Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around October 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Crestview Nursing And Rehabilitation during CMS and state inspections, most recent first.
A resident with impaired cognition and mobility was burned by an electric baseboard heater in their room, which had a surface temperature of 124 degrees Fahrenheit. The resident, who required significant assistance for mobility, was found with their legs on the heater, resulting in burns. The facility's staff failed to ensure the resident's safety by not adequately monitoring the heater's temperature and not maintaining a safe distance between the bed and the heater.
A resident with severely impaired cognition and mobility assistance needs developed multiple pressure ulcers that were not identified or treated by the facility. Despite having a care plan for pressure ulcer prevention, the facility failed to document or address the resident's pressure wounds, which were later identified during a hospital assessment. The deficiency highlights a failure in the facility's processes for monitoring and managing pressure ulcers.
A resident with severely impaired cognition and multiple medical conditions was not seen by a Physician after a specified date, missing the required 60-day face-to-face visit. The DON confirmed the oversight during Physician rounds, despite the facility's policy mandating such visits.
An LPN failed to follow proper medication administration protocols, including incorrect insulin pen use and lack of hand hygiene between administering medications to two residents. The LPN admitted to not following training, and the DON confirmed awareness of the correct procedures.
A resident with a history of renal failure and other conditions fell from a shower chair due to not being secured with a seat belt, despite facility protocols requiring it. The resident was injured during a bathing procedure when a CNA failed to secure the belt, leading to a fall and head injury. Staff interviews revealed inconsistencies in the resident's refusal and staff actions, highlighting a lapse in safety protocols.
Resident Burned by Electric Heater Due to Inadequate Supervision
Penalty
Summary
The facility staff failed to ensure a safe environment for a resident who required significant assistance for mobility, resulting in the resident coming into contact with an electric baseboard heater. The resident, who had severely impaired cognition and required a mechanical lift for transfers, was found with their legs on the heater, leading to burns. The heater in the resident's room, as well as others in the facility, had surface temperatures ranging from 124 to 130 degrees Fahrenheit, which were considered unsafe for prolonged contact. The resident's medical history included non-Alzheimer's dementia, malnutrition, depression, arthritis, hyperlipidemia, and a recent urinary tract infection. The resident was also at risk for pressure ulcers and had existing skin integrity issues. On the night of the incident, the resident was found with their legs off the bed and in contact with the heater, resulting in multiple blisters and burns on both legs. The staff did not immediately notify the physician or the resident's family, and initial treatment was delayed. Interviews with staff revealed a lack of awareness about the heater's potential hazard and inadequate measures to prevent the resident from coming into contact with it. The facility had boundary boards in place to keep beds away from heaters, but these were not consistently effective. The staff's failure to recognize and mitigate the risk posed by the heater contributed to the resident's injuries.
Removal Plan
- Resident #1 immediately positioned away from heater
- Assessment and First aid initiated, primary care provider (PCP) and wife updated
- Resident #1's room rearranged with beds moved to wall without a register
- Bed placement audit performed for all resident beds with electric heaters and any beds with concern were moved to safe distance of 3 feet
- Safe touch surface audits done on all electric registers
- Room thermostats to be set no higher than 71-degree F unless management notified
- Random safe touch audits with surface touch thermometer to include every room in 100, 200 and 300 halls for the remainder of the season. The facility will follow the safe water temperature of 100 degrees per Appendix PP in the State Operations Manual.
- Facility will audit safe distance of beds from heater five times a week for 3 months and then quarterly, done by maintenance or assigned person
- All staff training for identifying and reporting hazards, bed positioning and thermostats. All staff assigned safety hazard in-service training videos to be completed immediately.
- Purchasing designee actively looking for a safe cover or similar mechanism, if one available
Failure to Identify and Treat Pressure Ulcers
Penalty
Summary
The facility failed to identify and provide appropriate treatment for pressure ulcers in a resident, leading to a deficiency in care. The resident, who had severely impaired cognition and required substantial assistance with mobility, was at risk for developing pressure ulcers. Despite this, the facility did not document or treat pressure ulcers on the resident's left heel, posterior left knee, and coccyx, which were later identified during a hospital assessment. The resident's care plan included interventions such as pressure-reducing devices, nutritional supplements, and regular repositioning to prevent pressure ulcers. However, the facility's records lacked documentation of the pressure wounds, and staff interviews revealed inconsistencies in the reporting and assessment of the resident's skin condition. The Nurse Manager admitted to not thoroughly examining the resident's skin during treatment, and the facility's policy on pressure injury prevention and management was not effectively implemented. Hospital records indicated that the resident had multiple pressure injuries, including a stage three pressure wound to the coccyx and unstageable pressure wounds to the left heel and posterior left knee. The Wound Center RN confirmed that these wounds could not have developed overnight, suggesting a lack of timely identification and intervention by the facility. The deficiency highlights a failure in the facility's processes for monitoring and managing pressure ulcers, resulting in inadequate care for the resident.
Failure to Conduct Required Physician Visits
Penalty
Summary
The facility failed to ensure that a Physician or Non-Physician Practitioner (NPP) conducted a face-to-face visit with a comprehensive assessment for a resident every 60 days, as required. Specifically, Resident #3, who had a severely impaired cognition with a Brief Interview for Mental Status (BIMs) score of 3, was not seen by a Physician after October 15, 2024. The resident's medical history included hypertension, hyperlipidemia, other fracture, non-Alzheimer's dementia, cerebrovascular accident (CVA), and chronic lung disease. The Director of Nursing (DON) confirmed that the resident was missed during Physician rounds in December 2024, despite two different Physicians visiting the facility. The facility's policy required residents to be seen at least every 60 days by a Physician or delegate, which was not adhered to in this case.
Failure to Follow Medication Administration Protocols
Penalty
Summary
The facility failed to adhere to professional standards during medication administration for three residents, as observed by surveyors. Resident #27, who has intact cognition and a history of renal failure, diabetes, anemia, and orthostatic hypotension, was administered insulin by an LPN who did not follow the correct procedure. The LPN injected insulin into Resident #27's abdomen but failed to hold the insulin pen in place for the recommended duration before withdrawing it, contrary to the manufacturer's instructions. This oversight was acknowledged by the LPN, who admitted to not following the training received for insulin pen administration. Additionally, the LPN was observed administering medications to multiple residents without performing hand hygiene between each administration. The LPN set up medications for two residents simultaneously, which included unlabeled medication cups, and failed to perform hand hygiene before or after administering the medications. The Director of Nursing confirmed that the LPN was aware of the correct procedures and acknowledged the failure to adhere to them, including the immediate withdrawal of the insulin pen and the lack of hand hygiene.
Failure to Secure Resident in Shower Chair Leads to Fall
Penalty
Summary
The facility failed to ensure the safety of a resident during a bathing procedure, leading to an accident. A resident, who had a history of renal failure, diabetes, anemia, and orthostatic hypotension, required partial assistance with bathing. Despite having a care plan that highlighted the risk of falling due to weakness, the resident was not secured with a seat belt in the shower chair. During the process of lifting the chair, the resident began coughing, became pale, and fell from the chair, resulting in a head injury and a scuffed knee. Interviews and observations revealed discrepancies in staff actions and resident preferences. The resident reported that the staff forgot to secure the seat belt, while the staff claimed the resident refused it. The incident occurred when a CNA was assisting the resident, and the chair was lifted approximately one foot off the ground. The CNA admitted to not securing the seat belt and acknowledged receiving training afterward. Other staff members, including a CNA and nurses, confirmed that the use of a seat belt is mandatory and that they would not proceed with a bath if a resident refused the belt. The facility's equipment manual also emphasized the importance of securing the seat belt to prevent injury. Despite the resident's cognitive awareness and occasional refusal of the seat belt, the facility's policy and staff training required its use for safety. The incident highlighted a lapse in following established safety protocols, resulting in the resident's fall and subsequent injuries.
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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 Webster City
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Southfield Wellness Community | 0.5 mi | — | 24 | 0 |
| Rotary Senior Living | 14.6 mi | — | 3 | 1 |
| Stratford Specialty Care | 14.7 mi | — | 5 | 0 |
| Marian Home | 17.6 mi | — | 0 | 0 |
| Opco Dayton Ia Llc | 17.7 mi | — | 9 | 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 August 2026) and official state health department websites.