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Crestway Nursing & Rehabilitation

7181 Crestway Rd., San Antonio, TX 78239 · CMS Certification Number (CCN) 675171

At a glance

CMS overall rating: ★☆☆☆☆ 1 of 5
Health inspection citations: 65 in the last 3 inspection cycles (3 immediate jeopardy, 2 actual harm, 38 from complaints)
Fire safety citations: 12
Fines (last 3 years): 5 fines, total $73,977
Payment denials: 0
Most recent standard inspection: July 18, 2025
Official record: Medicare Care Compare page for this facility

Source: CMS Nursing Home Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

CMS star ratings

CMS rates every Medicare- and Medicaid-certified nursing home from 1 to 5 stars. Health inspection stars are relative to other homes in the same state: the top 10% get 5 stars and the bottom 20% get 1 star. CMS says to use the ratings together with other information, including a visit. Technical Users’ Guide

Rating	This facility	Texas average	U.S. average
Overall	★☆☆☆☆ 1 of 5	2.7	3
Health inspections	★☆☆☆☆ 1 of 5	2.8	2.8
Staffing	★☆☆☆☆ 1 of 5	1.9	2.9
Quality measures	★★☆☆☆ 2 of 5	3.7	3.6
Long-stay quality	★★★★☆ 4 of 5	Not published	Not published
Short-stay quality	★☆☆☆☆ 1 of 5	Not published	Not published

Averages: CMS State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Health inspections

Inspection cycle	Standard survey date	Health citations	From standard survey	From complaints
Cycle 1 (most recent)	July 18, 2025	18	16	2
Cycle 2	May 31, 2024	39	3	36

CMS weighted health inspection score: 167.25 (lower is better; it counts citation severity, complaints and repeat revisits). Citations from infection control inspections: 0. How to read these citations

65 health citations across 17 inspection dates, newest first. The letter is CMS’s scope/severity code: A–C means potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, and J–L immediate jeopardy.

April 30, 2026: 1 citation (Complaint)

Severity	Tag	What was cited	Type	Status
D	F-0802	Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 05/01/2026

December 2, 2025: 1 citation (Complaint)

Severity	Tag	What was cited	Type	Status
D	F-0580	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 12/03/2025

July 18, 2025: 16 citations (Standard)

Severity	Tag	What was cited	Type	Status
D	F-0921	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies	Standard	Deficient, Provider has date of correction Corrected 07/28/2025
E	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies	Standard	Deficient, Provider has date of correction Corrected 07/28/2025
D	F-0842	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 Deficiencies	Standard	Deficient, Provider has date of correction Corrected 07/28/2025
E	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies	Standard	Deficient, Provider has date of correction Corrected 07/28/2025
E	F-0757	Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies	Standard	Deficient, Provider has date of correction Corrected 07/28/2025
D	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies	Standard	Deficient, Provider has date of correction Corrected 07/28/2025
E	F-0700	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. Quality of Life and Care Deficiencies	Standard	Deficient, Provider has date of correction Corrected 07/28/2025
E	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies	Standard	Deficient, Provider has date of correction Corrected 07/28/2025
D	F-0693	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 Deficiencies	Standard	Deficient, Provider has date of correction Corrected 07/28/2025
D	F-0690	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 Deficiencies	Standard	Deficient, Provider has date of correction Corrected 07/28/2025
D	F-0687	Provide appropriate foot care. Quality of Life and Care Deficiencies	Standard	Deficient, Provider has date of correction Corrected 07/28/2025
D	F-0657	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 Deficiencies	Standard	Deficient, Provider has date of correction Corrected 07/28/2025
E	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies	Standard	Deficient, Provider has date of correction Corrected 07/28/2025
D	F-0644	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies	Standard	Deficient, Provider has date of correction Corrected 07/28/2025
E	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies	Standard	Deficient, Provider has date of correction Corrected 07/28/2025
D	F-0552	Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies	Standard	Deficient, Provider has date of correction Corrected 07/28/2025

June 20, 2025: 6 citations (Complaint)

Severity	Tag	What was cited	Type	Status
D	F-0810	Provide special eating equipment and utensils for residents who need them and appropriate assistance. Nutrition and Dietary Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 06/23/2025
D	F-0761	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. Pharmacy Service Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 06/23/2025
D	F-0693	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 Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 06/23/2025
D	F-0657	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 Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 06/21/2025
D	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 06/23/2025
D	F-0583	Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 06/21/2025

March 28, 2025: 5 citations (Complaint)

Severity	Tag	What was cited	Type	Status
D	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 04/14/2025
C	F-0839	Employ staff that are licensed, certified, or registered in accordance with state laws. Administration Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 04/14/2025
J	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies	Complaint	Past Non-Compliance Corrected 11/27/2024
D	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 04/14/2025
D	F-0585	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. Resident Rights Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 04/14/2025

February 25, 2025: 5 citations (Complaint)

Severity	Tag	What was cited	Type	Status
D	F-0825	Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 02/26/2025
E	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 02/26/2025
D	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 02/26/2025
J	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies	Complaint	Past Non-Compliance Corrected 02/19/2025
D	F-0583	Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 02/26/2025

February 11, 2025: 1 citation (Complaint)

Severity	Tag	What was cited	Type	Status
D	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 02/12/2025

January 30, 2025: 1 citation (Complaint)

Severity	Tag	What was cited	Type	Status
D	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 01/31/2025

November 22, 2024: 5 citations (Complaint)

Severity	Tag	What was cited	Type	Status
E	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 11/23/2024
E	F-0761	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. Pharmacy Service Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 11/23/2024
D	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 11/23/2024
D	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 11/23/2024
E	F-0583	Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 11/23/2024

October 3, 2024: 2 citations (Complaint)

Severity	Tag	What was cited	Type	Status
D	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 10/04/2024
D	F-0842	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 Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 10/04/2024

May 31, 2024: 3 citations (Standard)

Severity	Tag	What was cited	Type	Status
E	F-0842	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 Deficiencies	Standard	Deficient, Provider has date of correction Corrected 06/01/2024
E	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies	Standard	Deficient, Provider has date of correction Corrected 06/01/2024
D	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies	Standard	Deficient, Provider has date of correction Corrected 06/01/2024

April 20, 2024: 1 citation (Complaint)

Severity	Tag	What was cited	Type	Status
K	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 04/21/2024

March 19, 2024: 1 citation (Complaint)

Severity	Tag	What was cited	Type	Status
D	F-0842	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 Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 03/20/2024

January 24, 2024: 5 citations (Complaint)

Severity	Tag	What was cited	Type	Status
D	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 01/25/2024
D	F-0761	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. Pharmacy Service Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 01/25/2024
E	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 01/25/2024
D	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 01/25/2024
D	F-0580	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 01/25/2024

December 29, 2023: 2 citations (Complaint)

Severity	Tag	What was cited	Type	Status
G	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 01/26/2024
D	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 01/26/2024

November 9, 2023: 2 citations (Complaint)

Severity	Tag	What was cited	Type	Status
G	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies	Complaint	Past Non-Compliance Corrected 10/24/2023
E	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies	Complaint	Deficient, Provider has date of correction Corrected 12/11/2023

March 17, 2023: 8 citations (Standard)

Severity	Tag	What was cited	Type	Status
D	F-0949	Provide behavior health training consistent with the requirements and as determined by a facility assessment. Administration Deficiencies	Standard	Deficient, Provider has date of correction Corrected 04/17/2023
D	F-0944	Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. Administration Deficiencies	Standard	Deficient, Provider has date of correction Corrected 04/17/2023
D	F-0943	Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Freedom from Abuse, Neglect, and Exploitation Deficiencies	Standard	Deficient, Provider has date of correction Corrected 04/17/2023
D	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies	Standard	Deficient, Provider has date of correction Corrected 04/17/2023
C	F-0732	Post nurse staffing information every day. Nursing and Physician Services Deficiencies	Standard	Deficient, Provider has date of correction Corrected 04/17/2023
D	F-0657	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 Deficiencies	Standard	Deficient, Provider has date of correction Corrected 04/17/2023
D	F-0580	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies	Standard	Deficient, Provider has date of correction Corrected 04/17/2023
D	F-0578	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. Resident Rights Deficiencies	Standard	Deficient, Provider has date of correction Corrected 04/17/2023

Source: CMS Health Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Fire safety inspections

12 fire safety citations across 3 inspection dates

Date	Severity	Tag	What was cited	Status
07/18/2025	E	K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies	Deficient, Provider has date of correction Corrected 07/25/2025
07/18/2025	E	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies	Deficient, Provider has date of correction Corrected 07/24/2025
07/18/2025	E	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies	Deficient, Provider has date of correction Corrected 07/25/2025
07/18/2025	D	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies	Deficient, Provider has date of correction Corrected 07/25/2025
07/18/2025	E	K-0293	Have properly located and lighted "Exit" signs. Egress Deficiencies	Deficient, Provider has date of correction Corrected 07/23/2025
07/18/2025	E	K-0281	Install proper backup exit lighting. Egress Deficiencies	Deficient, Provider has date of correction Corrected 07/23/2025
07/18/2025	F	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies	Deficient, Provider has date of correction Corrected 08/08/2025
05/31/2024	E	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies	Deficient, Provider has date of correction Corrected 05/29/2024
03/17/2023	D	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies	Deficient, Provider has date of correction Corrected 04/17/2023
03/17/2023	D	K-0700	Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. Miscellaneous Deficiencies	Deficient, Provider has date of correction Corrected 04/17/2023
03/17/2023	D	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies	Deficient, Provider has date of correction Corrected 04/17/2023
03/17/2023	E	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies	Deficient, Provider has date of correction Corrected 04/17/2023

Automatic sprinklers in all required areas: Yes. CMS does not count fire safety citations in the health inspection star rating.

Source: CMS Fire Safety Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Penalties

Date	Type	Fine amount	Payment denial
March 28, 2025	Fine	$16,381	—
February 25, 2025	Fine	$17,000	—
March 19, 2024	Fine	$22,190	—
December 29, 2023	Fine	$10,216	—
November 9, 2023	Fine	$8,190	—

Source: CMS Penalties: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Staffing

Measure	This facility	Texas average	U.S. average
Total nurse staff hours per resident per day	3.57	3.39	3.86
Registered nurse (RN) hours per resident per day	0.32	0.43	0.69
LPN/LVN hours per resident per day	1.24	Not published	Not published
Nurse aide hours per resident per day	2.01	Not published	Not published
Total nurse staff hours per resident per day, weekends	3.3	Not published	Not published
RN hours per resident per day, weekends	0.26	Not published	Not published
Total nursing staff turnover (%)	100	55.3	45.8
Registered nurse turnover (%)	100	Not published	Not published
Administrators who have left	2	Not published	Not published

Reported hours come from the Payroll-Based Journal (PBJ) staffing data that facilities submit to CMS each quarter.

Source: CMS Provider Information; State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Facility details

Legal business name: Rj Meridian Care of San Antonio, Ltd.
Ownership type: For profit - Limited Liability company
Chain: Not published
Ownership changed in last 12 months: No
Certified beds: 120
Average residents per day: 60.9
Participates in: Medicare and Medicaid
Located inside a hospital: No
Continuing care retirement community: No
Resident and family council: Resident
First approved for Medicare/Medicaid: August 11, 1993
County/parish: Bexar

Source: CMS Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Owners and managers reported to CMS

13 ownership and management records

Name	Role	Type	Ownership %	Since
LOZANO, RAMIRO	DIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	undefined undefined, NaN
LOZANO, RAMIRO	CORPORATE OFFICER	Individual	NOT APPLICABLE	undefined undefined, NaN
LOZANO, RAMIRO	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	undefined undefined, NaN
MARTINEZ-SORIA, VICTOR	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	undefined undefined, NaN
RENDON, MORVYN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	undefined undefined, NaN
RIOS, DENISE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	undefined undefined, NaN
RJ REALTY GROUP LLC	GENERAL PARTNERSHIP INTEREST	Organization	NOT APPLICABLE	undefined undefined, NaN
BALENTINE, JAY	LIMITED PARTNERSHIP INTEREST	Individual	NOT APPLICABLE	undefined undefined, NaN
LOZANO, RAMIRO	LIMITED PARTNERSHIP INTEREST	Individual	NOT APPLICABLE	undefined undefined, NaN
BALENTINE, JAY	ADP OF THE SNF	Individual	NOT APPLICABLE	undefined undefined, NaN
LOZANO, RAMIRO	ADP OF THE SNF	Individual	NOT APPLICABLE	undefined undefined, NaN
MARTINEZ-SORIA, VICTOR	ADP OF THE SNF	Individual	NOT APPLICABLE	undefined undefined, NaN
RIOS, DENISE	ADP OF THE SNF	Individual	NOT APPLICABLE	undefined undefined, NaN

Source: CMS Ownership: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Check it yourself

Medicare Care Compare: Crestway Nursing & Rehabilitation. Full inspection reports, quality measures and staffing.
HHSC long-term care complaint portal (TULIP). The state agency also takes nursing home complaints.
Ask the facility to show you its most recent inspection report and plan of correction.

Page built from CMS data files processed September 1, 2026 (CMS refreshes monthly). Last checked October 26, 2026. Not a ranking or endorsement.