Crest View Care Center

CMS overall rating

420 Gordon Avenue, Chadron, NE 69337 View map

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Crest View Care Center accepts Medicare, Medicaid, and private pay.

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Crest View Care Center accepts Medicare, Medicaid, and private pay.

Overview of Crest View Care Center

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.

Facility Direct Line (308) 432-3355 admin@crestvcc.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to Nebraska state averages

Total nursing care / resident

3h 48m per day

This facility Nebraska avg (4h 27m per day)

vs Nebraska avg

-15%

4 of 6 metrics below state avg

Standout metric Weekend RN is +63% above state avg

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

Capacity and availability

291 days

70-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

Walk Score: 78 / 100

Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate

40%

Lower than the Nebraska average: 70.3%

Occupied beds

28 / 70

Average occupied beds in Nebraska homes 54 beds

2024 Customer Experience Award from Pinnicle Quality Insight

Facility TypeNursing Home

CountyDawes

CMS Certification Number285150

Certification TypeCertification

Crest View Care Center is administered by Helen Wichman.

Owner NameKismet Cdr, LLC

Rehabilitation Services

Respite Care

Short-Term Rehab

Fax(308) 432-4535

Pets not allowed

Private Room Options

3 Nutritious Meals A Day

Social & Recreational Activities

Transportation Services

Free Wireless Internet

Computer Access

Volunteer Program

Since 2011 · 15 years of data 105 deficiencies

Inspection Scorecard This scorecard compares key inspection, deficiency, 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.

Since 2011 vs. Nebraska state average

Overall vs. NE average

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	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

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

The most recent inspection on February 26, 2020, showed no deficiencies and confirmed licensure renewal with a 70-bed capacity.
The June 17, 2019 complaint investigation found seven deficiencies including medication errors, infection control failures, and fire safety violations.
The facility received a 90-day probation starting January 6, 2026, for failing to identify fall risks and implement effective fall prevention interventions.

Show Inspection Reports

Inspections since 2022

Total health inspections 6

State average 4.3

Last Health inspection on Feb 2025

Total health citations

State average 18.2

Citations per inspection

4.5

State 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 4 years)

Critical health citations

100% better than State average

State average: 0.2

Serious health citations

100% better than State average

State average: 0.5

0 critical citations State average: 0.2

0 serious citations State average: 0.5

27 moderate citations State average: 17.2

0 minor citations State average: 0.2

Citations history (last 4 years)

Quality of Care moderate citation Feb 25, 2025

Corrected

Quality of Care moderate citation Feb 25, 2025

Corrected

Administration moderate citation Sep 04, 2024

Corrected

Environmental moderate citation Sep 04, 2024

Corrected

Total staff 54

Employees 46

Contractors 8

Staff to resident ratio 1.74 : 1

14% fewer staff per resident than Nebraska average

Avg staff/day 17

Average shift 8.2 hours

5% better than Nebraska average

Total staff hours (quarter) 12,795

Nursing staff breakdown

9.4 hours

5.9 hours

8 hours

Contractor staffing

353 contractor hours this quarter

Physical Therapy Assistant: 3 Respiratory Therapy Technician: 2 Physical Therapy Aide: 1 Speech Language Pathologist: 1 Qualified Social Worker: 1

Staff by category


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

19 Certified Nursing Assistant

% of Days 100%

7 Registered Nurse

% of Days 100%

6 Medication Aide/Technician

% of Days 100%

1 Dietitian

% of Days 70%

6 Physical Therapist

% of Days 76%

1 Occupational Therapy Aide

% of Days 67%

1 Administrator

% of Days 68%

1 Mental Health Service Worker

% of Days 64%

1 Physical Therapy Aide

% of Days 66%

2 Respiratory Therapy Technician

% of Days 42%

2 Licensed Practical Nurse

% of Days 14%

1 Nurse Aide in Training

% of Days 5%

1 Speech Language Pathologist

% of Days 8%

3 Physical Therapy Assistant

% of Days 14%

1 Clinical Nurse Specialist

% of Days 1%

1 Qualified Social Worker

% of Days 1%

View All Staffing Data

No penalties in the past 3 years

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

High-risk clinical events score 17.0

51% worse than Nebraska average

Nebraska average: 11.3

Functional decline score 27.8

19% worse than Nebraska average

Nebraska average: 23.3

Long-stay resident measures

Significantly below average Nebraska avg: 2.8

Need for Help with Daily Activities Increased 26.3%

26% worse than Nebraska average

Nebraska average: 20.8%

Walking Ability Worsened 26.2%

18% worse than Nebraska average

Nebraska average: 22.1%

Low Risk Residents with Bowel/Bladder Incontinence 30.9%

15% worse than Nebraska average

Nebraska average: 26.9%

Falls with Major Injury 8.4%

87% worse than Nebraska average

Nebraska average: 4.5%

High Risk Residents with Pressure Ulcers 10.2%

138% worse than Nebraska average

Nebraska average: 4.3%

Urinary Tract Infection 0.9%

69% better than Nebraska average

Nebraska average: 3.1%

Lost Too Much Weight 14.1%

160% worse than Nebraska average

Nebraska average: 5.4%

Depressive Symptoms 7.9%

79% worse than Nebraska average

Nebraska average: 4.4%

Antipsychotic Use 23.8%

20% worse than Nebraska average

Nebraska average: 19.8%

Pneumococcal Vaccine 90.7%

In line with Nebraska average

Nebraska average: 93.2%

Influenza Vaccine 80.8%

16% worse than Nebraska average

Nebraska average: 96.1%

Hospitalizations per 1,000 days 1.86

In line with Nebraska average

Nebraska average: 1.80

ED visits per 1,000 days 2.28

17% worse than Nebraska average

Nebraska average: 1.95

Short-stay resident measures

Average Nebraska avg: 2.2

Pneumococcal Vaccine 31.0%

62% worse than Nebraska average

Nebraska average: 80.7%

Antipsychotic medication increase 8.3%

251% worse than Nebraska average

Nebraska average: 2.4%

Influenza Vaccine 38.5%

49% worse than Nebraska average

Nebraska average: 75.9%

Re-hospitalized after SNF stay 10.6%

49% better than Nebraska average

Nebraska average: 20.9%

Emergency department visits 26.7%

130% worse than Nebraska average

Nebraska average: 11.6%

Falls with major injury 0.0%

100% better than Nebraska average

Nebraska average: 0.8%

Successful return to home or community 40.4%

20% worse than Nebraska average

Nebraska average: 50.6%

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

Total residents 31

Medicare

6.5% of residents

Medicaid

64.5% of residents

Private pay or other

29% 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

Active Resident Council

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

Financial Trends

Historical financial and operational data for Crest View Care Center from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 45.6% ↑ 2.2pp vs 2022

Net Patient Income -$366.0K ↑ ~$135.1K vs 2022

Payroll Costs $1.1M ↑ ~$24.4K vs 2022

Operating Margin -10.9% ↑ 5.3pp vs 2022

Metric	2011	2014	2015	2016	2017	2019	2020	2021	2022	2023
Occupancy %	43.3%	39.7%	39.1%	41.9%	44.6%	41.2%	42.2%	43.6%	43.3%	45.6%
Beds	70	70	70	70	70	70	70	70	70	70
Net Income	-$117,341	-$244,555	-$99,673	-$80,695	-$157,349	-$461,696	-$68,843	$493,353	-$394,379	-$225,948
Gross Revenue	$2,060,621	$2,329,375	$3,089,093	$3,508,393	$3,440,682	$3,216,592	$3,550,277	$3,950,793	$3,814,185	$3,997,317
Operating Expenses	$1,992,186	$2,177,098	$2,593,303	$2,515,146	$2,621,951	$2,725,067	$2,785,676	$3,312,467	$3,590,205	$3,724,668
Net Patient Income	-$116,152	-$227,631	-$116,199	-$84,801	-$167,545	-$479,445	-$240,486	-$317,729	-$501,038	-$365,975
Net Patient Revenue	$1,876,034	$1,949,467	$2,477,104	$2,430,345	$2,454,406	$2,245,622	$2,545,190	$2,994,738	$3,089,167	$3,358,693
Payroll Costs	$1,021,058	$1,103,713	$1,184,813	$1,123,327	$1,162,504	$835,338	$1,012,264	$1,070,973	$1,091,292	$1,115,689
Operating Margin %	-6.2%	-11.7%	-4.7%	-3.5%	-6.8%	-21.4%	-9.5%	-10.6%	-16.2%	-10.9%
Medicare %	11.6%	11.7%	15.8%	16.2%	11.3%	10.2%	13.3%	17.6%	14.8%	13.9%
Medicaid %	0.0%	50.5%	43.2%	46.5%	48.4%	60.2%	60.3%	53.9%	54.4%	57.8%
Private %	88.4%	37.8%	41.0%	37.3%	40.3%	29.6%	26.5%	28.5%	30.8%	28.3%
Net Patient Revenue/Day	$170	$192	$248	$226	$215	$213	$235	$269	$279	$289
Cost/Day	$180	$215	$259	$234	$230	$259	$257	$297	$324	$320
Avg Length of Stay	167.5 days	338.1 days	238.0 days	165.3 days	285.0 days	187.9 days	183.4 days	237.3 days	217.0 days	291.0 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$3.4M

Net patient income

-$366.0K

For-profit Operated by a single business entity.

Net patient revenue

$3.4M

Net patient income

-$366.0K

Other income

$140.0K

Payroll costs

$1.1M 33.2% of net patient revenue

Other operating costs

$2.6M

Total costs

$3.7M

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 (71% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Coverage residents most often arrive under.

Medicare 71%

Private pay 12%

Medicaid 17%

Coverage residents most often leave under.

Medicare 45%

Private pay 10%

Medicaid 45%

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.

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Info below is compiled from CMS reports & the NE Dept. of Health & Human Services (DHHS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.


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Brookestone of Papillion	NH SNF	Papillion	110 Facility 110 NE AVG 82 Rank #52 / 227	85.4% Facility 85.4% NE AVG 71.3 Rank #51 / 183	+20%	4.69 Facility 4.69 NE AVG 4.45 Rank #38 / 122	-2%	+5%	$0 Facility $0 NE AVG $38.1k Rank #1 / 127	7 Facility 7 NE AVG 18.2 Rank #14 / 125	1.8 Facility 1.8 NE AVG 4.2 Rank #6 / 125	-	94	-	35 Facility 35 NE AVG 46 Rank #197 / 296	John Harris	$10.8MFiscal year ending 06/2024 Facility $10.8MFiscal year ending 06/2024 NE AVG $7.6M Rank #26 / 121	$8.1MFiscal year ending 06/2024 Facility $8.1MFiscal year ending 06/2024 NE AVG $3.5M Rank #13 / 121	75%Fiscal year ending 06/2024 Facility 75%Fiscal year ending 06/2024 NE AVG 49.4% Rank #13 / 121	285268
Brookestone Acres	NH SNF	Columbus	80 Facility 80 NE AVG 82 Rank #83 / 227	78.8% Facility 78.8% NE AVG 71.3 Rank #84 / 183	+11%	5.07 Facility 5.07 NE AVG 4.45 Rank #21 / 122	-32%	+14%	$0 Facility $0 NE AVG $38.1k Rank #1 / 127	14 Facility 14 NE AVG 18.2 Rank #50 / 125	4.7 Facility 4.7 NE AVG 4.2 Rank #87 / 125	-	63	-	70 Facility 70 NE AVG 46 Rank #44 / 296	Raven Schmid	$9.4MFiscal year ending 06/2024 Facility $9.4MFiscal year ending 06/2024 NE AVG $7.6M Rank #31 / 121	$5.8MFiscal year ending 06/2024 Facility $5.8MFiscal year ending 06/2024 NE AVG $3.5M Rank #24 / 121	61.1%Fiscal year ending 06/2024 Facility 61.1%Fiscal year ending 06/2024 NE AVG 49.4% Rank #53 / 121	285291
Tabitha Nursing Center at Crete	NH RC SNF	Crete	38 Facility 38 NE AVG 82 Rank #199 / 227	94.7% Facility 94.7% NE AVG 71.3 Rank #12 / 183	+33%	4.94 Facility 4.94 NE AVG 4.45 Rank #26 / 122	-22%	+11%	$0 Facility $0 NE AVG $38.1k Rank #1 / 127	8 Facility 8 NE AVG 18.2 Rank #19 / 125	2.7 Facility 2.7 NE AVG 4.2 Rank #22 / 125	-	36	-	73 Facility 73 NE AVG 46 Rank #34 / 296	Brian Shanks	$4.0MFiscal year ending 12/2023 Facility $4.0MFiscal year ending 12/2023 NE AVG $7.6M Rank #94 / 121	$2.6MFiscal year ending 12/2023 Facility $2.6MFiscal year ending 12/2023 NE AVG $3.5M Rank #81 / 121	64.3%Fiscal year ending 12/2023 Facility 64.3%Fiscal year ending 12/2023 NE AVG 49.4% Rank #27 / 121	285283
Crest View Care Center	NH	Chadron (Highway 20)	70 Facility 70 NE AVG 82 Rank #99 / 227	40.0% Facility 40.0% NE AVG 71.3 Rank #169 / 183	-44%	3.80 Facility 3.80 NE AVG 4.45 Rank #84 / 122	+35%	-15%	$0 Facility $0 NE AVG $38.1k Rank #1 / 127	27 Facility 27 NE AVG 18.2 Rank #101 / 125	4.5 Facility 4.5 NE AVG 4.2 Rank #80 / 125	-	28	-	78 Facility 78 NE AVG 46 Rank #22 / 296	Kismet Spf LLC	$3.4MFiscal year ending 12/2023 Facility $3.4MFiscal year ending 12/2023 NE AVG $7.6M Rank #98 / 121	$1.1MFiscal year ending 12/2023 Facility $1.1MFiscal year ending 12/2023 NE AVG $3.5M Rank #113 / 121	33.2%Fiscal year ending 12/2023 Facility 33.2%Fiscal year ending 12/2023 NE AVG 49.4% Rank #98 / 121	285150

Nursing Home Explorer

What neighborhood is Crest View Care Center in?

Crest View Care Center is in the Highway 20 neighborhood of CHADRON.

Who is the owner of Crest View Care Center?

Crest View Care Center is legally operated by Kismet Cdr, LLC, and administered by Helen Wichman.

Is Crest View Care Center in a walkable area?

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.

What is the occupancy rate at Crest View Care Center?

Crest View Care Center's occupancy is 40%.

Are pets allowed at Crest View Care Center?

No, Crest View Care Center has a no-pet policy.

Does Crest View Care Center operate as a for-profit or non-profit?

Crest View Care Center is registered as a for-profit in NE.

Who is the administrator of Crest View Care Center?

Helen Wichman is the administrator of Crest View Care Center.

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Crest View Care Center

Overview of Crest View Care Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

Awards

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Contact Information

Additional Policies & Features

Amenities & Lifestyle

Contact Crest View Care Center

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, 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 Deficiencies are formal regulatory issues recorded during state inspections.

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

Health Inspection History

Inspections since 2022

Breakdown of citation severity (last 4 years)

Citations history (last 4 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

19 Certified Nursing Assistant

7 Registered Nurse

6 Medication Aide/Technician

1 Dietitian

6 Physical Therapist

1 Occupational Therapy Aide

1 Administrator

1 Mental Health Service Worker

1 Physical Therapy Aide

2 Respiratory Therapy Technician

2 Licensed Practical Nurse

1 Nurse Aide in Training

1 Speech Language Pathologist

3 Physical Therapy Assistant

1 Clinical Nurse Specialist

1 Qualified Social Worker

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Nurse Aide Training

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

Places of interest near Crest View Care Center

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