Senior CareScorecard

Nursing home · Bethany, MO

Crestview Home

1313 South 25Th St, Bethany, MO 64424 · 92 certified beds · for profit ownership · part of James & Judy Lincoln

Medicare & MedicaidFined $14,498 in 3 years
Medicare overall rating1 / 5Much below averageChillicothe area 2.0 · Missouri 2.51 · U.S. 2.99
1/5Health inspections Much below average
1/5Staffing Much below average
3/5Quality measures Average
–Short-stay (rehab) quality Not rated
3/5Long-stay quality Average

Source: CMS Provider Data, processed Sep 1, 2026.

The latest inspection, in plain English

Inspectors' most recent visit in the CMS data was on Mar 4, 2025, when they cited 22 problems, 2 of them from complaint investigations. The most common area was quality of life and care (8 citations). None rose to the level of actual harm; the most serious was severity code F, on a scale from A to L. 0 of 22 are marked corrected in the CMS data. At its most recent standard inspection (Mar 4, 2025) it had 22 citations, compared with an average of 10.1 for Chillicothe-area homes, 11.4 in Missouri and 9.2 nationally.

Staffing and turnover

Nursing staff spend 2.89 hours per resident per day here, 16% less than the Missouri average (3.43) and 25% less than the U.S. average (3.86). Registered nurses account for 0.31 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 58% over the past year, 1 points higher than Missouri (56%) and 12 points higher than the U.S. (46%).

How Crestview Home compares

This home's latest CMS figures next to the averages for Chillicothe-area homes (20), Missouri (487) and the U.S. (14,680).

This homeChillicothe areaMissouriU.S.
Total nurse hours per resident per day2.893.283.433.86
Registered nurse hours per resident per day0.310.430.460.68
Weekend nurse hours per resident per day2.822.883.013.42
Nursing staff turnover (past year)58%56%56%46%
Registered nurse turnover (past year)90%47%48%43%
Citations at the most recent standard inspection2210.111.49.2

Inspection history

Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.

Mar 4, 202522standard + complaint
Jun 24, 20241complaint
May 23, 202413standard + complaint
Aug 5, 202222standard

Medicare does not publish past star ratings in its current data, so we show inspection history instead.

Most recent 40 of 58 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).

Show all citations
DateDeficiencySeverityStatus
Mar 4, 2025Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and dietary
FDeficient, Provider has date of correction
Mar 4, 2025Have 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.
Nursing and physician services
EDeficient, Provider has date of correction
Mar 4, 2025Post nurse staffing information every day.
Nursing and physician services
CDeficient, Provider has date of correction
Mar 4, 2025Try 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.
Quality of life and care
DDeficient, Provider has date of correction
Mar 4, 2025Provide safe and appropriate respiratory care for a resident when needed.
Quality of life and care
DDeficient, Provider has date of correction
Mar 4, 2025Provide enough food/fluids to maintain a resident's health.
Quality of life and care
DDeficient, Provider has date of correction
Mar 4, 2025Provide 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.
Quality of life and care
DDeficient, Provider has date of correction
Mar 4, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of life and care · complaint
DDeficient, Provider has date of correction
Mar 4, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of life and care
DDeficient, Provider has date of correction
Mar 4, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
FDeficient, Provider has date of correction
Mar 4, 2025Observe each nurse aide's job performance and give regular training.
Nursing and physician services
EDeficient, Provider has date of correction
Mar 4, 2025Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and dietary
EDeficient, Provider has date of correction
Mar 4, 2025Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and physician services
EDeficient, Provider has date of correction
Mar 4, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of life and care
EDeficient, Provider has date of correction
Mar 4, 2025Provide activities to meet all resident's needs.
Quality of life and care
EDeficient, Provider has date of correction
Mar 4, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident assessment and care planning
EDeficient, Provider has date of correction
Mar 4, 2025Honor 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.
Resident rights · complaint
EDeficient, Provider has date of correction
Mar 4, 2025Honor 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.
Resident rights
EDeficient, Provider has date of correction
Mar 4, 2025Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and physician services
FDeficient, Provider has date of correction
Mar 4, 2025Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection control
FDeficient, Provider has date of correction
Mar 4, 2025Implement a program that monitors antibiotic use.
Infection control
FDeficient, Provider has date of correction
Mar 4, 2025Provide and implement an infection prevention and control program.
Infection control
FDeficient, Provider has date of correction
Jun 24, 2024Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of life and care · complaint
EDeficient, Provider has date of correction
May 23, 2024Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection control
DDeficient, Provider has date of correction
May 23, 2024Implement 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.
Pharmacy service
DDeficient, Provider has date of correction
May 23, 2024Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of life and care
DDeficient, Provider has date of correction
May 23, 2024Provide enough food/fluids to maintain a resident's health.
Quality of life and care
DDeficient, Provider has date of correction
May 23, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of life and care
DDeficient, Provider has date of correction
May 23, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of life and care
DDeficient, Provider has date of correction
May 23, 2024Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of life and care · complaint
DDeficient, Provider has date of correction
May 23, 2024Honor 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.
Resident rights
DDeficient, Provider has date of correction
May 23, 2024Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident rights
DDeficient, Provider has date of correction
May 23, 2024Keep all essential equipment working safely.
Environmental
EDeficient, Provider has date of correction
May 23, 2024Provide and implement an infection prevention and control program.
Infection control
FDeficient, Provider has date of correction
May 23, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary · complaint
FDeficient, Provider has date of correction
May 23, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident assessment and care planning
DDeficient, Provider has date of correction
Aug 5, 2022Provide and implement an infection prevention and control program.
Infection control
EDeficient, Provider has date of correction
Aug 5, 2022Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
EDeficient, Provider has date of correction
Aug 5, 2022Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration
EDeficient, Provider has date of correction
Aug 5, 2022Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration
EDeficient, Provider has date of correction

Fines and penalties

DateTypeAmount
Mar 4, 2025Fine$14,498
Mar 4, 2025Payment Denial7 days

Location

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Questions about Crestview Home

Answers computed from CMS data for this facility.

What is Crestview Home's Medicare rating?

Medicare rates Crestview Home 1 out of 5 stars overall (much below average). The average for Chillicothe-area nursing homes is 2.0, for Missouri 2.51 and for the U.S. 2.99.

How did Crestview Home do on its last inspection?

Inspectors' most recent visit in the CMS data was on Mar 4, 2025, when they cited 22 problems, 2 of them from complaint investigations. The most common area was quality of life and care (8 citations). None rose to the level of actual harm; the most serious was severity code F, on a scale from A to L. 0 of 22 are marked corrected in the CMS data. At its most recent standard inspection (Mar 4, 2025) it had 22 citations, compared with an average of 10.1 for Chillicothe-area homes, 11.4 in Missouri and 9.2 nationally.

Has Crestview Home been fined?

Yes. CMS reports 1 fine totaling $14,498 in the past three years.

Does Crestview Home accept Medicaid?

Crestview Home is certified for both Medicare and Medicaid. Call (660) 425-3128 to ask whether a Medicaid bed is open.

Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.