Crestway Nursing & Rehabilitation
7181 Crestway Dr · San Antonio, TX · 78239 · 2105993005
120 certified beds For profit - Limited Liability company Chain: Rj Meridian Care
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $33,381 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
100% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 4.16 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.35 | 0.55–0.75 |
| Weekend hours / resident-day | 3.86 | ≈ weekday level |
| Nursing turnover / year | 100% | median 45% |
| Fines (3-yr window) | 5 · $73,977 |
Inspection citations (65 in the current record)
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Potential for harm · D April 30, 2026 · found via complaint
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected May 1, 2026 · Nutrition and Dietary
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Potential for harm · D December 2, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected December 3, 2025 · Resident Rights
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Potential for harm · D July 18, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected July 28, 2025 · Resident Rights
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Potential for harm · E July 18, 2025
Ensure each resident receives an accurate assessment.
Corrected July 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 18, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected July 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · E July 18, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 18, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected July 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 18, 2025
Provide appropriate foot care.
Corrected July 28, 2025 · Quality of Life and Care
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Potential for harm · D July 18, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected July 28, 2025 · Quality of Life and Care
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Potential for harm · D July 18, 2025
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected July 28, 2025 · Quality of Life and Care
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Potential for harm · E July 18, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected July 28, 2025 · Quality of Life and Care
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Potential for harm · E July 18, 2025
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected July 28, 2025 · Quality of Life and Care
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Potential for harm · D July 18, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected July 28, 2025 · Pharmacy Service
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Potential for harm · E July 18, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected July 28, 2025 · Pharmacy Service
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Potential for harm · E July 18, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 28, 2025 · Nutrition and Dietary
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Potential for harm · D July 18, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected July 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · E July 18, 2025
Provide and implement an infection prevention and control program.
Corrected July 28, 2025 · Infection Control
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Potential for harm · D July 18, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected July 28, 2025 · Environmental
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Potential for harm · D June 20, 2025 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected June 21, 2025 · Resident Rights
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Potential for harm · D June 20, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 23, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 20, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 20, 2025 · found via complaint
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected June 23, 2025 · Quality of Life and Care
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Potential for harm · D June 20, 2025 · found via complaint
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected June 23, 2025 · Pharmacy Service
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Potential for harm · D June 20, 2025 · found via complaint
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected June 23, 2025 · Nutrition and Dietary
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Immediate jeopardy · J March 28, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 27, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 28, 2025 | Fine | $16,381 |
| February 25, 2025 | Fine | $17,000 |
| March 19, 2024 | Fine | $22,190 |
| December 29, 2023 | Fine | $10,216 |
| November 9, 2023 | Fine | $8,190 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675171 · certified since August 11, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.