ElderGrade
F

16/100

Poor

Crestwood Health Care Center, Llc

11400 Mehl Avenue, Florissant, MO 63033

CMS 1/5 stars #68 of 69 in St. Louis County (314) 741-3525
Certified beds
150
Occupancy
93%
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.

  • Abuse icon on record

    CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.

  • 8 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $146,887 in federal fines

    CMS has fined this facility across 2 penalty action(s).

  • Nursing staff turnover of 65%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

  • Last inspection was more than 2 years ago

    Ratings here are based on older survey data than at most facilities.

How this grade was calculated

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

Inspection safety

0/30

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

  • -20 for 6 immediate-jeopardy citation(s) in the last 3 years
  • -4 for 1 actual-harm citation(s) in the last 3 years
  • -9.5 for 44 total citations against a national median of 17

Staffing

8/30

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

  • 2.42 total nurse hours per resident per day (national median 3.77)
  • 0.16 RN hours per resident per day
  • Weekend staffing drops 12% against weekdays

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.

  • 65% of nursing staff left in the last year
  • -2 for 2 administrator departures

Resident outcomes

5/15

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

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

Enforcement history

0/10

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

  • $146,887 in federal fines across 2 action(s)
  • -2 for 1 denial(s) of Medicare payment for new admissions

Grade ceiling applied

  • Capped at 64 (grade C) — CMS abuse icon on record
  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

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 2.62 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.16 hrs
National average 0.69 hrs Below average

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

Weekend nurse hours 2.29 hrs
National average 3.42 hrs Below average

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

Nursing staff turnover 64.60%
National average 45.80% Below average

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

Recent inspection findings

All 81 citations

Last standard health inspection: June 21, 2024 (2 years ago).

D May 22, 2026 F0600 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

No actual harm, potential for more than minimal harm

E May 1, 2026 F0602 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

No actual harm, potential for more than minimal harm

E May 1, 2026 F0689 From a complaint

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

No actual harm, potential for more than minimal harm

K Nov 18, 2025 F0600 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Immediate jeopardy to resident health or safety

D Nov 18, 2025 F0684 From a complaint

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

No actual harm, potential for more than minimal harm

D Sep 22, 2025 F0600 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

No actual harm, potential for more than minimal harm

E Jul 31, 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

D Jul 31, 2025 F0880 From a complaint

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of RELIANT CARE MANAGEMENT, which operates 33 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
CULP, CHAD Individual W-2 MANAGING EMPLOYEE
DESTEFANE, RICHARD Individual CORPORATE OFFICER
RELIANT CARE MANAGEMENT COMPANY LLC Organization OPERATIONAL/MANAGERIAL CONTROL

What families say

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Common questions about Crestwood Health Care Center, Llc

What is the ElderGrade for Crestwood Health Care Center, Llc? +

Crestwood Health Care Center, Llc holds an ElderGrade of F (16 out of 100), which we describe as "poor". 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 Crestwood Health Care Center, Llc? +

Residents receive an average of 2.62 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Crestwood Health Care Center, Llc been cited for harming residents? +

Yes. 8 of the 81 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Crestwood Health Care Center, Llc accept Medicaid? +

Yes, Crestwood Health Care Center, Llc 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.