Above average — CMS composite of the measures below.
The next survey window likely opens around November 2026
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 Crestwood Center during CMS and state inspections, most recent first.
A resident with mood and behavior concerns had documented inappropriate sexual comments and behaviors, and a provider note included non-pharmacological recommendations such as monitoring, redirection, distraction, and changing the subject. The resident’s care plan did not include these interventions, and the DON confirmed the omission.
A facility failed to follow its IC policy for Contact Precautions when a Business Manager entered a resident’s room carrying a lunch tray without donning a gown and gloves, despite a posted precaution sign and a physician order for Contact Precautions. The staff member confirmed delivering the tray, and the record review showed the resident was under Contact Precautions at the time.
The facility failed to include specific staffing needs for each resident unit and for each shift in its facility assessment for a census of 65 residents. Review of the Facility Assessment showed it did not identify staffing needs for Unit 1, Unit 2, or Unit 3, or by day, evening, and night shift. The Administrator confirmed the findings during interview.
A facility failed to prevent potential bloodborne pathogen exposure when an LPN used the same insulin pen on two residents, believing needle changes were sufficient for infection control. The error was not identified as a concern until days later, despite clear guidelines against sharing insulin pens.
Failure to Include Behavioral Interventions in Care Plan
Penalty
Summary
The facility failed to develop and implement a comprehensive care plan for a resident with mood and behavior concerns. Review of the resident’s record showed a progress note indicating the resident was asking another resident to "Get over here and give me a kiss," and another progress note later documented sexual behaviors during the shift. A provider note also stated that the resident had a recent increase in citalopram for disinhibition with increased sexual comments and included non-pharmacological recommendations to monitor for improvement in inappropriate behaviors, continue redirecting the patient, use distraction, and change the subject to decrease inappropriate comments. The resident’s care plan did not include these non-pharmacological interventions. The DON confirmed these findings during interview.
Failure to Follow Contact Precautions During Meal Delivery
Penalty
Summary
The facility failed to implement its infection control policies for transmission-based precautions during dining observation for Resident #50. On 12/16/25 at approximately 12:00 p.m., a Contact Precaution sign was posted outside the resident’s room instructing staff to clean hands before entering and leaving the room and to wear a gown and gloves. Staff H, identified as the Business Manager, entered the room carrying a lunch tray without donning a gown and gloves. During interview at approximately 12:10 p.m., Staff H confirmed delivering the lunch tray to Resident #50. Review of the resident’s medical record on 12/17/25 showed a physician order for contact precaution dated 12/16/25. The facility policy, IC306 Transmission Based Precautions, revised 5/1/25, states that healthcare personnel caring for patients on Contact Precautions wear a gown and gloves for all interactions that may involve contact with the patient or potentially contaminated areas in the patient’s environment and don PPE upon room entry. The CDC Isolation Precautions guidance reviewed on 12/18/25 also states that hand hygiene should be performed before direct contact with patients and after contact with inanimate objects in the patient’s immediate vicinity.
Facility Assessment Missing Unit and Shift Staffing Needs
Penalty
Summary
The facility failed to ensure that its facility assessment included specific staffing needs for each resident unit and specific staffing needs by shift for a census of 65 residents. Review of the Facility Assessment on 12/17/25 showed that it did not identify staffing needs for each resident unit in the facility and did not identify staffing needs by day, evening, and night shift. Review of the facility Daily Nursing Schedule on 12/17/25 showed the facility had Unit 1, Unit 2, and Unit 3. During interview on 12/17/25, Staff G, the Administrator, confirmed these findings.
Insulin Pen Misuse Leads to Potential Bloodborne Pathogen Exposure
Penalty
Summary
The facility failed to ensure that two residents were free from potential exposure to bloodborne pathogen transmission when a Licensed Practical Nurse (LPN) administered insulin using the same insulin pen for both residents. On June 13, 2024, the LPN mistakenly used Resident #2's Aspart insulin pen on Resident #1. Despite the pen being labeled for Resident #2, the LPN believed that changing the needle was sufficient to prevent infection control issues. The pen was not discarded and was subsequently used on Resident #2, then returned to the medication cart for continued use. The error was not recognized as an infection control concern until June 17, 2024, when the Director of Nursing (DON) was informed and the pen was discarded. The facility's policy and the manufacturer's instructions clearly state that insulin pens are for single-patient use only, and the Centers for Disease Control and Prevention (CDC) guidelines emphasize the risk of bloodborne pathogen transmission if pens are shared, even with needle changes. The facility's failure to adhere to these guidelines resulted in the potential exposure of both residents to bloodborne pathogens.
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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 Milford
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Elms Center | 0.3 mi | ★★★★★ | 5 | 0 |
| Courville At Nashua | 11.5 mi | ★★★★★ | 0 | 0 |
| Nashua Post Acute Care | 12 mi | ★★★★★ | 13 | 0 |
| Bedford Nursing & Rehabilitation Center | 12.4 mi | ★★★★★ | 7 | 1 |
| Ridgewood Center, Genesis Healthcare | 12.6 mi | ★★★★★ | 5 | 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.