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Nursing Homes · Medicare certified

Crestway Nursing & Rehabilitation

7181 Crestway Rd. · San Antonio, TX 78239 · 120 certified beds

(210) 599-3005

NPI 1578545893 (opens in a new tab)

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About Crestway Nursing & Rehabilitation

Crestway Nursing & Rehabilitation is a nursing home in San Antonio, Texas. Its capacity is 120 beds, the same as the Bexar County median for nursing homes. It is run by a for-profit operator and is part of RJ Realty Group LLC. It is Medicare certified. Its public inspection record shows 65 citations, the most recent on April 30, 2026. CMS also lists 5 fines or payment denials against it. Nurse staffing averages 3.13 hours per resident per day. It is one of 59 nursing homes listed in San Antonio. Residents and families can raise concerns with the Texas Long-Term Care Ombudsman Program at 1-800-252-2412. Its public records were last updated in October 2026.

Public record

CMS Care Compare, updated October 2026

Certification

Medicare-certified.

Ratings

Overall

1.0

Staffing

1.0

Quality measures

2.0

CMS Care Compare, October 2026.

Inspection history (65)

Records from March 2023 to April 2026.

  • April 30, 2026

    Tag F0802

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 1, 2026.

  • December 2, 2025

    Tag F0580

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

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 3, 2025.

  • July 18, 2025

    Tag F0641

    Ensure each resident receives an accurate assessment.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 28, 2025.

  • July 18, 2025

    Tag F0700

    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: pattern, no actual harm, potential for more than minimal harm. Corrected July 28, 2025.

  • July 18, 2025

    Tag F0656

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 28, 2025.

  • July 18, 2025

    Tag F0695

    Provide safe and appropriate respiratory care for a resident when needed.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 28, 2025.

  • July 18, 2025

    Tag F0880

    Provide and implement an infection prevention and control program.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 28, 2025.

  • July 18, 2025

    Tag F0552

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 28, 2025.

  • July 18, 2025

    Tag F0842

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 28, 2025.

  • July 18, 2025

    Tag F0687

    Provide appropriate foot care.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 28, 2025.

  • July 18, 2025

    Tag F0644

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 28, 2025.

  • July 18, 2025

    Tag F0657

    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: isolated, no actual harm, potential for more than minimal harm. Corrected July 28, 2025.

  • July 18, 2025

    Tag F0812

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 28, 2025.

  • July 18, 2025

    Tag F0690

    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: isolated, no actual harm, potential for more than minimal harm. Corrected July 28, 2025.

  • July 18, 2025

    Tag F0757

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 28, 2025.

  • July 18, 2025

    Tag F0755

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 28, 2025.

  • July 18, 2025

    Tag F0921

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 28, 2025.

  • July 18, 2025

    Tag F0693

    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: isolated, no actual harm, potential for more than minimal harm. Corrected July 28, 2025.

  • June 20, 2025

    Tag F0761

    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: isolated, no actual harm, potential for more than minimal harm. Corrected June 23, 2025.

  • June 20, 2025

    Tag F0583

    Keep residents' personal and medical records private and confidential.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 21, 2025.

See the source data on data.cms.gov (opens in a new tab)

Penalties (5)

Total fines: $73,977

  • March 28, 2025 · Fine

    CMS recorded a civil money penalty of $16,381 against this nursing home on March 28, 2025.

  • February 25, 2025 · Fine

    CMS recorded a civil money penalty of $17,000 against this nursing home on February 25, 2025.

  • March 19, 2024 · Fine

    CMS recorded a civil money penalty of $22,190 against this nursing home on March 19, 2024.

  • December 29, 2023 · Fine

    CMS recorded a civil money penalty of $10,216 against this nursing home on December 29, 2023.

  • November 9, 2023 · Fine

    CMS recorded a civil money penalty of $8,190 against this nursing home on November 9, 2023.

See the source data on data.cms.gov (opens in a new tab)

Staffing

3.13 nurse hours per resident per day in Q2 2026, down from 4.16 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

For profit

  • Parent company: RJ Realty Group LLC

Typical cost

CareScout Cost of Care Survey, 2025

This provider's prices aren't public. Here is what the same care typically costs in Texas.

Nursing Homes

Texas median$5,627/mo

Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care

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Crestway Nursing & Rehabilitation in San Antonio, TX · ElderCareCosts