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Nursing Home in Nebraska

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.

Crest View Care Center

Nursing Home in Nebraska

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.

Crest View Care Center

420 Gordon Avenue, CHADRON, NE 69337 View map
Overview of Crest View Care Center
Crest View Care Center is a senior long-term care facility located in Chadron, Nebraska. It offers a peaceful retreat and place of healing for patients, providing services from transitional care to long-term care. The center is committed to treating residents with respect, dignity, and kindness.

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.
1/5
Nebraska average: 2.8/5
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.
1/5
Nebraska average: 2.8/5
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.
2/5
Nebraska average: 3.1/5
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.
2/5
Nebraska average: 2.7/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
3h 48m per day

This home provides 13% less nursing time per resident than the Nebraska average.

Nebraska average: 4h 20m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 70

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Nebraska average
Occupancy rate 40%
Residents per day (avg) 31
Occupancy rate
40%
Residents per day (avg)
31

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.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

71% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

12% of new residents, often for short stays.

Typical stay 2 years

Medicaid

17% of new residents, often for long-term daily care.

Typical stay 2 - 3 years

Finances and operations

Privately-owned community
Operated by a business corporation.
Home revenue
$4.1M
Operating loss
-$225.9K
Privately-owned community Operated by a business corporation.
Home revenue
$4,137,344.00
Operating loss
$-225,948.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$997.1K
24.1% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.4M
Total costs $4.4M
Bed community size
70-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.

About this community

Occupancy

Occupancy rate
40%
In line with Nebraska average
Occupied beds
28 / 70
Average residents 54 per day

License details

Facility type
Nursing Home
County: DAWES

Additional licensing details

CMS Certification Number: 285150
Certification type: Certification
Awards: 2024 Customer Experience Award from Pinnicle Quality Insight

Ownership & operating entity

Crest View Care Center is administrated by Helen Wichman.

Owner name: KISMET CDR, LLC

Safety & Compliance

Care Services

Nursing Services
Rehabilitation Services
Respite Care
Licensed Nurses/CNAs
Short-Term Rehab

Contact Information

Fax: (308) 432-4535

Amenities & Lifestyle

Private Room Options
3 Nutritious Meals A Day
Social & Recreational Activities
Transportation Services
Free Wireless Internet
Computer Access

Programs & Activities

Specific Programs
Medication management, Assistance with bathing and dressing, Wound care, Coordinated services with outside healthcare professionals, Recreational and social programming, Housekeeping, laundry service, and apartment maintenance, Transportation coordination, Therapy services, including: physical, occupational, and speech, Dental, Audiology, Podiatry
Volunteer Programs
Yes

Dining & Nutrition

Food Description
Three meals a day and snacks are provided.
Meals Included
Yes
Contact Crest View Care Center

Inspection History

In Nebraska, the Department of Health and Human Services, Division of Public Health conducts regular inspections to ensure nursing and assisted living facilities meet state and federal standards.

17 visits/inspections

5 visits/inspections triggered by complaints

3 routine inspections

Results

12 with issues

5 without issues

Latest inspection

Date February 26, 2020
Renewal

105 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Nebraska average: 52 deficiencies

Health Inspection History

Inspections
Total health inspections 6

Nebraska average 4.3


Last Health inspection on Feb 2025

Total health citations 27

Nebraska average 18.2

Citations per inspection
4.5

Nebraska average 4.19


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

19 of 27 citations resulted from standard inspections; 5 of 27 resulted from complaint investigations; and 3 of 27 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Nebraska average

Nebraska average: 0.2


Serious Health citations More info 0
100% better than Nebraska average

Nebraska average: 0.5

0 critical citations More info Nebraska average: 0.2

0 serious citations More info Nebraska average: 0.5

27 moderate citations More info Nebraska average: 17.2

0 minor citations More info Nebraska average: 0.2
Citations history (last 3 years)
Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Feb 25, 2025
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Feb 25, 2025
Corrected

Administration moderate citation Info Issues related to how the facility is managed, including policies, procedures, and compliance with regulations. Sep 04, 2024
Corrected

Environmental moderate citation Info Issues related to building safety, cleanliness, maintenance, and overall living conditions. Sep 04, 2024
Corrected

Compare Nursing Homes around Nebraska The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.

5 facilities compared · CMS & NE Dept. of Health data · Updated Apr 2026

Filter by care type
Accura HealthCare of Hartington
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

HARTINGTON
67
63.6%
-10%
4.13
-7%
-7%
0
7
2.3
0
31
-
Klaasmeyer, Kenneth
$3.7M
$2.1M
57.9%
285088
Accura HealthCare of Tekamah
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

TEKAMAH
46
72.0%
+2%
3.83
+19%
-14%
0
12
4.0
0
30
-
Geis, Heather
$3.1M
$2.1M
66.4%
285118
Arbor Care Center-Valhaven, LLC
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

VALLEY
66
72.4%
+3%
4.08
-2%
-8%
0
18
4.5
1
50
A+
-
$5.0M
$3.2M
64%
285117
Arbor Care Centers – Ord, LLC
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

ORD
60
51.8%
-26%
3.76
+15%
-16%
0
29
7.3
1
35
-
Luth, Kurt
$2.9M
$1.5M
52.9%
285294
Crest View Care Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

CHADRON
70
45.6%
-35%
3.80
-15%
-15%
0
27
4.5
0
31
-
Kismet Spf Llc
$4.0M
$1.0M
24.9%
285150

Places of interest near Crest View Care Center

Address 0.0 miles from city center

Address 420 Gordon Avenue, CHADRON, NE 69337

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 61
Employees 52
Contractors 9
Staff to resident ratio 1.97:1
8% worse than Nebraska average

Nebraska average ratio: 2.15:1

Avg staff/day 17
Average shift 8.2 hours
5% better than Nebraska average

Nebraska average: 7.8 hours

Total staff hours (quarter) 12,683
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 5
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.4 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 6
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.6 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 20
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.2 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

3.7%

475 contractor hours this quarter

Respiratory Therapy Technician: 4 Physical Therapy Assistant: 2 Physical Therapy Aide: 1 Speech Language Pathologist: 1 Qualified Social Worker: 1
Staff by category
Certified Nursing Assistant200204,77291100%8.2
Medication Aide/Technician5051,8028998%11
Licensed Practical Nurse6061,0818492%8.6
Registered Nurse5051,0618391%10.4
Physical Therapist5058668391%6.1
Nurse Aide in Training5055714549%10
Dietitian1015386470%8.4
Occupational Therapy Aide1015276774%7.9
Mental Health Service Worker1014996167%8.2
Clinical Nurse Specialist1012823538%8
Physical Therapy Aide0112675864%4.6
RN Director of Nursing1012062629%7.9
Respiratory Therapy Technician0441404246%3.3
Speech Language Pathologist01154910%6
Physical Therapy Assistant022122527%0.5
Administrator101511%4.7
Qualified Social Worker011222%1
20 Certified Nursing Assistant
% of Days 100%
5 Medication Aide/Technician
% of Days 98%
6 Licensed Practical Nurse
% of Days 92%
5 Registered Nurse
% of Days 91%
5 Physical Therapist
% of Days 91%
5 Nurse Aide in Training
% of Days 49%
1 Dietitian
% of Days 70%
1 Occupational Therapy Aide
% of Days 74%
1 Mental Health Service Worker
% of Days 67%
1 Clinical Nurse Specialist
% of Days 38%
1 Physical Therapy Aide
% of Days 64%
1 RN Director of Nursing
% of Days 29%
4 Respiratory Therapy Technician
% of Days 46%
1 Speech Language Pathologist
% of Days 10%
2 Physical Therapy Assistant
% of Days 27%
1 Administrator
% of Days 1%
1 Qualified Social Worker
% of Days 2%

Facility Characteristics

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

Total census
31 residents
Residents by payment source
Medicare
2 residents (6.5%)
Medicaid
20 residents (64.5%)
Private pay or other
9 residents (29%)
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

Active Resident Council

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

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. 17.0
51% worse than Nebraska average

Nebraska average: 11.3

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 27.8
19% worse than Nebraska average

Nebraska average: 23.3

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 26.3%
26% worse than Nebraska average

Nebraska average: 20.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 26.2%
18% worse than Nebraska average

Nebraska average: 22.1%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 30.9%
15% worse than Nebraska average

Nebraska average: 26.9%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 8.4%
87% worse than Nebraska average

Nebraska average: 4.5%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 10.2%
138% worse than Nebraska average

Nebraska average: 4.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.9%
69% better than Nebraska average

Nebraska average: 3.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 14.1%
160% worse than Nebraska average

Nebraska average: 5.4%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 7.9%
79% worse than Nebraska average

Nebraska average: 4.4%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 23.8%
20% worse than Nebraska average

Nebraska average: 19.8%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 90.7%
In line with Nebraska average

Nebraska average: 93.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 80.8%
16% worse than Nebraska average

Nebraska average: 96.1%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 31.0%
62% worse than Nebraska average

Nebraska average: 80.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 8.3%
251% worse than Nebraska average

Nebraska average: 2.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 38.5%
49% worse than Nebraska average

Nebraska average: 75.9%

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Financial Aid for Nebraska Seniors

Get financial aid guidance

Aged and Disabled Waiver

Nebraska Medicaid A&D Waiver

Age 65+ or disabled, Nebraska resident, Medicaid- eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$4,000 (individual, higher than most states).

Higher asset limit; rural access focus.

Nebraska Respite Network

NE Respite Network

Caregiver of someone 60+, Nebraska resident.

No strict limit; prioritizes low-income.

Not applicable.

Lifespan respite focus; limited funding.

Personal Assistance Services (PAS)

Nebraska Personal Assistance Services

Age 19+ (65+ for seniors focus), Nebraska resident, Medicaid-eligible, needs help with 1+ ADL (e.g., bathing, dressing).

~$1,255/month (100% FPL, individual); spenddown allowed.

$4,000 (individual), $6,000 (couple) (excludes home up to $688,000, car).

Family can be paid caregivers; statewide via DHHS.

Program of All-Inclusive Care for the Elderly (PACE)

Nebraska PACE (Immanuel Pathways)

Age 55+, Nebraska resident (specific counties), NFLOC, safe with PACE support.

~$2,829/month (Medicaid-eligible); private pay option available.

$4,000 (individual), $6,000 (couple).

Only in Douglas, Sarpy, parts of Cass/Pottawattamie/Washington Counties.

Medicare Savings Program (MSP)

Nebraska Medicare Savings Program

Age 65+ or disabled, Nebraska resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist; includes Extra Help for Part D.

Senior Community Service Employment Program (SCSEP)

Nebraska SCSEP

Age 55+, unemployed, low-income, Nebraska resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Nebraska VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Nebraska resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural areas.

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