Crestview Rehabilitation Center, LLC

In the surveyor’s words

From the most serious findings on record at Crestview Rehabilitation Center, LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF684Aug 21, 2025

  Based on observations, interviews and record reviews, the facility failed to follow physician orders and maintain infection control practices for 1 of 3 residents observed for direct care. (Resident #64)The findings Include:On 08/18/25 at approximately 4:15 PM, an observation of Resident # 64 was made. He was noted sitting in his wheelchair at the nurses' station in front of the medication cart. Nurse A, a Licensed Practical Nurse (LPN), was kneeling in front of the resident applying Diclofenac External Gel 1% (a topical medication used to treat pain) to the left knee with her bare hand. Nurse A then squeezed the gel into her bare hand and applied it to the resident's right knee and finally squeezed gel into her bare hand again and applied it to the resident's right shoulder. […]

• No harm, potential for more than minimal, isolatedF684Mar 2, 2023

  Based on observation, record review, staff interview, and policy review, the facility failed to provide treatment and care in accordance with professional standards and facility policy for 1 of 2 residents sampled for non-pressure related skin conditions. (Resident #27) The findings include: An observation of Resident #27 was conducted on 2/27/23 at 1:54 PM. The resident was observed to have an undated dressing on her left lower arm. Another observation of Resident #27 was conducted on 3/1/23 at 12:38 PM in the presence of Employee A (licensed practical nurse). The undated dressing remained on the resident's left lower arm. The nurse removed the dressing and a small (approximately 1/2 inch) clean skin tear was observed under the dressing. […]

• No harm, potential for more than minimal, isolatedF688Mar 2, 2023

  Based on observation, record review, staff interviews, and facility policy review, the facility failed to provide appropriate treatment to prevent further decrease in range of motion for 1 of 2 residents reviewed for limited range of motion. (Resident #69) The findings include: An observation of Resident #69 was conducted on 2/27/23 at 12:46 PM. The resident was in bed and contractures were observed to the upper and lower extremities. A review of the quarterly minimum data set, with an assessment reference date of 12/23/22, revealed the resident had functional limitation in range of motion to upper and lower extremities on both sides. The occupational therapy discharge summary, dated 10/24/22, revealed the resident had contractures to bilateral upper extremities. […]

• No harm, potential for more than minimal, isolatedF755Mar 2, 2023

  Based on observation, interviews, and record reviews, the facility failed to provide medications in a timely manner for 2 of 5 residents sampled for medication administration. (Residents #85 and #30) The findings include: On 3/1/23 at approximately 9:30 AM, an observation was made of Resident #85's medication administration by Nurse F, a Licensed Practical Nurse (LPN). Nurse F was scheduled to administer a Vitamin B-12 injection, 1000 micrograms subcutaneously, but could not as it was not available from pharmacy. Nurse F stated she would notify the Nurse Practitioner and the pharmacy to have this medication delivered from the back-up pharmacy. On 3/1/23 at approximately 2:00 PM, an observation was made of Nurse D, a Registered Nurse. […]