Nursing homeActive
Windsor Nursing and Rehabilitation Center of San D
138 S Fm 1329, San Diego, TX 78384361279829190 certified beds · 41 residentsGovernment - Hospital districtMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
7
● 0● 7● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-04-29
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 5
Staffing 2
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Texas Health and Human Services Commission · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-04-29 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2025-02-12 | Standard | 010 | CMS-2567 (Care Compare) | — |
| 2023-11-17 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2023-10-05 | Complaint | 010 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Texas Health and Human Services Commission publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-05Record 675170-20260429-F628
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-05Record 675170-20260429-F656
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-05Record 675170-20260429-F880
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-13Record 675170-20250212-F842
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-18Record 675170-20231117-F755
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-18Record 675170-20231117-F880
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-10-24Record 675170-20231005-F812
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.51
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day3.25
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours2.89
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover42%
Facility
Texas
National
Texas 55% · National 46%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Texas | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 1.1% | 3.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 3.2% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 1.1% | 9.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 0.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 16.0% | 15.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 2.5% | 3.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 17.8% | 18.0% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Dekowski, Donovan Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Regency Ihs Of La Paloma LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Regency Integrated Health Services LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Stone, Amanda Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Uvalde County Hospital Authority Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Apolinar, Adam Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Baird, Daniel Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Cantu, Sergio Individual | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Cantu, Sergio Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Clapp, Barbara Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Contreras, Terri Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Cortese, Daren Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Csv Rhea Management Holdco, LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Dekowski, Donovan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Dekowski, Donovan Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Dwd Tx Holdings LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Elliott, Benjamin Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Faglie, Kelly Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Gaitonde, Gajanan Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Gibson, Patricia Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Gonzales, Hector Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Gutierrez, Monica Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Jack And Nancy Dwyer Workforce Development Center Inc Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Kessler, William Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Leal, Cruz Individual | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Leal, Cruz Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mandelbaum, Elliot Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Reg Leased Opco LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Reg Operator Holdco LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Regency Ihs Clinical Consulting, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Regency Ihs Of La Paloma LLC Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Regency Ihs Of La Paloma LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Regency Ihs Rehab LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Regency Integrated Health Services LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Regency Integrated Health Services LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Regency Texas Holdings LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Stone, Amanda Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Stone, Amanda Individual | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Uvalde County Hospital Authority Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Vela, Dorothy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Vela, Dorothy Individual | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Zamora, Raul Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
Part of a chain
Wellsential Health — 67 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Texas.
No county cost figures on file for Duval.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Meridian Care Of Alice Alice | 10.4 mi | 2026-06-05 | 0125 |
| The Premier SNF Of Alice Alice | 11.9 mi | 2026-04-24 | 0140 |
| Windsor Nursing and Rehabilitation Center of Alice Alice | 11.9 mi | 2026-04-01 | 1193 |
| Lone Star Ranch Rehabilitation and Healthcare Cent Kingsville | 29.0 mi | 2026-05-28 | 0161 |
| Kingsville Nursing and Rehabilitation Center Kingsville | 29.9 mi | 2026-04-29 | 1150 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |