Total health inspections
16
Texas average 7.4
Last Health inspection on Jul 2025
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Elmcroft of Windcrest
Nursing Home, Assisted Living, Memory Care & Respite Care · San Antonio, TX
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Elmcroft of Windcrest
Nursing Home, Assisted Living, Memory Care & Respite Care · San Antonio, TX
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Elmcroft of Windcrest accepts Medicare, Medicaid, and private pay.
Overview of Elmcroft of Windcrest
Experience senior living to its fullest with Elmcroft of Windcrest located in the beautiful place of San Antonio, TX, offering assisted living services. With activities at their location for residents, residents can maintain healthy lifestyles by encouraging movement and socializing with their peers. The community boasts breathtaking outdoor areas, providing a serene setting for residents to unwind and connect with nature. Impeccable housekeeping services are seamlessly provided, maintaining a clean and comfortable environment.
Residents can enjoy and be enriched with its activity center that offers a range of engaging experiences, while also providing speech and physical therapy services. A well-appointed library and computer lounge cater to intellectual pursuits, and the community plans social events and entertainment to ensure every day is memorable for its residents. At Elmcroft of Windcrest, seniors can enjoy a blissful retirement.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 288th out of 289 homes in Texas. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 288th out of 289 homes in Texas. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
2h 25m per day
Rank #288 / 289Nurse hours — State benchmarkedThis home is ranked 288th out of 289 homes in Texas. Shows adjusted nurse hours per resident per day benchmarked to the Texas average, with a ranking across 289 Texas SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Texas avg
-36%
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 49m per day |
Types of Care at Elmcroft of Windcrest
Assisted Living
Memory Care
Respite Care
Capacity and availability
This home usually has availability
Occupancy lower than 85% suggests more openings may be available.
Occupancy rate
61.4%
Rank #181 / 297Occupancy rate — State benchmarkedThis home is ranked 181st out of 297 homes in Texas. Shows this facility's occupancy rate versus the Texas average, with its Statewide rank out of 297. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
149 days
Occupancy rate
61.4%
Rank #181 / 297Occupancy rate — State benchmarkedThis home is ranked 181st out of 297 homes in Texas. Shows this facility's occupancy rate versus the Texas average, with its Statewide rank out of 297. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
149 days
113-bed community Rank #293 / 992Bed count — State benchmarkedThis home is ranked 293rd out of 992 homes in Texas. Shows this facility's certified or reported bed count compared to other Texas SNFs. Larger communities may offer more amenities, programs, and on-site services for residents and families.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
8 years in operation Rank #469 / 581Years in operation — State benchmarkedThis home is ranked 469th out of 581 homes in Texas. Shows how long this facility has been in operation compared to other Texas SNFs. Longer operating histories may benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
An established community with some operational experience and growing routines.
Walk Score: 14 / 100 Rank #1181 / 1393Walk Score — State benchmarkedThis home is ranked 1181st out of 1393 homes in Texas. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Texas SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
About this community
Facility TypeType B
StatusLicensed
CountyBexar
Elmcroft of Windcrest is legally operated by Ec Opco Windcrest, Llc.
Staffing
Key information about the people who lead and staff this community.
ContactMr. Kai Hsiao, CEO
Alzheimer's Certification
Inspection History
In Texas, the Health and Human Services Commission (HHSC) is the primary regulatory body that conducts unannounced inspections and publishes quality reports for all long-term care homes.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsHealth Inspection History
Inspections
Total health citations
64
Rank #287 / 292Health citations — State benchmarkedThis home is ranked 287th out of 292 homes in Texas. Shows this facility's total health deficiency citations benchmarked to the Texas State average, with a ranking across all 292 TX SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Texas average 25.9
Citations per inspection
4
Rank #209 / 292Citations per inspection — State benchmarkedThis home is ranked 209th out of 292 homes in Texas. Shows average deficiency citations per CMS inspection for this facility versus the Texas mean across 292 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
19 of 64 citations resulted from standard inspections; 37 of 64 resulted from complaint investigations; and 8 of 64 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 2 years)
Critical health citations
3
50% worse than Texas averageTexas average: 2
Serious health citations
2
400% worse than Texas averageTexas average: 0.4
Citations history (last 2 years)
Environmental moderate citation
Jul 18, 2025
Corrected
Infection Control moderate citation
Jul 18, 2025
Corrected
Nutrition moderate citation
Jul 18, 2025
Corrected
Pharmacy moderate citation
Jul 18, 2025
Corrected
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff
92
Employees
78
Contractors
14
Staff to resident ratio
1.08:1
27% worse than Texas average
Avg staff/day
39
Average shift
8 hours
0% compared with Texas average
Total staff hours (quarter)
28,538
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
3
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
19
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
37
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursNo contractors work on this role.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
5.9%
1,691 contractor hours this quarter
Therapeutic Recreation Specialist: 4
Qualified Social Worker: 3
Respiratory Therapy Technician: 3
Physical Therapy Aide: 2
Physical Therapy Assistant: 2
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 37 | 0 | 37 | 11,577 | 92 | 100% | 7.6 |
| Licensed Practical Nurse | 19 | 0 | 19 | 7,208 | 92 | 100% | 9.5 |
| Physical Therapist | 7 | 0 | 7 | 1,810 | 89 | 97% | 7.4 |
| Medication Aide/Technician | 2 | 0 | 2 | 972 | 68 | 74% | 7.9 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 737 | 69 | 75% | 10.7 |
| Occupational Therapy Aide | 1 | 0 | 1 | 610 | 76 | 83% | 8 |
| Administrator | 1 | 0 | 1 | 576 | 66 | 72% | 8.7 |
| Qualified Activities Professional | 2 | 0 | 2 | 568 | 65 | 71% | 8.2 |
| Nurse Practitioner | 1 | 0 | 1 | 555 | 63 | 68% | 8.8 |
| Registered Nurse | 3 | 0 | 3 | 550 | 32 | 35% | 11 |
| Dietitian | 1 | 0 | 1 | 515 | 64 | 70% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 484 | 61 | 66% | 7.9 |
| RN Director of Nursing | 1 | 0 | 1 | 462 | 66 | 72% | 7 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 394 | 61 | 66% | 6.5 |
| Physical Therapy Assistant | 0 | 2 | 2 | 370 | 58 | 63% | 6.2 |
| Qualified Social Worker | 0 | 3 | 3 | 353 | 56 | 61% | 6.3 |
| Therapeutic Recreation Specialist | 0 | 4 | 4 | 316 | 62 | 67% | 5 |
| Physical Therapy Aide | 0 | 2 | 2 | 258 | 51 | 55% | 5 |
| Other Dietary Services Staff | 1 | 0 | 1 | 225 | 31 | 34% | 7.2 |
37 Certified Nursing Assistant
% of Days
100%
19 Licensed Practical Nurse
% of Days
100%
7 Physical Therapist
% of Days
97%
2 Medication Aide/Technician
% of Days
74%
1 Clinical Nurse Specialist
% of Days
75%
1 Occupational Therapy Aide
% of Days
83%
1 Administrator
% of Days
72%
2 Qualified Activities Professional
% of Days
71%
1 Nurse Practitioner
% of Days
68%
3 Registered Nurse
% of Days
35%
1 Dietitian
% of Days
70%
1 Mental Health Service Worker
% of Days
66%
1 RN Director of Nursing
% of Days
72%
3 Respiratory Therapy Technician
% of Days
66%
2 Physical Therapy Assistant
% of Days
63%
3 Qualified Social Worker
% of Days
61%
4 Therapeutic Recreation Specialist
% of Days
67%
2 Physical Therapy Aide
% of Days
55%
1 Other Dietary Services Staff
% of Days
34%
Penalties and fines
Includes penalties issued in 2023-2025
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$74K Rank #229 / 294Federal fines — State benchmarkedThis home is ranked 229th out of 294 homes in Texas. Shows this facility's cumulative CMS federal fine dollars versus the Texas average among facilities with fines, and where it ranks among 294 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
8% lower than Texas averageTexas average: $80K
Number of fines
5
101% more fines than Texas averageTexas average: 2.5
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Texas averageTexas average: 0.2
Fines amount comparison
Fines amount comparison
This facility
$74K
Texas average
$80K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
5 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 28, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 28, 2025
$16K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 25, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 25, 2025
$17K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 19, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 19, 2024
$22K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 29, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 29, 2023
$10K
Last updated: Jan 2026
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.8
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.8
37% worse than Texas averageTexas average: 8.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.9
13% better than Texas averageTexas average: 16.0
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
11.9%
Percent of long-stay residents whose need for help with daily activities has increased
11.9%
26% better than Texas averageTexas average: 16.2%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
15.7%
Percent of long-stay residents whose ability to move independently worsened
15.7%
In line with Texas averageTexas average: 16.2%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
14.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
14.2%
9% better than Texas averageTexas average: 15.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Texas averageTexas average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
11.6%
Percent of long-stay high risk residents with pressure ulcers
11.6%
163% worse than Texas averageTexas average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.8%
Percent of long-stay residents with a urinary tract infection
1.8%
121% worse than Texas averageTexas average: 0.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
19.6%
Percent of long-stay residents who lose too much weight
19.6%
466% worse than Texas averageTexas average: 3.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.7%
Percent of long-stay residents who have depressive symptoms
1.7%
40% better than Texas averageTexas average: 2.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
7.1%
Percent of long-stay residents who received an antipsychotic medication
7.1%
10% better than Texas averageTexas average: 7.9%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.6%
In line with Texas averageTexas average: 97.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Texas averageTexas average: 97.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.8%
9% better than Texas averageTexas average: 90.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.1%
Percent of short-stay residents who newly received an antipsychotic medication
2.1%
41% worse than Texas averageTexas average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.7%
10% better than Texas averageTexas average: 88.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Breakdown by payment type
Medicare
23% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
21% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
56% of new residents, often for long-term daily care.
Typical stay
7 - 8 months
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
85
Medicare
40
47.1% of residents
Medicaid
45
52.9% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for Elmcroft of Windcrest based on CMS SNF Cost Reports.
Occupancy Rate
61.4%
↑ 0.1pp vs 2022
Net Income
-$1.8M
↓ ~$2.7M vs 2022
Total Payroll
$6.5M
↑ ~$385.2K vs 2022
Profit Margin
-12.1%
↓ 17.8pp vs 2022
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$15.3M
Operating loss
-$1.8M
Privately-owned community
Operated by a business corporation.
Home revenue
$15.3M Rank #66 / 297Revenue — State benchmarkedThis home is ranked 66th out of 297 homes in Texas. Shows this facility's annual revenue compared to the Texas SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating loss
-$1.8M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #76 / 297Payroll — State benchmarkedThis home is ranked 76th out of 297 homes in Texas. Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$6.5M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #76 / 297Payroll — State benchmarkedThis home is ranked 76th out of 297 homes in Texas. Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$10.6M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$17.1M
What does this home offer?
Pets Allowed
Room Sizes: Studio / 2 Bed
Building Type: Single-story
Transportation Services
Fitness and Recreation
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Living Spaces & Floor Plans for Elmcroft of Windcrest
Elmcroft Of Windcrest 2
Elmcroft Of Windcrest2
Elmcroft Of Windcrest1
Places of interest near Elmcroft of Windcrest
13.5 miles from city center
Estimated distance in miles from San Antonio's city center to Elmcroft of Windcrest's address, calculated via Google Maps.
— 2.12 miles to nearest hospital (Methodist Hospital Northeast)
Calculate Travel Distance to Elmcroft of Windcrest
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Financial Assistance for
Nursing Home in Texas
Elmcroft of Windcrest is located in San Antonio, Texas.
Here are the financial assistance programs available to residents in Texas.
Frequently Asked Questions about Elmcroft of Windcrest
What neighborhood is Elmcroft of Windcrest in?
Elmcroft of Windcrest is in the Northeast Side neighborhood of San Antonio.
Who is the owner of Elmcroft of Windcrest?
The legal owner and operator of Elmcroft of Windcrest is Ec Opco Windcrest, Llc.
Is Elmcroft of Windcrest in a walkable area?
Elmcroft of Windcrest has a walk score of 14. Car-dependent. Most errands require a car, with limited nearby walkable options.
How many beds does Elmcroft of Windcrest have?
Elmcroft of Windcrest has 113 beds.
What is the address of Elmcroft of Windcrest?
Elmcroft of Windcrest is located at 6849 Crestway Dr, San Antonio, TX 78239, United States.
What is the phone number of Elmcroft of Windcrest?
(210) 946-4994 will put you in contact with the team at Elmcroft of Windcrest.
What county is Elmcroft of Windcrest located in?
Elmcroft of Windcrest is in Bexar County.
Guides for Better Senior Living
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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
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