Windcrest Nursing and Rehabilitation

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

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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

    3.52·(62)

    Overall rating

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

      3.3
    • Staff

      3.5
    • Meals

      2.9
    • Amenities

      2.8
    • Value

      1.0

    Pros

    • Compassionate, attentive nursing and CNA staff
    • Effective, outcome-focused physical and occupational therapy
    • Demonstrable rehabilitation progress and mobility gains
    • Engaged administrative support for discharge planning and insurance
    • Clean, well-maintained resident rooms and grounds
    • Tasty and plentiful dining options
    • Pet therapy and therapeutic animal visits
    • Active social programming and garden/outdoor areas
    • Coordinated hospice and end-of-life support
    • Regular daily updates and family communication (when staff available)

    Cons

    • Inconsistent staffing levels and high staff turnover
    • Variable cleanliness and sanitation practices
    • Incontinence-care delays and inconsistent personal-hygiene assistance
    • Gaps in medication administration and clinical-safety controls
    • Inadequate weekend housekeeping and support coverage
    • Inconsistent family communication and phone responsiveness
    • Variable meal/dietary consistency
    • Pest-control concerns in some units
    • Insufficient supervision and wandering-risk management in behavioral/memory areas
    • Weak personal-property controls and inventory management
    • Inconsistent activity programming and resident engagement
    • Staff conduct and communication tone

    Summary of reviews

    Overall impression: Reviews for Windcrest Nursing and Rehabilitation present a mixed picture with both clear strengths and recurring operational concerns. Positive accounts emphasize hands-on, compassionate caregiving, effective therapy services, and measurable rehabilitation outcomes; these families describe therapists and nurses who facilitate mobility gains, discharge planning, and meaningful social engagement. Conversely, several reviews identify systemic weaknesses that have affected care continuity and resident comfort.

    Care quality and clinical safety: Many family members praised the nursing and therapy teams for clinical skill and for facilitating functional improvement. Physical and occupational therapy are repeatedly highlighted as effective and outcome-oriented. However, there are also substantive concerns about clinical-safety practices and monitoring. Reviewers cited medication-management lapses, issues with hydration and monitoring, and other serious clinical incidents; there are also allegations of missing personal items and medication. These comments suggest variability in clinical oversight and indicate the need for families to ask specific questions about clinical protocols, medication controls, and incident-response procedures.

    Staffing and staff conduct: Staffing adequacy and staff turnover are recurring themes. Positive comments note compassionate, dedicated individuals — several staff members, CNAs, and nurses received named praise for attentive care. At the same time, reviewers describe inconsistent staffing levels, high turnover, and situations where short staffing appears to have delayed care or reduced time for personal-hygiene assistance. Some families reported concerns about staff tone, communication style, and responsiveness, while others praised the administration for being hands-on and communicative.

    Dining, activities, and resident life: Dining receives mixed feedback: multiple reviewers enjoyed plentiful, well-prepared meals, while others experienced variable food quality or dietary inconsistencies. Activity programming and social engagement are strengths in many accounts; pet therapy, garden access, and staff-led social activities were specifically noted as easing transitions and supporting wellbeing. At the same time, a subset of reviewers observed limited activity engagement for some residents and situations where residents were left in rooms or common areas without regular social interaction.

    Facilities, housekeeping, and environment: Some visitors described clean, bright rooms with private baths and well-kept common areas. Other comments raise sanitation and odor concerns, inconsistent housekeeping (particularly on weekends), and pest-control issues in specific units. Memory-care and behavioral areas were described both as providing appropriate dementia-focused services by some families and as having supervision gaps by others; this indicates variability across units or shifts.

    Management and communication: Administrative responsiveness is similarly variable. Several reviewers praised administrative staff for assisting with financial matters, discharge planning, and prompt updates. Conversely, others reported poor phone responsiveness, long hold times, and inconsistent communication during clinical events. Families would be wise to confirm communication protocols and points of contact during admissions.

    Notable patterns and guidance: The pattern across reviews is one of strong individual caregivers and therapy staff delivering meaningful rehabilitative and compassionate care, coupled with operational vulnerabilities related to staffing consistency, cleanliness practices, medication and property controls, and communication. Prospective residents and families should balance the facility's rehabilitative strengths and positive staff reports with targeted questions about staffing ratios, weekend housekeeping, medication safety checks, supervision in memory/behavior units, pest-control plans, and property-inventory safeguards. Touring the facility during different shifts, asking for recent inspection records, and discussing contingency plans for staff shortages can help clarify how current strengths are sustained and how the noted weaknesses are being addressed.

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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

    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.

    There are 9 photos of Windcrest Nursing and Rehabilitation on Mirador.

    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.

    Safety & Compliance

    In Texas, the Health & Human Services Commission licenses assisted living and long-term care facilities, conducting health and life-safety visits and complaint investigations.

    License number001cv00000RuyRIAAZ
    StatusActive
    Facility typeNursing Facility (snf)
    License classLicensed
    Capacity180 residents
    LicenseeMEDINA COUNTY HOSPITAL DISTRICT
    Care servedSnf
    View the official license record

    Inspection Reports

    1

    Reports

    15

    Citations

    0

    Complaints

    1

    Years

    14 Aug 2025Inspection
    Identified multiple deficiencies across resident rights, care, safety, infection control, and records. The violations spanned rights protection, care planning, assessment accuracy, medication handling, infection prevention, linen handling, nutrition, care in line with professional standards, RN coverage, food handling, environment safety, record accuracy, fire safety, sprinkler maintenance, and smoke barriers.
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    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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