Above average — CMS composite of the measures below.
The next survey window likely opens around June 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Silvercrest Health And Rehabilitation Center during CMS and state inspections, most recent first.
A resident with ESRD, renal osteodystrophy, and dialysis dependence did not receive prescribed phosphorus binders as ordered. Velphoro was not given for an entire month and Sevelamer was given on only a few days, with charting repeatedly stating the meds were awaiting pharmacy delivery or unavailable. Staff gave inconsistent explanations, and the dialysis center manager stated the resident had not been receiving the meds as prescribed and that Sevelamer should have been discontinued.
The facility did not develop or implement complete care plans for two residents, omitting critical information such as the use of a cardiac Life Vest for one resident and infection/antibiotic management for another with recent respiratory illness and antibiotic therapy. These omissions were confirmed by facility staff during interviews and record reviews.
A resident with bilateral knee contractures did not receive physician-ordered stretching exercises and functional maintenance to maintain knee extension, as there was no documentation of these services being performed. Staff confirmed that the required care was not completed or documented for the past month.
A resident did not receive ordered IV antibiotics for three days due to a dosage discrepancy in the initial order and delays in pharmacy clarification and equipment delivery. Facility staff and pharmacy confirmed the delay, which was not in accordance with the facility's policy requiring prompt medication delivery.
A medication cart containing drugs and biologicals was found unlocked and unattended, with several staff members passing by before an LPN returned and acknowledged leaving it unsecured. Facility expectations require medication carts to be locked when not attended.
Missed Phosphorus Binder Medications for Dialysis Resident
Penalty
Summary
The facility failed to ensure safe, appropriate dialysis-related care and medications were provided for a resident with end stage renal failure, renal osteodystrophy, disorders of phosphorus metabolism, and dependence on dialysis treatments. The resident had physician orders for Velphoro 500 mg daily and Sevelamer Carbonate 800 mg, 2 tablets with meals, both used to control phosphorus levels. The resident was admitted after hospitalization for multiple falls and generalized muscle weakness, and at discharge had a phosphorus level of 4.6, which was noted as high. Record review showed the resident did not receive Velphoro for the entire month of June 2026 and July 2026, and Sevelamer was administered on only seven of the 24 days the resident was present in June 2026. Progress notes repeatedly documented that the medication was awaiting pharmacy delivery or was not available, including multiple dates in June and July, and the MAR referenced missing doses as “see progress notes” without corresponding documentation. During interviews, a nurse stated she did not know why the medication had not been sent and had placed it on hold, while the pharmacy tech stated Velphoro was not received through the pharmacy and was available through the dialysis center. The dialysis center clinical manager stated she was unaware the resident had not been receiving the medication as prescribed, said Velphoro comes to the center and is then sent to the facility, and stated Sevelamer should have been discontinued.
Failure to Develop and Implement Comprehensive Care Plans for Residents
Penalty
Summary
The facility failed to develop and implement comprehensive, person-centered care plans for two residents whose nursing needs were identified in their comprehensive assessments. For one resident, who was observed wearing a cardiac Life Vest, there were no physician orders for the device and no mention of the Life Vest in the resident's cardiac care plan. The Director of Nursing confirmed that the cardiac care plan should have included the Life Vest, but it was omitted. For another resident with a recent hospitalization for acute chronic respiratory infection, the care plan did not address the infection or the prescribed antibiotic therapy, despite physician orders for antibiotics and diagnoses of acute respiratory failure with hypoxia and pneumonia due to methicillin-resistant Staphylococcus aureus. The MDS also indicated infection and antibiotic use, but the RN/MDS coordinator acknowledged that a care plan for infection was missed.
Failure to Provide Physician-Ordered Range of Motion Services
Penalty
Summary
A resident with a diagnosis of bilateral knee contractures and limited range of motion was not provided with the physician-ordered functional maintenance program intended to maintain or improve knee extension. The resident's care plan included stretching exercises to the bilateral knees while in bed, as well as verbal cues to improve standing posture, with the goal of preventing further contractures. However, a review of the task documentation for the relevant month showed no entries indicating that the stretching exercises or functional maintenance program had been performed as ordered. During interviews, the resident's family member reported that the resident was not receiving any services for his limited range of motion. A registered nurse responsible for the functional maintenance program confirmed that care is documented in the task menu and, upon review, acknowledged that there was no documentation of the required care being completed in the last 30 days. The nurse further stated that if care is not documented, it is considered not to have been done.
Delay in Timely Administration of IV Antibiotic Medication
Penalty
Summary
The facility failed to provide timely administration of intravenous antibiotic medication for one resident. The resident was admitted following a hospital stay with a physician's order to receive Ceftriaxone 2 grams daily for 14 days. However, the medication was not administered until three days after the order was written. Medical records and progress notes indicated that the delay was due to a discrepancy in the dosage written on the initial order, which stated 1 gram instead of 2 grams, prompting the pharmacy to request clarification. Additionally, there was a delay in the delivery of the necessary intravenous pump for administration. Interviews with facility staff, including the DON and pharmacy, confirmed that the order was received but required clarification, which was not resolved until two days later. The facility's policy required immediate intervention to ensure medications are received within four hours if not available, but this was not followed. The delay in medication administration was verified by both facility staff and the pharmacy, and the medical director acknowledged the three-day delay in providing the ordered antibiotics.
Unattended and Unlocked Medication Cart
Penalty
Summary
A deficiency was identified when a medication cart containing drugs and biologicals was observed to be unlocked and unattended for a period of time. During this interval, four staff members walked by the unattended cart before an LPN returned and acknowledged leaving it unlocked. The facility's expectation, as stated by the Assistant Director of Nursing, is that medication carts and computer screens should be locked when unattended. This incident involved one of four medication carts reviewed during the survey. No information was provided regarding specific residents or their medical conditions in relation to this deficiency.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Crestview
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Aviata At Shoal Creek | 0.2 mi | ★★★★★ | 5 | 0 |
| Crestview Rehabilitation Center, Llc | 2.6 mi | ★★★★★ | 0 | 0 |
| Fort Walton Rehabilitation Center, Llc | 19 mi | ★★★★★ | 0 | 0 |
| Manor At Blue Water Bay, The | 19.3 mi | ★★★★★ | 1 | 0 |
| Westwood Nursing And Rehabilitation Center | 19.4 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.