CCN 675409 · Bexar County, Texas
Windsor Mission Oaks
3030 S Roosevelt Ave, San Antonio, TX 78214
Windsor Mission Oaks is a 150-bed nonprofit nursing home in San Antonio, Texas, first certified for Medicare or Medicaid in 1994. CMS rates it 3 out of 5 stars overall in its September 2026 data, and it averaged 123.1 residents a day, about 82% of its certified beds. It has an active FHA-insured Section 232 loan: $14.2 million originally, at 3.50%, with $12.1 million outstanding as of September 30, 2026 and maturity in August 2049.
Facility facts
- Certified beds
- 150
- Average residents per day
- 123.1 (82.1% of beds)
- Ownership type
- Non profit - Other
- Certification
- Medicare and Medicaid
- Legal business name
- Val Verde County Hospital District
- Certified since
- Oct 20, 1994
- Chain or affiliated group
- Wellsential Health (67 facilities, chain average 2.7 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Texas median | US median |
|---|---|---|---|
| Overall rating | 3 of 5 | State spread: 322 at 1, 244 at 2, 247 at 3, 211 at 4, 141 at 5 | |
| Health inspections | 3 of 5 | ||
| Quality measures | not rated | ||
| Staffing | 2 of 5 | ||
| Total nurse hours per resident per day | 2.74 | 3.27 | 3.68 |
| RN hours per resident per day | 0.29 | 0.38 | 0.58 |
| Weekend nurse hours per resident per day | 2.22 | ||
| Nursing staff turnover | 23.2% | 52.1% | 44.9% |
| Occupancy (residents / beds) | 82.1% | 68.6% | 85.7% |
| Fines reported by CMS | 1 totaling $10,842 | ||
| Health deficiencies, latest standard survey | 11 (Jun 27, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Windsor Mission Oaks meets that part today: 3 stars overall, 3 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Val Verde County Hospital DistrictOrganization | Direct Ownership Interest | 100% | 04/01/2022 |
| Regency Ihs of Windsor Mission Oaks, LLCOrganization | Operational / Managerial Control | n/a | 04/01/2022 |
| Regency Integrated Health Services LLCOrganization | Operational / Managerial Control | n/a | 04/01/2022 |
| Val Verde County Hospital DistrictOrganization | Operational / Managerial Control | n/a | 04/01/2022 |
| Dekowski, DonovanIndividual | Operational / Managerial Control | n/a | 04/01/2022 |
| Ramirez, HermelindoIndividual | Operational / Managerial Control | n/a | 11/08/2023 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Apr 1, 2022 | Val Verde County Hospital District | Regency Ihs of Windsor Mission Oaks, LLC |
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Jul 8, 2019 | 223(f) refinance or purchaseHUD project name: Regency - Windsor Mission Oaks, 138 beds. Lender at endorsement: Keybank National Association | $14,208,000 | Active: 3.50%, $12,054,584 balanceMatures Aug 1, 2049. Servicer: Keybank National Association | 11522326 |
| Nov 15, 2000 | 223(f) refinance or purchaseHUD project name: Mission Oaks Manor. Lender at endorsement: Highlands Residential Mortgage Ltd | $5,805,000 | Ended Apr 30, 2012Prepayment | 11522210 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.