Texas average 7.4
Last Health inspection on Jul 2025

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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 Villages of Windcrest is legally operated by Acron Windcrest Village Llc, and administrated 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.
Citations
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Total citations
| 4 | 6 | This facility has 33% fewer total citations than a typical Texas nursing home (4 vs. TX avg 6).↓ 33% better |
|
Health citations
| 4 | 2 | This facility has 100% more health citations than a typical Texas nursing home (4 vs. TX avg 2).↑ 100% worse |
Inspections
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Inspections with citations
| 1 | 1 | This facility has inspections with citations in line with the Texas average (1 vs. TX avg 1).— At avg |
The Villages of Windcrest underwent a comprehensive inspection on November 17, 2021, resulting in four state standard violations. The facility was cited for failing to maintain required documentation in resident clinical records under the Health Code, with corrections made between December 8 and 23, 2021. Additionally, the facility failed to post necessary public notices and inspection reports as mandated by the Health Code. No Life Safety Code deficiencies were detected during this inspection. It is worth noting that a separate enforcement action was taken on October 14, 2024, with an administrative penalty of $2,250 assessed for failing to ensure resident protection from abuse, neglect, and exploitation under Texas Administrative Code (TAC) 553.267(a)(3)(E)(ii).
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.
Texas average: 2
Texas average: 0.4
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
1,317 contractor hours this quarter
| 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)
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.
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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)
Residents 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.
Historical financial and operational data for The Villages of Windcrest based on CMS SNF Cost Reports.
Minimum Age: 55 Years Old
Housing Options: Studio / 1 Bed / 2 Bed / Private Suite
Building Type: 2-story
Dining Services
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.
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.
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The Villages of Windcrest is located in Fredericksburg, Texas.
Here are the financial assistance programs available to residents in Texas.
The legal owner and operator of The Villages of Windcrest is Acron Windcrest Village Llc.
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.
Mr. Kraig A Turpen is the administrator of The Villages of Windcrest.
The Villages of Windcrest has 86 beds.
The Villages of Windcrest has had 4 recently reported deficiencies.
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