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CareWitnessTexasSan AntonioNursing HomesCrestway Nursing & Rehabilitation

Crestway Nursing & Rehabilitation

7181 CRESTWAY RD., San Antonio, TX, 78239

Type
Nursing home
State-licensedCMS certified · CCN 675171

Federal Quality Data

Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.

Full report →

CMS Star Ratings

Overall1/5
Health inspections1/5
Staffing1/5
Quality measures2/5

Facility & Staffing

Ownership
For profit - Limited Liability company
Certified beds
120 · avg 67 residents/day
Total nursing staff turnover
51.6%near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
RN turnover
63.6%higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
Administrators who left
1 departednear the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare

Enforcement & Citations

Fines (past 3 years)
5 fines · $73,977 total
Infection control citations
1

State licensing & capacity

License number
312665
Service type
Medicare/medicaid
Licensed capacity
120 beds
Bed type breakdown
7 Medicare-only · 113 Medicaid/Medicare
Current license effective
September 2, 2025
Current license expires
September 2, 2028
Initial license date
November 19, 1991

Texas HHSC licensing registry · as of April 16, 2026

Ownership & operations

Licensee
Frio Hospital District (HOSPITAL DISTRICT/AUTHORITY)
Administrator
Kim Glisczinski

Texas HHSC licensing registry · as of April 16, 2026

Federal ownership record

For-profitOther

Chain affiliation

Part of the rj Meridian Care.

Disclosed owners (6 on record)

  • Denise Rios

    Adp of The Snf · since 2025

  • Victor Manuel Martinez-soria

    Adp of The Snf · since 2025

  • Morvyn Rendon

    Operational/managerial Control · since 2023

  • Ramiro g Lozano

    Direct Ownership Interest · 50% · since 2005

  • Jay Balentine

    Limited Partnership Interest · 50% · since 2005

  • rj Realty Group Llc

    General Partnership Interest · 1% · since 2005

Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.

Federal inspection record

65 health citations on file3 immediate-jeopardy findings46 from complaints5 federal fines totalling $74K

Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.

Recent health-deficiency citations (most recent 8 of 65)

  • D0580·Dec 2, 2025Complaint

    Resident Rights Deficiencies

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  • D0921·Jul 18, 2025

    Environmental Deficiencies

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

  • E0880·Jul 18, 2025

    Infection Control Deficiencies

    Provide and implement an infection prevention and control program.

  • D0842·Jul 18, 2025

    Resident Assessment and Care Planning Deficiencies

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  • E0812·Jul 18, 2025

    Nutrition and Dietary Deficiencies

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • E0757·Jul 18, 2025

    Pharmacy Service Deficiencies

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

  • D0755·Jul 18, 2025

    Pharmacy Service Deficiencies

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  • E0700·Jul 18, 2025

    Quality 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 consent; and (4) Correctly install and maintain the bed rail

View the full inspection history on CMS Care Compare →

Federal penalties

By year

  • 20252 fines · $33K
  • 20241 fine · $22K
  • 20232 fines · $18K

Most recent events

  • Mar 28, 2025Fine · $16K
  • Feb 25, 2025Fine · $17K
  • Mar 19, 2024Fine · $22K
  • Dec 29, 2023Fine · $10K
  • Nov 9, 2023Fine · $8,190

Largest single fine on record: $22K.

Fire-safety citations

12 Life-Safety-Code citations on file. Most recent: Jul 18, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.

Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.

About this community

Crestway Nursing & Rehabilitation is a 120-bed Medicare/Medicaid nursing home in San Antonio (Bexar County), licensed since 1991 and operated by Frio Hospital District. CMS rates it 1 star overall, with 1-star ratings on health inspections and staffing. Five fines totaling $73,977 have been issued. The facility is running at roughly 56% of licensed capacity, with about 67 residents currently.

Written from CMS Care Compare and state licensing records · last updated April 19, 2026

What the data says

CMS rates Crestway 1 star on staffing — the bottom tier among Texas nursing homes, a rating shared by about 38% of facilities in the state. Each resident receives roughly 215 minutes of nursing care per day, about 26 minutes less than at a 4-star-staffing facility in Texas. Residents here also require more hands-on care than a typical facility — they are sicker or less mobile on average — so those 215 minutes stretch thinner than the raw number suggests.

Crestway has received 5 CMS fines totaling $73,977 since the facility's data window. The Texas median for fined facilities is about $20,699, and 30% of Texas nursing homes have received no fines at all. This facility's total is roughly 3.5 times the state median among facilities that have been fined.

One administrator has turned over in the past year, which CareWitness classifies as elevated. A change at the top typically ripples into staffing assignments, care-plan oversight, and day-to-day routines for residents.

The facility is operating at approximately 56% of its 120 licensed beds, with about 67 residents on a given day. Paired with the 1-star overall rating and fine history, the low occupancy reflects a pattern that families weigh when evaluating stability.

Written from CMS Care Compare and state licensing records · last updated April 19, 2026

Questions to ask when you tour

  1. Staffing hours on a typical day

    With a 1-star staffing rating and 215 minutes of nursing care per resident per day, ask how many nurses and aides are on the floor during each shift right now.

  2. Details behind the five fines

    CMS records five fines totaling $73,977 — ask what deficiencies triggered each one and what specific changes were made in response.

  3. Recent administrator change

    The facility has had an administrator turnover in the past year — ask who is currently in the role, how long they have been in place, and who their direct supervisor is.

  4. Why occupancy is at 56%

    Only about 67 of 120 beds are filled — ask whether this reflects a deliberate admission pause, a recent discharge surge, or declining referrals.

  5. Short-stay outcome rating

    CMS rates short-stay quality measures at 1 star — ask what the current rehospitalization rate is and how the facility tracks outcomes for residents coming from a hospital.

  6. Resident Council participation

    The facility has a Resident Council but no Family Council — ask how family members are currently notified of concerns raised in council meetings.

Where this information comes from

  • License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
  • Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
  • Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.

Read our methodology for how this information is collected and verified.