Above average — CMS composite of the measures below.
The next survey window likely opens around January 2027
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 Manor Healthcare during CMS and state inspections, most recent first.
Meals were not served at a palatable temperature when a regular tray on a wing cart was tested and found below the stated hot-food standard. The hamburger, potatoes, corn, and fruit were all measured at temperatures outside the expected range, and the Administrator confirmed the temperature standard.
A resident’s care plan stated he was to receive three weekly 1:1 activity visits, but record review showed he was not on the AD’s 1:1 list and there was no documentation that the visits were completed. The resident said he did not attend group activities, enjoyed dominoes, and did not receive in-room activity offers. The AD and Administrator both confirmed the 1:1 visits were not documented by activity staff.
Failure to provide and document person-centered activity programming for a resident who preferred dominoes and was care planned for 3 weekly 1:1 visits. The resident reported no one offered in-room activities, and the AD and Administrator confirmed there were no documented 1:1 visits, while the resident was not listed on the 1:1 activity roster.
Unsanitary food storage and dish handling practices were observed during a kitchen tour. Buildup was noted in the walk-in refrigerator, a bin of lids had a brown sticky substance on the bottom, wet nesting was found in metal and insulated bowls, and three melted or damaged insulated bowls were identified and discarded by the Dietician.
A facility failed to provide necessary supervision for a resident with severe cognitive impairment, resulting in two unwitnessed falls and significant injuries. Despite a care plan requiring one-on-one supervision, the resident was left unsupervised, leading to accidents. Additionally, a potentially toxic substance was left accessible, posing a risk to other residents.
The facility failed to serve hot food at the required temperature of at least 120°F, as confirmed by resident interviews and observations. Multiple residents expressed dissatisfaction with the cold meals, and observations showed lunch food temperatures below the standard. The dietary manager confirmed the temperature requirement.
A resident reported missing clothing, and the facility instructed her family to replace the items with a promise of reimbursement. However, the family had not received the refund. The grievance indicated eight missing items, and the Social Worker initially claimed reimbursement was made but later acknowledged confusion as the facility replaced the items. Arrangements were to be made to refund the family.
The facility failed to update the PASSAR for two residents after they were diagnosed with new mental health conditions. One resident was diagnosed with major depressive disorder, and another with PTSD and unspecified psychosis, but their PASSARs were not updated to reflect these diagnoses. The MDS Coordinator confirmed that new PASSARs should have been completed.
The facility failed to accurately develop and implement care plans for two residents, leading to deficiencies in their care. One resident's care plan inaccurately stated they lacked capacity, while another resident, who was non-weight bearing, suffered two unwitnessed falls due to a lack of one-on-one supervision as required by their care plan. Interviews confirmed the supervision was not provided, contributing to the resident's falls and injuries.
A facility failed to complete a discharge summary for a resident who had an unplanned discharge. The discharge was confusing as it was planned for the resident to go home, but the timing was uncertain due to the son's arrival. The DON admitted there is a problem with the discharge process.
The facility failed to properly label a multidose vial of Tubersol tuberculin purified protein derivative, as it was found without an opening date during a medication storage task. This oversight made it impossible to determine the appropriate discard date, as specified by the FDA. An LPN verified the deficiency, and no further information was provided.
Meals Served at Improper Temperature
Penalty
Summary
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature was not maintained when a regular meal tray was observed on a wing cart and tested at the request of the State Agency. The Nursing Aide alerted the Dietary Manager to bring a new tray for the resident and a thermometer, and the Dietary Manager and corporate dietary staff checked the tray temperatures at 12:40 PM. The hamburger measured 114.4 degrees F, the potatoes 107.8 degrees F, the corn 92.7 degrees F, and the fruit 54.7 degrees F. During interview, corporate dietary stated hot foods should be greater than 120 degrees F and cold foods less than 41 degrees F at time of service, and the Administrator confirmed the palatable temperature range.
Failure to Document and Review Activity 1:1 Visits
Penalty
Summary
The facility failed to review Resident #40’s care plan related to activities. The care plan, initiated on 12/12/25, stated that the resident receives three one-to-one visits weekly, but record review on 02/10/26 showed the resident was not on the Activity Director’s 1:1 list. During interview on 02/09/26, Resident #40 stated he does not go to Bingo or other activities, enjoys playing dominoes, and does not have anyone come to his room to offer in-room activities. On 02/10/26, the Activities Director confirmed the resident had no documented 1:1 visits, and the Administrator confirmed the 1:1 visits were not documented as completed by activity staff.
Failure to Provide and Document Person-Centered Activity Programming
Penalty
Summary
The facility failed to ensure activity programming was based on Resident #40’s person-centered care plan and personal interests. Resident #40 stated he does not attend Bingo or other activities but does enjoy playing dominoes, and he reported that no one comes to his room to offer in-room activities. The Activities Director confirmed there were no documented 1:1 visits for the resident, and the Administrator confirmed that 1:1 visits were not documented as completed by activity staff. Record review showed the care plan stated the resident was to receive three 1:1 visits weekly, initiated on 12/12/25, but the 1:1 list provided by the Activities Director did not include Resident #40.
Unsanitary Food Storage and Wet Nesting Observed in Kitchen
Penalty
Summary
Food and equipment were not stored under sanitary conditions during a follow-up kitchen tour. In the walk-in refrigerator, buildup was observed in the bottom, and a storage bin containing lids had a brown sticky substance along the bottom of the bin. Wet nesting was identified in metal bowls and insulated serving bowls, indicating dishware was stacked while wet and not allowed to air dry. In addition, three melted or damaged insulated bowls were identified and discarded by the Dietician. Corporate dietary and DM verified the observed buildup, sticky substance, wet nesting, and damaged bowls during interviews.
Failure to Provide Supervision and Maintain Safe Environment
Penalty
Summary
The facility failed to provide necessary supervision to prevent accidents for Resident #273, who had a history of falls and severe cognitive impairment. Despite a care plan indicating the need for one-on-one supervision due to the resident's non-weight-bearing status and tendency to attempt standing unassisted, the facility did not implement this intervention. This lack of supervision resulted in two unwitnessed falls, causing significant injuries, including a fractured right elbow and multiple lacerations. Interviews with family members and staff revealed that the facility was aware of the resident's condition and the need for constant supervision. However, the care plan was not followed, and the resident was left unsupervised, leading to the falls. The MDS Coordinator acknowledged the difficulty in implementing the one-on-one supervision and admitted that the intervention was not removed from the care plan, even though it was not being followed. Additionally, the facility failed to maintain a safe environment by leaving a potentially toxic substance accessible on a resident's bedside table. This oversight posed a risk to other residents, indicating a broader issue with maintaining a hazard-free environment. The report highlights the facility's failure to adhere to care plans and ensure resident safety, resulting in preventable accidents and injuries.
Failure to Serve Hot Food at Required Temperature
Penalty
Summary
The facility failed to ensure that hot food was served at a temperature of at least 120 degrees Fahrenheit, as confirmed by both resident interviews and observations. During interviews, multiple residents expressed dissatisfaction with the temperature of their meals, indicating that the food was often served cold. Observations conducted on June 25, 2024, revealed that the temperature of the lunch food at the point of service was below the required 120 degrees Fahrenheit, with ground chicken thigh measured at 115.5 degrees Fahrenheit and spinach at 117 degrees Fahrenheit. The Corporate dietary manager confirmed that the temperature at the point of service should meet the 120 degrees Fahrenheit requirement. This deficiency was observed to potentially affect more than a limited number of residents, as evidenced by the complaints from Residents #21, #50, #66, and #51. Each of these residents reported issues with the temperature of their meals, with some expressing frustration and dissatisfaction. The observations and interviews indicate a consistent issue with food being served at inadequate temperatures, which was corroborated by the dietary manager's acknowledgment of the temperature standards.
Failure to Resolve Grievance on Missing Personal Property
Penalty
Summary
The facility failed to adequately resolve a grievance related to a resident's missing personal property. Resident #27 reported that some of her clothing had gone missing a couple of months prior, and the facility instructed her family to replace the items with the promise of reimbursement. However, the family had not yet received the refund. A review of the resident's grievance from April indicated that eight items were missing, including a green sweater, solid green shirt, denim pants, pajamas, white socks, gray bra, solid red shirt, and pink shirt. The grievance, completed by the Social Worker (SW), stated that the family should replace the missing items and be reimbursed for the expenses. During interviews, the SW initially claimed that the family had been reimbursed but later acknowledged that the facility had replaced the items, and the family had also replaced them, leading to confusion about the reimbursement. The SW confirmed that arrangements would be made to refund the resident's family.
Failure to Update PASSAR for Residents with New Diagnoses
Penalty
Summary
The facility failed to update the Preadmission Screening and Resident Review (PASSAR) for two residents after they were diagnosed with new mental health conditions. Resident #3 was diagnosed with major depressive disorder on September 28, 2022, but the most recent PASSAR completed for this resident was on June 10, 2022, which did not include the new diagnosis. This oversight was confirmed during an interview with the Minimum Data Set (MDS) Coordinator, who acknowledged that a new PASSAR should have been completed following the diagnosis. Similarly, Resident #51 was diagnosed with Post Traumatic Stress Disorder (PTSD) and an unspecified psychosis disorder on November 25, 2022. However, the most recent PASSAR for this resident was completed on November 14, 2022, prior to these diagnoses, and did not reflect the new mental health conditions. The MDS Coordinator also confirmed this discrepancy, acknowledging that a new PASSAR should have been conducted after the diagnoses were made.
Failure to Implement Accurate Care Plans and Supervision
Penalty
Summary
The facility failed to accurately develop and implement care plans for two residents, leading to deficiencies in their care. Resident #50's care plan inaccurately stated that the resident lacked the capacity to make medical decisions due to a communication problem related to a vision deficit. However, a capacity form completed earlier indicated that Resident #50 did have the capacity to make decisions. This discrepancy was confirmed by the Director of Social Services, highlighting a failure in maintaining accurate and up-to-date care plans. Resident #273, who was admitted with a nondisplaced fracture of the right femur and was non-weight bearing, suffered two unwitnessed falls resulting in major injuries. The care plan for Resident #273 included a one-on-one supervision intervention due to the resident's risk of falls and attempts to stand unassisted. Despite this, the facility did not provide the required supervision, as confirmed by interviews with family members and staff. The MDS Coordinator acknowledged that the one-on-one supervision was not implemented, and the care plan was not followed at the time of the falls. Interviews with family members and a roommate of Resident #273 further confirmed the lack of supervision, as both falls were unwitnessed. The facility's failure to provide the necessary one-on-one supervision, as outlined in the care plan, directly contributed to the resident's falls and subsequent injuries. This indicates a significant lapse in the facility's adherence to care plans and the safety of its residents.
Incomplete Discharge Summary for Unplanned Discharge
Penalty
Summary
The facility failed to complete a discharge summary for a resident who experienced an unplanned discharge. During a record review, it was found that the discharge summary for the resident was incomplete. The Director of Nursing (DON) explained that the discharge was confusing because it was planned in the sense that the resident was going home, but unplanned because the facility did not know when the resident's son would arrive to pick her up. The DON acknowledged that there is an issue with the facility's discharge process.
Medication Storage Deficiency: Undated Multidose Vial
Penalty
Summary
The facility failed to ensure that medications were stored and labeled according to currently accepted professional principles. During an investigation of the medication preparation room in two hallways, a multidose vial of Tubersol tuberculin purified protein derivative was found without a date indicating when it was opened. This oversight was discovered during a random medication storage task. The package insert for Tubersol, as well as information available on the FDA website, specifies that a vial should be discarded 30 days after being opened. However, because the vial was not dated, it was impossible to determine the appropriate discard date. This deficiency was verified by an LPN, and no additional information was provided by the completion of the survey.
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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 Jane Lew
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Clarksburg Healthcare Center | 11.3 mi | ★★★★★ | 17 | 0 |
| River Oaks Healthcare Center | 11.5 mi | ★★★★★ | 3 | 0 |
| St. Joseph's Hospital | 12.5 mi | ★★★★★ | 0 | 0 |
| Holbrook Healthcare Center | 13 mi | ★★★★★ | 0 | 0 |
| Salem Center | 14.9 mi | ★★★★★ | 0 | 0 |
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