Nursing home report
Registered name: WINDSOR NURSING AND REHABILITATION CENTER OF SAN D
San Diego, TX · Medicare-certified · 90 beds
La Paloma Nursing Center (San Diego, TX) has an overall 5-star rating, with 5 stars for health inspections and quality measures but only 2 stars for staffing. Reported nurse staffing is 3.25 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Health inspections
Staffing
3.2455 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2455.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited October 2023 — widespread issue, potential for harm.
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited November 2023 — limited pattern, potential for harm.
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The nursing home failed to provide the required notice or documentation about a resident’s needs, appeal rights, or bed-hold policy. Cited April 2026 — isolated incident, potential for harm.
F-Tag 628 — 42 CFR §483.15(c)(2) — S/S: D
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited April 2026 — isolated incident, potential for harm.
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: D
The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited February 2025 — isolated incident, potential for harm.
F-Tag 842 — 42 CFR §483.70 — S/S: D
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 3 health deficiencies.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 1 health deficiency.
Health inspection found 2 health deficiencies.
Health inspection found 1 health deficiency.
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.
