For profit - Limited Liability company · 120 certified beds · CMS number 675171

Crestway Nursing & Rehabilitation, San Antonio, TX

CMS records 65 health deficiencies at Crestway Nursing & Rehabilitation in San Antonio, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jul 18, 2025. The highest severity cited is K (immediate jeopardy to resident health or safety). 3 citations were at the immediate jeopardy level, 2 of them recorded as past non-compliance (fixed before the inspection). CMS lists 5 fines totaling $73,977 in the last three years.

Inspections and deficiencies

CMS findings for Crestway Nursing & Rehabilitation as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Crestway Nursing & Rehabilitation may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (18 deficiencies)

Standard inspection Jul 18, 2025. CMS counts 18 health deficiencies and 7 fire safety deficiencies in this cycle.

Apr 30, 2026 · Complaint inspection

1 deficiency, highest D

F802 · Enough kitchen and dining support staff

Requirement cited (CMS): Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 1, 2026

Dec 2, 2025 · Complaint inspection

1 deficiency, highest D

F580 · Telling residents and families about changes

Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 3, 2025

Jul 18, 2025 · Standard inspection

16 deficiencies, highest E

F921 · Safe, functional, sanitary building

Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 28, 2025

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jul 28, 2025

F842 · Complete, confidential medical records

Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 28, 2025

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jul 28, 2025

F757 · Avoiding unnecessary drugs

Requirement cited (CMS): Ensure each resident’s drug regimen must be free from unnecessary drugs.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jul 28, 2025

F755 · Pharmacy services and a consultant pharmacist

Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 28, 2025

F700 · Bed rail safety

Requirement cited (CMS): 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.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jul 28, 2025

F695 · Respiratory and oxygen care

Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jul 28, 2025

F693 · Feeding tube use and care

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 28, 2025

F690 · Bladder, bowel, and catheter care

Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 28, 2025

F687 · Foot care

Requirement cited (CMS): Provide appropriate foot care.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 28, 2025

F657 · Care plan timing and team review

Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 28, 2025

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jul 28, 2025

F644 · Coordinating with PASARR screening

Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 28, 2025

F641 · Accurate resident assessments

Requirement cited (CMS): Ensure each resident receives an accurate assessment.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jul 28, 2025

F552 · Being informed about health and treatment

Requirement cited (CMS): Ensure that residents are fully informed and understand their health status, care and treatments.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 28, 2025
Previous cycle: 28 deficiencies (standard inspection May 31, 2024)

Standard inspection May 31, 2024. CMS counts 28 health deficiencies and 1 fire safety deficiency in this cycle.

Jun 20, 2025 · Complaint inspection

6 deficiencies, highest D

F810 · Adaptive eating equipment and help

Requirement cited (CMS): Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 23, 2025

F761 · Drug labeling and secure storage

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 23, 2025

F693 · Feeding tube use and care

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 23, 2025

F657 · Care plan timing and team review

Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 21, 2025

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 23, 2025

F583 · Personal privacy and confidential records

Requirement cited (CMS): Keep residents' personal and medical records private and confidential.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 21, 2025

Mar 28, 2025 · Complaint inspection

5 deficiencies, highest J

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 14, 2025

F839 · Licensed and qualified staff

Requirement cited (CMS): Employ staff that are licensed, certified, or registered in accordance with state laws.

Severity
C No actual harm, potential for minimal harm, widespread
Status
Correction date Apr 14, 2025

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
J Immediate jeopardy to resident health or safety, isolated
Status
Past non-compliance (fixed before the inspection), Nov 27, 2024

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 14, 2025

F585 · Grievances and how they are handled

Requirement cited (CMS): Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 14, 2025

Feb 25, 2025 · Complaint inspection

5 deficiencies, highest J

F825 · Therapy and rehabilitation services

Requirement cited (CMS): Provide or get specialized rehabilitative services as required for a resident.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 26, 2025

F755 · Pharmacy services and a consultant pharmacist

Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Feb 26, 2025

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 26, 2025

F600 · Freedom from abuse and neglect

Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Severity
J Immediate jeopardy to resident health or safety, isolated
Status
Past non-compliance (fixed before the inspection), Feb 19, 2025

F583 · Personal privacy and confidential records

Requirement cited (CMS): Keep residents' personal and medical records private and confidential.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 26, 2025

Feb 11, 2025 · Complaint inspection

1 deficiency, highest D

F760 · No significant medication errors

Requirement cited (CMS): Ensure that residents are free from significant medication errors.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 12, 2025

Jan 30, 2025 · Complaint inspection

1 deficiency, highest D

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 31, 2025

Nov 22, 2024 · Complaint inspection

5 deficiencies, highest E

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Nov 23, 2024

F761 · Drug labeling and secure storage

Requirement cited (CMS): 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.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Nov 23, 2024

F695 · Respiratory and oxygen care

Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Nov 23, 2024

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Nov 23, 2024

F583 · Personal privacy and confidential records

Requirement cited (CMS): Keep residents' personal and medical records private and confidential.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Nov 23, 2024

Oct 3, 2024 · Complaint inspection

2 deficiencies, highest D

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 4, 2024

F842 · Complete, confidential medical records

Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 4, 2024

May 31, 2024 · Standard inspection

3 deficiencies, highest E

F842 · Complete, confidential medical records

Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jun 1, 2024

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jun 1, 2024

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 1, 2024
Earlier cycle: 19 deficiencies (standard inspection Mar 17, 2023)

Standard inspection Mar 17, 2023. CMS counts 19 health deficiencies and 4 fire safety deficiencies in this cycle.

Apr 20, 2024 · Complaint inspection

1 deficiency, highest K

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
K Immediate jeopardy to resident health or safety, pattern
Status
Correction date Apr 21, 2024

Mar 19, 2024 · Complaint inspection

1 deficiency, highest D

F842 · Complete, confidential medical records

Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Mar 20, 2024

Jan 24, 2024 · Complaint inspection

5 deficiencies, highest E

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 25, 2024

F761 · Drug labeling and secure storage

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 25, 2024

F695 · Respiratory and oxygen care

Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jan 25, 2024

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 25, 2024

F580 · Telling residents and families about changes

Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 25, 2024

Dec 29, 2023 · Complaint inspection

2 deficiencies, highest G

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
G Actual harm (not immediate jeopardy), isolated
Status
Correction date Jan 26, 2024

F609 · Reporting suspected abuse and crimes

Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 26, 2024

Nov 9, 2023 · Complaint inspection

2 deficiencies, highest G

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
G Actual harm (not immediate jeopardy), isolated
Status
Past non-compliance (fixed before the inspection), Oct 24, 2023

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Dec 11, 2023

Mar 17, 2023 · Standard inspection

8 deficiencies, highest D

F949 · Behavioral health training

Requirement cited (CMS): Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 17, 2023

F944 · Quality program training

Requirement cited (CMS): Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 17, 2023

F943 · Abuse prevention and dementia training

Requirement cited (CMS): Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 17, 2023

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 17, 2023

F732 · Daily posting of nurse staffing

Requirement cited (CMS): Post nurse staffing information every day.

Severity
C No actual harm, potential for minimal harm, widespread
Status
Correction date Apr 17, 2023

F657 · Care plan timing and team review

Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 17, 2023

F580 · Telling residents and families about changes

Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 17, 2023

F578 · Refusing treatment and advance directives

Requirement cited (CMS): Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 17, 2023

Tags cited in more than one inspection

12 tags cited on more than one inspection date at Crestway Nursing & Rehabilitation; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F656 Comprehensive person-centered care plan8Jul 18, 2025; Jun 20, 2025; Mar 28, 2025; Feb 25, 2025; Nov 22, 2024; May 31, 2024; Jan 24, 2024; Nov 9, 2023
F880 Infection prevention and control program6Jul 18, 2025; Mar 28, 2025; Jan 30, 2025; Nov 22, 2024; Oct 3, 2024; Jan 24, 2024
F689 Accident prevention and supervision4Mar 28, 2025 (PNC); Apr 20, 2024; Dec 29, 2023; Nov 9, 2023 (PNC)
F842 Complete, confidential medical records4Jul 18, 2025; Oct 3, 2024; May 31, 2024; Mar 19, 2024
F580 Telling residents and families about changes3Dec 2, 2025; Jan 24, 2024; Mar 17, 2023
F583 Personal privacy and confidential records3Jun 20, 2025; Feb 25, 2025; Nov 22, 2024
F657 Care plan timing and team review3Jul 18, 2025; Jun 20, 2025; Mar 17, 2023
F695 Respiratory and oxygen care3Jul 18, 2025; Nov 22, 2024; Jan 24, 2024
F761 Drug labeling and secure storage3Jun 20, 2025; Nov 22, 2024; Jan 24, 2024
F812 Food safety and sanitation3Jul 18, 2025; May 31, 2024; Mar 17, 2023
F693 Feeding tube use and care2Jul 18, 2025; Jun 20, 2025
F755 Pharmacy services and a consultant pharmacist2Jul 18, 2025; Feb 25, 2025

Fines and payment denials

DateTypeAmount / length
Mar 28, 2025Fine$16,381
Feb 25, 2025Fine$17,000
Mar 19, 2024Fine$22,190
Dec 29, 2023Fine$10,216
Nov 9, 2023Fine$8,190

Staffing and CMS ratings

Total nurse staff hours per resident per day
3.57 h (above the Texas median of 3.27 h)
RN hours per resident per day
0.32 h (below the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
3.30 h
Nursing staff turnover
100.0% (Texas median 52.1%)
Administrators who left
2
CMS overall rating
1 of 5
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measure rating
2 of 5

CMS figures for Crestway Nursing & Rehabilitation, copied as published; Texas medians are ours.

Facility details

Address
7181 Crestway Rd., San Antonio, TX 78239
Phone
(210) 599-3005
County
Bexar
Accepts
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Chain (CMS)
Not part of a chain in CMS data
Certified beds
120
Average residents per day
60.9
In Medicare/Medicaid since
Aug 11, 1993
Inside a hospital
No
Continuing care retirement community
No
Resident and family council
Resident
Sprinklers in all required areas
Yes

Questions to ask on a visit

Based on the tags cited most often here.

  • How are a resident's goals and preferences written into the care plan? (F656, cited 8 times)
  • How do staff track and report infections among residents? (F880, cited 6 times)
  • How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 4 times)
  • Does the home use electronic health records, and can families get access through a portal? (F842, cited 4 times)

Other nursing homes in San Antonio

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

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