Crestline Nursing Center
327 West Main Street, Crestline, OH 44827


Crestline Nursing Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 366002. The address is 327 West Main Street, Crestline, OH 44827. The zip code is 44827. The phone number is 4196833255.


Crestline Nursing Center · 327 West Main Street, Crestline, OH 44827

Federal Provider Number 366002
Provider Name CRESTLINE NURSING CENTER
Address 327 WEST MAIN STREET
CRESTLINE, OH 44827
Phone Number 4196833255
SSA County Code 160
County Name Crawford
Ownership Type For profit - Corporation
Certified Beds 30
Certified Beds Residents 24
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name CRESTLINE FACILTY OPERATIONS, LLC
Date First Approved to Provide Medicare Medicaid Services 06/08/1995
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 5
Health Inspection Rating 5
Quality Measure Rating 3
Staffing Rating 3
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 2.1875
Reported LPN Staffing Hours per Resident per Day 0.70208
Reported RN Staffing Hours per Resident per Day 1.0375
Reported Licensed Staffing Hours per Resident per Day 1.73958
Reported Total Nurse Staffing Hours per Resident per Day 3.92708
Expected CNA Staffing Hours per Resident per Day 2.43511
Expected LPN Staffing Hours per Resident per Day 0.74073
Expected RN Staffing Hours per Resident per Day 1.21434
Expected Total Nurse Staffing Hours per Resident per Day 4.39019
Adjusted CNA Staffing Hours per Resident per Day 2.2042
Adjusted LPN Staffing Hours per Resident per Day 0.78669
Adjusted RN Staffing Hours per Resident per Day 0.63839
Adjusted Total Nurse Staffing Hours per Resident per Day 3.60569
Cycle 1 Total Number of Health Deficiencies 2
Cycle 1 Number of Standard Health Deficiencies 2
Cycle 1 Health Deficiency Score 8
Cycle 1 Standard Survey Health Date 06/01/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 8
Cycle 2 Total Number of Health Deficiencies 1
Cycle 2 Number of Standard Health Deficiencies 1
Cycle 2 Health Deficiency Score 4
Cycle 2 Standard Health Survey Date 04/01/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 4
Cycle 3 Standard Health Survey Date 06/11/2015
Total Weighted Health Survey Score 5.333
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Crestline Nursing Center

Owner Name Role Association Date
ALG LAVIE, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2012
BRYSON, CHRISTOPHER (Individual) OPERATIONAL/MANAGERIAL CONTROL since 09/01/2015
CMC II INVESTORS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2012
CMC II LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 07/31/2012
COLUMBIA PACIFIC OPPORTUNITY FUND (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2012
CONTE, JOSEPH (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2012
CRITCHER, PHILLIP (Individual) MANAGING EMPLOYEE since 01/01/2007
DIAS, DANIEL (Individual) OPERATIONAL/MANAGERIAL CONTROL since 09/01/2015
FC INVESTORS XXI, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2012
FC LV HOLDCO LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2012
HANSON, ROBERT (Individual) OFFICER since 04/06/2016
HARTMAN, ROBERT (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2012
LAVIE CARE CENTERS, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2012
LOW, ASHER (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2012
LV CHC HOLDINGS I LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 10/01/2012
LV INVESTMENT, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2012
LV OPERATIONS I, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2012
LV OPERATIONS II, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2012
MCP LAVIE, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2012
MEHAFFEY, TODD (Individual) OPERATIONAL/MANAGERIAL CONTROL since 09/14/2016
NEUBERGER, ISAAC (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2012
RAGLAND, RUSSELL (Individual) OPERATIONAL/MANAGERIAL CONTROL since 07/01/2014
SAY LA VIE, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2012
SENIOR CARE LAVIE, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2012
THE 1995 DAVID REIS FAMILY TRUST (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2012
USSERY, KENNETH (Individual) OFFICER since 04/06/2016
USSERY, KENNETH (Individual) OPERATIONAL/MANAGERIAL CONTROL since 09/01/2015

OH · Nursing Home

Edgewood Manor of Lucasville I 10098 Big Bear Creek Rd, Lucasville, OH 45648
Morningview Pointe 677 Marion Cardington Road W, Marion, OH 43302
Meridian Arms Living Center 650 S Meridian Road, Youngstown, OH 44509
Humility House 755 Ohltown Road, Austintown, OH 44515
Willows At Bellevue 101 Auxiliary Drive, Bellevue, OH 44811
Kent Center 1290 Fairchild Avenue, Kent, OH 44240
Residence At Kensington Place 751 Kensington Street, Middletown, OH 45044
Canterbury Villa of Alliance 1785 Freshley Avenue, Alliance, OH 44601
St Rita's Transitional Care Un 730 West Market Street, Lima, OH 45801
Parkvue Health Care Center 3800 Boardwalk Blvd, Sandusky, OH 44870
Pataskala Oaks Care Center 144 East Broad Street, Pataskala, OH 43062
Arbors West 375 West Main Street, West Jefferson, OH 43162
Kendal At Granville 2158 Columbus Road, Granville, OH 43023
Country Court 1076 Coshocton Ave, Mount Vernon, OH 43050
Otterbein At Maineville 201 Marge Schott Way, Maineville, OH 45039
Gables Care Center Inc 351 Lahm Drive, Hopedale, OH 43976
Laurels of Blanchester, The 839 East Cherry Street, Blanchester, OH 45107
Williams Co Hillside Country L 09 876 County Rd 16, Bryan, OH 43506
Cedar Hill Care Center 1136 Adair Avenue, Zanesville, OH 43701
Ohio Valley Manor Nsg and Reha 5280 State Routes 62 68, Ripley, OH 45167
Vista Care Center of Milan 185 S Main St, Milan, OH 44846
Autumn Years Nursing Center 580 East Washington Street, Sabina, OH 45169
Garden Manor Extended Care Center, Inc 6898 Hamilton Middletown Road, Middletown, OH 45044
Briarfield Manor 461 South Canfield Niles Road, Youngstown, OH 44515
Mcnaughten Pointe Nursing and Rehab 1425 Yorkland Road, Columbus, OH 43232
Wyandot County Skilled Nursing and Rehabilitation 7830 N St Hwy 199 Rr2, Upper Sandusky, OH 43351
Oakwood Village 1500 Villa Road, Springfield, OH 45503
University Manor Health & Reha 2186 Ambleside Rd, Cleveland, OH 44106
Cridersville Healthcare Center 603 East Main Street, Cridersville, OH 45806
Huntington Woods Care & Rehab Center 27705 Westchester Parkway, Westlake, OH 44145
Lebanon Country Manor 700 Monroe Road, Lebanon, OH 45036
Hamden Health Care Ventures 38500 State Route 160, Hamden, OH 45634
Otterbein Perrysburg 3525 - 3533 Rivers Edge Drive, Perrysburg, OH 43551
Convalarium At Indian Run The 6430 Post Rd, Dublin, OH 43016
Ohio Living Swan Creek 1650 Swan Creek Lane, Toledo, OH 43614
Blossom Nursing and Rehab Center 109 Blossom Lane, Salem, OH 44460
Arbors At Marietta 400 Seventh Street, Marietta, OH 45750
Golden Years Nursing Center 2436 Old Oxford Road, Hamilton, OH 45013
Heartland of Miamisburg 450 Oak Ridge Boulevard, Miamisburg, OH 45342
West Park Care Center LLC 1700 Heinzerling Drive, Columbus, OH 43223