We arrange tours, appointments, and even moving support so you don’t have to
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.
Crestwood Assisted Living is a licensed senior community managed by Kristin Trask in Harrisonburg, Virginia, providing assisted living, rehabilitation, and respite care. The community provides care to older adults throughout the Shenandoah Valley with 106 licensed beds.
With an occupancy rate of approximately 83%, the community has 88 beds occupied, which aligns closely with the Virginia statewide average. This suggests a well-established reputation while providing immediate availability for interested families.
The community’s regulatory performance is favorable, as it has undergone six state inspections, with only 50% resulting in violations, which is well below the Virginia average of 64.3%. Furthermore, total deficiencies are significantly lower than the state benchmark, with a cumulative total of 7 deficiencies. The most recent inspection in September 2025 identified one deficiency, which is far below the state average of 32. While the primary finding involved fire drill frequency and prior inspections cited areas such as medication documentation, no fines or license actions have ever been recorded.
Services include nursing care with licensed nurses and CNAs on staff, 24-hour staffing, in-house therapy, and rehabilitation, along with a variety of organized activities and excursions. The community is managed under the Ensign Services network, a nationally recognized operator that provides robust operational infrastructure and professional oversight.
Crestwood Assisted Living serves as a practical choice for older adults requiring structured daily assistance and access to professional rehabilitation services. Its strong compliance record and affiliation with an established operator also offer a sense of credibility for families exploring options in Harrisonburg.
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 5th out of 85 homes in Virginia 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 |
|---|---|---|
|
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.
| 5h 4m per day | ▲ 55% State avg: 3h 16m per day · National avg: 3h 25m per day |
Similar to the Virginia average: 85.7%Crestwood Assisted Living is administrated by Mrs. Kristin Trask.
In Virginia, the Department of Social Services (for assisted living facilities) and the Department of Health (for nursing homes) perform the inspections required to maintain state and federal licensing.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Virginia state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | VA Average | vs. VA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 7 | 32 | This facility has 78% fewer total deficiencies than a typical Virginia nursing home (7 vs. VA avg 32).↓ 78% better |
|
Deficiencies per year
Average deficiencies per year since 2021.
| 1.4 | 6.4 | This facility has 78% fewer deficiencies per year than a typical Virginia nursing home (1.4 vs. VA avg 6.4).↓ 78% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 1.2 | 2.3 | This facility has 48% fewer deficiencies per inspection than a typical Virginia nursing home (1.2 vs. VA avg 2.3).↓ 48% better |
Inspections
| This Facility | VA Average | vs. VA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 6 | 14 | This facility has 57% fewer total inspections than a typical Virginia nursing home (6 vs. VA avg 14).↓ 57% better |
|
Inspections with violations
Inspections that uncovered at least one regulatory violation.
| 3 | 9 | This facility has 67% fewer inspections with violations than a typical Virginia nursing home (3 vs. VA avg 9).↓ 67% better |
|
Inspection violation rate
Percentage of inspections that resulted in at least one violation.
| 50% | 64% | This facility has 14 percentage points lower inspection violation rate than a typical Virginia nursing home (50% vs. VA avg 64%).↓ 14% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Virginia average 4.2
Last Health inspection on Mar 2023
Virginia average 38.4
Virginia average 8.93
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 11 citations resulted from standard inspections.
100% better than Virginia averageVirginia average: 0.4
100% better than Virginia averageVirginia average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
87% more staff per resident than Virginia average
13% worse than Virginia average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 18 RN Staff are full-time employees. No contractors work on this role.
18
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursAssists with medical care and medications.
All 25 LPN Staff are full-time employees. No contractors work on this role.
25
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursHelps with daily care and mobility.
All 161 CNA Staff are full-time employees. No contractors work on this role.
161
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,871 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 161 | 0 | 161 | 29,667 | 88 | 96% | 7.2 |
| Licensed Practical Nurse | 25 | 0 | 25 | 6,009 | 90 | 98% | 7.8 |
| Registered Nurse | 18 | 0 | 18 | 3,454 | 76 | 83% | 7.5 |
| RN Director of Nursing | 8 | 0 | 8 | 2,139 | 81 | 88% | 7.4 |
| Nurse Aide in Training | 11 | 0 | 11 | 1,428 | 60 | 65% | 7.1 |
| Clinical Nurse Specialist | 6 | 0 | 6 | 1,164 | 83 | 90% | 6.7 |
| Physical Therapy Assistant | 0 | 7 | 7 | 1,148 | 81 | 88% | 5.2 |
| Speech Language Pathologist | 0 | 5 | 5 | 683 | 66 | 72% | 4.1 |
| Other Dietary Services Staff | 6 | 0 | 6 | 523 | 57 | 62% | 5.3 |
| Respiratory Therapy Technician | 0 | 6 | 6 | 518 | 81 | 88% | 2.6 |
| Nurse Practitioner | 1 | 0 | 1 | 482 | 64 | 70% | 7.5 |
| Dental Services Staff | 1 | 0 | 1 | 458 | 61 | 66% | 7.5 |
| Administrator | 1 | 0 | 1 | 457 | 61 | 66% | 7.5 |
| Qualified Social Worker | 0 | 6 | 6 | 455 | 66 | 72% | 6.3 |
| Medical Director | 0 | 1 | 1 | 34 | 16 | 17% | 2.1 |
| Physical Therapy Aide | 0 | 1 | 1 | 33 | 6 | 7% | 5.5 |
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.
15.4
52% worse than Virginia averageVirginia average: 10.1
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.8
46% worse than Virginia averageVirginia average: 19.7
Percent of long-stay residents whose need for help with daily activities has increased
28.1%
67% worse than Virginia averageVirginia average: 16.8%
Percent of long-stay residents whose ability to move independently worsened
30.3%
54% worse than Virginia averageVirginia average: 19.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.0%
24% worse than Virginia averageVirginia average: 22.6%
Percent of long-stay residents experiencing one or more falls with major injury
5.5%
52% worse than Virginia averageVirginia average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
6.6%
22% worse than Virginia averageVirginia average: 5.4%
Percent of long-stay residents with a urinary tract infection
2.6%
67% worse than Virginia averageVirginia average: 1.5%
Percent of long-stay residents who lose too much weight
6.6%
13% worse than Virginia averageVirginia average: 5.9%
Percent of long-stay residents who have depressive symptoms
1.3%
92% better than Virginia averageVirginia average: 14.9%
Percent of long-stay residents who received an antipsychotic medication
10.3%
20% better than Virginia averageVirginia average: 12.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
89.3%
In line with Virginia averageVirginia average: 91.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.9%
5% better than Virginia averageVirginia average: 94.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.4%
29% better than Virginia averageVirginia average: 74.9%
Percent of short-stay residents who newly received an antipsychotic medication
0.6%
48% better than Virginia averageVirginia average: 1.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.0%
32% better than Virginia averageVirginia average: 73.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
80% of new residents, usually for short-term rehab.
18% of new residents, often for short stays.
2% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
85Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Part of a Continuing Care Retirement Community offering multiple care levels
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 Crestwood Assisted Living 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 #43 / 85Payroll — State benchmarkedThis home is ranked 43rd out of 85 homes in Virginia for payroll. Shows total annual staff payroll benchmarked to the Virginia 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 Harrisonburg's city center to Crestwood Assisted Living's address, calculated via Google Maps.
Add your location
Crestwood Assisted Living is located in HARRISONBURG, Virginia.
Here are the financial assistance programs available to residents in Virginia.
The information below is reported by the Virginia Department of Social Services and Department of Health.
| Our Lady of the Valley |
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. | Roanoke (Gainsboro) | 127
Facility
127
VA AVG
98
Rank
#82 / 371 | 87.4% | +2% | 3.79 | -42% | +1% | $0 | 14 | 4.7 | - | 111 | A+ |
68
Facility
68
VA AVG
44
Rank
#74 / 449 | David Rawlings | $17.2M | $8.2M | 47.6% | 495357 | ||||
| Crestwood Assisted Living |
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. | Harrisonburg | 106
Facility
106
VA AVG
98
Rank
#130 / 371 | 83.0% | -3% | 6.16 | -29% | +65% | $0 | 11 | 3.7 | - | 88 | - |
88
Facility
88
VA AVG
44
Rank
#21 / 449 | Virginia Mennonite Retirement Community Inc | $17.3M | $9.4M | 54% | 495385 |
Crestwood Assisted Living has a walk score of 88. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to VA state health department records, Crestwood Assisted Living's license expires on September 30, 2027.
Crestwood Assisted Living's occupancy is 83%.
Mrs. Kristin Trask is the administrator of Crestwood Assisted Living.
Crestwood Assisted Living has 106 beds.
Crestwood Assisted Living has had 6 recently reported deficiencies.
Yes — there are 7 photos of Crestwood Assisted Living in the photo gallery on this page.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Thank you for your interest!
Our team will be in touch shortly to help with next steps.
