Crestwood Care Center
225 W Main Street · Shelby, OH · 44875 · 4193471266
130 certified beds For profit - Corporation Chain: Communicare Health
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $39,130 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.31 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.45 | 0.55–0.75 |
| Weekend hours / resident-day | 3.11 | ≈ weekday level |
| Nursing turnover / year | 40% | median 45% |
| Fines (3-yr window) | 2 · $232,204 |
Inspection citations (62 in the current record)
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Potential for harm · D March 25, 2025 · found via complaint
Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
Corrected April 4, 2025 · Resident Rights
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Potential for harm · D March 25, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 4, 2025 · Quality of Life and Care
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Potential for harm · D March 25, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 4, 2025 · Quality of Life and Care
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Potential for harm · D March 25, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 4, 2025 · Pharmacy Service
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Potential for harm · D February 27, 2025
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected April 4, 2025 · Resident Rights
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Potential for harm · D February 27, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected April 4, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 27, 2025
Provide activities to meet all resident's needs.
Corrected April 4, 2025 · Quality of Life and Care
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Potential for harm · D February 27, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 4, 2025 · Quality of Life and Care
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Potential for harm · D February 27, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected April 4, 2025 · Quality of Life and Care
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Potential for harm · F February 27, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 4, 2025 · Nutrition and Dietary
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Potential for harm · D February 27, 2025
Provide and implement an infection prevention and control program.
Corrected April 4, 2025 · Infection Control
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Potential for harm · D February 27, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 4, 2025 · Quality of Life and Care
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Potential for harm · D February 27, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected April 4, 2025 · Quality of Life and Care
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Potential for harm · D February 27, 2025 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected April 4, 2025 · Pharmacy Service
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Potential for harm · D February 27, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected April 4, 2025 · Pharmacy Service
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No harm found · C February 27, 2025
Observe each nurse aide's job performance and give regular training.
Corrected April 4, 2025 · Nursing and Physician Services
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Potential for harm · D December 16, 2024 · found via complaint
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected December 27, 2024 · Resident Rights
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Potential for harm · D December 16, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 27, 2024 · Quality of Life and Care
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Actual harm · G September 25, 2024 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected October 21, 2024 · Quality of Life and Care
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Potential for harm · D September 25, 2024 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected October 21, 2024 · Resident Rights
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Potential for harm · F September 25, 2024 · found via complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected October 21, 2024 · Nursing and Physician Services
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Potential for harm · D September 25, 2024 · found via complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Corrected October 21, 2024 · Quality of Life and Care
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Potential for harm · E May 22, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected June 4, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 22, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 4, 2024 · Quality of Life and Care
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Potential for harm · D May 22, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 4, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 25, 2024 | Fine | $39,130 |
| January 8, 2024 | Fine | $193,074 |
| January 8, 2024 | Payment Denial | 122 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 365284 · certified since May 9, 1972. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.