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Nursing home report

Crestway Nursing & Rehabilitation

SAN ANTONIO, TX · Medicare-certified · 120 beds

Needs attention
For-profitChain member
1 of 5 overall

Crestway Nursing & Rehabilitation has a 1-star overall rating, with 1-star health inspection and staffing ratings and a 2-star quality rating. It has $33,381 in fines in the last 24 months, a recent federal penalty, and reported nurse staffing of 4.16 hours per resident per day, just above the federal benchmark of 4.1.

Facility ratings

Health inspections

Staffing

4.1592 hrs/resident/day

Quality measures

Last inspection: December 2, 2025Penalties, last 24 months: $33,381recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.1592.

Staffing detail

Registered nurses
0.35
Licensed practical nurses
1.45
Nurse aides
2.37
Weekend nursing
3.86

Hours per resident per day.

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

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

9%Improving

Residents with a fall causing major injury

0.4%Worsening

Residents with pressure ulcers (bedsores)

9.4%Improving

Residents with a urinary tract infection

1.5%Improving

Residents who lost too much weight

7.3%Improving

Residents who were physically restrained

3%Improving

Residents needing more help with daily activities

11.3%Worsening

Residents whose ability to walk got worse

12.6%Steady
Show all measures

Long-stay residents on antianxiety or sleep medication

37%Steady

Short-stay residents newly given an antipsychotic

2%Worsening

Residents with a long-term catheter

2.6%Improving

Residents with new or worsening incontinence

17.6%Worsening

Residents with depressive symptoms

2.9%Worsening

Long-stay residents given the seasonal flu vaccine

100%Steady

Long-stay residents given the pneumonia vaccine

99.2%Improving

Short-stay residents given the seasonal flu vaccine

96.7%Steady

Short-stay residents given the pneumonia vaccine

98.7%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 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 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 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 met or exceeded the federal recommendation.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 16 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 6 health deficiencies.

    See what inspectors found
  5. PENALTY

    A federal fine of $16,381 was recorded.

  6. 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 · 2.8 stars avg
Occupancy
57.7 residents on an average day (48% of 120 beds)
Resident voice
Resident council
Medicare history
Certified for 32 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.