San Antonio, TX · 80 beds
5.0CMS rating
Skilled NursingContinuing Care (CCRC / Life Plan)Usually has openings
One of San Antonio's top-rated skilled nursing communities.
Est. $5,070–$7,610/mo
View full evaluation →Skilled NursingCMS verified
Crestway Nursing & Rehabilitation
7181 Crestway Dr, San Antonio, TX 78239 · Bexar County
Providing San Antonio, TX with Quality Skilled Nursing Care
18
Use CautionHaven Scout Score
Our composite of CMS ratings, staffing, and safety. This community rates use caution.
Photos via google places, facility website.
Availability outlookUsually has openings
Typically 48% full — availability is generally good.
Source: federal census data (average daily residents vs. certified beds, CMS Care Compare). Confirm current openings with an advisor — availability changes weekly.
Our evaluation
An honest, data-grounded look at this community — every claim is drawn from public inspection data.
A low federal rating — review the details closely
Crestway Nursing & Rehabilitation is a for-profit skilled nursing facility in San Antonio, TX, with 120 certified beds and an average of about 58 residents per day. It operates as part of the Rj Meridian Care network.
Medicare rates it 1 out of 5 stars overall — below the national average of about 3 stars. Component ratings: 1/5 on health inspections, 1/5 on staffing, 2/5 on quality measures.
Staff provide about 4.16 total nurse hours per resident each day (0.35 of them from registered nurses), above the national benchmark of roughly 3.9 hours. Annual nursing-staff turnover is about 100%, higher than the ~52% national average. On the safety record, CMS notes 24 health deficiencies at its most recent standard survey, and 5 federal fines totaling $73,977 in the recent record.
Strengths
- ✓Above-average nurse staffing (4.16 hrs/resident/day)
- ✓Full sprinkler system
- ✓Active resident & family council
Things to ask about
- •Below-average 1-star overall CMS rating
- •Below-average health-inspection rating
- •High staff turnover (100%)
- •24 deficiencies at last survey
- •$73,977 in federal fines
Best for: Families considering this community should tour in person, request the latest survey, and weigh it against higher-rated San Antonio options — our advisors can help you compare.
At a glance
- Certified beds
- 120
- Avg. residents/day
- 58
- Ownership
- For profit - Limited Liability company
- Part of a chain
- Rj Meridian Care
- Continuing care
- No
- CMS provider #
- 675171
Federal quality ratings
From the U.S. Centers for Medicare & Medicaid Services (CMS), on a 1–5 star scale.
Overall rating
Health inspections
Staffing
Quality measures
Pricing & cost
We publish transparent estimates and verify exact pricing on request. No surprises.
| Level of care | Monthly cost | Source |
|---|---|---|
| Skilled Nursing | $5,070–$7,610/mo (median $6,130) | Local market estimate |
2024–2026 published survey medians, state median adjusted to local San Antonio prices (BEA regional price parities). Request a quote for exact pricing. Range spans semi-private to private rooms. How we estimate costs
Staffing & care
More nursing time per resident — and lower turnover — generally means more attentive care.
- Total nurse hrs / resident / day
- 4.16
- National avg ≈ 3.9
- RN hrs / resident / day
- 0.35
- National avg ≈ 0.75
- Nursing staff turnover
- 100%
- National avg ≈ 52%
Safety & inspection record
Federal inspectors survey nursing homes roughly once a year. Here's the latest on file.
- Health deficiencies (last survey)
- 24
- Federal fines
- 5 ($73,977)
- Total penalties
- 5
- Last standard survey
- 2025-07-18
- Sprinkler system
- Yes
- Resident & family council
- Resident
What inspectors found
The most recent findings from federal health inspections (65 citations on record — showing the latest 8). Every nursing home is inspected roughly once a year; most receive some citations.
2026-04-30Severity D — potential for harmFrom a complaintNutrition and Dietary Deficiencies
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
2025-12-02Severity D — potential for harmFrom a complaintResident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2025-07-18Severity E — potential for harmResident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
2025-07-18Severity E — potential for harmResident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2025-07-18Severity E — potential for harmQuality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
2025-07-18Severity E — potential for harmQuality of Life and Care Deficiencies
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 …
2025-07-18Severity E — potential for harmPharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
2025-07-18Severity E — potential for harmNutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity uses the CMS scope/severity scale: D–F = potential for harm, G–I = actual harm, J–L = immediate jeopardy. Source: CMS Care Compare health citations; data as of the latest federal release. Discuss any finding directly with the community on a tour.
Penalty history
Federal fines and Medicare/Medicaid payment denials on record.
| 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 |
Services & amenities
- ✓ Full automatic sprinkler system
- ✓ Medicare & Medicaid certified
- ✓ 24-hour licensed nursing
- ✓ On-site rehabilitation therapy
- ✓ Rehabilitation services
- ✓ Daily activities & events
- ✓ Private rooms available
- ✓ 24/7 staff
Location
7181 Crestway Dr, San Antonio, TX
- Monday: Open 24 hours
- Tuesday: Open 24 hours
- Wednesday: Open 24 hours
- Thursday: Open 24 hours
- Friday: Open 24 hours
- Saturday: Open 24 hours
- Sunday: Open 24 hours
Reviews & reputation
We aggregate ratings across Google, Yelp, and verified families — and link back to every source so you can read more.
Verified family reviews
No verified family reviews yet for Crestway Nursing & Rehabilitation.
Have a loved one here, or recently toured? Help other families by sharing your experience — we verify every review before it's published.
Talk to an advisor about this communityCommon questions about Crestway Nursing & Rehabilitation
How much does Crestway Nursing & Rehabilitation cost?
Crestway Nursing & Rehabilitation does not publish exact rates. Comparable skilled nursing in the San Antonio, TX area typically runs $5,070–$7,610 per month (median $6,130, based on published survey medians adjusted for local prices). A Haven advisor can confirm current pricing for free.
What is Crestway Nursing & Rehabilitation's Medicare rating?
Medicare (CMS) rates Crestway Nursing & Rehabilitation 1 out of 5 stars overall, including 1/5 for health inspections, 1/5 for staffing, 2/5 for quality measures. The national average is about 3 stars.
How is the staffing at Crestway Nursing & Rehabilitation?
Staff provide about 4.16 total nurse hours per resident per day (national benchmark ≈ 3.9), and annual nursing-staff turnover is about 100% (national average ≈ 52%). These figures are reported to the federal government and updated regularly.
What did inspectors find at Crestway Nursing & Rehabilitation?
Crestway Nursing & Rehabilitation has 65 health citations on its recent federal inspection record (last standard survey: 2025-07-18). The full citation-by-citation detail, with severity levels, is published on this page.
Does Crestway Nursing & Rehabilitation have availability?
Typically 48% full — availability is generally good. Availability changes weekly — a Haven advisor can confirm current openings at no cost.
What types of care does Crestway Nursing & Rehabilitation offer?
Crestway Nursing & Rehabilitation in San Antonio, TX offers skilled nursing and is licensed for 120 beds.
The best time to decide is before a crisis decides for you
Most families start this search after a fall, a hospital stay, or a caregiver reaching a breaking point — and end up choosing from whatever has a bed open that week. Families who plan even a few weeks ahead get to choose on quality, fit, and price instead of availability alone.
- Move-ins take time: assessments, paperwork, and preparation typically run 2–6 weeks in San Antonio.
- The best communities fill first: top-rated communities often run a waitlist — touring early holds your place in line.
- Touring costs nothing and commits you to nothing — but it turns a future emergency into a calm, informed choice.
Your next steps — this week
- 1Confirm the fitCheck the inspection record and staffing data on this page against your loved one's needs.
- 2Get exact pricing & availabilityRequest current rates for Crestway Nursing & Rehabilitation — takes one minute, answered same day.
- 3Tour 2–3 communitiesCompare this community against two alternatives. Ask about staff turnover, all-in monthly cost, and care-plan changes.
- 4Hold a spotMost communities hold a residence with a small refundable deposit while you decide.
Data sources:CMS verifiedGoogleOfficial website
Last verified 2026-07-06. We refresh inspection data monthly and reviews continuously.
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