Total health inspections
7
Missouri average 6.6
Last Health inspection on Mar 2025
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Crestview Home
Nursing Home
Crestview Home
Nursing Home
Crestview Home is a long-term care facility located in Bethany, Missouri. It provides comprehensive and quality care under physician supervision, focusing on the physical, mental, and psychosocial well-being of residents. The facility offers skilled nursing care, rehabilitation services, and memory care.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
92
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
57%
Residents per day (avg)
37
Occupancy rate
57%
Residents per day (avg)
37
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
30% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
25% of new residents, often for short stays.
Typical stay
11 - 12 months
Medicaid
46% of new residents, often for long-term daily care.
Typical stay
9 - 10 months
Finances and operations
Proprietary home
Corporation
Home revenue
$4.9M
Operating loss
-$386.6K
Proprietary home
Corporation
Home revenue
$4,899,834.00
Operating loss
$-386,648.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.4M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$5.3M
92-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
Facility Type
SNF
Additional licensing details
CMS Certification Number:
265807
Certification type:
Medicare/Medicaid
County:
HARRISON
Ownership & operating entity
Crestview Home is administrated by DAVID HIBBLER.
Owner name:
N & R OF CRESTVIEW, LLC
Care Services
Nursing Services
Rehabilitation Services
Memory Care
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
All Levels of Care
Programs & Activities
Specific Programs
About, Services, Calendar, Virtual Tour, Resident Transportation, Careers, Contact Us
Compare Nursing Homes around Missouri
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Aberdeen Heights
-32%
+39%
+39%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 63122-5536
38
No
-
ASHFIELD ACTIVE LIVING AND WELLNESS COMMUNITIES, INC.
92.6%
$27,329,327.00
$7,175,451.00
26.3%
34.30
5.1831
-
9
-
-32%+39%+39%
Bertrand Nursing And Rehab Center
+42%
-2%
+18%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Bertrand
60
No
5
CHANCE, DON
78.8%
$5,145,452.00
$2,268,233.00
44.1%
53.70
3.6515
-
10
-
+42%-2%+18%
Adair Village
-2%
+5%
-67%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 64735-1127
120
No
-
VOGT, MARK
21.7%
$2,609,859.00
$1,035,294.00
39.7%
51.50
3.9409
-
29
2
-2%+5%-67%
Crestview Home
+80%
+8%
-14%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 64424-2634
92
No
-
FLETCHELL, KAREN
57.0%
$4,567,680.00
$1,363,152.00
29.8%
37.20
4.0531
1
64
-
+80%+8%-14%
Good Shepherd Care Community
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
HC
Hospice Care
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
Concordia
-
No
38
-
-
-
-
-
-
-
-
-
-
-
-
Aberdeen Heights
Type of care:
SNF
AL
Community:
MO 63122-5536
Bed Count:
38
Pets Allowed:
No
Operator:
ASHFIELD ACTIVE LIVING AND WELLNESS COMMUNITIES, INC.
CCN:
265841
Occupancy:
92.6%
Home Revenue:
$27,329,327.00
Payroll Costs:
$7,175,451.00
Payroll %:
26.3%
Avg Residents/Day:
34.30
Overall Rating:
Adj Nurse Hours:
5.1831
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
9
RN share vs State Avg:
-32%
-32%
Staffing vs State Avg:
+39%
+39%
Occupancy vs State Avg:
+39%
+39%
Bertrand Nursing And Rehab Center
Type of care:
SNF
AL
Community:
Bertrand
Bed Count:
60
Pets Allowed:
No
Operator:
CHANCE, DON
CCN:
265678
Occupancy:
78.8%
Home Revenue:
$5,145,452.00
Payroll Costs:
$2,268,233.00
Payroll %:
44.1%
Avg Residents/Day:
53.70
Overall Rating:
Adj Nurse Hours:
3.6515
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
10
RN share vs State Avg:
+42%
+42%
Staffing vs State Avg:
-2%
-2%
Occupancy vs State Avg:
+18%
+18%
Adair Village
Type of care:
SNF
AL
Community:
MO 64735-1127
Bed Count:
120
Pets Allowed:
No
Operator:
VOGT, MARK
CCN:
265347
Occupancy:
21.7%
Home Revenue:
$2,609,859.00
Payroll Costs:
$1,035,294.00
Payroll %:
39.7%
Avg Residents/Day:
51.50
Overall Rating:
Adj Nurse Hours:
3.9409
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
29
Severe Citations:
2
RN share vs State Avg:
-2%
-2%
Staffing vs State Avg:
+5%
+5%
Occupancy vs State Avg:
-67%
-67%
Crestview Home
Type of care:
SNF
AL
Community:
MO 64424-2634
Bed Count:
92
Pets Allowed:
No
Operator:
FLETCHELL, KAREN
CCN:
265807
Occupancy:
57.0%
Home Revenue:
$4,567,680.00
Payroll Costs:
$1,363,152.00
Payroll %:
29.8%
Avg Residents/Day:
37.20
Overall Rating:
Adj Nurse Hours:
4.0531
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
64
RN share vs State Avg:
+80%
+80%
Staffing vs State Avg:
+8%
+8%
Occupancy vs State Avg:
-14%
-14%Places of interest near Crestview Home
0.0 miles from city center
BETHANY, MO 64424-2634
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
85
Total Staff
48
Employees
37
Contractors
13,819
Total Hours (Quarter)
18
Avg Staff/Day
8.4
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 12 | 8.4 | Yes |
| Licensed Practical Nurse | 10 | 9.8 | Yes |
| Certified Nursing Assistant | 36 | 9 | Yes |
Staff by Category
Administration ⓘ
2 staff
7.5hs shift avg
Nursing Staff ⓘ
67 staff
9.3hs shift avg
Physicians & Practitioners ⓘ
4 staff
8.7hs shift avg
Therapy Services ⓘ
9 staff
4.3hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
0 staff
0hs shift avg
Dietary Services ⓘ
1 staff
7.3hs shift avg
Other Services ⓘ
2 staff
6.1hs shift avg
Contractor Analysis
18.7%
of total hours from contractors
2,579 contractor hours this quarter
Physical Therapy Aide: 2
Administrator: 1
Certified Nursing Assistant: 12
Licensed Practical Nurse: 5
Registered Nurse: 8
Nurse Practitioner: 2
Speech Language Pathologist: 1
Physical Therapy Assistant: 2
Occupational Therapy Assistant: 1
Respiratory Therapy Technician: 2
Occupational Therapy Aide: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 24 | 12 | 36 | 6,785 | 91 | 100% | 9 |
| Licensed Practical Nurse | 5 | 5 | 10 | 1,533 | 88 | 97% | 9.8 |
| Medication Aide/Technician | 4 | 0 | 4 | 1,149 | 91 | 100% | 11.7 |
| Registered Nurse | 4 | 8 | 12 | 1,073 | 83 | 91% | 8.4 |
| Dental Services Staff | 2 | 0 | 2 | 765 | 68 | 75% | 6.1 |
| Nurse Practitioner | 1 | 2 | 3 | 635 | 50 | 55% | 8.8 |
| Nurse Aide in Training | 5 | 0 | 5 | 477 | 46 | 51% | 8.2 |
| Dietitian | 1 | 0 | 1 | 399 | 55 | 60% | 7.3 |
| Administrator | 1 | 1 | 2 | 324 | 43 | 47% | 7.5 |
| Physical Therapy Aide | 0 | 2 | 2 | 252 | 44 | 48% | 5.7 |
| Speech Language Pathologist | 0 | 1 | 1 | 237 | 56 | 62% | 4.2 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 76 | 10 | 11% | 7.6 |
| Occupational Therapy Aide | 0 | 1 | 1 | 48 | 6 | 7% | 8 |
| Physical Therapy Assistant | 0 | 2 | 2 | 34 | 16 | 18% | 2.1 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 22 | 15 | 16% | 1.4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 12 | 3 | 3% | 4 |
Health Inspection History
Inspections
Total health citations
64
Citations per inspection
9.14
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
53 of 64 citations resulted from standard inspections; 7 of 64 resulted from complaint investigations; and 4 of 64 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Missouri averageMissouri average: 0.7
Serious Health citations
0
0
100% better than Missouri averageMissouri average: 1
0 critical citations
0 serious citations
63 moderate citations
1 minor citation
Citations history (last 3 years)
Infection Control moderate citation
Mar 04, 2025
Corrected
Infection Control moderate citation
Mar 04, 2025
Corrected
Infection Control moderate citation
Mar 04, 2025
Corrected
Nursing Services moderate citation
Mar 04, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit LLC
Resident Census by Payment Source
40
Total Residents
Medicare
2
(5%)
ⓘ
Medicaid
29
(72.5%)
ⓘ
Private Pay/Other
9
(22.5%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.0
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.0
18% better than Missouri averageMissouri average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.9
18% better than Missouri averageMissouri average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
12.0%
Percent of long-stay residents whose need for help with daily activities has increased
12.0%
39% better than Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
22.4%
Percent of long-stay residents whose ability to move independently worsened
22.4%
9% worse than Missouri averageMissouri average: 20.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
13.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
13.4%
26% better than Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.7%
Percent of long-stay residents experiencing one or more falls with major injury
0.7%
83% better than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.6%
Percent of long-stay high risk residents with pressure ulcers
4.6%
8% better than Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
12.8%
Percent of long-stay residents with a urinary tract infection
12.8%
368% worse than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
5.2%
Percent of long-stay residents who lose too much weight
5.2%
7% better than Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
15.5%
Percent of long-stay residents who have depressive symptoms
15.5%
21% worse than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
10.2%
Percent of long-stay residents who received an antipsychotic medication
10.2%
54% better than Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.3%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.3%
14% better than Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
10% better than Missouri averageMissouri average: 90.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.2%
43% better than Missouri averageMissouri average: 66.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$14K
80% lower than Missouri averageMissouri average: $73K
Number of fines
1
59% fewer fines than Missouri averageMissouri average: 2.4
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
45% more payment denials than Missouri averageMissouri average: 0.7
Fines amount comparison
Fines amount comparison
This facility
$14K
Missouri average
$73K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 4, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 4, 2025
$14K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Mar 4, 2025
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Mar 4, 2025
7 days
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Crestview Home based on CMS SNF Cost Reports.
Occupancy Rate
57.0%
↑ 6.0pp vs 2022
Net Income
-$386,648
↑ ~$916K vs 2022
Total Payroll
$3,137,768
↓ ~$221K vs 2022
Profit Margin
-8.5%
↑ 21.1pp vs 2022
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