San Antonio, TX

Windemere At Westover Hills

3-star overall rating with 2-star inspections with $8,281 in total fines with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

11106 Christus Hills, San Antonio, TX

(210) 672-6190

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

112

Certified beds

Average residents

107

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Cantex Continuing Care

Operator or chain grouping

Approved since

2016-06-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

38 facilities

Chain averages 3 overall / 3 health / 2 staffing / 5 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.60

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

1.06

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

1.77

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

3.43

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.66

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

2.99

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.39

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.10

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.54

CMS adjusted RN staffing hours

Adjusted total hours

3.07

CMS adjusted total nurse staffing hours

Case-mix index

1.53

Higher values indicate more complex resident acuity

RN turnover

46%

Annual RN turnover · state 52% · national 45%

Total nurse turnover

55%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,597

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

16.14

Composite VBP score used to determine payment impact.

Payment multiplier

0.9816

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 21.74% · Performance 22.53% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

Baseline 7.33% · Performance 8.36% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

5.45

Baseline 100.00% · Performance 55.29% · Measure score 5.45 · Achievement 2.05 · Improvement 5.45

Adjusted total nurse staffing

1.01

Baseline 3.56 hours · Performance 3.36 hours · Measure score 1.01 · Achievement 1.01 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.34%	10.72% 0.6 pts worse	No Different than the National Rate · Eligible stays 313 · Observed rate 12.46% · Lower 95% interval 8.59%
Discharge to community	52.03%	50.57% 1.5 pts better	No Different than the National Rate · Eligible stays 306 · Observed rate 43.79% · Lower 95% interval 46.41%
Medicare spending per beneficiary	1.06	1.02 About the same
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 249 · Denominator 249
Falls with major injury	0.4%	0.77% 0.4 pts better	Numerator 1 · Denominator 249
Discharge self-care score	43.02%	53.69% 10.7 pts worse	Numerator 74 · Denominator 172
Discharge mobility score	42.44%	50.94% 8.5 pts worse	Numerator 73 · Denominator 172
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 249 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	8.36%	7.12% 1.2 pts worse	No Different than the National Rate · Eligible stays 214 · Observed rate 9.81% · Lower 95% interval 6.09%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 130
Staff flu vaccination coverage	38.68%	42% 3.3 pts worse	Numerator 82 · Denominator 212
Discharge function score	52.33%	56.45% 4.1 pts worse	Numerator 90 · Denominator 172
Transfer of health information to provider	96.34%	95.95% 0.4 pts better	Numerator 79 · Denominator 82
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 132 · Denominator 132
Resident COVID-19 vaccinations up to date	75.61%	25.2% 50.4 pts better	Numerator 93 · Denominator 123

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	97.1% 2.9 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	97.9% 2.1 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	3.3%	3.3% About the same	3.3% About the same	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.5% · Q3 4.4% · Q4 5.9% · 4Q avg 3.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.4%	2.7% 2.3 pts better	11.4% 11 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.7% · 4Q avg 0.4%
Percentage of long-stay residents who lose too much weight	0.4%	3.3% 2.9 pts better	5.4% 5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.8% · Q4 0.0% · 4Q avg 0.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	20.7%	18.9% 1.8 pts worse	19.6% 1.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.7% · Q2 23.2% · Q3 19.0% · Q4 20.0% · 4Q avg 20.7%
Percentage of long-stay residents who received an antipsychotic medication	4.7%	10.8% 6.1 pts better	16.7% 12 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 2.6% · Q3 4.2% · Q4 5.0% · 4Q avg 4.7% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	8.4%	15.4% 7 pts better	16.3% 7.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 9.8% · Q3 3.5% · Q4 7.7% · 4Q avg 8.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	11.8%	16.1% 4.3 pts better	14.9% 3.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 21.2% · Q3 9.3% · Q4 11.5% · 4Q avg 11.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.5% 0.5 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.4%	0.8% 0.4 pts better	1.7% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	13.2%	15.0% 1.8 pts better	19.8% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.0% · Q2 4.7% · Q3 21.3% · Q4 12.8% · 4Q avg 13.2%
Percentage of long-stay residents with pressure ulcers	1.7%	4.2% 2.5 pts better	5.1% 3.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 1.3% · Q3 2.6% · Q4 0.0% · 4Q avg 1.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	89.7% 10.3 pts better	81.7% 18.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of short-stay residents who had an outpatient emergency department visit	12.3%	12.0% 0.3 pts worse	12.0% 0.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 12.3% · Observed 12.8% · Expected 11.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.4%	1.5% 1.1 pts better	1.6% 1.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.5% · Q3 0.6% · Q4 0.5% · 4Q avg 0.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	99.6%	88.0% 11.6 pts better	79.7% 19.9 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 99.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	23.8%	25.9% 2.1 pts better	23.9% 0.1 pts better	Short Stay · 20240701-20250630 · Adjusted 23.8% · Observed 26.2% · Expected 26.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-19 · Fire 2025-12-19

7 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2024-09-13 · Fire 2024-09-13

10 health deficiencies

Top issue: Resident Assessment and Care Planning (6 deficiencies)

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2023-08-18 · Fire 2023-08-18

5 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

4 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-12-19

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-12-26

F · Potential for more than minimal harm 2024-09-13

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2024-10-28

F · Potential for more than minimal harm 2023-08-18

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-09-07

E · Potential for more than minimal harm 2023-08-18

K325 · Smoke Deficiencies

Fire Safety

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2023-09-07

E · Potential for more than minimal harm 2023-08-18

K700 · Miscellaneous Deficiencies

Fire Safety

Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.

Corrected 2023-09-07

E · Potential for more than minimal harm 2023-08-18

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2023-09-07

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-12-19

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2025-12-26

D · Potential for more than minimal harm 2025-12-19

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-12-26

D · Potential for more than minimal harm 2025-12-19

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-12-26

D · Potential for more than minimal harm 2025-12-19

F755 · Pharmacy Service Deficiencies

Health

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

Corrected 2025-12-26

D · Potential for more than minimal harm 2025-12-19

F842 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-12-26

J · Immediate jeopardy 2025-04-16

F580 · Resident Rights Deficiencies

Health

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

Corrected 2025-04-17

J · Immediate jeopardy 2025-04-16

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-04-17

E · Potential for more than minimal harm 2024-09-13

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2024-10-28

E · Potential for more than minimal harm 2024-09-13

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-10-28