Crestwood Assisted Living
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Crestwood Assisted Living

CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Crestwood Assisted Living accepts Medicare, Medicaid, and private pay.

Overview of Crestwood Assisted Living

Crestwood Assisted Living is a licensed senior community managed by Kristin Trask in Harrisonburg, Virginia, providing assisted living, rehabilitation, and respite care. The community provides care to older adults throughout the Shenandoah Valley with 106 licensed beds.

With an occupancy rate of approximately 83%, the community has 88 beds occupied, which aligns closely with the Virginia statewide average. This suggests a well-established reputation while providing immediate availability for interested families.

The community’s regulatory performance is favorable, as it has undergone six state inspections, with only 50% resulting in violations, which is well below the Virginia average of 64.3%. Furthermore, total deficiencies are significantly lower than the state benchmark, with a cumulative total of 7 deficiencies. The most recent inspection in September 2025 identified one deficiency, which is far below the state average of 32. While the primary finding involved fire drill frequency and prior inspections cited areas such as medication documentation, no fines or license actions have ever been recorded.

Services include nursing care with licensed nurses and CNAs on staff, 24-hour staffing, in-house therapy, and rehabilitation, along with a variety of organized activities and excursions. The community is managed under the Ensign Services network, a nationally recognized operator that provides robust operational infrastructure and professional oversight.

Crestwood Assisted Living serves as a practical choice for older adults requiring structured daily assistance and access to professional rehabilitation services. Its strong compliance record and affiliation with an established operator also offer a sense of credibility for families exploring options in Harrisonburg.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to state averages

Total nursing care / resident Info Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
6h 10m per day
Rank #6 / 89Nurse hours — State benchmarkedThis home is ranked 6th out of 89 homes in Virginia. Shows adjusted nurse hours per resident per day benchmarked to the Virginia average, with a ranking across 89 Virginia facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 30m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 48m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 3h 2m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours. 3h 54m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation. 3m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent. 27m per day

Capacity and availability

Avg. Length of Stay
105 days
Bed community size
106-bed community Rank #127 / 371Bed count — State benchmarkedThis home is ranked 127th out of 371 homes in Virginia. Shows this facility's certified or reported bed count compared to other Virginia facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Walk Score
Walk Score: 88 / 100 Rank #21 / 449Walk Score — State benchmarkedThis home is ranked 21st out of 449 homes in Virginia. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Virginia facilities. Higher scores benefit residents, families, and staff.Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate
83%
Rank #94 / 314Occupancy rate — State benchmarkedThis home is ranked 94th out of 314 homes in Virginia. Shows this facility's occupancy rate versus the Virginia average, with its Statewide rank out of 314. Higher occupancy signals strong local demand and financial stability.Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Similar to the Virginia average: 85.7%
Occupied beds
88 / 106
Average occupied beds in Virginia homes 98 beds

License Details

Facility TypeAssisted Living Facility
StatusActive
ExpirationSeptember 30, 2027

Ownership & Operating Entity

Crestwood Assisted Living is administered by Mrs. Kristin Trask.

Therapy & Rehabilitation

2 services
Rehabilitation Services
Respite Care

Staffing & Medical

1 service
24-Hour Staffing

Amenities & Lifestyle

Specific ProgramsIn-House Therapy, Activities and Excursions

Contact Crestwood Assisted Living

Inspection History

In Virginia, the Department of Social Services (for assisted living facilities) and the Department of Health (for nursing homes) perform the inspections required to maintain state and federal licensing.

Since 2021 · 5 years of data 7 deficiencies 6 inspections

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Virginia state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2021 vs. Virginia state average
Overall vs. VA average 0 Worse No metrics in this bucket. 6 Better Metrics better than Virginia average:
• Total deficiencies (78% below)
• Deficiencies per year (78% below)
• Deficiencies per inspection (48% below)
• Total inspections (57% below)
• Inspections with violations (67% below)
• Inspection violation rate (22% below)
Latest Inspection September 3, 2025 Monitoring

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityVA Averagevs. VA Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 732 This facility has 78% fewer total deficiencies than a typical Virginia assisted living residence (7 vs. VA avg 32).↓ 78% better
Deficiencies per year Info Average deficiencies per year since 2021. 1.46.4 This facility has 78% fewer deficiencies per year than a typical Virginia assisted living residence (1.4 vs. VA avg 6.4).↓ 78% better
Deficiencies per inspection Info Average deficiencies per inspection. 1.22.3 This facility has 48% fewer deficiencies per inspection than a typical Virginia assisted living residence (1.2 vs. VA avg 2.3).↓ 48% better

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityVA Averagevs. VA Avg
Total inspections Info Combined count of all routine and focused inspections. Excludes complaint investigations. 614 This facility has 57% fewer total inspections than a typical Virginia assisted living residence (6 vs. VA avg 14).↓ 57% better
Inspections with violations Info Inspections that uncovered at least one regulatory violation. 39 This facility has 67% fewer inspections with violations than a typical Virginia assisted living residence (3 vs. VA avg 9).↓ 67% better
Inspection violation rate Info Percentage of inspections that resulted in at least one violation. 50%64% This facility has 14 percentage points lower inspection violation rate than a typical Virginia assisted living residence (50% vs. VA avg 64%).↓ 14% better

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • August 21, 2024 renewal inspection found no deficiencies and confirmed compliance with all applicable standards.
  • August 19, 2021 renewal inspection cited three deficiencies in medication management, including missing treatment cream, incomplete treatments, and incomplete EMAR documentation.
  • September 3, 2025 monitoring visit found one deficiency for failure to conduct fire drills according to Virginia Statewide Fire Prevention Code.

Health Inspection History

Inspections since 2018
Total health inspections 3

State average N/A


Last Health inspection on Mar 2023

Total health citations
11 Rank #7 / 90Health citations — State benchmarkedThis home is ranked 7th out of 90 homes in Virginia. Shows this facility's total health deficiency citations benchmarked to the Virginia State average, with a ranking across all 90 VA facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
3.67 Rank #9 / 90Citations per inspection — State benchmarkedThis home is ranked 9th out of 90 homes in Virginia. Shows average deficiency citations per CMS inspection for this facility versus the Virginia mean across 90 facilities with citation data. Lower is better.Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 11 citations resulted from standard inspections.

Breakdown of citation severity (last 8 years)
Critical health citations
0
In line with State average

State average: N/A


Serious health citations
0
In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

10 moderate citations State average: N/A

1 minor citation State average: N/A
Citations history (last 8 years)
Infection Control moderate citation Mar 15, 2023
Corrected

Nursing Services minor citation Mar 15, 2023
Corrected

Nutrition moderate citation Mar 15, 2023
Corrected

Nutrition moderate citation Mar 15, 2023
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 264
Employees 238
Contractors 26
Staff to resident ratio 3.11 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 76
Average shift 7 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 48,650

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 18 RN Staff are full-time employees. No contractors work on this role. 18
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.5 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 25 LPN Staff are full-time employees. No contractors work on this role. 25
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.8 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 161 CNA Staff are full-time employees. No contractors work on this role. 161
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.2 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

5.9%

2,871 contractor hours this quarter

Physical Therapy Assistant: 7 Qualified Social Worker: 6 Respiratory Therapy Technician: 6 Speech Language Pathologist: 5 Medical Director: 1 Physical Therapy Aide: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant161016129,6678896%7.2
Licensed Practical Nurse250256,0099098%7.8
Registered Nurse180183,4547683%7.5
RN Director of Nursing8082,1398188%7.4
Nurse Aide in Training110111,4286065%7.1
Clinical Nurse Specialist6061,1648390%6.7
Physical Therapy Assistant0771,1488188%5.2
Speech Language Pathologist0556836672%4.1
Other Dietary Services Staff6065235762%5.3
Respiratory Therapy Technician0665188188%2.6
Nurse Practitioner1014826470%7.5
Dental Services Staff1014586166%7.5
Administrator1014576166%7.5
Qualified Social Worker0664556672%6.3
Medical Director011341617%2.1
Physical Therapy Aide0113367%5.5
161 Certified Nursing Assistant
% of Days 96%
25 Licensed Practical Nurse
% of Days 98%
18 Registered Nurse
% of Days 83%
8 RN Director of Nursing
% of Days 88%
11 Nurse Aide in Training
% of Days 65%
6 Clinical Nurse Specialist
% of Days 90%
7 Physical Therapy Assistant
% of Days 88%
5 Speech Language Pathologist
% of Days 72%
6 Other Dietary Services Staff
% of Days 62%
6 Respiratory Therapy Technician
% of Days 88%
1 Nurse Practitioner
% of Days 70%
1 Dental Services Staff
% of Days 66%
1 Administrator
% of Days 66%
6 Qualified Social Worker
% of Days 72%
1 Medical Director
% of Days 17%
1 Physical Therapy Aide
% of Days 7%

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

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

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 Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 15.4
52% worse than State average

State average: 10.1

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 28.8
46% worse than State average

State average: 19.7

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 28.1%
67% worse than State average

State average: 16.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 30.3%
54% worse than State average

State average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 28.0%
24% worse than State average

State average: 22.6%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 5.5%
52% worse than State average

State average: 3.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 6.6%
22% worse than State average

State average: 5.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 2.6%
67% worse than State average

State average: 1.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 6.6%
13% worse than State average

State average: 5.9%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 1.3%
92% better than State average

State average: 14.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 10.3%
20% better than State average

State average: 12.9%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 89.3%
In line with State average

State average: 91.3%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.9%
5% better than State average

State average: 94.0%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 96.4%
29% better than State average

State average: 74.9%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.6%
48% better than State average

State average: 1.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 97.0%
32% better than State average

State average: 73.6%

Breakdown by payment type

Medicare

80% of new residents, usually for short-term rehab.

Typical stay 16 days

Private pay

18% of new residents, often for short stays.

Typical stay 1 years

Medicaid

2% of new residents, often for long-term daily care.

Typical stay 3 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 85
Medicare
16
18.8% of residents
Medicaid
18
21.2% of residents
Private pay or other
51
60% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 03/2024.

Nonprofit
Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$13.4M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$2.8M
Nonprofit Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$13.4M Rank #57 / 89Revenue — State benchmarkedThis home is ranked 57th out of 89 homes in Virginia. Shows this facility's annual revenue compared to the Virginia average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$2.8M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$2.0M
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #45 / 89Payroll — State benchmarkedThis home is ranked 45th out of 89 homes in Virginia. Shows total annual staff payroll benchmarked to the Virginia average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$9.3M 69.5% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #20 / 89Payroll % — State benchmarkedThis home is ranked 20th out of 89 homes in Virginia. Shows payroll as a percentage of revenue versus the Virginia average. Well-run Virginia facilities typically land around 51–60% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$6.9M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$16.2M

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Most new residents arrive under Medicare (80% of admissions), and a typical Medicare stay runs around 16 days.

Admissions
300 total

Coverage residents most often arrive under.

Medicare 80%
Private pay 18%
Medicaid 2%
Discharges
304 total

Coverage residents most often leave under.

Medicare 64%
Private pay 31%
Medicaid 5%

Places of interest near Crestwood Assisted Living

Address 0.0 miles from city center Info Estimated distance in miles from Harrisonburg's city center to Crestwood Assisted Living's address, calculated via Google Maps.

Calculate Travel Distance to Crestwood Assisted Living

Add your location

Address

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The information below is reported by the Virginia Department of Social Services and Department of Health.

Crestwood Assisted Living
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Frequently Asked Questions about Crestwood Assisted Living

Is Crestwood Assisted Living in a walkable area?

Crestwood Assisted Living has a walk score of 88. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

When does Crestwood Assisted Living's license expire?

According to VA state health department records, Crestwood Assisted Living's license expires on September 30, 2027.

What is the occupancy rate at Crestwood Assisted Living?

Crestwood Assisted Living's occupancy is 83%.

Does Crestwood Assisted Living operate as a for-profit or non-profit?

Crestwood Assisted Living is registered as a non-profit in VA.

Who is the administrator of Crestwood Assisted Living?

Mrs. Kristin Trask is the administrator of Crestwood Assisted Living.

How many beds does Crestwood Assisted Living have?

Crestwood Assisted Living has 106 beds.

Has Crestwood Assisted Living had any recent deficiencies?

Crestwood Assisted Living has had 6 recently reported deficiencies.

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