PlainNursing
CMS Nursing Home Compare · August 2026

Crest View Care Center

420 Gordon Avenue, Chadron, NE 69337

Crest View Care Center, a 70-bed for profit - limited liability company nursing facility in Chadron, NE, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #136 of 178 rated homes in NE on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 3084323355

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1 / 5
Much below average · CMS overall · nat'l 3.0
#136 of 178
In-state rank among rated NE homes
3.96
About average · nurse hrs/day · nat'l 3.86
35
Inspection findings · 1 serious

The verdict

Crest View Care Center, a 70-bed for profit - limited liability company nursing facility in Chadron, NE, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #136 of 178 rated homes in NE on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

1 / 5
CMS overall · national 3.0
#136 of 178
In-state rank among rated NE homes
3.96
Nurse hrs/resident-day · national 3.86
35
Inspection findings · 1 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 180 NE nursing homes split by ownership sector

This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

1/5

Staffing

4/5

Quality Measures

2/5

Long-Stay Quality

2/5

Facility Information

Provider Number
285150
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
70
Residents
27
In Hospital
No
County
Dawes
Last Inspection
Dec 8, 2025

Staffing Data

How the 3.96 total nursing hours per resident-day are staffed:

RN Hours
1.00 (nat'l avg: 0.69)
LPN Hours
0.07
CNA Hours
2.88
Total Nursing Hours
3.96 (nat'l avg: 3.86)
PT Hours
0.03
Nursing Turnover
48.5%
RN Turnover
57.1%

What the CMS Record Reveals About Crest View Care Center

According to CMS Nursing Home Compare, Crest View Care Center ranks #136 of 178 rated nursing homes in NE on overall stars (tie-broken by health+staffing+quality, then fewer fines). Crest View Care Center operates 70 certified beds in Chadron, NE with approximately 27 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 1★ · staffing 4★ · quality 2★).

The inspection file contains 35 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS has not levied any fines or payment denials against this facility. Per resident day, this facility reports 3.96 total nursing hours (national average 3.86) and 1.00 RN hours.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Crest View Care Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 48.5% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (35 most recent)

D - Isolated - Minimal harm Dec 8, 2025 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Jan 22, 2026

D - Isolated - Minimal harm Dec 8, 2025 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Jan 22, 2026

D - Isolated - Minimal harm Dec 8, 2025 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 22, 2026

D - Isolated - Minimal harm Dec 8, 2025 Tag: 0628

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Category: Resident Rights Deficiencies

Corrected: Jan 22, 2026

E - Pattern - Minimal harm Dec 8, 2025 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Jan 22, 2026

E - Pattern - Minimal harm Dec 8, 2025 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jan 22, 2026

E - Pattern - Minimal harm Dec 8, 2025 Tag: 0605

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jan 22, 2026

E - Pattern - Minimal harm Dec 8, 2025 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jan 22, 2026

F - Widespread - Minimal harm Dec 8, 2025 Tag: 0947

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Category: Nursing and Physician Services Deficiencies

Corrected: Jan 22, 2026

F - Widespread - Minimal harm Dec 8, 2025 Tag: 0882

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Category: Infection Control Deficiencies

Corrected: Jan 22, 2026

F - Widespread - Minimal harm Dec 8, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jan 22, 2026

G - Isolated - Actual harm Dec 8, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 22, 2026

D - Isolated - Minimal harm Feb 25, 2025 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 14, 2025

D - Isolated - Minimal harm Feb 25, 2025 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 14, 2025

D - Isolated - Minimal harm Sep 4, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 7, 2024

D - Isolated - Minimal harm Sep 4, 2024 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 7, 2024

D - Isolated - Minimal harm Sep 4, 2024 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 7, 2024

D - Isolated - Minimal harm Sep 4, 2024 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 7, 2024

D - Isolated - Minimal harm Sep 4, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 7, 2024

D - Isolated - Minimal harm Sep 4, 2024 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 7, 2024

D - Isolated - Minimal harm Sep 4, 2024 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 7, 2024

D - Isolated - Minimal harm Sep 4, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 7, 2024

D - Isolated - Minimal harm Sep 4, 2024 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Oct 7, 2024

D - Isolated - Minimal harm Sep 4, 2024 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Oct 7, 2024

E - Pattern - Minimal harm Sep 4, 2024 Tag: 0947

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Category: Nursing and Physician Services Deficiencies

Corrected: Oct 7, 2024

E - Pattern - Minimal harm Sep 4, 2024 Tag: 0758

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Category: Pharmacy Service Deficiencies

Corrected: Oct 7, 2024

E - Pattern - Minimal harm Sep 4, 2024 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Oct 7, 2024

F - Widespread - Minimal harm Sep 4, 2024 Tag: 0940

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Category: Administration Deficiencies

Corrected: Oct 7, 2024

F - Widespread - Minimal harm Sep 4, 2024 Tag: 0925

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Category: Environmental Deficiencies

Corrected: Oct 7, 2024

F - Widespread - Minimal harm Sep 4, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 7, 2024

D - Isolated - Minimal harm Apr 2, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 17, 2024

E - Pattern - Minimal harm Apr 2, 2024 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 17, 2024

E - Pattern - Minimal harm Aug 16, 2023 Tag: 0940

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Category: Administration Deficiencies

Corrected: Sep 6, 2023

D - Isolated - Minimal harm Jul 26, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 9, 2023

F - Widespread - Minimal harm Jul 26, 2023 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 9, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 25.0% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.7% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.9% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.8% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 21.3% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 9.8% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 14.6% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 9.5% Yes
Percentage of long-stay residents who lose too much weight Long Stay 9.7% No
Percentage of long-stay residents who have depressive symptoms Long Stay 2.9% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 79.8% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 9.6% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 80.8% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 28.9% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 55.7% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 38.5% No

Penalty History

Date Type Amount
Dec 8, 2025 Payment Denial -

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Crest View Care Center, both outside NE so the neighborhoods are not the same-state geography list below.

What the CMS records show for Crest View Care Center

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The NE registry aggregates state averages and the highest-rated homes in this cohort. View NE registry
  • Peer homes near 70 beds show how CMS stars vary at a similar scale in NE. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Crest View Care Center?
Crest View Care Center has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (4★), and quality measures (2★).
Where does Crest View Care Center rank among nursing homes in NE?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Crest View Care Center ranks 136th among 178 rated nursing homes in NE (#136 of 178). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Crest View Care Center?
Crest View Care Center reports 3.96 total nursing hours per resident day (national average: 3.86). RN hours are 1.00 per resident day (national average: 0.69). Nursing staff turnover is 48.5%.
How many beds does Crest View Care Center have?
Crest View Care Center has 70 certified beds with approximately 27 residents. The facility is located at 420 Gordon Avenue, Chadron, NE 69337.
Does Crest View Care Center have any deficiencies on record?
Yes, Crest View Care Center has 35 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Crest View Care Center received any fines or penalties?
No, Crest View Care Center has no fines or penalties on record.
Who owns Crest View Care Center?
Crest View Care Center is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Crest View Care Center last inspected?
The most recent health inspection for Crest View Care Center was on Dec 8, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Crest View Care Center?
Crest View Care Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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