scheduling of rehabilitation services. An in-person visit focused on staffing patterns during evenings/weekends, housekeeping routines, and the behavioral/memory-care environment will be especially useful for families deciding whether Windcrest fits their clinical and quality-of-life needs.

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    Medicare Ratings

    1·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Windcrest Nursing and Rehabilitation

    Windcrest Nursing and Rehabilitation is located at 8800 Fourwinds Dr, San Antonio, TX, 78239.

    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.

    People often ask...

    Windcrest Nursing and Rehabilitation offers assisted living, memory care, and skilled nursing.

    The full address for this community is 8800 Fourwinds Dr, San Antonio, TX 78239.

    No, Windcrest Nursing and Rehabilitation does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Windcrest Nursing and Rehabilitation. The information above has not been verified or approved by the owner or operator. For exact information, please contact Windcrest Nursing and Rehabilitation directly. There is no cost for this service. We are compensated by the community you select.

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