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Data / Nursing homes / Texas / Windcrest Nursing and Rehabilitation

Windcrest Nursing and Rehabilitation, Windcrest, TX: 1 star rating, fined $199,073 across 4 fines

Windcrest Nursing and Rehabilitation in Windcrest, TX is owned by Medina County Hospital District, is rated 1 of 5 stars by Medicare, and was fined $199,073 across 4 fines in the three years to October 1, 2026. CMS lists 38 health citations from inspections in that time, the latest survey on August 14, 2025, and 5 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Texas
Address
8800 Fourwinds Dr., Windcrest, TX 78239
Overall rating
1 of 5 stars
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measure rating
4 of 5
Certified beds
180
Residents per day
82 on average
Ownership type
For profit, corporation
Legal business name
Medina County Hospital District
Chain
Caraday Healthcare, 8 facilities
Fines
$199,073 across 4 fines, three years to October 1, 2026
Payment denials
0
Health citations
38, of which 5 with actual harm or immediate jeopardy
Latest survey
August 14, 2025
CMS Certification Number
455533
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
July 31, 2025Fine$9,113Not listeddata.cms.gov
March 3, 2025Fine$93,356Not listeddata.cms.gov
March 3, 2025Fine$16,149Not listeddata.cms.gov
May 30, 2024Fine$80,455Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
August 14, 2025F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2025data.cms.gov
August 14, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2025data.cms.gov
August 14, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2025data.cms.gov
August 14, 2025F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2025data.cms.gov
August 14, 2025F761Ensure 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: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2025data.cms.gov
August 14, 2025F727Have 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: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2025data.cms.gov
August 14, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2025data.cms.gov
August 14, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2025data.cms.gov
August 14, 2025F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2025data.cms.gov
August 14, 2025F584Honor 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: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2025data.cms.gov
July 31, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyPast noncomplianceJune 4, 2025data.cms.gov
March 3, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J: isolated, immediate jeopardyPast noncomplianceOctober 16, 2024data.cms.gov
March 3, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J: isolated, immediate jeopardyCorrectedMarch 4, 2025data.cms.gov
March 3, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 4, 2025data.cms.gov
March 3, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 4, 2025data.cms.gov
March 3, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 4, 2025data.cms.gov
June 28, 2024F809Ensure 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: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 2, 2024data.cms.gov
June 28, 2024F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 2, 2024data.cms.gov
June 28, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 2, 2024data.cms.gov
June 28, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 2, 2024data.cms.gov
June 28, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 2, 2024data.cms.gov
June 28, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 2, 2024data.cms.gov
June 28, 2024F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 2, 2024data.cms.gov
June 28, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 2, 2024data.cms.gov
June 28, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 2, 2024data.cms.gov
June 28, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 2, 2024data.cms.gov
June 28, 2024F584Honor 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: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 2, 2024data.cms.gov
June 24, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 25, 2024data.cms.gov
May 30, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J: isolated, immediate jeopardyPast noncomplianceFebruary 24, 2024data.cms.gov
May 30, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J: isolated, immediate jeopardyCorrectedJune 1, 2024data.cms.gov
May 30, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 1, 2024data.cms.gov
May 30, 2024F602Protect each resident from the wrongful use of the resident's belongings or money.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 1, 2024data.cms.gov
November 7, 2023F840Employ 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: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 17, 2023data.cms.gov
November 7, 2023F772Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 17, 2023data.cms.gov
November 7, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 17, 2023data.cms.gov
November 7, 2023F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 17, 2023data.cms.gov
November 7, 2023F567Honor the resident's right to manage his or her financial affairs.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 17, 2023data.cms.gov
November 7, 2023F551Give the resident's representative the ability to exercise the resident's rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 17, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 10 individual or personal trusts (2 managers, 6 officers, directors or trustees, 2 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Medina County Hospital DistrictDirect owner100%May 1, 2025data.cms.gov
Caraday Windcrest LLCOperational or managerial controlNot listedMay 1, 2025data.cms.gov
Granite Windcrest, LLCAdditional disclosable partyNot listedMay 8, 2025data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.