Hillsboro, OH

Crestwood Ridge Skilled Nursing And Rehab

3-star overall rating with 3-star inspections with 8 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

141 Willettsville Pike, Hillsboro, OH

(937) 393-6700

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Continuing Healthcare Solutions

Operator or chain grouping

Approved since

1993-10-22

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

12 facilities

Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.46

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.80

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

1.99

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.24

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.25

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

2.90

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.32

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.44

CMS adjusted RN staffing hours

Adjusted total hours

3.13

CMS adjusted total nurse staffing hours

Case-mix index

1.42

Higher values indicate more complex resident acuity

RN turnover

67%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

48%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,396

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

26.9

Composite VBP score used to determine payment impact.

Payment multiplier

0.9843

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

4.34

Baseline 62.50% · Performance 45.95% · Measure score 4.34 · Achievement 4.34 · Improvement 3.90

Adjusted total nurse staffing

1.04

Baseline 2.64 hours · Performance 3.12 hours · Measure score 1.04 · Achievement 0 · Improvement 1.04

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.37%	10.72% 1.6 pts worse	No Different than the National Rate · Eligible stays 38 · Observed rate 18.42% · Lower 95% interval 7.5%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 19 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	1.08	1.02 0.1 pts worse
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 19 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 13 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	3.77%	8.2% 4.4 pts worse	Numerator 2 · Denominator 53
Staff flu vaccination coverage	9.09%	42% 32.9 pts worse	Numerator 5 · Denominator 55
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.4%	92.4% 7 pts better	93.4% 6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 97.8% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	94.5% 5.5 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	7.9%	3.3% 4.6 pts worse	3.3% 4.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 9.5% · Q3 8.9% · Q4 6.5% · 4Q avg 7.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	7.3%	26.1% 18.8 pts better	11.4% 4.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 2.5% · Q3 2.3% · Q4 18.2% · 4Q avg 7.3%
Percentage of long-stay residents who lose too much weight	1.6%	6.2% 4.6 pts better	5.4% 3.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 0.0% · Q3 3.0% · Q4 0.0% · 4Q avg 1.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	43.6%	25.4% 18.2 pts worse	19.6% 24 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 50.0% · Q2 34.4% · Q3 38.2% · Q4 51.6% · 4Q avg 43.6%
Percentage of long-stay residents who received an antipsychotic medication	16.9%	11.5% 5.4 pts worse	16.7% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q3 15.0% · Q4 23.8% · 4Q avg 16.9% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	6.1%	7.7% 1.6 pts better	16.3% 10.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.6% · Q3 5.3% · 4Q avg 6.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	4.6%	6.2% 1.6 pts better	14.9% 10.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 0.0% · Q3 11.8% · Q4 0.0% · 4Q avg 4.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.2% 0.2 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	0.5% 0.5 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	14.4%	21.7% 7.3 pts better	19.8% 5.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 12.8% · Q3 18.4% · Q4 4.7% · 4Q avg 14.4%
Percentage of long-stay residents with pressure ulcers	2.3%	3.7% 1.4 pts better	5.1% 2.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 4.5% · Q3 0.0% · Q4 2.5% · 4Q avg 2.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	78.1% 21.9 pts better	81.7% 18.3 pts better	Short Stay · 2024Q4-2025Q3 · Q2 100.0% · 4Q avg 100.0%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	100.0%	75.6% 24.4 pts better	79.7% 20.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0%

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-12-12 · Fire 2024-12-12

8 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2022-05-05 · Fire 2022-05-05

13 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2019-05-09 · Fire 2019-05-09

4 health deficiencies

Top issue: Environmental (1 deficiency)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-12-12

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2025-02-01

F · Potential for more than minimal harm 2024-12-12

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-02-01

F · Potential for more than minimal harm 2024-12-12

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2025-02-01

E · Potential for more than minimal harm 2024-12-12

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2025-02-01

E · Potential for more than minimal harm 2024-12-12

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2025-02-01

F · Potential for more than minimal harm 2022-05-05

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2022-06-10

F · Potential for more than minimal harm 2022-05-05

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2022-06-10

F · Potential for more than minimal harm 2022-05-05

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2022-06-10

F · Potential for more than minimal harm 2022-05-05

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2022-06-10

E · Potential for more than minimal harm 2022-05-05

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-06-10

F · Potential for more than minimal harm 2019-05-09

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2019-07-09

F · Potential for more than minimal harm 2019-05-09

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2019-07-09

F · Potential for more than minimal harm 2019-05-09

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-07-09

F · Potential for more than minimal harm 2019-05-09

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2019-07-09

E · Potential for more than minimal harm 2019-05-09

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2019-07-09

C · Minimal harm 2019-05-09

E31 · Emergency Preparedness Deficiencies

Fire Safety

Provide emergency officials' contact information.

Corrected 2019-06-14

Inspection history

Recent health citations

G · Actual harm 2025-01-16

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-02-01

F · Potential for more than minimal harm 2024-12-12

F803 · Nutrition and Dietary Deficiencies

Health

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 2025-02-01

F · Potential for more than minimal harm 2024-12-12

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2025-02-01

D · Potential for more than minimal harm 2024-12-12

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-02-01

D · Potential for more than minimal harm 2024-12-12

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-02-01

D · Potential for more than minimal harm 2024-12-12

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2025-02-01

D · Potential for more than minimal harm 2024-12-12

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2025-02-01

D · Potential for more than minimal harm 2024-12-12

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2025-02-01

D · Potential for more than minimal harm 2024-12-12

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-02-01

D · Potential for more than minimal harm 2024-08-10

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-08-30

D · Potential for more than minimal harm 2024-08-10

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2024-08-30

D · Potential for more than minimal harm 2024-08-10

F626 · Resident Rights Deficiencies

Health

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Corrected 2024-08-30

D · Potential for more than minimal harm 2024-07-18

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-07-29

E · Potential for more than minimal harm 2023-08-15

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2023-08-28

F · Potential for more than minimal harm 2023-07-06

F727 · Nursing and Physician Services Deficiencies

Health

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 2023-07-31

E · Potential for more than minimal harm 2023-07-06