Crestwood Health and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Crestwood Health and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF572Oct 16, 2024

  Based on interview and record review, the facility failed to ensure residents were informed orally, of their rights, for 6 of 6 residents interviewed during a group meeting (Resident #13, #14, #21, #32, #49 and #53). Residents #13, #14, #21, #32, #49 and #53 were not orally informed of their rights, during their stay in the facility. This failure placed the residents at risk of a decreased quality of life, decreased awareness of their rights and decreased execution of their rights. Findings included: During an interview on 10/15/2024 at 9:00 AM, Residents #13, #14, #21, #32, #49 and #53 said, the new AD has not reviewed resident rights with them or explained any resident rights to them, since she became the AD. […]

• No harm, potential for more than minimal, patternF641Aug 23, 2023

  Based on interview and record review, the facility failed to ensure an accurate MDS was completed for 12 of 18 residents (Resident #s 7, 9, 15, 18, 24, 32, 46, 49, 50, 51, 55, and 56) reviewed for MDS assessment accuracy. The facility did not accurately code Resident #s 7, 15, 32, 46, 49, 50, and 55's MDS for BIMS score (cognitive patterns), mood score, and daily routine and activity preferences. The facility did not accurately code Resident #s 9, 18, 24, 51, and 56's MDS assessment for BIMS score (cognitive patterns) and mood score. These failures could place residents at risk for not receiving the appropriate care and services to maintain the highest level of well-being. […]

• No harm, potential for more than minimal, patternF677Aug 23, 2023

  Based on observation, interview, and record review, the facility failed to ensure residents unable to conduct activities of daily living (ADLs) received the necessary services to maintain good grooming and personal hygiene that promotes maintenance or enhancement of his or her quality of life, for resident (Resident #51) review for quality of life. The facility failed to provide Resident #51 with personal grooming for nail care These failures could place residents at risk for poor hygiene, dignity issues, and decreased quality of life. […]

• No harm, potential for more than minimal, isolatedF645Jan 7, 2026

  Based on interview and record review, the facility failed to ensure the Preadmission Screening and Resident Review (PASRR) Level I assessment accurately reflected the resident's status for 1 of 5 residents (Resident #85) reviewed for PASRR Level I screenings.The facility failed to ensure the accuracy of the PASRR Level 1 screening for Resident #85. The PASRR 1 Level screening did not indicate a diagnosis of mental illness, although the diagnosis was present upon admission. This failure could place residents who had a mental illness at risk of not receiving a needed assessment (PASRR Evaluation), individualized care, or specialized services to meet their needs. […]

• No harm, potential for more than minimal, isolatedF770Jan 7, 2026

  Based on interview and record review, the facility failed to ensure laboratory services were obtained to meet the needs of 1 of 18 residents reviewed for laboratory services (Resident #9). The facility failed to obtain Resident #9's CBC (Complete Blood Count) and CMP (Comprehensive Metabolic Panel) every Monday for 4 weeks as ordered. This failure could place residents at risk of not receiving timely diagnoses, treatment, and services to meet their needs.Findings included: Record review of Resident #9's undated face sheet revealed he was an [AGE] year-old male that admitted on [DATE] with a readmit date of 12/3/25. […]