Crestwood Health Care Center, LLC
11400 Mehl Avenue · Florissant, MO · 63033 · 3147413525
150 certified beds For profit - Limited Liability company Chain: Reliant Care Management
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- Inspection results have improved across recent cycles.
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Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
6 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
RN staffing in the bottom 10% nationally
0.17 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.43 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
If someone you love was harmed at a facility with findings like these, you have options — read this.
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: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 2.43 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.17 | 0.55–0.75 |
| Weekend hours / resident-day | 2.29 | ≈ weekday level |
| Nursing turnover / year | 57% | median 45% |
| Fines (3-yr window) | 2 · $146,588 |
Inspection citations (78 in the current record)
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Immediate jeopardy · K November 18, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 18, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 24, 2025 · Quality of Life and Care
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Potential for harm · D September 22, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Past Non-Compliance · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E July 31, 2025 · found via complaint
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 August 29, 2025 · Resident Rights
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Potential for harm · D July 31, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected August 29, 2025 · Infection Control
-
Potential for harm · E June 13, 2025 · found via complaint
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 August 29, 2025 · Resident Rights
-
Potential for harm · D June 13, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 10, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 13, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 10, 2025 · Quality of Life and Care
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Potential for harm · D June 13, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected July 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 13, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected August 29, 2025 · Infection Control
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Potential for harm · D March 25, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 22, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E March 7, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 21, 2025 · Quality of Life and Care
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Potential for harm · D February 19, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 5, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G January 9, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 2, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 20, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 14, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 6, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 28, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 23, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 21, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E June 21, 2024
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected August 9, 2024 · Resident Rights
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Potential for harm · E June 21, 2024
Assure the security of all personal funds of residents deposited with the facility.
Corrected August 9, 2024 · Resident Rights
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Potential for harm · E June 21, 2024
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 August 9, 2024 · Resident Rights
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Potential for harm · F June 21, 2024
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 August 9, 2024 · Nursing and Physician Services
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Potential for harm · D June 21, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 9, 2024 · Pharmacy Service
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Potential for harm · E June 21, 2024
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected August 9, 2024 · Nutrition and Dietary
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Potential for harm · F June 21, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 9, 2024 · Nutrition and Dietary
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Potential for harm · E June 21, 2024
Provide and implement an infection prevention and control program.
Corrected August 9, 2024 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 18, 2025 | Fine | $17,345 |
| December 8, 2023 | Fine | $129,243 |
| December 8, 2023 | Payment Denial | 76 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 265823 · certified since July 1, 2008. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.