Nursing homes › Texas › Windcrest Nursing and Rehabilitation
8800 Fourwinds Dr, Windcrest, TX 78239 · 2106372700 · 180 certified beds
Per CMS filings, this facility is affiliated with Caraday Healthcare, a group operating 9 facilities in 1 states. Group record: average rating 2.8/5, 1 abuse citation icons, 0 facilities on the Special Focus list, $506,130 in federal fines. This facility rates below its group average (2.8/5).
Total nurse staffing: 2.90 (Texas median: 3.27). RN hours: 0.22. Weekend total: 2.71. Nursing staff turnover: 59%.
All-time on record: 38 deficiency citations, including 5 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-08-14 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-08-29 |
| 2025-08-14 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Health | corrected 2025-08-29 |
| 2025-08-14 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | Health | corrected 2025-08-29 |
| 2025-08-14 | 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. | E | Health | corrected 2025-08-29 |
| 2025-08-14 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-08-29 |
| 2025-08-14 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Health | corrected 2025-08-29 |
| 2025-08-14 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2025-08-29 |
| 2025-08-14 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2025-08-29 |
| 2025-08-14 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Health | corrected 2025-08-29 |
| 2025-08-14 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2025-08-29 |
| 2025-07-31 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2025-06-04 |
| 2025-03-03 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | complaint | corrected 2025-03-04 |
| 2025-03-03 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | complaint | corrected 2024-10-16 |
| 2025-03-03 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-03-04 |
| 2025-03-03 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2025-03-04 |
| 2025-03-03 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2025-03-04 |
| 2024-06-28 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Health | corrected 2024-08-02 |
| 2024-06-28 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Health | corrected 2024-08-02 |
| 2024-06-28 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Health | corrected 2024-08-02 |
| 2024-06-28 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Health | corrected 2024-08-02 |
| 2024-06-28 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | Health | corrected 2024-08-02 |
| 2024-06-28 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Health | corrected 2024-08-02 |
| 2024-06-28 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2024-08-02 |
| 2024-06-28 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Health | corrected 2024-08-02 |
| 2024-06-28 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2024-08-02 |
| 2024-06-28 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2024-08-02 |
| 2024-06-28 | Ensure that residents are free from significant medication errors. | D | Health | corrected 2024-08-02 |
| 2024-06-24 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2024-06-25 |
| 2024-05-30 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | complaint | corrected 2024-06-01 |
| 2024-05-30 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | complaint | corrected 2024-02-24 |
| 2024-05-30 | Protect each resident from the wrongful use of the resident's belongings or money. | D | complaint | corrected 2024-06-01 |
| 2024-05-30 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2024-06-01 |
| 2023-11-07 | Honor the resident's right to manage his or her financial affairs. | E | complaint | corrected 2023-11-17 |
| 2023-11-07 | Give the resident's representative the ability to exercise the resident's rights. | D | complaint | corrected 2023-11-17 |
| 2023-11-07 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | complaint | corrected 2023-11-17 |
| 2023-11-07 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2023-11-17 |
| 2023-11-07 | Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | D | complaint | corrected 2023-11-17 |
| 2023-11-07 | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | D | complaint | corrected 2023-11-17 |
| Date | Type | Amount |
|---|---|---|
| 2025-07-31 | Fine | $9,113 |
| 2025-03-03 | Fine | $16,149 |
| 2025-03-03 | Fine | $93,356 |
| 2024-05-30 | Fine | $80,455 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| MEDINA COUNTY HOSPITAL DISTRICT | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 05/01/2025 |
| BELL, BILLIE | Corporate Officer | Individual | NOT APPLICABLE | since 05/01/2025 |
| CARADAY WINDCREST LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 05/01/2025 |
| MOORE, GREGORY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2025 |
| ZARATE, RUDOLFO | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2025 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 455533. Corrections: data@carerecords.org.