
Report
TheVardellReport
Crestway Nursing & Rehabilitation
Skilled nursing facility and nursing facility
7181 Crestway Rd.
San Antonio, TX 78239

TheVardellReport
Skilled nursing facility and nursing facility
7181 Crestway Rd.
San Antonio, TX 78239
Life by Vardell Presents
The deeper story, beautifully organized. Available records, historical context, and questions worth asking.
This report is free. Vardell does not certify, grade or endorse; it shows what the record documents.
The Essentials
Across 18 inspections from March 2023 to April 2026, state surveyors documented 65 findings at Crestway Nursing & Rehabilitation; 65 have a recorded correction; CMS lists 5 enforcement actions in the window.
* Partial year, through October 1, 2026.
| Year | Inspections | Findings | Of which, actual harm (level G or above) |
|---|---|---|---|
| 2023 | 3 | 12 | 2 |
| 2024 | 7 | 17 | 1 |
| 2025 | 7 | 35 | 2 |
| 2026 | 1 | 1 | 0 |
Chronology
Every inspection in the record window, newest first. A finding is a deficiency an inspector cited. CMS publishes what a complaint investigation cited, not what the complaint alleged.
1 finding
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
1 finding
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
16 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
6 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
5 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
5 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
1 finding
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
1 finding
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
5 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
2 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
3 findings
Enforcement Action
Civil money penalty, $17,000 imposed February 25, 2025. CMS publishes the fine, not whether it has been paid. CMS does not tie a penalty to a survey; listed with the standard health inspection of May 31, 2024, the nearest before the penalty date.
Enforcement Action
Civil money penalty, $16,381 imposed March 28, 2025. CMS publishes the fine, not whether it has been paid. CMS does not tie a penalty to a survey; listed with the standard health inspection of May 31, 2024, the nearest before the penalty date.
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
1 finding
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
1 finding
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
No findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
5 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
2 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
2 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
8 findings
Enforcement Action
Civil money penalty, $8,190 imposed November 9, 2023. CMS publishes the fine, not whether it has been paid. CMS does not tie a penalty to a survey; listed with the standard health inspection of March 17, 2023, the nearest before the penalty date.
Enforcement Action
Civil money penalty, $10,216 imposed December 29, 2023. CMS publishes the fine, not whether it has been paid. CMS does not tie a penalty to a survey; listed with the standard health inspection of March 17, 2023, the nearest before the penalty date.
Enforcement Action
Civil money penalty, $22,190 imposed March 19, 2024. CMS publishes the fine, not whether it has been paid. CMS does not tie a penalty to a survey; listed with the standard health inspection of March 17, 2023, the nearest before the penalty date.
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
Severity levels follow the CMS scope and severity grid. A–C: potential for minimal harm. D–F: no actual harm, potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy.
Context
A repeated citation can merit attention, but context and corrective action must be reviewed before drawing a conclusion.
Inspectors cited F656 in November 2023, January 2024, May 2024, November 2024, February 2025, March 2025, June 2025 and July 2025. This citation covers whether each resident has a written care plan that meets their needs, with goals that can be measured. None rose above level E (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F880 in January 2024, October 2024, November 2024, January 2025, March 2025 and July 2025. This citation covers hand hygiene, isolation practice and the home’s infection-prevention program. None rose above level E (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F689 in November 2023, December 2023, April 2024 and March 2025. This citation covers whether residents are protected from accident hazards and supervised closely enough to prevent accidents, including falls. The most serious of these was recorded at level K (immediate jeopardy). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F842 in March 2024, May 2024, October 2024 and July 2025. This citation covers whether resident records are complete, accurate and kept confidential. None rose above level E (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F580 in March 2023, January 2024 and December 2025. This citation covers whether the resident, their doctor and a family member are told promptly about an injury, a decline or another significant change. None rose above level D (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F583 in November 2024, February 2025 and June 2025. The agency describes it this way: Keep residents' personal and medical records private and confidential. None rose above level E (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F657 in March 2023, June 2025 and July 2025. This citation covers whether care plans are written on time and revised by a team that includes the resident’s caregivers. None rose above level D (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F695 in January 2024, November 2024 and July 2025. This citation covers oxygen, breathing treatments and other respiratory care. None rose above level E (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F761 in January 2024, November 2024 and June 2025. This citation covers how drugs are labeled and kept locked, including controlled drugs. None rose above level E (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F812 in March 2023, May 2024 and July 2025. This citation covers how food is stored, prepared and served. None rose above level E (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F693 in June 2025 and July 2025. The agency describes it this way: 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. None rose above level D (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F755 in February 2025 and July 2025. This citation covers pharmacy services and the licensed pharmacist who oversees them. None rose above level E (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
For Your Next Visit
Bring these to the tour. Each one comes from something in the record; the reason is under the question.
How is a care plan written and reviewed here, and how do families take part in it?
Care Plans: cited in eight inspections, most seriously at level E.
Who leads infection control here, and how often are hand-hygiene and isolation practices audited?
Infection Control: cited in six inspections, most seriously at level E.
What changed in fall prevention and supervision after the last citation, and how do you check that it is still working?
Accident Hazards and Supervision: cited in four inspections, most seriously at level K.
How can a family request a resident’s records, and how are they kept accurate?
Medical Records: cited in four inspections, most seriously at level E.
How quickly will we hear about a fall, an injury or a change in condition, and from whom?
Telling Families About Changes: cited in three inspections, most seriously at level D.
What changed after F583 was cited, and how do you check it now?
Citation F583: cited in three inspections, most seriously at level E.
How often are care plans revised, and who takes part in the review?
Care Plan Timing and Review: cited in three inspections, most seriously at level D.
Who manages oxygen and breathing treatments on each shift, and how is the equipment checked?
Respiratory Care: cited in three inspections, most seriously at level E.
How are medications stored and secured, and who checks the medication carts?
Medication Labeling and Storage: cited in three inspections, most seriously at level E.
May we see the kitchen, and what do your own sanitation checks look like week to week?
Kitchen and Food Safety: cited in three inspections, most seriously at level E.
What changed after F693 was cited, and how do you check it now?
Citation F693: cited in two inspections, most seriously at level D.
How often does the consultant pharmacist review each resident’s medications?
Pharmacy Services: cited in two inspections, most seriously at level E.
How many nurses and aides are on each shift, including nights and weekends, for the unit we are considering?
No staffing citation appears in this window. Staffing levels are published separately by CMS and are worth asking about directly.
What led to the 2025 fine, and has it been paid?
A $16,381 civil money penalty was imposed March 28, 2025. CMS publishes the fine, not whether it has been paid. The record holds five enforcement actions in the window.
The Evidence
Inspection results and penalties are published by the Centers for Medicare & Medicaid Services from surveys conducted by the Texas state survey agency.
Texas state survey agency
Inspection Mar 17, 2023 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Texas state survey agency
Inspection Nov 9, 2023 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Texas state survey agency
Inspection Dec 29, 2023 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Texas state survey agency
Inspection Jan 24, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Texas state survey agency
Inspection Feb 8, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Texas state survey agency
Inspection Mar 19, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Texas state survey agency
Inspection Apr 20, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Texas state survey agency
Inspection May 31, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Texas state survey agency
Inspection Oct 3, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Texas state survey agency
Inspection Nov 22, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Texas state survey agency
Inspection Jan 30, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Texas state survey agency
Inspection Feb 11, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Texas state survey agency
Inspection Feb 25, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Texas state survey agency
Inspection Mar 28, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Texas state survey agency
Inspection Jun 20, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Texas state survey agency
Inspection Jul 18, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Texas state survey agency
Inspection Dec 2, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Texas state survey agency
Inspection Apr 30, 2026 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Centers for Medicare & Medicaid Services
Published Oct 1, 2026 · Retrieved Nov 1, 2026
Centers for Medicare & Medicaid Services · 675171
Published Oct 1, 2026 · Retrieved Nov 1, 2026
Record windowMarch 17, 2023 – October 1, 2026
Historical coverage varies by agency and location. Missing records do not mean that no complaint or violation occurred.
Data architecture: Cierto supplies the source-backed machine-readable bundle. Life by Vardell independently creates the narrative, design, and consumer report.