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.
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.
Crest View Care Center is administered 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.
Deficiencies
| This Facility | NE Average | vs. NE Avg |
|---|---|---|---|
|
Total deficiencies
| 105 | 52 | This facility has 102% more total deficiencies than a typical Nebraska assisted living residence (105 vs. NE avg 52).↑ 102% worse |
|
Deficiencies per year
| 7 | 3.5 | This facility has 100% more deficiencies per year than a typical Nebraska assisted living residence (7 vs. NE avg 3.5).↑ 100% worse |
State average N/A
Last Health inspection on Feb 2025
State average N/A
State average N/A
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).
State average: N/A
State average: N/A
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
353 contractor hours this quarter
| 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.
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)
Residents 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.
Historical financial and operational data for Crest View Care Center from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
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.
Coverage residents most often leave under.
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
The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
| Crest View Care Center | NH AL | Chadron (Highway 20) | - | 70 | - | 78 | - |
| Emerald Columbus | NH AL HC MC PC | Columbus (40Th Avenue) | - | 145 | A+ | 57 | 1 Bed |
| Gateway Vista | NH AL IL PC RC | Lincoln (Culler) | - | 80 | - | 71 | - |
| Bethany Home | NH AL MC NC | Minden | - | 64 | - | 47 | Private Rooms |
| Keystone Villas | NH AL IL | Omaha (Keystone) | - | 68 | - | 55 | Studio / 1 Bed / 2 Bed |
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%.
Crest View Care Center is registered as a for-profit in NE.
Helen Wichman is the administrator of Crest View Care Center.
Crest View Care Center has 70 beds.
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