Below average — CMS composite of the measures below.
A standard survey is most likely before around September 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 Crestline Rehabilitation And Nursing Center during CMS and state inspections, most recent first.
RN and DON Coverage Not Maintained: The facility failed to ensure an RN served as DON on a full-time basis and failed to maintain RN coverage for at least eight consecutive hours each day. Staffing schedules, timecards, and staff interviews showed no RN worked on two days and no DON was present for several days. Interviews also confirmed the DON coverage was intermittent, with one RN serving only on limited days and another stating she had no documentation showing she worked in the facility after the prior DON left.
Enteral tube feeding was not administered per physician orders for a resident who was NPO, comatose, and dependent on a G-tube for nutrition and fluids. The MAR/TAR showed multiple missed or undocumented tube feedings, inconsistent documented volumes, and repeated omissions of tube placement checks and residual checks, which the DON verified during interview.
The facility failed to ensure menus were followed, affecting all 19 residents who received meals from the kitchen. The lunch menu included baked fish, macaroni and cheese, creamy coleslaw, bread and butter, and Jello poke cake. However, the meal trays did not include bread and butter as listed on the menu. This was confirmed by the Corporate Dietary Manager, who acknowledged that the cook did not follow the dietician-approved menus.
The facility failed to ensure medications were not left unattended and unsecured in resident rooms. A resident, who was completely cognitively intact, had a full cup of oral medications left on her bedside stand. The resident confirmed that nursing staff usually leave her medications with her, and she sometimes throws them in the trash. The morning medications were signed off as administered, even though they were still on her bedside table and had not been consumed. This deficiency was identified during a complaint investigation.
RN and DON Coverage Not Maintained
Penalty
Summary
The facility failed to ensure a Registered Nurse (RN) was designated as the Director of Nursing (DON) on a full-time basis and failed to ensure an RN was working in the facility at least eight consecutive hours per day, seven days a week. Review of staffing schedules and timecard reports for 05/03/26 through 05/09/26 showed that an RN did not work on 05/07/26 and 05/08/26. Review of the same records also showed that a DON was not present in the facility from 05/05/26 through 05/09/26. During interviews, LPN #55 stated the facility did not currently have a DON and described RN, DON #82 as coming every Wednesday to serve as both DON and RN, while RN, DON #84 came two days a week to serve as DON. RN #79 stated she was unaware of how often RN, DON #84 was in the facility. RN, DON #84 stated she was the Regional Nurse, did not punch a clock, and had no documentation showing she had worked in the facility since the previous DON left on 04/29/26. RN, DON #82 stated she did not work in the facility at all from 05/03/26 to 05/09/26, and RN, DON #83 stated she only worked on 05/04/26. The DOO verified that RN, DON #83 was only in the facility on 05/04/26, that RN, DON #82 was only in the building on 05/13/26 and 05/20/26, and that there was no DON coverage in the facility from 05/05/26 through 05/09/26. The DOO also verified there was no RN in the facility on 05/07/26 and 05/08/26 as required.
Enteral Tube Feeding Not Administered Per Physician Orders
Penalty
Summary
The facility failed to ensure enteral tube feeding was administered per physician orders for one resident who was NPO and dependent on a G-tube for nutrition and fluids. The resident had diagnoses including atherosclerotic heart disease, type 2 diabetes mellitus, peripheral vascular disease, squamous cell carcinoma of the skin, heart failure, cerebral infarction, and persistent vegetative state, and the MDS identified the resident as comatose. The care plan directed staff to administer tube feedings and fluids via the feeding tube as ordered, maintain head-of-bed elevation during and after feeding, and verify tube placement and residuals per facility protocol. Physician orders required Jevity 1.5 at specified rates with water flushes, tube placement checks each shift, and residual checks each shift. Review of the MAR/TAR showed multiple dates in December, January, and February when no tube feeding was documented as administered, along with dates when the amount documented did not match the ordered volume. The record also showed multiple missed tube placement checks and residual checks on both day and evening/night shifts. The DON verified that there were multiple dates with no documentation of tube feeding administration, no verification of tube placement, no residual checks, and documented volumes that were not consistent with the physician order.
Failure to Follow Dietician-Approved Menus
Penalty
Summary
The facility failed to ensure menus were followed, affecting all 19 residents who received meals from the kitchen. On 05/03/24, the lunch menu included baked fish, macaroni and cheese, creamy coleslaw, bread and butter, and Jello poke cake. However, during the kitchen meal service observation at 11:50 A.M., it was noted that the meal trays did not include bread and butter as listed on the menu. This was confirmed by Corporate Dietary Manager #10, who acknowledged that Cook #5 did not follow the dietician-approved menus by omitting the bread and butter. This deficiency was investigated under Complaint Number OH00153014.
Medications Left Unattended in Resident Room
Penalty
Summary
The facility failed to ensure medications were not left unattended and unsecured in resident rooms. This deficiency was observed in one of the three resident rooms inspected. Specifically, Resident #2, who was completely cognitively intact, had a full cup of oral medications left on her bedside stand along with a cup of pudding. The resident confirmed that nursing staff usually leave her medications with her, and she sometimes throws them in the trash. This observation was made on 05/03/24 at 10:41 A.M. and was corroborated by the Director of Nursing (DON) at 10:50 A.M. on the same day. Review of Resident #2's medical record showed that her morning medications for 05/03/24 were signed off as administered, even though they were still on her bedside table and had not been consumed. The facility's policy on administering medications, dated December 2012, requires that the individual administering the medications must initial the medication administration record (MAR) after giving the resident the medication and before administering the next one. This deficiency was identified during the course of a complaint investigation.
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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 Crestline
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Mill Creek Nursing & Rehabilitation | 4.8 mi | ★★★★★ | 0 | 0 |
| Galion Pointe, Llc | 5.1 mi | — | 0 | 0 |
| Galion Meadows Skilled Nursing And Rehabilitation | 5.5 mi | ★★★★★ | 38 | 0 |
| Crestwood Care Center | 7.2 mi | ★★★★★ | 0 | 0 |
| Shelby Pointe | 7.3 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.