Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Crestview Nursing & Residential Living during CMS and state inspections, most recent first.
A resident with multiple health conditions, including dementia and paraplegia, suffered a fractured finger during a sit-to-stand mechanical lift transfer when the sling became unhooked. The root cause analysis revealed that staff did not fully loop the hooks on the sling, leading to the incident. Despite policies requiring two-person assistance and regular maintenance of lifting devices, the improper placement of the sling resulted in the resident's injury.
A facility failed to revise a care plan for a resident with PTSD, depression, dementia, COPD, and type 2 diabetes, omitting specific PTSD triggers and nonpharmacological strategies. Despite known triggers from prior assessments, staff were unaware of these, leading to impaired care. The care plan lacked detailed guidance, and the facility could not provide a policy for care plan revision.
The facility failed to offer or obtain informed declinations for the PCV20 vaccine for three residents who had previously received PCV13 and PPSV23. Administrative Nurse D believed the PCV20 was not required, and the local physician had not recommended it. The facility's policy recommended vaccination for high-risk individuals, but it was not followed, placing the residents at increased risk for pneumonia complications.
Resident Injury Due to Improper Mechanical Lift Use
Penalty
Summary
The facility failed to ensure a resident remained free from a preventable accident during a sit-to-stand mechanical lift transfer, resulting in a fractured finger. The resident, who had a history of muscle weakness, low back pain, depression, dementia, paraplegia, and Parkinson's disease, was dependent on staff assistance for transfers. During a transfer, the sling became unhooked from the lift on the right side, causing the resident to be assisted to the floor. This incident led to the resident complaining of pain in the right ring finger, which later swelled and bruised. The resident's electronic medical record documented that the sling had come loose during the transfer, and the root cause analysis indicated that the staff did not fully loop the hooks on the sling to the right side, causing the resident to slide out. Interviews with staff revealed that the mechanical lift transfers were supposed to be completed with two staff members, and the facility provided in-services on lifts. However, it was noted that the staff trained each other on the transfers, and the therapy department determined the placement of sling loops. The facility's policy required all mechanical lifting devices to be used with two-person assistance and to be maintained regularly. Despite these policies, the incident occurred due to improper placement of the sling on the lift, as confirmed by staff interviews and the root cause analysis. The failure to adhere to the facility's policy and ensure proper training and supervision during mechanical lift transfers led to the resident's injury.
Removal Plan
- The facility updated R4's Care Plan.
- Physical Therapy (PT) provided staff education for Safety Steps when using Patient lifts to CNA staff.
Failure to Revise Care Plan for PTSD Triggers
Penalty
Summary
The facility failed to revise the care plan for Resident 21, who was diagnosed with PTSD, depression, dementia, COPD, and type 2 diabetes mellitus. The care plan did not include specific triggers or nonpharmacological strategies to manage behaviors related to PTSD, despite documentation from the Veteran's Administration and a PTSD-Trauma Assessment indicating known triggers such as loud noises, crowds, and delusions of jealousy. The care plan only directed staff to monitor for changes in behavior or depression and report them, but lacked detailed guidance on managing PTSD triggers. Observations and interviews revealed that staff were unaware of Resident 21's specific PTSD triggers. Licensed Nurse G and Certified Nurse Aide M were unsure of the resident's triggers, and Social Service X, who spent significant time with the resident, also did not know the triggers despite efforts to communicate with the family. Administrative Nurse D confirmed the absence of triggers in the care plan, and the facility could not provide a policy for care plan revision. The lack of a revised care plan with individualized interventions placed Resident 21 at risk for impaired care due to uncommunicated care needs. The facility's failure to document and communicate specific PTSD triggers and strategies for managing them meant that staff were not adequately prepared to prevent re-traumatization of the resident, as evidenced by multiple instances of distress and behavioral issues documented in the nurse's notes.
Failure to Offer PCV20 Vaccine to Eligible Residents
Penalty
Summary
The facility failed to offer or obtain informed declinations or a physician-documented contraindication for the Pneumococcal Conjugate Vaccine (PCV20) for three residents, identified as R6, R8, and R21. Record reviews revealed that these residents had previously received the PCV13 and PPSV23 vaccines, but there was no documentation indicating that the PCV20 was offered, declined, or contraindicated. This lack of documentation placed the residents at increased risk for complications related to pneumonia. Administrative Nurse D stated that her understanding was that the PCV20 was not required if the resident had been administered PCV13 and PPSV23, and noted that the local physician had not ordered or recommended the PCV20 in the past. The facility's immunization policy, which was undated, documented recommendations from the Advisory Committee on Immunization Practices and the CDC for vaccinating high-risk individuals, including nursing home residents, against pneumonia. However, the facility did not adhere to these guidelines for the three residents in question, failing to offer or administer the PCV20 or obtain informed declinations.
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Illustrative
What surveyors actually found near you
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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 Seneca
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Life Care Center Of Seneca | 0.8 mi | ★★★★★ | 0 | 0 |
| Eastridge | 8.8 mi | ★★★★★ | 14 | 1 |
| Sabetha Manor | 14.2 mi | ★★★★★ | 7 | 0 |
| Apostolic Christian Home | 14.3 mi | ★★★★★ | 0 | 0 |
| Premier Estates Of Pawnee, Llc | 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 July 2026) and official state health department websites.