San Antonio · 78221
San Jose Nursing Center
406 Sharmain Pl
San Antonio, TX 78221
Windsor Mission Oaks
⌖ San Antonio, TX · Bexar County
No photos yet
Medicare overall rating 3 of 5 stars
Certified beds150
Medicare / MedicaidMedicare & Medicaid
OwnershipNon-profit (other)
About Windsor Mission Oaks
Windsor Mission Oaks is a 150-bed nonprofit nursing home in San Antonio, TX. Medicare rates it 3 out of 5 stars overall (average); the average in Texas is 2.7. At its last full inspection (Jun 2025), inspectors found 11 problems, close to the Texas average of 9.4. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 2 hr 45 min a day with each resident, less than the Texas average of 3 hr 23 min. About 23% of its nursing staff left in the past year. Medicare fined it $10,842 in the last three years.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Key details
Facility nameWindsor Mission Oaks
LocationBexar County, Texas
Phone(210) 924-8151
Address3030 S Roosevelt Ave, San Antonio, TX 78214 · Bexar County
CMS provider number675409
Ownership typeNon-profit (other)
Operating companyWellsential Health · 67 homes
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceOctober 20, 1994 (31 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
2 strengths and 3 things to ask about in Medicare's inspection, fine and staffing records for this home.
Strengths
- Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Jun 2025.Strength
- Nursing staff turnover23% a yearTexas average: 55%Strength
About average
- Health citations at last inspection11 (Jun 2025)Texas average: 9.4. Most citations are minor and corrected within weeks.About average
Things to ask about
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- Fines and penalties1 fine totaling $10,842Federal penalties from the last three years, most recently in May 2024 (about 2 years ago). The national average is $30,972 per home.Worth asking about
- Nurse staffing per resident2 hr 45 min a dayTexas average: 3 hr 23 minWorse than state average
- Registered nurse time per resident17 min a dayTexas average: 26 minWorse than state average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Texas average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury2.2%State average: 3.3%Better than average
- Pressure sores (bedsores)1.6%State average: 3.8%Better than average
Source: Medicare (CMS) quality measures, compared with the Texas average. Lower is better for every rate shown.
Who pays, and how full it is
Most residents here have their care paid by Medicaid. In Texas, Medicaid pays for 66% of resident days at a typical home.
- 97% Medicaid
- 1% Medicare
- 2% Private pay, insurance and other
Beds in use, on average83%Texas typical: 67%
Cost of care per resident day$200Texas typical: $270
Shares of resident days, from the home’s Medicare cost report for the year ending September 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 3 stars now, up from 2 stars in January 2019. It has ranged from 1 to 3 stars and changed 8 times.
Overall rating3★
Health inspections3★
Staffing2★
Quality of care1★
Nurse hours per resident per day2.7
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 2 | 3 | 1 | 2 | 2.9 |
| Jan 2020 | 3 | 4 | 1 | 2 | 2.8 |
| Jan 2021 | 2 | 3 | 1 | 2 | 2.9 |
| Jan 2022 | 2 | 3 | 1 | 4 | 2.4 |
| Jan 2023 | 1 | 1 | 1 | 2 | 2.7 |
| Jan 2024 | 1 | 2 | 1 | 2 | 2.9 |
| Feb 2025 | 1 | 2 | 1 | 3 | 2.8 |
| Feb 2026 | 2 | 3 | 2 | 1 | 2.7 |
| Sep 2026 | 3 | 3 | 2 | – | 2.7 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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