CRESTVIEW HOME

The information listed below provides an in-depth look into the type and quality of care offered at Crestview Home. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

CRESTVIEW HOME
1313 SOUTH 25TH ST, PO BOX 430
BETHANY, MO 64424
(660) 425-3128

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

49%

Number of Residents and Certified Beds

  • Residents: 78
  • Certified Beds: 160

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Both Resident and Family Counseling Services
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Albany | Gallatin | Trenton

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Medium Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Crestview Home. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Very High Rehabilitation Plus Extensive Services

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-104.1%
Total Percent:4.1%
 

High Rehabilitation Plus Extensive Services

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-102.7%
Total Percent:2.7%
 

Medium Rehabilitation Plus Extensive Services

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-162.7%
Total Percent:2.7%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-165.1%
ADL Index Range: 6-102.1%
ADL Index Range: 0-54.5%
Total Percent:11.6%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1612.0%
ADL Index Range: 6-104.1%
ADL Index Range: 0-515.9%
Total Percent:32.0%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-163.4%
ADL Index Range: 6-106.2%
ADL Index Range: 0-525.7%
Total Percent:35.3%
 

Extensive Services

  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-16
- Isolation for active infectious disease
2.4%
Total Percent:2.4%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 2-5
- Signs of depression
1.0%
ADL Index Range: 2-5
- No Signs of depression
3.8%
ADL Index Range: 0-1
- No Signs of depression
0.7%
Total Percent:5.5%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 6-10
- Less restorative nursing
1.9%
ADL Index Range: 0-1
- Less restorative nursing
1.7%
Total Percent:3.6%
 

Rating Details For Crestview Home

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours16 Minutes56 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours39 Minutes38 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 23 Minutes2 Hours and 9 Minutes
Total Licensed Nurse Hours55 Minutes1 Hour and 34 Minutes
Total Nurse Hours3 Hours and 18 Minutes3 Hours and 43 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Missouri are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityMissouri Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination75%88%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season89%93%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse16%9%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection20%9%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder22%38%
Percent of Long-Stay Residents Who Lose Too Much Weight7%7%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair3%3%
Percent of Long-Stay Residents Who Are More Depressed or Anxious24%11%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores5%3%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores10%10%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain2%4%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased13%11%
Percent of Long-Stay Residents Who Were Physically Restrained3%4%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder5%5%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%87%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination56%83%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-4%
Percent of Short-Stay Residents Who Have Pressure Sores11%11%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain12%20%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 07/06/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Follow All Laws and Professional Standards.
  • Inspection Date: 09/30/2009
  • Correction Date: 11/14/2009

Environmental

Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 11/11/2008
  • Correction Date: 01/13/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 11/11/2008
  • Correction Date: 04/14/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 11/11/2008
  • Correction Date: 01/13/2009
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 09/30/2009
  • Correction Date: 11/14/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 09/30/2009
  • Correction Date: 11/14/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 09/30/2009
  • Correction Date: 11/14/2009
Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 07/06/2010
  • Correction Date: 08/26/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 07/06/2010
  • Correction Date: 08/26/2010
Get Rid of Garbage Properly.
  • Inspection Date: 07/06/2010
  • Correction Date: 08/26/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 07/06/2010
  • Correction Date: 08/26/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 07/06/2010
  • Correction Date: 08/26/2010
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
  • Inspection Date: 07/06/2010
  • Correction Date: 08/26/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 09/30/2009
  • Correction Date: 11/14/2009
Hire a Qualified Dietician.
  • Inspection Date: 07/06/2010
  • Correction Date: 08/26/2010
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 07/06/2010
  • Correction Date: 08/26/2010
Provide Food in a Way That Meets a Resident's Needs.
  • Inspection Date: 07/06/2010
  • Correction Date: 08/26/2010
Offer Other Nutritional Food to Each Resident Who Will Not Eat the Food Served.
  • Inspection Date: 07/06/2010
  • Correction Date: 08/26/2010
Make Sure That the Attending Doctor Orders Special Diets.
  • Inspection Date: 07/06/2010
  • Correction Date: 08/26/2010
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 07/06/2010
  • Correction Date: 08/26/2010

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 11/11/2008
  • Correction Date: 01/13/2009
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 09/30/2009
  • Correction Date: 11/14/2009
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 09/30/2009
  • Correction Date: 11/14/2009
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 07/06/2010
  • Correction Date: 08/26/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 11/11/2008
  • Correction Date: 04/14/2009
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 11/11/2008
  • Correction Date: 01/13/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 11/11/2008
  • Correction Date: 04/14/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 11/11/2008
  • Correction Date: 04/14/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 09/30/2009
  • Correction Date: 11/14/2009
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 09/30/2009
  • Correction Date: 11/14/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 09/30/2009
  • Correction Date: 11/14/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 09/30/2009
  • Correction Date: 11/14/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 07/06/2010
  • Correction Date: 08/26/2010
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 07/06/2010
  • Correction Date: 08/26/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 07/06/2010
  • Correction Date: 08/26/2010
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 07/06/2010
  • Correction Date: 08/26/2010
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
  • Inspection Date: 07/06/2010
  • Correction Date: 08/26/2010

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 11/11/2008
  • Correction Date: 01/13/2009
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 11/11/2008
  • Correction Date: 01/13/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 09/30/2009
  • Correction Date: 11/14/2009

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 07/06/2010
  • Correction Date: 08/26/2010
Try to Resolve Each Resident's Complaints Quickly.
  • Inspection Date: 07/06/2010
  • Correction Date: 08/26/2010
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 07/06/2010
  • Correction Date: 08/26/2010

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action TakenDateAmount
Civil Money Penalty (CMP)11/11/2008$5,700
Civil Money Penalty (CMP)11/11/2008$6,500
Denial of Payment for New Admission (DPNA)11/11/2008-
Denial of Payment for New Admission (DPNA)09/30/2009-
Denial of Payment for New Admission (DPNA)07/06/2010-

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Crestview Home, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Mistreatment

1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Complaint Filed: 08/27/2008
  • Correction Date: 10/28/2008
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Complaint Filed: 11/11/2008
  • Correction Date: 04/14/2009
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Complaint Filed: 01/29/2009
  • Correction Date: 04/14/2009
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Complaint Filed: 12/15/2010
  • Correction Date: 01/25/2011

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Complaint Filed: 08/27/2008
  • Correction Date: 10/28/2008

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 11/11/2008
  • Correction Date: 04/14/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 11/11/2008
  • Correction Date: 04/14/2009
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
  • Complaint Filed: 11/11/2008
  • Correction Date: 01/13/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 01/29/2009
  • Correction Date: 04/14/2009

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Complaint Filed: 12/15/2010
  • Correction Date: 01/25/2011

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Crestview Home had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 07/06/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 11/11/2008
  • Correction Date: 01/12/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 09/30/2009
  • Correction Date: 11/14/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 07/06/2010
  • Correction Date: 08/26/2010

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 11/11/2008
  • Correction Date: 01/12/2009
Approved Construction Type or Materials.
  • Inspection Date: 07/06/2010
  • Correction Date: 08/26/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 09/30/2009
  • Correction Date: 11/14/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 07/06/2010
  • Correction Date: 08/26/2010

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 11/11/2008
  • Correction Date: 01/12/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 09/30/2009
  • Correction Date: 11/14/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 07/06/2010
  • Correction Date: 08/26/2010

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 09/30/2009
  • Correction Date: 11/14/2009
Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width.
  • Inspection Date: 09/30/2009
  • Correction Date: 11/14/2009
Rooms That Can Be Unlocked from Inside Without a Key.
  • Inspection Date: 07/06/2010
  • Correction Date: 08/26/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 09/30/2009
  • Correction Date: 11/14/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 09/30/2009
  • Correction Date: 11/14/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 07/06/2010
  • Correction Date: 08/26/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 09/30/2009
  • Correction Date: 11/14/2009

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 07/06/2010
  • Correction Date: 08/26/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 11/11/2008
  • Correction Date: 01/12/2009
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 09/30/2009
  • Correction Date: 11/14/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 07/06/2010
  • Correction Date: 08/26/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 09/30/2009
  • Correction Date: 11/14/2009
Source: Medicare Nursing Home Compare; Missouri Department of Health & Senior Services - Retrieved 2011