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Nursing home report

Crestway Nursing & Rehabilitation

SAN ANTONIO, TX · Medicare-certified · 120 beds

Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall

Crestway Nursing & Rehabilitation has a 1-star overall rating, with 1-star health inspection and staffing ratings and 2-star quality measures. Reported nurse staffing is 3.57 hours per resident per day, below the federal benchmark of 4.1, and the facility had $33,381 in fines in the last 24 months, including a recent federal penalty.

Facility ratings

Health inspections

Staffing

3.57 hrs/resident/day

Quality measures

Last inspection: April 30, 2026Penalties, last 24 months: $33,381recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.57.

Staffing detail

Registered nurses
0.32
Licensed practical nurses
1.24
Nurse aides
2.01
Weekend nursing
3.30

Hours per resident per day.

Total staff turnover: 100%
Registered nurse turnover: 100%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

14.3%10%Improving

Residents with a fall causing major injury

0%3.6%Worsening

Residents with pressure ulcers (bedsores)

11.2%8%Improving

Residents with a urinary tract infection

2.9%0%Improving

Residents who lost too much weight

7.6%0%Improving

Residents who were physically restrained

2.9%0%Improving

Residents needing more help with daily activities

25%5.4%Improving

Residents whose ability to walk got worse

7.6%

Long-stay residents on antianxiety or sleep medication

38.8%37.3%Improving

Short-stay residents newly given an antipsychotic

0%3.2%Worsening

Residents with a long-term catheter

3.5%0%Improving

Residents with new or worsening incontinence

18.7%15.3%Improving

Residents with depressive symptoms

3.7%0%Improving

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

100%

Long-stay residents given the pneumonia vaccine

98.6%100%Improving

Short-stay residents given the seasonal flu vaccine

96.7%

Short-stay residents given the pneumonia vaccine

97.8%100%Improving

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2024 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: K

The nursing home failed to protect residents from abuse and neglect by others. Cited February 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 600 — 42 CFR §483.12 — S/S: J

The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited July 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 641 — 42 CFR §483.20(g) — S/S: E

The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited July 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E

The home failed to provide safe and appropriate breathing care when a resident needed it. Cited July 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 695 — 42 CFR §483.25(i) — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  5. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  6. INSPECTION

    Health inspection found 16 health deficiencies.

    See what inspectors found
  7. INSPECTION

    Health inspection found 6 health deficiencies.

    See what inspectors found
  8. PENALTY

    A federal fine of $16,381 was recorded.

  9. PENALTY

    A federal fine of $17,000 was recorded.

Penalties & enforcement

On record with Medicare: 5 fines · $73,977 in total fines.

  • Federal fine

    Mar 28, 2025

    $16,381
  • Federal fine

    Feb 25, 2025

    $17,000
  • Federal fine

    Mar 19, 2024

    $22,190
  • Federal fine

    Dec 29, 2023

    $10,216
  • Federal fine

    Nov 9, 2023

    $8,190

Operator & ownership

Ownership
For profit - Limited Liability company
Chain
Part of RJ MERIDIAN CARE · 5 homes · 2 stars avg
Occupancy
60.9 residents on an average day (51% of 120 beds)
Resident voice
Resident council
Medicare history
Certified for 33 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.