Windsor Nursing And Rehabilitation Center Of San Diego in San Diego, Duval County, Texas

San Diego, Duval County, Texas 78384

Status Medicare and Medicaid certifiedMedicare CCN 675170

HHSC license rosteras of November 9, 2026CMS nursing home filerelease October 28, 2026; processing date October 1, 2026CMS processing date for this home October 1, 2026

Verify on TULIP View on Medicare.gov

Location and contact

Address: 138 S Fm 1329
San Diego, TX 78384
Open map (OpenStreetMap)
Phone: (361) 279-8291
HHSC facility ID: 005323
License number: 144179

Medicare ratings

Star ratings below are copied from the CMS Provider Information file (official release October 28, 2026; processing date October 1, 2026). They are not assigned by NursingCareLookup. See how to read ratings and CMS Five-Star documentation.

Overall: 5 of 5Overall: 5 of 5 stars
Health inspection: 5 of 5Health inspection: 5 of 5 stars
Staffing: 2 of 5Staffing: 2 of 5 stars
Quality measures: 5 of 5Quality measures: 5 of 5 stars
Long-stay quality measures: 5 of 5Long-stay quality measures: 5 of 5 stars
Short-stay quality measures: Not rated in the CMS file on handShort-stay quality measures: not rated in the CMS file on hand
CMS footnote: 2

Staffing hours

Hours are the facility’s reported nurse staffing hours per resident per day from the CMS file. The Texas average is computed on this site from Texas rows in that same file that include a numeric value. It is not copied from another website. Method: Methodology.

Staffing hours per resident per day
Measure	This facility	Texas average (this site)
Total nurse staffing	3.36 hours	3.42 hours n=1,152
Registered nurse	0.60 hours	0.44 hours
LPN	1.14 hours	0.95 hours
Nurse aide	1.62 hours	2.03 hours
Weekend nurse staffing	2.94 hours	2.99 hours

0.05 hours below this site’s computed Texas average.

Total nursing staff turnover: 44.7% (Texas average computed on this site: 50.8%, n=1,096)
RN turnover: 60%
Average residents per day: 41.1
Certified beds (CMS): 90

MDS quality measures

These figures are the four-quarter averages published in the CMS MDS Quality Measures file (official release October 28, 2026; measure period 2025Q3-2026Q2; processing date October 1, 2026). They are not a grade this site assigned. A “used in Five-Star” flag is the published CMS field that says whether that measure feeds the quality-measure star rating. Quarterly scores are collapsed under each measure. Official definitions are on the CMS Five-Star page.

CMS MDS quality measures, four-quarter averages
Measure	Stay	Four-quarter average	Used in Five-Star QM rating
Percentage of long-stay residents whose need for help with daily activities has increased Quarterly scores Q1 11.1% · Q2 40.0% · Q3 7.1% · Q4 6.7% · Period 2025Q3-2026Q2 · Measure code 401	Long Stay	15.5%	Yes, as published by CMS
Percentage of long-stay residents with a catheter inserted and left in their bladder Quarterly scores Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 406	Long Stay	0.0%	Yes, as published by CMS
Percentage of long-stay residents with a urinary tract infection Quarterly scores Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 407	Long Stay	0.0%	Yes, as published by CMS
Percentage of long-stay residents experiencing one or more falls with major injury Quarterly scores Q1 2.5% · Q2 2.6% · Q3 5.0% · Q4 2.8% · Period 2025Q3-2026Q2 · Measure code 410	Long Stay	3.2%	Yes, as published by CMS
Percentage of long-stay residents whose ability to walk independently worsened Quarterly scores Q1 — (CMS footnote 9) · Q2 — (CMS footnote 9) · Q3 — (CMS footnote 9) · Q4 — (CMS footnote 9) · Period 2025Q3-2026Q2 · Measure code 451	Long Stay	8.6%	Yes, as published by CMS
Percentage of long-stay residents with pressure ulcers Quarterly scores Q1 0.0% · Q2 0.0% · Q3 1.7% · Q4 7.6% · Period 2025Q3-2026Q2 · Measure code 479	Long Stay	2.2%	Yes, as published by CMS
Percentage of long-stay residents who received an antipsychotic medication Quarterly scores Q1 0.0% · Q2 0.0% · Q3 4.5% · Q4 — (CMS footnote 9) · Period 2025Q3-2026Q2 · Measure code 481	Long Stay	2.4%	Yes, as published by CMS
Percentage of long-stay residents who lose too much weight Quarterly scores Q1 3.4% · Q2 3.6% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 404	Long Stay	1.7%	No, as published by CMS
Percentage of long-stay residents who have depressive symptoms Quarterly scores Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 408	Long Stay	0.0%	No, as published by CMS
Percentage of long-stay residents who were physically restrained Quarterly scores Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 409	Long Stay	0.0%	No, as published by CMS
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Quarterly scores Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · Period 2025Q3-2026Q2 · Measure code 415	Long Stay	100.0%	No, as published by CMS
Percentage of long-stay residents who received an antianxiety or hypnotic medication Quarterly scores Q1 13.8% · Q2 14.3% · Q3 29.0% · Q4 25.0% · Period 2025Q3-2026Q2 · Measure code 452	Long Stay	20.8%	No, as published by CMS
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Quarterly scores Q1 — (CMS footnote 28) · Q2 — (CMS footnote 28) · Q3 — (CMS footnote 28) · Q4 — (CMS footnote 28) · Period 2025Q3-2026Q2 · Measure code 454	Long Stay	90.7%	No, as published by CMS
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Quarterly scores Q1 24.0% · Q2 17.2% · Q3 12.9% · Q4 9.4% · Period 2025Q3-2026Q2 · Measure code 480	Long Stay	16.1%	No, as published by CMS
Percentage of short-stay residents who newly received an antipsychotic medication Quarterly scores Q1 — (CMS footnote 9) · Q2 0.0% · Q3 — (CMS footnote 9) · Q4 — (CMS footnote 9) · Period 2025Q3-2026Q2 · Measure code 434	Short Stay	1.6%	Yes, as published by CMS
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Quarterly scores Q1 84.8% · Q2 84.2% · Q3 96.3% · Q4 77.1% · Period 2025Q3-2026Q2 · Measure code 430	Short Stay	85.0%	No, as published by CMS
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Quarterly scores Q1 — (CMS footnote 28) · Q2 — (CMS footnote 28) · Q3 — (CMS footnote 28) · Q4 — (CMS footnote 28) · Period 2025Q3-2026Q2 · Measure code 472	Short Stay	92.6%	No, as published by CMS

Inspection citations

8 health citations in the CMS file (2 from complaint surveys). Highest scope/severity letter in the file: D — Isolated, potential for more than minimal harm.

The list below is drawn from the CMS Health Deficiencies file. We show the tag, a plain-language reading of the scope and severity letter, whether the survey was a standard or complaint survey, the survey date, and whether CMS recorded a correction. We do not reprint the official deficiency narrative here. Read that text on TULIP or Medicare.gov. A facility may appeal a finding; a successful appeal can alter or remove a citation.

Scope and severity letters (A–L)

CMS assigns one letter from a grid of scope (how widely a problem was found) and severity (how serious the harm was or could be). The short labels below are our wording of that grid, not a different rating system.

Scope and severity letters used in CMS health citations
Severity	Isolated	Pattern	Widespread
Potential for minimal harm	A	B	C
No actual harm, potential for more than minimal harm	D	E	F
Actual harm	G	H	I
Immediate jeopardy	J	K	L

2026 — 4 citations

Tag 0656D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: July 28, 2026

CMS records a correction date (July 29, 2026)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0880D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: April 29, 2026

CMS records a correction date (May 5, 2026)

More detail

Infection Control Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0656D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: April 29, 2026

CMS records a correction date (May 5, 2026)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0628D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: April 29, 2026

CMS records a correction date (May 5, 2026)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

2025 — 1 citation

Tag 0842D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: February 12, 2025

CMS records a correction date (February 13, 2025)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

2023 — 3 citations

Tag 0880E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: November 17, 2023

CMS records a correction date (November 18, 2023)

More detail

Infection Control Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0755D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: November 17, 2023

CMS records a correction date (November 18, 2023)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0812F

F — Widespread, potential for more than minimal harm

Complaint survey

Survey date: October 5, 2023

CMS records a correction date (October 24, 2023)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

License and identity (HHSC)

License effective: February 28, 2025
License expires: February 28, 2028
Initial license date: August 26, 1993
Facility licensed: Yes
Facility certified (HHSC): Yes
Service type: MEDICARE/MEDICAID
Total licensed capacity: 90 beds
Bed mix (HHSC): Licensed only 0; Medicaid only 0; Medicare only 24; Medicare/Medicaid 66; ICF/IID 0
Alzheimer capacity: 0
Administrator: Victoria Eileen Beltran-Garcia
Management company: Regency Ihs Of La Paloma LLC

Ownership

Ownership below comes from the CMS file when a row joined on this home’s Medicare number. HHSC also records an owner and entity type; those appear after the CMS data. The HHSC entity type “HOSPITAL DISTRICT/AUTHORITY” is very common in the state roster and may not describe day-to-day control. It is not used as a headline here.

CMS ownership type: Government - Hospital district · Affiliated / chain name in the file: WELLSENTIAL HEALTH (67 facilities in the chain, as listed)

CMS ownership records
Name	Role	Type	Share	Associated
REGENCY IHS OF LA PALOMA LLC	DIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 10/01/2022
CANTU, SERGIO	DIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 01/01/2025
LEAL, CRUZ	DIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 01/01/2025
STONE, AMANDA	DIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 07/01/2024
VELA, DOROTHY	DIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 01/01/2025
CSV RHEA MANAGEMENT HOLDCO, LLC	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 10/01/2022
DWD TX HOLDINGS LLC	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 10/01/2022
JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 10/01/2022
REG LEASED OPCO LLC	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 10/01/2022
REG OPERATOR HOLDCO LLC	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 10/01/2022
REGENCY INTEGRATED HEALTH SERVICES LLC	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 10/01/2022
REGENCY TEXAS HOLDINGS LLC	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 10/01/2022

30 more CMS ownership records

Additional CMS ownership records
Name	Role	Type	Share	Associated
BAIRD, DANIEL	INDIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 04/13/2021
CLAPP, BARBARA	INDIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 06/01/2021
CORTESE, DAREN	INDIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 08/10/2021
DEKOWSKI, DONOVAN	INDIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 10/01/2022
GIBSON, PATRICIA	INDIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 08/01/2021
MANDELBAUM, ELLIOT	INDIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 01/01/2025
APOLINAR, ADAM	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 07/23/2015
CONTRERAS, TERRI	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 04/29/2019
ELLIOTT, BENJAMIN	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 07/23/2015
FAGLIE, KELLY	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 01/25/2016
GAITONDE, GAJANAN	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 02/28/2015
GONZALES, HECTOR	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 03/27/2001
GUTIERREZ, MONICA	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 02/28/2015
KESSLER, WILLIAM	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 02/28/2015
ZAMORA, RAUL	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 02/28/2015
REGENCY IHS OF LA PALOMA LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 10/01/2022
REGENCY INTEGRATED HEALTH SERVICES LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 10/01/2022
UVALDE COUNTY HOSPITAL AUTHORITY	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 10/01/2022
DEKOWSKI, DONOVAN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/01/2022
STONE, AMANDA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 07/01/2024
REGENCY IHS CLINICAL CONSULTING, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/01/2022
REGENCY IHS OF LA PALOMA LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/18/2025
REGENCY IHS REHAB LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/01/2022
REGENCY INTEGRATED HEALTH SERVICES LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/18/2025
UVALDE COUNTY HOSPITAL AUTHORITY	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/18/2025
CANTU, SERGIO	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2025
DEKOWSKI, DONOVAN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2022
LEAL, CRUZ	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2025
STONE, AMANDA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 07/01/2024
VELA, DOROTHY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2025

HHSC owner fields

Owner (HHSC): Uvalde County Hospital Authority
Type of entity (HHSC): HOSPITAL DISTRICT/AUTHORITY

Public data compiled by NursingCareLookup, not an endorsement or a recommendation, and not medical or legal advice. This site is not affiliated with HHSC, CMS, or Medicare. Figures can lag events at the facility, including surveys, corrections, and successful appeals (an appeal can alter or remove a citation). Verify current facts on TULIP and Medicare.gov, and visit in person before you decide. HHSC roster as of November 9, 2026 (America/Chicago). CMS file: official release October 28, 2026; processing date October 1, 2026.