1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
The Villages of Windcrest operates an 86-bed nursing home at 702 W Windcrest St in Fredericksburg’s Gillespie County, administered by Mr. Kraig A Turpen under Acron Windcrest Village LLC.
The two-story facility has provided nursing home, assisted living, and memory care (including 24 dedicated Alzheimer’s units) for seven years, serving a mixed payer population: 35% Medicare residents (typically short-term rehab), 22% Medicaid, and 43% private pay. Current occupancy is 59.6%, lower than the Texas average of 63.5%, with average resident stays extending to 202 days.
The facility holds a 1-star overall CMS rating, 66.8% below Texas average. This reflects a 1-star Health Inspection rating (65.4% below state average) and a 1-star Staffing rating (58.3% below state average).
Seven state inspections since 2022 resulted in 45 health citations; placing the facility at the 257th precentile among 292 Texas nursing homes, among the worst-performing in the state.
Citations average 6.43 per inspection, the second-worst rate statewide. Five deficiencies reached critical severity, 150% worse than the state average. The primary problems cluster in documentation and quality of life (8 deficiencies), resident rights (6), abuse and neglect safeguards (6), pharmacy services (5), and infection control (3).
The facility has incurred $94,000 in federal penalties across three assessments since 2024, culminating in a $49,000 civil money penalty in January 2025 and a $2,250 administrative penalty in October 2024 for failures in abuse and neglect protection.
Resident outcome measures reveal safety gaps. Falls with major injury occurred in 7.1% of long-stay residents; more than double the state average of 3.2%. Walking ability declined in 23.4% of residents, 44% worse than the state norm.
Staffing ratios exceed state average (1.82:1 vs. 1.48:1), though 47% of staff are contractors. Payroll represents 31.4% of revenue, significantly below the sustainable 51–63% range typical of well-run facilities.
The facility’s regulatory and clinical trajectory presents unresolved safety concerns and elevated risk across standard quality metrics.
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.
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.
This home is ranked 105th out of 273 homes in Texas for nurse hours. 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 20m per day | ▼ 22% State avg: 25m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 2m per day | ▲ 9% State avg: 57m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 43m per day | ▼ 15% State avg: 2h 1m per day · National avg: 2h 20m per day |
|
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.
| 2h 49m per day | ▼ 6% State avg: 3h 0m per day · National avg: 3h 27m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 2m per day | ▼ 47% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 19m per day | ▼ 6% State avg: 20m per day · National avg: 29m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
The Villages of Windcrest is legally operated by Acron Windcrest Village LLC, and administered by Mr. Kraig A Turpen.
Key information about the people who lead and staff this community.
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.
Enforcement actions are formal penalties or interventions imposed by Texas regulators when a nursing home fails to meet state or federal care, safety, or regulatory standards. They may include directed plans of correction, civil monetary penalties, denial of payment, or appointment of temporary management.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Texas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 4 | 6 | This facility has 33% fewer total citations than a typical Texas nursing home (4 vs. TX avg 6).↓ 33% better |
|
Health citations
Citations related to resident care, clinical practices, and day-to-day operations.
| 4 | 2 | This facility has 100% more health citations than a typical Texas nursing home (4 vs. TX avg 2).↑ 100% worse |
|
Citations per year
Average citations per year since 2024.
| 2 | 3 | This facility has 33% fewer citations per year than a typical Texas nursing home (2 vs. TX avg 3).↓ 33% better |
Inspections
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 1 | 1 | This facility has inspections with citations in line with the Texas average (1 vs. TX avg 1).— At avg |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Texas average 7.4
Last Health inspection on Jul 2025
Texas average 25.9
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
36 of 45 citations resulted from standard inspections; and 9 of 45 resulted from complaint investigations.
150% worse than Texas averageTexas average: 2
100% better than Texas averageTexas average: 0.4
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
23% more staff per resident than Texas average
7% better than Texas average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
7 total: 4 full-time employees and 3 contractors.
7
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11.5 hoursAssists with medical care and medications.
45 total: 9 full-time employees and 36 contractors.
45
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursHelps with daily care and mobility.
30 total: 21 full-time employees and 9 contractors.
30
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,317 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 21 | 9 | 30 | 6,594 | 92 | 100% | 9.2 |
| Licensed Practical Nurse | 9 | 36 | 45 | 3,360 | 92 | 100% | 8.6 |
| Registered Nurse | 4 | 3 | 7 | 1,312 | 87 | 95% | 11.5 |
| RN Director of Nursing | 2 | 0 | 2 | 1,023 | 69 | 75% | 8.2 |
| Physical Therapy Aide | 4 | 0 | 4 | 865 | 75 | 82% | 7.3 |
| Medication Aide/Technician | 1 | 1 | 2 | 644 | 59 | 64% | 10.9 |
| Physical Therapy Assistant | 3 | 0 | 3 | 600 | 65 | 71% | 8.2 |
| Administrator | 2 | 0 | 2 | 544 | 66 | 72% | 8 |
| Qualified Social Worker | 2 | 0 | 2 | 542 | 76 | 83% | 7.1 |
| Mental Health Service Worker | 1 | 0 | 1 | 492 | 62 | 67% | 7.9 |
| Dietitian | 2 | 0 | 2 | 438 | 64 | 70% | 6.8 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 150 | 45 | 49% | 3.3 |
| Speech Language Pathologist | 2 | 0 | 2 | 100 | 20 | 22% | 5 |
| Nurse Practitioner | 1 | 0 | 1 | 80 | 10 | 11% | 8 |
| Medical Director | 0 | 1 | 1 | 26 | 17 | 18% | 1.5 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 4 | 2 | 2% | 2 |
Includes penalties issued in 2024-2025
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)
17% higher than Texas averageTexas average: $80K
21% more fines than Texas averageTexas average: 2.5
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 19, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 13, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.7
24% worse than Texas averageTexas average: 8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.8
29% worse than Texas averageTexas average: 16.0
Percent of long-stay residents whose need for help with daily activities has increased
18.6%
15% worse than Texas averageTexas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
23.4%
44% worse than Texas averageTexas average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.4%
30% worse than Texas averageTexas average: 15.7%
Percent of long-stay residents experiencing one or more falls with major injury
7.1%
120% worse than Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
2.7%
40% better than Texas averageTexas average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.6%
31% better than Texas averageTexas average: 0.8%
Percent of long-stay residents who lose too much weight
1.9%
44% better than Texas averageTexas average: 3.5%
Percent of long-stay residents who have depressive symptoms
1.2%
60% better than Texas averageTexas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
5.6%
29% better than Texas averageTexas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.9%
In line with Texas averageTexas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Texas averageTexas average: 97.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
75.7%
16% worse than Texas averageTexas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Texas averageTexas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
71.1%
19% worse 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.
35% of new residents, usually for short-term rehab.
43% of new residents, often for short stays.
22% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
60Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for The Villages of Windcrest from 2011–2024, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 06/2024.
Based on CMS SNF Cost Report for fiscal year ending in 06/2024.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #147 / 280Payroll — State benchmarkedThis home is ranked 147th out of 280 homes in Texas for Payroll. 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.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #265 / 280Payroll % — State benchmarkedThis home is ranked 265th out of 280 homes in Texas for Payroll %. Shows payroll as a percentage of revenue versus the Texas average. Well-run Texas facilities typically land around 50–64% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Minimum Age: 55 Years Old
Housing Options: Studio / 1 Bed / 2 Bed / Private Suite
Building Type: 2-story
Beauty Services
Transportation Services
Housekeeping Services
Recreational Activities
Exercise Programs
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
New residents most often arrive under private pay (43% of admissions), and a typical private pay stay runs around 6 - 7 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
1.4 miles from city center
Estimated distance in miles from Fredericksburg's city center to The Villages of Windcrest's address, calculated via Google Maps.
Add your location
The information below is reported by the Texas Health and Human Services Commission.
| Knopp Healthcare & Rehab | NH AL HOS MC PC SNF | Fredericksburg (North Llano Street) | 119
Facility
119
TX AVG
80
Rank
#253 / 976 |
47.1%
Facility
47.1%
TX AVG
67.5
Rank
#172 / 200 | -30% | 3.52
Facility
3.52
TX AVG
3.63
Rank
#137 / 273 | -14% | -3% | $0
Facility
$0
TX AVG
$81.8k
Rank
#1 / 278 | 26
Facility
26
TX AVG
25.9
Rank
#179 / 274 | 6.5
Facility
6.5
TX AVG
3.7
Rank
#268 / 274 | - | 56 | A+ |
35
Facility
35
TX AVG
41
Rank
#847 / 1389 | Jay Luchenbach | $4.3MFiscal year ending 12/2023
Facility
$4.3MFiscal year ending 12/2023
TX AVG
$8.4M
Rank
#274 / 280 | $2.6MFiscal year ending 12/2023
Facility
$2.6MFiscal year ending 12/2023
TX AVG
$3.5M
Rank
#246 / 280 | 61.8%Fiscal year ending 12/2023
Facility
61.8%Fiscal year ending 12/2023
TX AVG
47%
Rank
#10 / 280 | 455278 | ||||
| The Villages of Windcrest | NH AL MC | Fredericksburg | 86
Facility
86
TX AVG
80
Rank
#445 / 976 | - | - | 3.72
Facility
3.72
TX AVG
3.63
Rank
#105 / 273 | -16% | +2% | $63.1k
Facility
$63.1k
TX AVG
$81.8k
Rank
#208 / 278 | 45
Facility
45
TX AVG
25.9
Rank
#242 / 274 | 6.4
Facility
6.4
TX AVG
3.7
Rank
#267 / 274 | 5 | 46 | A- |
13
Facility
13
TX AVG
41
Rank
#1194 / 1389 | Operators Of Fredericksburg | $10.0MFiscal year ending 06/2024
Facility
$10.0MFiscal year ending 06/2024
TX AVG
$8.4M
Rank
#53 / 280 | $5.0MFiscal year ending 06/2024
Facility
$5.0MFiscal year ending 06/2024
TX AVG
$3.5M
Rank
#147 / 280 | 49.7%Fiscal year ending 06/2024
Facility
49.7%Fiscal year ending 06/2024
TX AVG
47%
Rank
#265 / 280 | 455941 |
The Villages of Windcrest is located in Fredericksburg, Texas.
Here are the financial assistance programs available to residents in Texas.
The Villages of Windcrest is legally operated by Acron Windcrest Village LLC, and administered by Mr. Kraig A Turpen.
The Villages of Windcrest has a walk score of 13. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to TX state health department records, The Villages of Windcrest's license number is 307312.
According to TX state health department records, The Villages of Windcrest's license expires on September 5, 2028.
The Villages of Windcrest's occupancy is 59.6%.
The Villages of Windcrest is registered as a for-profit in TX.
Mr. Kraig A Turpen is the administrator of The Villages of Windcrest.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
