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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.
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.
Crest View Care Center is a 70-bed skilled nursing facility in Chadron, Nebraska, providing long-term care, memory care, rehabilitation, and respite services. It is operated by Kismet SPF LLC in Dawes County and accepts Medicare, Medicaid, and private pay.
The facility holds a 1-star overall CMS rating, with all sub-ratings — health inspection, staffing, and quality measures — running well below Nebraska’s average. Nurse staffing averages 3 hours and 48 minutes per resident per day, roughly 36% below the state benchmark. The facility’s deficiency rate across the inspection record is 10.5 citations per year, compared to the state’s average of 4.2 — 150% above it.
In January 2026, the facility received a 90-day probationary notice from the state after failing to identify which residents were at risk of falls and to implement prevention measures. A 2015 complaint investigation was substantiated for failure to protect a resident from a pressure ulcer and for misappropriation of resident funds.
The facility’s occupancy rate is 40% compared with Nebraska’s average of 70%, which means most rooms are currently available. Other services included are physical, occupational, and speech therapy. Amenities include private room options, three daily meals, social and recreational activities, and transportation coordination. The facility also received a 2024 Customer Experience Award from Pinnacle Quality Insight.
Crest View is best suited for residents in Chadron and Dawes County needing long-term skilled nursing or memory care, with rehabilitation services available for shorter post-acute stays. However, families considering the facility should ask about its low staffing levels, probation notice, and elevated deficiency history.
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.
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.
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.
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.
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.
This home is ranked 78th out of 117 homes in Nebraska for nurse hours. 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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.
| 54m per day | ▲ 26% State avg: 43m per day · National avg: 41m per day |
|
LPN / LVN
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.
| 2m per day | ▼ 96% State avg: 43m per day · National avg: 52m per day |
|
Nurse Aide
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.
| 2h 37m per day | ▼ 6% State avg: 2h 46m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
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 17m per day | ▼ 9% State avg: 3h 37m per day · National avg: 3h 26m per day |
|
Physical Therapist
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.
| 2m per day | ▼ 35% State avg: 3m per day · National avg: 4m per day |
|
Weekend RN
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.
| 47m per day | ▲ 63% State avg: 29m per day · National avg: 28m per day |
Lower than the Nebraska average: 70.3%Crest View Care Center is administrated by Helen Wichman.
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Nebraska state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | NE Average | vs. NE Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 105 | 52 | This facility has 102% more total deficiencies than a typical Nebraska nursing home (105 vs. NE avg 52).↑ 102% worse |
|
Deficiencies per year
Average deficiencies per year since 2011.
| 7 | 3.5 | This facility has 100% more deficiencies per year than a typical Nebraska nursing home (7 vs. NE avg 3.5).↑ 100% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Nebraska average 4.3
Last Health inspection on Feb 2025
Nebraska average 18.2
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).
100% better than Nebraska averageNebraska average: 0.2
100% better than Nebraska averageNebraska average: 0.5
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
14% fewer staff per resident than Nebraska average
5% better than Nebraska average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 7 RN Staff are full-time employees. No contractors work on this role.
7
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursAssists with medical care and medications.
All 2 LPN Staff are full-time employees. No contractors work on this role.
2
Average shift length. Calculated as total hours divided by days worked and average staff per day.
5.9 hoursHelps with daily care and mobility.
All 19 CNA Staff are full-time employees. No contractors work on this role.
19
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
353 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 19 | 0 | 19 | 4,757 | 92 | 100% | 8 |
| Registered Nurse | 7 | 0 | 7 | 2,533 | 92 | 100% | 9.4 |
| Medication Aide/Technician | 6 | 0 | 6 | 2,478 | 92 | 100% | 9.5 |
| Dietitian | 1 | 0 | 1 | 556 | 64 | 70% | 8.7 |
| Physical Therapist | 6 | 0 | 6 | 513 | 70 | 76% | 6.1 |
| Occupational Therapy Aide | 1 | 0 | 1 | 500 | 62 | 67% | 8.1 |
| Administrator | 1 | 0 | 1 | 488 | 63 | 68% | 7.7 |
| Mental Health Service Worker | 1 | 0 | 1 | 478 | 59 | 64% | 8.1 |
| Physical Therapy Aide | 0 | 1 | 1 | 201 | 61 | 66% | 3.3 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 92 | 39 | 42% | 2.3 |
| Licensed Practical Nurse | 2 | 0 | 2 | 77 | 13 | 14% | 5.9 |
| Nurse Aide in Training | 1 | 0 | 1 | 61 | 5 | 5% | 12.1 |
| Speech Language Pathologist | 0 | 1 | 1 | 37 | 7 | 8% | 5.2 |
| Physical Therapy Assistant | 0 | 3 | 3 | 23 | 13 | 14% | 1.6 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 2 | 1 | 1% | 2 |
| Qualified Social Worker | 0 | 1 | 1 | 1 | 1 | 1% | 1.3 |
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 averageNebraska average: 11.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
27.8
19% worse than Nebraska averageNebraska average: 23.3
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
26.3%
26% worse than Nebraska averageNebraska average: 20.8%
Percent of long-stay residents whose ability to move independently worsened
26.2%
18% worse than Nebraska averageNebraska average: 22.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
30.9%
15% worse than Nebraska averageNebraska average: 26.9%
Percent of long-stay residents experiencing one or more falls with major injury
8.4%
87% worse than Nebraska averageNebraska average: 4.5%
Percent of long-stay high risk residents with pressure ulcers
10.2%
138% worse than Nebraska averageNebraska average: 4.3%
Percent of long-stay residents with a urinary tract infection
0.9%
69% better than Nebraska averageNebraska average: 3.1%
Percent of long-stay residents who lose too much weight
14.1%
160% worse than Nebraska averageNebraska average: 5.4%
Percent of long-stay residents who have depressive symptoms
7.9%
79% worse than Nebraska averageNebraska average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
23.8%
20% worse than Nebraska averageNebraska average: 19.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
90.7%
In line with Nebraska averageNebraska average: 93.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
80.8%
16% worse than Nebraska averageNebraska average: 96.1%
Number of hospitalizations per 1,000 long-stay resident days.
1.86
In line with Nebraska averageNebraska average: 1.80
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.28
17% worse than Nebraska averageNebraska average: 1.95
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
31.0%
62% worse than Nebraska averageNebraska average: 80.7%
Percent of short-stay residents who newly received an antipsychotic medication
8.3%
251% worse than Nebraska averageNebraska average: 2.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
38.5%
49% worse than Nebraska averageNebraska average: 75.9%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
10.6%
49% better than Nebraska averageNebraska average: 20.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
26.7%
130% worse than Nebraska averageNebraska average: 11.6%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Nebraska averageNebraska average: 0.8%
Rate of successful return to home or community from a skilled nursing facility.
40.4%
20% worse than Nebraska averageNebraska average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
71% of new residents, usually for short-term rehab.
12% of new residents, often for short stays.
17% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
31Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Crest View Care Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #105 / 120Payroll — State benchmarkedThis home is ranked 105th out of 120 homes in Nebraska. Shows total annual staff payroll benchmarked to the Nebraska average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
0.0 miles from city center
Estimated distance in miles from Chadron's city center to Crest View Care Center's address, calculated via Google Maps.
Add your location
Crest View Care Center is located in CHADRON, Nebraska.
Here are the financial assistance programs available to residents in Nebraska.
The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
| Nye Pointe |
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. | Fremont (Laverna Street) | 43
Facility
43
NE AVG
82
Rank
#192 / 228 |
100.0%
Facility
100.0%
NE AVG
70.3%
Rank
#1 / 194 | +42% | 3.95
Facility
3.95
NE AVG
4.45
Rank
#72 / 117 | +25% | -11% | $0
Facility
$0
NE AVG
$38.1k
Rank
#1 / 122 | 8
Facility
8
NE AVG
18.2
Rank
#17 / 122 | 2.7
Facility
2.7
NE AVG
4.2
Rank
#21 / 122 | - | 36 | A+ |
36
Facility
36
NE AVG
46
Rank
#196 / 298 | Russell Peterson | $7.3M
Facility
$7.3M
NE AVG
$7.6M
Rank
#49 / 120 | $2.2M
Facility
$2.2M
NE AVG
$3.5M
Rank
#101 / 120 | 29.5%
Facility
29.5%
NE AVG
49.4%
Rank
#116 / 120 | 285235 | ||||
| Tabitha Nursing and Rehabilitation 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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Lincoln (Witherbee) | 197
Facility
197
NE AVG
82
Rank
#5 / 228 |
86.3%
Facility
86.3%
NE AVG
70.3%
Rank
#77 / 194 | +23% | 5.76
Facility
5.76
NE AVG
4.45
Rank
#6 / 117 | -20% | +29% | $0
Facility
$0
NE AVG
$38.1k
Rank
#92 / 122 | 18
Facility
18
NE AVG
18.2
Rank
#66 / 122 | 4.5
Facility
4.5
NE AVG
4.2
Rank
#75 / 122 | - | 170 | A+ |
59
Facility
59
NE AVG
46
Rank
#85 / 298 | Tabitha, Inc. | $71.9M
Facility
$71.9M
NE AVG
$7.6M
Rank
#1 / 120 | $39.2M
Facility
$39.2M
NE AVG
$3.5M
Rank
#1 / 120 | 54.5%
Facility
54.5%
NE AVG
49.4%
Rank
#73 / 120 | 285057 | ||||
| Emerald Columbus |
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.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Columbus (40Th Avenue) | 145
Facility
145
NE AVG
82
Rank
#25 / 228 |
56.6%
Facility
56.6%
NE AVG
70.3%
Rank
#161 / 194 | -20% | 3.78
Facility
3.78
NE AVG
4.45
Rank
#78 / 117 | -37% | -15% | $0
Facility
$0
NE AVG
$38.1k
Rank
#1 / 122 | 20
Facility
20
NE AVG
18.2
Rank
#75 / 122 | 3.3
Facility
3.3
NE AVG
4.2
Rank
#34 / 122 | - | 82 | A+ |
57
Facility
57
NE AVG
46
Rank
#101 / 298 | Columbus Operations LLC | $11.3M
Facility
$11.3M
NE AVG
$7.6M
Rank
#22 / 120 | $6.1M
Facility
$6.1M
NE AVG
$3.5M
Rank
#22 / 120 | 54%
Facility
54%
NE AVG
49.4%
Rank
#78 / 120 | 285092 | ||||
| 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 (Highway 20) | 70
Facility
70
NE AVG
82
Rank
#100 / 228 |
40.0%
Facility
40.0%
NE AVG
70.3%
Rank
#181 / 194 | -43% | 3.80
Facility
3.80
NE AVG
4.45
Rank
#78 / 117 | +35% | -15% | $0
Facility
$0
NE AVG
$38.1k
Rank
#1 / 122 | 27
Facility
27
NE AVG
18.2
Rank
#96 / 122 | 4.5
Facility
4.5
NE AVG
4.2
Rank
#75 / 122 | - | 30 | - |
78
Facility
78
NE AVG
46
Rank
#23 / 298 | Kismet Spf LLC | $4.1M
Facility
$4.1M
NE AVG
$7.6M
Rank
#90 / 120 | $1.9M
Facility
$1.9M
NE AVG
$3.5M
Rank
#105 / 120 | 47%
Facility
47%
NE AVG
49.4%
Rank
#99 / 120 | 285150 | ||||
| Astoria Senior Living Omaha | - |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Omaha (Central Omaha) | 157
Facility
157
NE AVG
82
Rank
#19 / 228 | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
38
Facility
38
NE AVG
46
Rank
#192 / 298 | $11.9M
Facility
$11.9M
NE AVG
$7.6M
Rank
#20 / 120 | $6.1M
Facility
$6.1M
NE AVG
$3.5M
Rank
#21 / 120 | 51.7%
Facility
51.7%
NE AVG
49.4%
Rank
#82 / 120 | 285274 |
Crest View Care Center is in the Highway 20 neighborhood of CHADRON.
The legal owner and operator of Crest View Care Center is Kismet Cdr, Llc.
Crest View Care Center has a walk score of 78. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Crest View Care Center's occupancy is 40%.
Helen Wichman is the administrator of Crest View Care Center.
Crest View Care Center has 70 beds.
Crest View Care Center is located at 420 Gordon Avenue.
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