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Complaint Investigation

Crestwood Rehabilitation And Nursing

April 27, 2026 · Ogden, UT · 3665 Brinker Avenue
Citations 1
CMS Rating 2/5
Beds 88
Provider ID 465083
Healthcare Facility
Crestwood Rehabilitation And Nursing
Ogden, UT  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

Crestwood Rehabilitation and Nursing in Ogden, UT — inspection on April 27, 2026.

Found 1 citation. 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

FF0585
Resident Rights Deficiencies

Findings included: Resident 1 was admitted to the facility on [DATE] with diagnoses which included type II diabetes mellitus, hypertension, anxiety disorder, major depressive disorder, and post-traumatic stress disorder. On 4/19/26 at 2:44 PM, an interview was conducted with resident 1. Resident 1 stated that she told the Resident Advocate (RA) that a Certified Nurse Assistant (CNA) let the door slam on her finger and it cut her finger causing it to bleed. Resident 1 stated that this incident occurred last week. Resident 1 stated that she filled out a grievance report with the RA. Resident 1 stated that the nursing staff put Neosporin and a bandage on the finger after the incident. Resident 1 stated that she did not know the name of the CNA but she worked the night shift. Resident 1 stated that no one should be treating the residents that way. On 4/10/26 resident 1's grievance documented the concerns as Resident Reported that the CNA [name omitted] (NOC) [night shift], does not hold the smoking door open for her and another resident.

She stated that the CNA swings the door open and walks away.

The form documented that upon initial interview an allegation of abuse or neglect was not identified.

The grievance form did not have any documentation of the steps taken to investigate the grievance, a summary of the findings and conclusion, and if the grievance was confirmed or not.

The form did not have a written decision date, resident signature, grievance officer signature, or Administrator signature. On 4/22/26 at 3:48 PM, an interview was conducted with the RA.

The RA stated that when resident 1 went outside the CNA did not hold the door open for the resident.

The RA stated that resident 1 reported that when she went to grab the door she had a small cut that reopened.

The RA stated that she reported the incident to the Administrator (ADM) and Director of Nursing (DON).

The RA stated that resident 1 presented the incident to her that when she went to stop the door from closing her cut reopened, but not that it was slammed on her.

The RA stated that resident 1 mentioned that she felt like the CNA was in a hurry.

The RA stated that resident 1 did not mention that she felt like the CNA was intentional in their actions and that the incident was directed at her purposefully. On 4/22/26 at 4:05 PM. an interview was conducted with the ADM, DON, and Regional Nurse Consultant (RNC).

The ADM and DON stated that they were not informed of the incident with resident 1.

The ADM stated that they would do an investigation and would check the camera footage.

The DON stated that they would assess resident 1 for pain and injury.

The ADM stated that they would obtain a statement from resident 1 and the employee.

The RNC stated that there was nothing filled out on the back of the grievance form which indicated that it was still in progress.

The ADM stated that if the form indicated that it was not an allegation of abuse then it should have been resolved within a couple of days of submission.

The ADM stated that with this grievance being initiated on 4/10/26 it should have been resolved by now.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Ogden, UT, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Crestwood Rehabilitation and Nursing or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

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.