Elder Care Record

Missouri › Harrison County › Bethany

Crestview Home

1313 South 25th St, Bethany, MO 64424

CCN 265807 · For-profit, limited liability company · 92 certified beds

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Crestview Home, in Bethany, Missouri, is certified for 92 beds under for-profit, limited liability company ownership.

CMS gives it 1 of 5 stars overall, below the Missouri median of 2; the health inspection rating is 1, staffing 1 and quality measures 3.

Inspectors recorded 58 health deficiencies across the three most recent survey cycles (22, 13, 23 by cycle, most recent first), none at the actual-harm level. That is 63.0 per 100 beds, more than the state median of 32.1.

CMS lists 2 penalties in the period covered: fines totalling $14K and 1 payment denial.

Reported nurse staffing is 2.9 hours per resident per day (0.3 RN), close to the Missouri median of 3.4; nursing staff turnover is 57.5%.

58health deficiencies, 3 survey cyclesnone at actual-harm level
$14Kfines listed by CMS2 penalties in period
2.9nurse hours per resident per daystate median 3.4
50%occupancy (residents ÷ beds)46 residents a day

Compared with county, state and nation

MeasureThis facilityHarrison Co. medianMissouri medianUS average
Overall star rating1123.0
Health citations, 3 cycles58583128.7
Citations per 100 beds63.063.032.126.8
Total nurse hours per resident day2.92.93.43.9
RN hours per resident day0.30.30.40.7
Nursing staff turnover57.5%57.5%56.1%45.8%
Fines listed$14,498$14,498$0—

County and state figures are medians across facilities (1 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)22
Cycle 213
Cycle 323

Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 4 Mar 2025, 23 May 2024.

Severity mix: D ×21 E ×27 F ×9 C ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
4 Mar 2025F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FStandard survey17 Apr 2025
4 Mar 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey17 Apr 2025
4 Mar 2025F0880Provide and implement an infection prevention and control program.FStandard survey17 Apr 2025
4 Mar 2025F0881Implement a program that monitors antibiotic use.FStandard survey17 Apr 2025
4 Mar 2025F0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FStandard survey17 Apr 2025
4 Mar 2025F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.FStandard survey17 Apr 2025
4 Mar 2025F0578Honor 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.EStandard survey17 Apr 2025
4 Mar 2025F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EComplaint investigation17 Apr 2025
4 Mar 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey17 Apr 2025
4 Mar 2025F0679Provide activities to meet all resident's needs.EStandard survey17 Apr 2025
4 Mar 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EStandard survey17 Apr 2025
4 Mar 2025F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard survey17 Apr 2025
4 Mar 2025F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.EStandard survey17 Apr 2025
4 Mar 2025F0730Observe each nurse aide's job performance and give regular training.EStandard survey17 Apr 2025
4 Mar 2025F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.EStandard survey17 Apr 2025
4 Mar 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey17 Apr 2025
4 Mar 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation17 Apr 2025
4 Mar 2025F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard survey17 Apr 2025
4 Mar 2025F0692Provide enough food/fluids to maintain a resident's health.DStandard survey17 Apr 2025
4 Mar 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey17 Apr 2025
4 Mar 2025F0700Try 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.DStandard survey17 Apr 2025
4 Mar 2025F0732Post nurse staffing information every day.CStandard survey17 Apr 2025
24 Jun 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EComplaint investigation26 Jul 2024
23 May 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation28 Jun 2024
23 May 2024F0880Provide and implement an infection prevention and control program.FStandard survey28 Jun 2024
23 May 2024F0908Keep all essential equipment working safely.EStandard survey28 Jun 2024
23 May 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey28 Jun 2024
23 May 2024F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DStandard survey28 Jun 2024
23 May 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey28 Jun 2024
23 May 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation28 Jun 2024
23 May 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey28 Jun 2024
23 May 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey28 Jun 2024
23 May 2024F0692Provide enough food/fluids to maintain a resident's health.DStandard survey28 Jun 2024
23 May 2024F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey28 Jun 2024
23 May 2024F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard survey28 Jun 2024
23 May 2024F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey28 Jun 2024
5 Aug 2022F0881Implement a program that monitors antibiotic use.FStandard survey16 Sep 2022
5 Aug 2022F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard survey11 Jan 2023
5 Aug 2022F0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.EStandard survey16 Sep 2022
5 Aug 2022F0578Honor 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.EStandard survey16 Sep 2022
5 Aug 2022F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EStandard survey8 Nov 2022
5 Aug 2022F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey16 Sep 2022
5 Aug 2022F0658Ensure services provided by the nursing facility meet professional standards of quality.EStandard survey16 Sep 2022
5 Aug 2022F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard survey16 Sep 2022
5 Aug 2022F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard survey16 Sep 2022
5 Aug 2022F0761Ensure 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.EStandard survey8 Nov 2022
5 Aug 2022F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.EStandard survey16 Sep 2022
5 Aug 2022F0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.EStandard survey16 Sep 2022
5 Aug 2022F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.EStandard survey16 Sep 2022
5 Aug 2022F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey16 Sep 2022
5 Aug 2022F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EStandard survey16 Sep 2022
5 Aug 2022F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyEStandard survey16 Sep 2022
5 Aug 2022F0880Provide and implement an infection prevention and control program.EStandard survey16 Sep 2022
5 Aug 2022F0685Assist a resident in gaining access to vision and hearing services.DStandard survey16 Sep 2022
5 Aug 2022F0700Try 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.DStandard survey8 Nov 2022
5 Aug 2022F0732Post nurse staffing information every day.DStandard survey16 Sep 2022
5 Aug 2022F0759Ensure medication error rates are not 5 percent or greater.DStandard survey16 Sep 2022
5 Aug 2022F0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.DStandard survey16 Sep 2022

Penalties

DateTypeAmountDetail
4 Mar 2025Payment denial—7 days
4 Mar 2025Fine$14,498

Staffing

Total nursing2.89 h
Nurse aides2.11 h
LPN0.47 h
RN0.31 h
Weekend total2.82 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 57.5%, RNs 90.0%; 2 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityMissouri medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay16.7%17.6%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.7%0.6%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay5.5%1.6%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay0.7%3.6%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay3.8%1.3%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay17.6%16.1%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay3.0%4.1%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay14.9%21.0%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. CMS groups this facility with 56 facilities under an individual owner's name; this site does not publish people's names, so no chain page is linked. Legal business name: N & R Of Crestview Llc.

OrganisationRole in the CMS recordInterestSince
LTC Management Services LLCOperational/managerial controlNOT APPLICABLE04/02/2015

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Questions and answers

How many deficiencies has Crestview Home been cited for?

58 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.

Has Crestview Home been fined?

Yes. CMS lists fines totalling $14K in the period covered, plus 1 payment denial.

How does staffing at Crestview Home compare?

Reported total nurse staffing is 2.9 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.

Who operates Crestview Home?

CMS groups it with other facilities under an individual owner, whose name this site does not publish. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include LTC Management Services LLC. Individual owners and managers are not listed on this site.

When was Crestview Home last inspected?

The most recent survey or investigation in the CMS record is dated 4 Mar 2025; the most recent standard health survey was 4 Mar 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.