Total health inspections
8
Texas average 7.4
Last Health inspection on Jul 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Crestwood Assisted Living
Nursing Home · Texas, TX
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Crestwood Assisted Living
Nursing Home · Texas, TX
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Crestwood Assisted Living accepts Medicare, Medicaid, and private pay.
Crestwood Assisted Living is a senior care community in Wills Point, Texas, offering assisted living and rehabilitation services. This 72-bed community offers a moderately sized setting that combines individualized support with the benefits of a broader residential environment. The community is operated by Keystone Care LLC under the ownership of Appaloosa Healthcare, Inc., with a Type B license in Van Zandt. It also places a strong emphasis on nursing and rehabilitation services, making it a practical option for older adults who require ongoing medical oversight, recovery support, or assistance following a hospital stay.
24-hour staffing and on-site rehabilitation services are provided to support recovery, mobility, and daily functioning. This care mode benefits older adults managing chronic medical conditions or transitioning from short-term acute care. The community does not hold Alzheimer’s or dementia certification, which is an important consideration for families seeking specialized memory care services.
The community has accumulated a total of three findings, two of which were related to Life Safety Code requirements involving building code compliance and emergency-powered exit signage, while one involved a Health Code matter. All cited issues were corrected, and no enforcement actions were reported. With three citations overall, the community remains below the Texas statewide average of six citations, reflecting a comparatively favorable compliance history for a community of its size.
Although detailed amenity information is limited, the community’s operational focus on nursing support and rehabilitation services suggests a more medically oriented environment centered on care and recovery. Its location in Wills Point also appeals to families seeking support services in a smaller East Texas setting outside of the Dallas metropolitan area.
With a solid compliance history and a focus on healthcare-oriented services, Crestwood Assisted Living is best suited for older adults who need structured nursing assistance, rehabilitation support, or consistent medical oversight in a licensed residential environment.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 248th out of 289 homes in Texas. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 248th out of 289 homes in Texas. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 2m per day
Rank #248 / 289Nurse hours — State benchmarkedThis home is ranked 248th out of 289 homes in Texas. Shows adjusted nurse hours per resident per day benchmarked to the Texas average, with a ranking across 289 Texas SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Texas avg
-20%
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 35m per day | ▼ 13% State avg: 2h 58m per day · National avg: 3h 25m per day |
Capacity and availability
This home usually has availability
Occupancy rate
30.3%
Rank #277 / 297Occupancy rate — State benchmarkedThis home is ranked 277th out of 297 homes in Texas. Shows this facility's occupancy rate versus the Texas average, with its Statewide rank out of 297. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
213 days
72-bed community Rank #509 / 987Bed count — State benchmarkedThis home is ranked 509th out of 987 homes in Texas. Shows this facility's certified or reported bed count compared to other Texas SNFs. Larger communities may offer more amenities, programs, and on-site services for residents and families.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score: 51 / 100 Rank #483 / 1392Walk Score — State benchmarkedThis home is ranked 483rd out of 1392 homes in Texas. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Texas SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
About this community
Facility TypeType B
StatusLicensed
CountyVan Zandt
Crestwood Assisted Living is legally operated by Keystone Care Llc.
Owner NameAppaloosa Healthcare, Inc.
Rehabilitation Services
24-Hour Staffing
No Alzheimer's certification
Inspection History
In Texas, the Health and Human Services Commission (HHSC) is the primary regulatory body that conducts unannounced inspections and publishes quality reports for all long-term care homes.
Inspection Scorecard
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Texas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Overall vs. TX average
0 Worse
No metrics in this bucket.
1 At Avg
Metrics at Texas average:
• Inspections with citations (at TX avg) 2 Better Metrics better than Texas average:
• Total citations (50% below)
• Life safety citations (50% below)
• Inspections with citations (at TX avg) 2 Better Metrics better than Texas average:
• Total citations (50% below)
• Life safety citations (50% below)
Citations
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 3 | 6 | This facility has 50% fewer total citations than a typical Texas nursing home (3 vs. TX avg 6).↓ 50% better |
|
Life safety citations
Violations related to building safety — fire prevention, emergency egress, and similar.
| 3 | 6 | This facility has 50% fewer life safety citations than a typical Texas nursing home (3 vs. TX avg 6).↓ 50% better |
Inspections
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 1 | 1 | This facility has inspections with citations in line with the Texas average (1 vs. TX avg 1).— At avg |
Inspection Reports Summary
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Crestwood Assisted Living underwent a comprehensive inspection on June 13, 2024, resulting in three state standard violations. Two of these deficiencies were related to Life Safety Code requirements, specifically the facility's failure to comply with Chapter 19 of NFPA 101 and ensure the building and structure met applicable chapters of the code. Additionally, exit signs with emergency power were not provided. The remaining violation was a Health Code deficiency, but it is worth noting that no other Health Code issues were cited during this inspection. All three deficiencies were corrected between November 8, 2018, and December 8, 2018. No enforcement actions were found in relation to these violations.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsHealth Inspection History
Inspections
Total health citations
60
Rank #284 / 292Health citations — State benchmarkedThis home is ranked 284th out of 292 homes in Texas. Shows this facility's total health deficiency citations benchmarked to the Texas State average, with a ranking across all 292 TX SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Texas average 25.9
Citations per inspection
7.5
Rank #289 / 292Citations per inspection — State benchmarkedThis home is ranked 289th out of 292 homes in Texas. Shows average deficiency citations per CMS inspection for this facility versus the Texas mean across 292 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
41 of 60 citations resulted from standard inspections; 12 of 60 resulted from complaint investigations; and 7 of 60 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 2 years)
Critical health citations
5
150% worse than Texas averageTexas average: 2
Serious health citations
1
150% worse than Texas averageTexas average: 0.4
Citations history (last 2 years)
Abuse/Neglect moderate citation
Jul 16, 2025
Corrected
Abuse/Neglect moderate citation
Jul 16, 2025
Corrected
Quality of Care moderate citation
Jul 16, 2025
Corrected
Abuse/Neglect moderate citation
Apr 09, 2025
Corrected
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff
44
Employees
41
Contractors
3
Staff to resident ratio
1.10:1
26% worse than Texas average
Avg staff/day
16
Average shift
7.7 hours
5% worse than Texas average
Total staff hours (quarter)
11,267
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
3
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
9
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
15
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hoursNo contractors work on this role.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
0.8%
86 contractor hours this quarter
Occupational Therapy Aide: 1
Medical Director: 1
Occupational Therapy Assistant: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 15 | 0 | 15 | 3,759 | 92 | 100% | 7.1 |
| Licensed Practical Nurse | 9 | 0 | 9 | 2,803 | 92 | 100% | 9.1 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 874 | 77 | 84% | 8.6 |
| Registered Nurse | 3 | 0 | 3 | 830 | 75 | 82% | 9 |
| Nurse Practitioner | 1 | 0 | 1 | 568 | 72 | 78% | 7.9 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Dietitian | 1 | 0 | 1 | 519 | 71 | 77% | 7.3 |
| Speech Language Pathologist | 2 | 0 | 2 | 481 | 70 | 76% | 6.4 |
| Physical Therapy Aide | 2 | 0 | 2 | 479 | 64 | 70% | 7.3 |
| Nurse Aide in Training | 1 | 0 | 1 | 185 | 24 | 26% | 7.7 |
| Physical Therapy Assistant | 1 | 0 | 1 | 132 | 54 | 59% | 2.4 |
| Medical Director | 0 | 1 | 1 | 35 | 7 | 8% | 5 |
| Occupational Therapy Aide | 0 | 1 | 1 | 33 | 5 | 5% | 6.6 |
| Qualified Social Worker | 1 | 0 | 1 | 22 | 24 | 26% | 0.9 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 18 | 3 | 3% | 6 |
15 Certified Nursing Assistant
% of Days
100%
9 Licensed Practical Nurse
% of Days
100%
4 Clinical Nurse Specialist
% of Days
84%
3 Registered Nurse
% of Days
82%
1 Nurse Practitioner
% of Days
78%
1 Administrator
% of Days
72%
1 Dietitian
% of Days
77%
2 Speech Language Pathologist
% of Days
76%
2 Physical Therapy Aide
% of Days
70%
1 Nurse Aide in Training
% of Days
26%
1 Physical Therapy Assistant
% of Days
59%
1 Medical Director
% of Days
8%
1 Occupational Therapy Aide
% of Days
5%
1 Qualified Social Worker
% of Days
26%
1 Occupational Therapy Assistant
% of Days
3%
Penalties and fines
Includes penalties issued in 2024-2025
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$364K Rank #291 / 294Federal fines — State benchmarkedThis home is ranked 291st out of 294 homes in Texas. Shows this facility's cumulative CMS federal fine dollars versus the Texas average among facilities with fines, and where it ranks among 294 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
352% higher than Texas averageTexas average: $80K
Number of fines
3
21% more fines than Texas averageTexas average: 2.5
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Texas averageTexas average: 0.2
Fines amount comparison
Fines amount comparison
This facility
$364K
Texas average
$80K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
3 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 9, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 9, 2025
$23K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 12, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 12, 2025
$162K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 13, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 13, 2024
$179K
Last updated: Jan 2026
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
5.2
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
5.2
40% better than Texas averageTexas average: 8.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
11.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
11.2
30% better than Texas averageTexas average: 16.0
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
11.4%
Percent of long-stay residents whose need for help with daily activities has increased
11.4%
30% better than Texas averageTexas average: 16.2%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
5.4%
Percent of long-stay residents whose ability to move independently worsened
5.4%
67% better than Texas averageTexas average: 16.2%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.9%
8% worse than Texas averageTexas average: 15.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Texas averageTexas average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
9.1%
Percent of long-stay high risk residents with pressure ulcers
9.1%
105% worse than Texas averageTexas average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.5%
Percent of long-stay residents with a urinary tract infection
1.5%
83% worse than Texas averageTexas average: 0.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
0.0%
Percent of long-stay residents who lose too much weight
0.0%
100% better than Texas averageTexas average: 3.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.8%
Percent of long-stay residents who have depressive symptoms
0.8%
72% better than Texas averageTexas average: 2.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
8.2%
Percent of long-stay residents who received an antipsychotic medication
8.2%
In line with Texas averageTexas average: 7.9%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.6%
In line with Texas averageTexas average: 97.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.9%
In line with Texas averageTexas average: 97.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
83.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
83.8%
7% worse than Texas averageTexas average: 90.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Texas averageTexas average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
64.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
64.3%
27% worse than Texas averageTexas average: 88.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Breakdown by payment type
Medicare
47% of new residents, usually for short-term rehab.
Typical stay
9 days
Private pay
28% of new residents, often for short stays.
Typical stay
3 - 4 months
Medicaid
26% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
40
Medicare
4
10% of residents
Medicaid
21
52.5% of residents
Private pay or other
15
37.5% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for Crestwood Assisted Living based on CMS SNF Cost Reports.
Occupancy Rate
30.3%
↓ 1.7pp vs 2022
Net Income
-$274.3K
↓ ~$626.5K vs 2022
Total Payroll
$2.3M
↑ ~$145.3K vs 2022
Profit Margin
-6.2%
↓ 13.5pp vs 2022
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$4.6M
Operating loss
-$274.3K
Privately-owned community
Operated by a business corporation.
Home revenue
$4.6M Rank #281 / 297Revenue — State benchmarkedThis home is ranked 281st out of 297 homes in Texas. Shows this facility's annual revenue compared to the Texas SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating loss
-$274.3K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #283 / 297Payroll — State benchmarkedThis home is ranked 283rd out of 297 homes in Texas. Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$2.3M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #283 / 297Payroll — State benchmarkedThis home is ranked 283rd out of 297 homes in Texas. Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.6M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$4.9M
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Crestwood Assisted Living
17.3 miles from city center
Estimated distance in miles from Wills Point's city center to Crestwood Assisted Living's address, calculated via Google Maps.
Calculate Travel Distance to Crestwood Assisted Living
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Financial Assistance for
Nursing Home in Texas
Crestwood Assisted Living is located in WILLS POINT, Texas.
Here are the financial assistance programs available to residents in Texas.
Compare Nursing Home around Texas
The information below is reported by the Texas Health and Human Services Commission.
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| Crestwood Assisted Living |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
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Frequently Asked Questions about Crestwood Assisted Living
Who is the owner of Crestwood Assisted Living?
The legal owner and operator of Crestwood Assisted Living is Keystone Care Llc.
Is Crestwood Assisted Living in a walkable area?
Crestwood Assisted Living has a walk score of 51. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
How many beds does Crestwood Assisted Living have?
Crestwood Assisted Living has 72 beds.
Has Crestwood Assisted Living had any recent deficiencies or citations?
Crestwood Assisted Living has had 3 recently reported deficiencies.
Are there photos of Crestwood Assisted Living?
Yes — there are 12 photos of Crestwood Assisted Living in the photo gallery on this page.
What is the address of Crestwood Assisted Living?
Crestwood Assisted Living is located at 1440 HOUSTON STEET.
What is the phone number of Crestwood Assisted Living?
(903) 873-3400 will put you in contact with the team at Crestwood Assisted Living.
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