ElderGrade
C

55.3/100

Average

Crestview Home

1313 South 25Th St, Bethany, MO 64424

CMS 1/5 stars (660) 425-3128
Certified beds
92
Occupancy
50%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • $14,498 in federal fines

    CMS has fined this facility across 1 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection 23.3/30 Staffing 14/30 Stability 3/15 Outcomes 9/15 Enforcement 6/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.

Inspection safety

23.3/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -6.7 for 36 total citations against a national median of 17

Staffing

14/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.53 total nurse hours per resident per day (national median 3.77)
  • 0.31 RN hours per resident per day
  • Weekend staffing holds steady

Staff stability

3/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 58% of nursing staff left in the last year
  • -2 for 2 administrator departures

Resident outcomes

9/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 3 of 5 stars on the CMS quality-measure rating

Enforcement history

6/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $14,498 in federal fines across 1 action(s)
  • -2 for 1 denial(s) of Medicare payment for new admissions

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 2.89 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.31 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.82 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 57.50%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 58 citations

Last standard health inspection: March 4, 2025 (1 year ago).

F Mar 4, 2025 F0801

Nutrition and Dietary Deficiencies

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

No actual harm, potential for more than minimal harm

F Mar 4, 2025 F0812

Nutrition and Dietary Deficiencies

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

No actual harm, potential for more than minimal harm

F Mar 4, 2025 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

F Mar 4, 2025 F0881

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

No actual harm, potential for more than minimal harm

F Mar 4, 2025 F0882

Infection Control Deficiencies

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

No actual harm, potential for more than minimal harm

F Mar 4, 2025 F0947

Nursing and Physician Services Deficiencies

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

No actual harm, potential for more than minimal harm

E Mar 4, 2025 F0578

Resident Rights Deficiencies

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.

No actual harm, potential for more than minimal harm

E Mar 4, 2025 F0584 From a complaint

Resident Rights Deficiencies

Honor 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.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of JAMES & JUDY LINCOLN, which operates 56 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
FLETCHELL, KAREN Individual W-2 MANAGING EMPLOYEE
LTC MANAGEMENT SERVICES LLC Organization OPERATIONAL/MANAGERIAL CONTROL
LINCOLN, JAMES Individual 5% OR GREATER DIRECT OWNERSHIP INTEREST
LINCOLN, JUDY Individual 5% OR GREATER DIRECT OWNERSHIP INTEREST

What families say

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Common questions about Crestview Home

What is the ElderGrade for Crestview Home? +

Crestview Home holds an ElderGrade of C (55.3 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Crestview Home? +

Residents receive an average of 2.89 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Crestview Home been cited for harming residents? +

No. None of the 58 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Crestview Home accept Medicaid? +

Yes, Crestview Home is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.