Crestway Nursing & Rehabilitation has received an F grade based on CMS data, with a score of 1/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this San Antonio facility should carefully review its inspection history and quality metrics.
Staffing at Crestway Nursing & Rehabilitation is near the national average, with 3.59 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 65 deficiencies at Crestway Nursing & Rehabilitation, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.59 | 3.8 | Average |
| Registered Nurses (RN) | 0.29 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.38 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.92 | 2.4 | Below Average |
| Weekend Total Nursing | 3.03 | 3.8 | Below Average |
| Weekend RN Hours | 0.11 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0580 Severity DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Dec 1, 2025 · Resident Rights Deficiencies
- Tag 0641 Severity EEnsure each resident receives an accurate assessment.Jul 17, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0656 Severity EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Jul 17, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0695 Severity EProvide safe and appropriate respiratory care for a resident when needed.Jul 17, 2025 · Quality of Life and Care Deficiencies
- Tag 0700 Severity ETry 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 theseJul 17, 2025 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 10.0% | 4.5% | Worse |
| Falls with major injury | 0.0% | 3.0% | Better |
| On antipsychotic medication | 8.4% | 14.5% | Better |
| Urinary tract infections | 1.5% | 2.5% | Better |
| ADL decline (daily activities) | 11.5% | 14.0% | Better |
| Excessive weight loss | 15.8% | 7.5% | Worse |
| New/worsened incontinence | 16.3% | 45.0% | Better |
⚠️ Penalties & Fines
5 penalties recorded by CMS
Total fines: $73,977
How This Grade Was Calculated
This facility's grade of F is based on a score of 1 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -7 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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