Crestview Home

Nursing Home, Hospice Care, Respite Care & Skilled Nursing · Bethany, MO

CMS overall rating

1313 South 25Th St, Bethany, MO 64424-2634 View map

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Crestview Home accepts Medicare, Medicaid, and private pay.

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Crestview Home accepts Medicare, Medicaid, and private pay.

Overview of Crestview Home

Under owner Karen Fletchell and administrator David Hibbler, Crestview Home is an SNF in Bethany, Missouri. Opened in recent years, the home operated by N & R Of Crestview, LLC, welcomes Medicare, Medicaid, and private pay, giving families several ways to afford short-term rehabilitation and longer-term nursing care. The 92-bed facility currently maintains a 43 percent occupancy rate, with occupants staying 131 days on average. Its location in Bethany scores 45 for walkability, meaning some errands can be done on foot, though most trips need transportation.

Crestview Home is clinically equipped for skilled nursing, physical and occupational rehabilitation, and specialized behavioral and memory care programming. Total nursing care averages about 4 hours 3 minutes per resident day, anchored by an RN for 25 minutes daily, nurse aides for 2 hours 19 minutes, and LPN/LVN staff for 29 minutes. The facility also provides hospice services, dietary support from an in-house dietitian, and resident transportation.

State inspections have flagged themes around care planning, staffing, infection control, nutrition, and environmental maintenance. A focus area has also been pressure ulcer care. To know how these areas are managed operationally, families considering Crestview Home should review the latest survey findings directly with its administration.

The home offers rehabilitation and longer-term nursing support. It then suits post-acute recovery or ongoing skilled care needs in Bethany.

Facility Direct Line (660) 425-3128

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

4h 3m per day

vs avg

3 of 6 metrics below 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.	25m per day	▼ 9% State avg: 28m 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.	29m per day	▼ 30% State avg: 41m 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 19m per day	■ Avg State avg: 2h 19m 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 4m per day	■ Avg State avg: 3h 3m 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.	1m per day	▼ 74% State avg: 2m 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.	20m per day	■ Avg State avg: 20m per day · National avg: 28m per day

Capacity and availability

131 days

92-bed community

A larger shared setting that may offer more common spaces and organized community services.

1 year in operation

A newer community that may feature more recent facilities and programs.

Walk Score: 45 / 100

Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate

44%

Lower than the Missouri average: 66.6%

Occupied beds

40 / 92

Average occupied beds in Missouri homes 72 beds

Facility TypeSkilled Nursing Facility

StatusActive

IssuanceOctober 1, 2024

ExpirationSeptember 30, 2026

CountyHarrison

License Number052173

CMS Certification Number265807

Certification TypeMedicare / Medicaid

Crestview Home is legally operated by N & R Of Crestview, LLC, and administered by David Hibbler.

Corporate EntityN & R OF CRESTVIEW, LLC

Owner NameN & R Of Crestview, LLC

Skilled Nursing Facility

92 units

Total beds

92 units

Rehabilitation Services

24-Hour Staffing

Skilled Nursing Care

Physical And Occupational Therapies

Dietitians

Behavioral And Alzheimer’s Care

Hospice

Pets not allowed

Since 2018 · 8 years of data 160 deficiencies 21 inspections

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

Since 2018 vs. Missouri state average

Overall vs. MO average

Latest Inspection March 4, 2025 Routine

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	MO Average	vs. MO Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	160	35	This facility has 357% more total deficiencies than a typical Missouri assisted living residence (160 vs. MO avg 35).↑ 357% worse
Deficiencies per year Average deficiencies per year since 2018.	20	4.4	This facility has 355% more deficiencies per year than a typical Missouri assisted living residence (20 vs. MO avg 4.4).↑ 355% worse
Deficiencies per inspection Average deficiencies per inspection.	7.6	2.9	This facility has 162% more deficiencies per inspection than a typical Missouri assisted living residence (7.6 vs. MO avg 2.9).↑ 162% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	MO Average	vs. MO Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	21	12	This facility has had 75% more total inspections than the Missouri average (21 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↑ 75% more

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

March 4, 2025 inspection found 22 deficiencies including failure in advance directives, care planning, staffing, infection control, nutrition, and environment maintenance.
February 19, 2025 complaint investigation confirmed unsafe environment and a 14-day delay in physician-ordered blood transfusion.
June 24, 2024 survey found three deficiencies in pressure ulcer care but no immediate jeopardy or harm-level citations.

Show Inspection Reports

Inspections since 2022

Total health inspections 7

State average N/A

Last Health inspection on Mar 2025

Total health citations

State average N/A

Citations per inspection

9.14

State average N/A

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

53 of 64 citations resulted from standard inspections; 7 of 64 resulted from complaint investigations; and 4 of 64 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 4 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

63 moderate citations State average: N/A

1 minor citation State average: N/A

Citations history (last 4 years)

Infection Control moderate citation Mar 04, 2025

Corrected

Infection Control moderate citation Mar 04, 2025

Corrected

Infection Control moderate citation Mar 04, 2025

Corrected

Nursing Services moderate citation Mar 04, 2025

Corrected

Total staff 70

Employees 39

Contractors 31

Staff to resident ratio 1.75 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 17

Average shift 8.5 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 13,226

Nursing staff breakdown

7.6 hours

10.7 hours

8.9 hours

Contractor staffing

1,551 contractor hours this quarter

Certified Nursing Assistant: 14 Licensed Practical Nurse: 5 Speech Language Pathologist: 3 Registered Nurse: 2 Physical Therapy Aide: 2 Physical Therapy Assistant: 2 Respiratory Therapy Technician: 1 Occupational Therapy Assistant: 1 Occupational Therapy Aide: 1

Staff by category


Certified Nursing Assistant	22	14	36	6,737	92	100%	8.9
Licensed Practical Nurse	2	5	7	1,683	89	97%	10.7
Medication Aide/Technician	4	0	4	1,094	92	100%	11.9
Dental Services Staff	2	0	2	704	65	71%	6.4
Registered Nurse	3	2	5	639	58	63%	7.6
Nurse Practitioner	1	0	1	509	63	68%	8.1
Dietitian	1	0	1	481	62	67%	7.8
Administrator	1	0	1	422	56	61%	7.5
Nurse Aide in Training	2	0	2	357	33	36%	10.5
Clinical Nurse Specialist	1	0	1	350	49	53%	7.1
Physical Therapy Aide	0	2	2	105	63	68%	1.5
Speech Language Pathologist	0	3	3	51	22	24%	2.3
Respiratory Therapy Technician	0	1	1	31	14	15%	2.2
Physical Therapy Assistant	0	2	2	26	17	18%	1.5
Occupational Therapy Aide	0	1	1	24	3	3%	8
Occupational Therapy Assistant	0	1	1	14	3	3%	4.7

36 Certified Nursing Assistant

% of Days 100%

7 Licensed Practical Nurse

% of Days 97%

4 Medication Aide/Technician

% of Days 100%

2 Dental Services Staff

% of Days 71%

5 Registered Nurse

% of Days 63%

1 Nurse Practitioner

% of Days 68%

1 Dietitian

% of Days 67%

1 Administrator

% of Days 61%

2 Nurse Aide in Training

% of Days 36%

1 Clinical Nurse Specialist

% of Days 53%

2 Physical Therapy Aide

% of Days 68%

3 Speech Language Pathologist

% of Days 24%

1 Respiratory Therapy Technician

% of Days 15%

2 Physical Therapy Assistant

% of Days 18%

1 Occupational Therapy Aide

% of Days 3%

1 Occupational Therapy Assistant

% of Days 3%

View All Staffing Data

Total fines amount $14K

80% lower than State average

State average: $73K

Number of fines 1

59% fewer fines than State average

State average: 2.4

Payment Denials 1

45% more payment denials than State average

State average: 0.7

Fines amount comparison

This facility $14K

State average $73K

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

2 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Mar 4, 2025

$14K

Payment Denial Mar 4, 2025

7 days

Last updated: Jan 2026

High-risk clinical events score 9.0

18% better than State average

State average: 10.9

Functional decline score 15.9

18% better than State average

State average: 19.5

Long-stay resident measures

Below average State avg: 2.7

Need for Help with Daily Activities Increased 12.0%

39% better than State average

State average: 19.8%

Walking Ability Worsened 22.4%

9% worse than State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence 13.4%

26% better than State average

State average: 18.1%

Falls with Major Injury 0.7%

83% better than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers 4.6%

8% better than State average

State average: 5.0%

Urinary Tract Infection 12.8%

368% worse than State average

State average: 2.7%

Lost Too Much Weight 5.2%

7% better than State average

State average: 5.6%

Depressive Symptoms 15.5%

21% worse than State average

State average: 12.8%

Antipsychotic Use 10.2%

54% better than State average

State average: 22.0%

Pneumococcal Vaccine 97.3%

14% better than State average

State average: 85.2%

Influenza Vaccine 100.0%

10% better than State average

State average: 90.9%

Hospitalizations per 1,000 days 1.74

16% better than State average

State average: 2.08

ED visits per 1,000 days 3.88

65% worse than State average

State average: 2.35

Short-stay resident measures

Pneumococcal Vaccine 95.2%

43% better than State average

State average: 66.6%

Breakdown by payment type

Medicare

30% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

25% of new residents, often for short stays.

Typical stay 11 - 12 months

Medicaid

46% of new residents, often for long-term daily care.

Typical stay 9 - 10 months

Total residents 40

Medicare

5% of residents

Medicaid

72.5% of residents

Private pay or other

22.5% of residents

Programs & Services

Residents Group

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

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 Crestview Home from 2011–2023, based on CMS SNF Cost Reports.

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

Occupancy Rate 57.0% ↑ 6.0pp vs 2022

Net Patient Income -$718.8K ↑ ~$788.3K vs 2022

Payroll Costs $1.5M ↓ ~$263.1K vs 2022

Operating Margin -16.6% ↑ 20.7pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	53.7%	50.8%	58.4%	59.6%	70.2%	59.3%	57.7%	55.6%	64.1%	64.2%	53.8%	51.0%	57.0%
Beds	184	184	146	116	116	116	116	116	116	116	116	116	92
Net Income	-$302,423	-$286,980	-$235,691	-$35,396	-$119,942	-$682,750	-$639,220	-$582,903	-$456,545	-$603,994	-$698,311	-$1,302,417	-$386,648
Gross Revenue	$4,918,804	$5,192,266	$4,915,420	$5,124,922	$5,434,460	$4,615,141	$4,365,203	$4,028,529	$4,990,751	$4,683,228	$4,213,951	$4,402,308	$4,567,680
Operating Expenses	$4,844,676	$4,820,853	$4,660,235	$4,630,928	$4,879,224	$4,804,764	$4,497,130	$4,236,908	$4,955,123	$6,260,625	$4,930,084	$5,543,856	$5,046,182
Net Patient Income	-$322,806	-$305,909	-$258,829	-$57,640	-$140,321	-$708,502	-$657,484	-$598,081	-$482,787	-$1,570,132	-$1,004,338	-$1,507,118	-$718,802
Net Patient Revenue	$4,521,870	$4,514,944	$4,401,406	$4,573,288	$4,738,903	$4,096,262	$3,839,646	$3,638,827	$4,472,336	$4,690,493	$3,925,746	$4,036,738	$4,327,380
Payroll Costs	$2,205,622	$2,154,885	$2,044,947	$2,043,991	$1,986,520	$1,912,790	$1,863,047	$1,797,189	$2,124,148	$2,439,681	$1,877,437	$1,786,424	$1,523,281
Operating Margin %	-7.1%	-6.8%	-5.9%	-1.3%	-3.0%	-17.3%	-17.1%	-16.4%	-10.8%	-33.5%	-25.6%	-37.3%	-16.6%
Medicare %	3.8%	5.0%	4.2%	5.1%	5.4%	4.8%	4.2%	2.1%	4.5%	2.8%	2.5%	5.2%	5.7%
Medicaid %	54.1%	53.3%	54.1%	50.4%	51.7%	51.8%	55.7%	60.9%	62.5%	66.7%	71.0%	69.2%	58.2%
Private %	42.1%	41.7%	41.7%	44.5%	42.8%	43.4%	40.1%	37.0%	33.0%	30.5%	26.5%	25.7%	36.1%
Net Patient Revenue/Day	$125	$132	$140	$148	$159	$163	$157	$155	$165	$172	$172	$187	$226
Cost/Day	$134	$141	$148	$150	$164	$191	$184	$180	$183	$230	$217	$257	$264
Avg Length of Stay	119.5 days	143.9 days	136.9 days	133.2 days	133.2 days	152.3 days	158.4 days	197.6 days	128.9 days	122.1 days	149.4 days	148.5 days	131.1 days

Finances and operations

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

Net patient revenue

$4.3M

Net patient income

-$718.8K

For-profit Operated by a single business entity.

Net patient revenue

$4.3M

Net patient income

-$718.8K

Other income

$332.2K

Payroll costs

$1.5M 35.2% of net patient revenue

Other operating costs

$3.5M

Total costs

$5.0M

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

New residents most often arrive under Medicaid (46% of admissions), and a typical Medicaid stay runs around 9 - 10 months.

Coverage residents most often arrive under.

Medicare 30%

Private pay 25%

Medicaid 46%

Coverage residents most often leave under.

Medicare 20%

Private pay 26%

Medicaid 54%

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The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.


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Nursing Home Explorer

Who is the owner of Crestview Home?

Crestview Home is legally operated by N & R Of Crestview, LLC, and administered by David Hibbler.

Is Crestview Home in a walkable area?

Crestview Home has a walk score of 45. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Crestview Home?

According to MO state health department records, Crestview Home's license number is 052173.

When does Crestview Home's license expire?

According to MO state health department records, Crestview Home's license expires on September 30, 2026.

What is the occupancy rate at Crestview Home?

Crestview Home's occupancy is 44%.

Are pets allowed at Crestview Home?

No, Crestview Home has a no-pet policy.

Does Crestview Home operate as a for-profit or non-profit?

Crestview Home is registered as a for-profit in MO.

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Crestview Home

Overview of Crestview Home

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Therapy & Rehabilitation

Staffing & Medical

Additional Services

Additional Policies & Features

Amenities & Lifestyle

Contact Crestview Home

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri 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.

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

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

36 Certified Nursing Assistant

7 Licensed Practical Nurse

4 Medication Aide/Technician

2 Dental Services Staff

5 Registered Nurse

1 Nurse Practitioner

1 Dietitian

1 Administrator

2 Nurse Aide in Training

1 Clinical Nurse Specialist

2 Physical Therapy Aide

3 Speech Language Pathologist

1 Respiratory Therapy Technician

2 Physical Therapy Assistant

1 Occupational Therapy Aide

1 Occupational Therapy Assistant

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

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

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly long-term care residents

Admissions

Discharges

Places of interest near Crestview Home

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