Crestline Rehabilitation And Nursing Center
CRESTLINE REHABILITATION AND NURSING CENTER in CRESTLINE, OH — inspection on May 27, 2026.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
02/18/26 and 02/19/26 as ordered and a range of between 30 ml to 2420 ml of tube feed being
shift.
Interview on 05/27/26 at 1:10 P.M. with the Registered Nurse Director of Nursing (RN DON) #84
where no documentation was recorded regarding the amount of tube feeding that was administered to Resident #22, where feeding tube placement was not verified, and tube feeding residuals were not checked.
Furthermore, RN DON #84 verified on multiple dates in December, January, and February, the facility documented Resident #22 was administered a volume of tube feeding that was not consistent with the physician order.
Review of the facility policy titled Enteral Nutrition, revised January 2014 revealed adequate nutritional support through enteral feeding will be provided to residents as ordered.This deficiency represents non-compliance investigated under Complaint Number
- 366002 05/27/2026
Crestline Rehabilitation and Nursing Center 327 West Main Street Crestline, OH 44827
nurses on a full time basis.
facility failed to ensure a Registered Nurse (RN) was designated as the Director of Nursing (DON) on a
consecutive hours per day, seven days a week.
This had the potential to affect all residents.
The facility census was 21.Findings include:
Review of the facility staff schedules and the staff timecards for the week of 05/03/26 through 05/09/26 revealed a Registered Nurse (RN) did not work on 05/07/26 and 05/08/26.
Further review revealed a Director of Nursing (DON) was not present in the facility on 05/05/26 through 05/09/26.Interview on 05/26/26 at 11:41 A.M. with Licensed Practical Nurse (LPN) #55 revealed the facility did not currently have a DON. LPN #55 stated RN, DON #82 came every Wednesday to serve as both the DON, and a RN and DON #84 came two days a week to serve as the DON for the facility. LPN #55 was unable to recall any other persons serving as DON in the facility since RN, DON #85 quit.Interview on 05/26/26 at 11:59 A.M. with RN #79 revealed RN, DON #84 was the current DON. RN #79 stated she was unaware of how often RN, DON #84 was in the facility and stated LPN #55 would know as she was in the facility more often than her.Interview on 05/27/26 at 8:00 A.M. with RN, DON #84 revealed she is the Regional Nurse and does not punch a clock and did not have any documentation to support that she had worked in the facility since the previous Director of Nursing left on 04/29/26.
Interview on 05/27/26 at 10:31 A.M. with RN, DON #82 revealed she worked in the facility twice on 05/13/26 and 05/20/26 and did not work in the facility at all from 05/03/26 to 05/09/26.Interview on 05/27/26 at 10:34 A.M. with RN, DON #83 revealed the only date she worked in the facility was 05/04/26 and did not work 05/05/26 through 05/09/26.Interview on 05/27/26 at 10:58 A.M. with the Director of Operations (DOO) #86 verified RN, DON #83 was only in the facility on 05/04/26. DOO #86 stated that RN, DON #82 was serving as the DON however RN, DON #82 was only in the building the last two Wednesdays, 05/13/26 and 05/20/26. DOO #86 verified there was no DON coverage in the facility for 05/05/26 through 05/09/26.
Furthermore, DOO #86 verified there was no RN in the facility on 05/07/26 and 05/08/26 as required.Upon request of a policy regarding full time DON coverage and RN hours in the facility, RN, DON #84 verified the facility did not have a policy as they follow the regulation.This deficiency represents non-compliance investigated under Master Complaint Number 2989641 and Complaint Number 2805820.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.