Nursing home
Crestway Nursing & Rehabilitation
7181 Crestway Dr, San Antonio, TX 78239 · Map
For profit - Limited Liability company · 120 certified beds
Crestway Nursing & Rehabilitation is a Medicare-certified nursing home in San Antonio, Texas. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.59 hours per resident per day, above the Texas average of 3.40. Its most recent inspection on Jul 18, 2025 cited 28 deficiencies.
- 5 fines totaling $73,977In CMS records: 5 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Crestway Nursing & Rehabilitation compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.59 | 3.40 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.29 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.92 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 51.6% | 51.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 28.0 | 9.1 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 5 fines totaling $73,977, 5 total penalties.
What inspectors found at Crestway Nursing & Rehabilitation
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Dec 2, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jul 18, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jul 18, 2025 · Full report (PDF) - Potential for harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Jul 18, 2025 · Full report (PDF) - Potential for harm
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.
Quality of Life and Care Deficiencies · Jul 18, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Jul 18, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Jul 18, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Jul 18, 2025 · Full report (PDF) - Potential for harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Jul 18, 2025 · Full report (PDF) - Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Jul 18, 2025 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Jul 18, 2025 · Full report (PDF) - Potential for harm
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.
Quality of Life and Care Deficiencies · Jul 18, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 7181 Crestway Dr
San Antonio, TX 78239 - CMS certification #
- 675171
- Ownership
- For profit - Limited Liability company
- Certified beds
- 120
- Avg residents/day
- 66.9
- Provider type
- Medicare and Medicaid
- First certified
- 1993-08-11
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Crestway Nursing & Rehabilitation using Google Maps.
Other public records
- Staff pay 1 federal wage case with violations found, since 2017
- Workplace safety 2 OSHA workplace safety inspections since 2021, 1 violation cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Nov 26, 2017 to Nov 23, 2019. Violations found: Fair Labor Standards Act (pay and hours). Employer as DOL recorded it: RJ Meridian Care of San Antonio (RJ Meridian Care of San Antonio, Ltd). Case 1896564.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- May 17, 2022: follow-up inspection, partial (health). Case closed Jun 8, 2022. No violations cited. OSHA record. OSHA recorded the employer as Meridian Care Center. Matched by street address; the name OSHA recorded differs from the community's.
- Oct 20, 2021: programmed (planned) inspection, partial (health). Case closed Apr 8, 2025. 1 violation cited (1 other). Penalties: $6,215 proposed, $2,500 now. OSHA record. OSHA recorded the employer as Meridian Care Center. Matched by street address; the name OSHA recorded differs from the community's.
Details
- Other than serious: Respiratory protection (respirators, N95 fit testing) (1910.134(f)(1)). Penalty $6,215 proposed, $2,500 now. To be fixed by Feb 14, 2022.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Baptist Neighborhood Hospital Thousand Oaks, San Antonio. 8.9 miles away, straight line. CMS overall hospital rating: 5 of 5 stars.
- Nearest Medicare nursing home
- The Army Residence Community Health Care Center, San Antonio. 0.1 miles away, straight line.
- Nearest home health agency office
- All Seasons Home Health & Palliative Care, San Antonio. 4.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- H-E-B Pharmacy. 1.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 78239 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fmc - Village Oaks Kidney Disease Clinic, Live Oak, 1.6 miles away, straight line (CMS rating 4 of 5 stars)
Davita Live Oak Dialysis, Live Oak, 2.1 miles away, straight line (has a shift starting after 5 pm; CMS rating 4 of 5 stars)
Usrc Live Oak Dialysis, Live Oak, 2.7 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 87 Medicare hospices tell CMS they serve ZIP code 78239.
Journeys Hospice Of Texas LLC, office in San Antonio, 3.0 miles away, straight line
All Seasons Hospice Of Texas, office in San Antonio, 4.3 miles away, straight line
Amedia Hospice LLC, office in San Antonio, 5.3 miles away, straight line - Nearest geriatric medicine practice
- Tmc Provider Group PLLC, San Antonio. 10.0 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane very low, inland flooding relatively moderate, wildfire very low, tornado relatively high, heat wave relatively high, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is Crestway Nursing & Rehabilitation a good nursing home?
CMS gives Crestway Nursing & Rehabilitation an overall rating of 1 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Crestway Nursing & Rehabilitation staffed?
Crestway Nursing & Rehabilitation reports 3.59 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Crestway Nursing & Rehabilitation had inspection problems?
Its most recent CMS inspection cited 28 deficiencies.
How many beds does Crestway Nursing & Rehabilitation have?
Crestway Nursing & Rehabilitation is certified for 120 beds.