Federal inspection record · CMS data as of October 1, 2026
Windsor Nursing and Rehabilitation Center of San D
138 S Fm 1329, San Diego, TX · (361) 279-8291
- Certified beds
- 90
- Residents per day
- 41
- Ownership
- Government
- Chain
- Wellsential Health
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 26, 1993
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change (already 5)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Windsor Nursing and Rehabilitation Center of San D carries 17 inspection points. That is fewer than 95% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
8 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning3D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Infection Control2E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Resident Rights1D
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Pharmacy Service1D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2026-04-29
4 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2025-02-12
1 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
2023-11-17
3 health deficiencies · 0 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 22 min of nursing staff time a day, 36 min of it from a registered nurse.
This home
3 h 22 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 45% of nursing staff and 60% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better | 100.0% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.3 pts worse | 90.7% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injuryAbout the same | 3.2% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.3 pts better | 0.0% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.2 pts better | 1.7% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3 pts worse | 20.8% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.4 pts better | 2.4% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened4.3 pts better | 8.6% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.3 pts better | 15.5% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 0.0% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.6 pts worse | 16.1% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.5 pts better | 2.2% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine3.7 pts worse | 85.0% | 88.7% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts worse | 1.6% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine7.2 pts better | 92.6% | 85.4% | 80.1% |
·
Who owns and runs it
42 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Apolinar, Adam | Corporate Officer · Individual | 0% | 38 facilities |
| Baird, Daniel | Indirect Ownership Interest · Individual | 0% | 58 facilities |
| Cantu, Sergio | Direct Ownership Interest · Individual | 0% | 2 facilities |
| Cantu, Sergio | Adp Of The SNF · Individual | 0% | 2 facilities |
| Clapp, Barbara | Indirect Ownership Interest · Individual | 0% | 69 facilities |
| Contreras, Terri | Corporate Officer · Individual | 0% | 19 facilities |
| Cortese, Daren | Indirect Ownership Interest · Individual | 0% | 58 facilities |
| Csv Rhea Management Holdco, LLC | Indirect Ownership Interest · Organization | 0% | 63 facilities |
| Dekowski, Donovan | Indirect Ownership Interest · Individual | 0% | 69 facilities |
| Dekowski, Donovan | Operational/Managerial Control · Individual | 0% | 69 facilities |
| Dekowski, Donovan | Adp Of The SNF · Individual | 0% | 69 facilities |
| Dwd Tx Holdings LLC | Indirect Ownership Interest · Organization | 0% | 63 facilities |
| Elliott, Benjamin | Corporate Officer · Individual | 0% | 9 facilities |
| Faglie, Kelly | Corporate Officer · Individual | 0% | 9 facilities |
| Gaitonde, Gajanan | Corporate Officer · Individual | 0% | 8 facilities |
| Gibson, Patricia | Indirect Ownership Interest · Individual | 0% | 57 facilities |
| Gonzales, Hector | Corporate Officer · Individual | 0% | 9 facilities |
| Gutierrez, Monica | Corporate Officer · Individual | 0% | 8 facilities |
| Jack And Nancy Dwyer Workforce Development Center Inc | Indirect Ownership Interest · Organization | 0% | 68 facilities |
| Kessler, William | Corporate Officer · Individual | 0% | 8 facilities |
| Leal, Cruz | Direct Ownership Interest · Individual | 0% | 1 facilities |
| Leal, Cruz | Adp Of The SNF · Individual | 0% | 1 facilities |
| Mandelbaum, Elliot | Indirect Ownership Interest · Individual | 0% | 61 facilities |
| Reg Leased Opco LLC | Indirect Ownership Interest · Organization | 0% | 24 facilities |
| Reg Operator Holdco LLC | Indirect Ownership Interest · Organization | 0% | 63 facilities |
| Regency Ihs Clinical Consulting, LLC | Adp Of The SNF · Organization | 0% | 70 facilities |
| Regency Ihs Of La Paloma LLC | Direct Ownership Interest · Organization | 0% | 1 facilities |
| Regency Ihs Of La Paloma LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Regency Ihs Of La Paloma LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Regency Ihs Rehab LLC | Adp Of The SNF · Organization | 0% | 68 facilities |
| Regency Integrated Health Services LLC | Indirect Ownership Interest · Organization | 0% | 70 facilities |
| Regency Integrated Health Services LLC | Operational/Managerial Control · Organization | 0% | 70 facilities |
| Regency Integrated Health Services LLC | Adp Of The SNF · Organization | 0% | 70 facilities |
| Regency Texas Holdings LLC | Indirect Ownership Interest · Organization | 0% | 63 facilities |
| Stone, Amanda | Direct Ownership Interest · Individual | 0% | 1 facilities |
| Stone, Amanda | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Stone, Amanda | Adp Of The SNF · Individual | 0% | 1 facilities |
| Uvalde County Hospital Authority | Operational/Managerial Control · Organization | 0% | 9 facilities |
| Uvalde County Hospital Authority | Adp Of The SNF · Organization | 0% | 9 facilities |
| Vela, Dorothy | Direct Ownership Interest · Individual | 0% | 1 facilities |
| Vela, Dorothy | Adp Of The SNF · Individual | 0% | 1 facilities |
| Zamora, Raul | Corporate Officer · Individual | 0% | 8 facilities |
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Fire safety
2 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress1E
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke1E
- E
Inspect, test, and maintain automatic sprinkler systems.
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Other homes nearby
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Meridian Care Of Alice
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Windsor Nursing and Rehabilitation Center of Alice
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★★★★★- Worst citation, 3 yrs
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