Windemere at Westover Hills in San Antonio has a 2-star overall rating, with very low staffing at 1 star and reported nurse staffing below the federal benchmark (3.45 vs 4.1 hours per resident per day). It also has a recent federal penalty, $8,281 in fines over the last 24 months, a 3-star health inspection rating, and 4-star quality measures.
Last inspection: December 19, 2025Penalties, last 24 months: $8,281recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4508.
Staffing detail
Registered nurses
0.45
Licensed practical nurses
1.17
Nurse aides
1.83
Weekend nursing
3.03
Hours per resident per day.
Total staff turnover: 54%
Registered nurse turnover: 47%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
0%0%No change
Residents with a fall causing major injury
1.5%7.8%Worsening
Residents with pressure ulcers (bedsores)
1.3%1.9%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%2%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
21.2%8.3%Improving
Residents whose ability to walk got worse
9.8%4.1%Improving
Long-stay residents on antianxiety or sleep medication
23.2%15.7%Improving
Short-stay residents newly given an antipsychotic
0.5%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
4.7%4.6%No change
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—99.6%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited April 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: J
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited April 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to properly label and securely store medications and biologicals. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The nursing home failed to coordinate resident assessments with required screening and make needed service referrals. Cited September 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 644 — 42 CFR §483.20 — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $8,281 was recorded.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $8,281 in total fines.
Federal fine
Apr 16, 2025
$8,281
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of CANTEX CONTINUING CARE · 38 homes · 3.2 stars avg
Occupancy
106.3 residents on an average day (95% of 112 beds)
Resident voice
Resident council
Medicare history
Certified for 10 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.