Crestway Nursing & Rehabilitation

Nursing home in San Antonio, TX

Medicare & Medicaid certified1★ overall (CMS)

Call (210) 599-3005 Send a message Map ↗

Public-record details

Address: 7181 Crestway Dr, San Antonio, TX 78239
Phone: (210) 599-3005
Listed under: For-profit
Medicare CCN: 675171
Overall star rating: 1 of 5 ★☆☆☆☆
Health inspection rating: 1 of 5
Staffing rating: 1 of 5
Quality measures rating: 2 of 5
Certified beds: 120
Average residents per day: 61
Ownership: For-profit, limited Liability company
Legal business name: Rj Meridian Care of San Antonio, LTD.
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Aug 11, 1993
Changed ownership in last 12 months: No
Continuing care retirement community: No
Located inside a hospital: No
Resident or family council: Resident council
Sprinklers in all required areas: Yes

CMS certification number 675171. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jul 18, 2025. CMS lists 65 health citations for this facility across its last three standard inspection cycles and complaint inspections (Mar 17, 2023 to Apr 30, 2026): 38 from complaint inspections, 5 at the “actual harm” level or higher, including 3 at “immediate jeopardy”.

Inspection	Citation	Severity
Apr 30, 2026	Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary · complaint inspection	D Potential for more than minimal harm, isolated
Dec 2, 2025	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights · complaint inspection	D Potential for more than minimal harm, isolated
Jul 18, 2025	Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights	D Potential for more than minimal harm, isolated
Jul 18, 2025	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
Jul 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. Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
Jul 18, 2025	Provide appropriate foot care. Quality of Life and Care	D Potential for more than minimal harm, isolated
Jul 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. Quality of Life and Care	D Potential for more than minimal harm, isolated
Jul 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. Quality of Life and Care	D Potential for more than minimal harm, isolated
Jul 18, 2025	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service	D Potential for more than minimal harm, isolated
Jul 18, 2025	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	D Potential for more than minimal harm, isolated
Jul 18, 2025	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental	D Potential for more than minimal harm, isolated
Jul 18, 2025	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning	E Potential for more than minimal harm, pattern

Showing the 12 most recent of 65. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 5 fines totalling $73,977 in the last three years.

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

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 3.57 hours
Registered nurse (RN) time per resident per day: 0.32 hours
Nurse aide time per resident per day: 2.01 hours
Total nurse staffing on weekends: 3.30 hours
Nursing staff turnover (yearly): 100%
RN turnover (yearly): 100%
Administrators who left in the past year: 2

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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