Crestway Nursing & Rehabilitation
Crestway Nursing & Rehabilitation is a 120-bed nursing home in SAN ANTONIO, Texas. CMS has certified it for Medicare and Medicaid since 1993-08-11. It averages 60.9 residents a day.
What harm was found in the violations cited at Crestway Nursing & Rehabilitation?
CMS lists 65 health-inspection deficiencies for Crestway Nursing & Rehabilitation since 2023-03-17, 57 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2026-04-30.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-04-30 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | D |
| 2025-12-02 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D |
| 2025-07-18 | F0641, F0656, F0695, F0700, F0757, F0812, F0880 | Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide safe and appropriate respiratory care for a resident when needed. / 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. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | E |
| 2025-07-18 | F0552, F0644, F0657, F0687, F0690, F0693, F0755, F0842, F0921 | Ensure that residents are fully informed and understand their health status, care and treatments. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate foot care. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / 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. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D |
| 2025-06-20 | F0583, F0656, F0657, F0693, F0761, F0810 | Keep residents' personal and medical records private and confidential. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / 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. / 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. / Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D |
| 2025-03-28 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2025-03-28 | F0585, F0656, F0880 | 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide and implement an infection prevention and control program. | D |
| 2025-03-28 | F0839 | Employ staff that are licensed, certified, or registered in accordance with state laws. | C |
| 2025-02-25 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J |
| 2025-02-25 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E |
| 2025-02-25 | F0583, F0656, F0825 | Keep residents' personal and medical records private and confidential. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide or get specialized rehabilitative services as required for a resident. | D |
| 2025-02-11 | F0760 | Ensure that residents are free from significant medication errors. | D |
| 2025-01-30 | F0880 | Provide and implement an infection prevention and control program. | D |
| 2024-11-22 | F0583, F0761, F0880 | Keep residents' personal and medical records private and confidential. / 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. / Provide and implement an infection prevention and control program. | E |
| 2024-11-22 | F0656, F0695 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide safe and appropriate respiratory care for a resident when needed. | D |
| 2024-10-03 | F0842, F0880 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. | D |
| 2024-05-31 | F0812, F0842 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| 2024-05-31 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2024-04-20 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K |
| 2024-03-19 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2024-01-24 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E |
| 2024-01-24 | F0580, F0656, F0761, F0880 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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. / Provide and implement an infection prevention and control program. | D |
| 2023-12-29 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2023-12-29 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2023-11-09 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2023-11-09 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E |
| 2023-03-17 | F0578, F0580, F0657, F0812, F0943, F0944, F0949 | 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. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. / Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. / Provide behavior health training consistent with the requirements and as determined by a facility assessment. | D |
| 2023-03-17 | F0732 | Post nurse staffing information every day. | C |
Why was Crestway Nursing & Rehabilitation fined 5 times?
| Date | Type | Amount |
|---|---|---|
| 2025-03-28 | Fine | $16,381 |
| 2025-02-25 | Fine | $17,000 |
| 2024-03-19 | Fine | $22,190 |
| 2023-12-29 | Fine | $10,216 |
| 2023-11-09 | Fine | $8,190 |
How is Crestway Nursing & Rehabilitation staffed?
| Measure | This facility | TX average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.56998 | 3.38539 |
| Total nursing staff turnover (%) | 100.0 | 55.3 |
| Average number of residents per day | 60.9 | 75.8 |
Who owns Crestway Nursing & Rehabilitation?
Crestway Nursing & Rehabilitation is registered with CMS as For profit - Limited Liability company, operates under the legal business name RJ MERIDIAN CARE OF SAN ANTONIO, LTD.
| Role | Owner | Association date |
|---|---|---|
| DIRECT OWNERSHIP INTEREST | LOZANO, RAMIRO | since 05/17/2005 |
| CORPORATE OFFICER | LOZANO, RAMIRO | since 03/24/2005 |
| OPERATIONAL/MANAGERIAL CONTROL | LOZANO, RAMIRO, MARTINEZ-SORIA, VICTOR, RENDON, MORVYN, RIOS, DENISE | since 05/17/2005 |
| GENERAL PARTNERSHIP INTEREST | RJ REALTY GROUP LLC | since 03/24/2005 |
| LIMITED PARTNERSHIP INTEREST | BALENTINE, JAY, LOZANO, RAMIRO | since 03/24/2005 |
| ADP OF THE SNF | BALENTINE, JAY, LOZANO, RAMIRO, MARTINEZ-SORIA, VICTOR, RIOS, DENISE | since 02/11/2025 |
Were you or a family member harmed at Crestway Nursing & Rehabilitation?