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Crestview Nursing & Residential Living

808 N 8th Street, Seneca, KS 66538 · Nemaha County · (785) 336-2156

34 certified beds, about 25 residents a day · For profit - Corporation · Medicare and Medicaid since 1998

Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 175426 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on October 24, 2024, inspectors cited 3 health deficiencies (the Kansas average is 9.5, the national average 9.2).

Of 6 health citations since November 2021, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 4.34 hours per resident per day, against 4.07 across Kansas and 3.86 nationally. Registered nurses accounted for 0.49 of those hours.

41.2% of nursing staff left within the year CMS measured (Kansas average 48.1%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 6 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
3D
1E
1F
Potential for minimal harm
0A
0B
0C
October 24, 2024Standard inspection · 3 citations
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteThe facility identified a census of 23 residents. The sample included 12 residents with seven residents reviewed for falls. Based on observation, record review, and interviews, the facility failed to ensure Resident (R) 4 remained free from a preventable accident during a sit-to-stand mechanical lift transfer. This deficient practice resulted in a fractured finger and placed R4 at risk for further complications.
  2. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 15, 2024
    Inspectors wroteThe facility had a census of 23 residents. The sample included 12 residents, with one reviewed for post-traumatic stress disorder (PTSD-psychiatric disorder characterized by an acute emotional response to a traumatic event or situation involving severe environmental stress, such as natural disaster, military combat, serious automobile accident, airplane crash, or physical torture). Based on observation, record review, and interview the facility failed to revise the care plan for Resident (R) 21, to provide direction to staff to ensure R21 received care to eliminate or mitigate triggers that may cause re-traumatization of the resident. This placed the resident at risk for impaired care due to uncommunicated care needs.
  3. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 15, 2024
    Inspectors wroteThe facility identified a census of 23 residents. The sample included 12 residents with five reviewed for immunization status. Based on record reviews, and interviews, the facility failed to offer or obtain informed declinations or a physician-documented contraindication for the Pneumococcal Conjugate Vaccine (PCV20- vaccination for bacterial infections) pneumococcal (type of bacterial infection) vaccination for Resident (R) 6, R8, and R21. This placed the residents at increased risk for complications related to pneumonia.
April 19, 2023Standard inspection · 0 citations
November 4, 2021Standard inspection · 3 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) December 2, 2021
    Inspectors wroteThe facility had a census of 23 residents. The sample included 12 residents. Based on observation, interview, and record review, the facility failed to store, prepare, and serve food under sanitary conditions for 23 residents who received meals from the facility kitchen.
  2. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 2, 2021
    Inspectors wrote- On 11/02/21 at 12:05 PM, observation revealed Licensed Nurse (LN) G put on clean gloves, gathered the glucometer and container of blood sugar test strips, entered Resident (R) 123's room and obtained a blood sugar reading. Further observation revealed LN G went back to the medication cart and placed the multi-use glucometer back in the plastic basket in the cart without disinfecting the glucometer before or after use. On 11/02/21 at 12:15 PM, LN G stated she had not used any wipes to clean the meter before she used it and verified she had not disinfected the glucometer between residents. On 11/04/21 at 01:30 PM, Administrative Nurse E stated the facility glucometer should be cleaned with disinfectant wipes before and after each resident use. [...]
  3. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 2, 2021
    Inspectors wroteThe facility had a census of 23 residents. The sample included 12 residents. Based on observation, interview, and record review, the facility failed to label Resident (R) 9's insulin (hormone which allows cells throughout the body to uptake glucose) pen with date opened.

Fire safety inspections

19 fire safety citations on file: 5 on October 24, 2024, 7 on April 19, 2023, 7 on November 4, 2021.

Every fire safety citation19 citations
  1. F
    Use approved construction type or materials.
    K 161 · October 24, 2024 · Corrected (the home has a date of correction)
  2. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · October 24, 2024 · Corrected (the home has a date of correction)
  3. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · October 24, 2024 · Corrected (the home has a date of correction)
  4. F
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · October 24, 2024 · Corrected (the home has a date of correction)
  5. F
    Have simulated fire drills held at unexpected times.
    K 712 · October 24, 2024 · Corrected (the home has a date of correction)
  6. F
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · April 19, 2023 · Corrected (the home has a date of correction)
  7. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · April 19, 2023 · Corrected (the home has a date of correction)
  8. F
    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
    K 354 · April 19, 2023 · Corrected (the home has a date of correction)
  9. F
    Provide a written emergency evacuation plan.
    K 711 · April 19, 2023 · Corrected (the home has a date of correction)
  10. F
    Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
    K 901 · April 19, 2023 · Corrected (the home has a date of correction)
  11. E
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · April 19, 2023 · Corrected (the home has a date of correction)
  12. E
    Provide properly protected cooking facilities.
    K 324 · April 19, 2023 · Corrected (the home has a date of correction)
  13. F
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · November 4, 2021 · Corrected (the home has a date of correction)
  14. F
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · November 4, 2021 · Corrected (the home has a date of correction)
  15. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · November 4, 2021 · Corrected (the home has a date of correction)
  16. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · November 4, 2021 · Corrected (the home has a date of correction)
  17. F
    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
    K 354 · November 4, 2021 · Corrected (the home has a date of correction)
  18. F
    Have simulated fire drills held at unexpected times.
    K 712 · November 4, 2021 · Corrected (the home has a date of correction)
  19. E
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · November 4, 2021 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeKansasUnited States
All nursing staff (RN, LPN and aides)4.344.073.86
Registered nurses0.490.710.69
All nursing staff on weekends3.983.603.42
Nurse aides2.95
Licensed practical nurses0.91
Nursing staff turnover (share who left in a year)41.2%48.1%45.8%
Registered nurse turnovernot reported42.0%42.9%
Administrators who left0

CMS expects 3.49 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.49 on weekdays and 3.98 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.40 in April to June 2025 to 4.34 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.340.494.493.98 0.0%0 of 9025
Oct to Dec 20254.480.454.644.07 0.0%0 of 9224
Jul to Sep 20254.470.484.654.00 0.0%0 of 9225
Apr to Jun 20254.400.534.583.95 0.0%0 of 9124
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Kansas, Jan to Mar 20264.010.674.193.564.8%0.6% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeKansasUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
16.717.913.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.01.60.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
8.72.91.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
9.54.33.2
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
10.116.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.54.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
11.318.115.4
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.11.81.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
4.52.11.8

Owners and operators

Legal business name: CRESTVIEW OPERATIONS INC.

NameRoleTypeShareSince
Crestview LLC5% or greater indirect ownership interestOrganization12/31/2013
Crestview Operations Inc5% or greater indirect ownership interestOrganization12/31/2013
Sourk, Edward5% or greater indirect ownership interestIndividual12/31/2013
Sourk, Helen5% or greater indirect ownership interestIndividual12/31/2013
Sourk, Sara5% or greater indirect ownership interestIndividual12/31/2013
United Bank & Trust5% or greater mortgage interestOrganization12/31/2013
Sourk, EdwardCorporate directorIndividual12/31/2013
Sourk, GrantCorporate directorIndividual12/31/2013
Sourk, HelenCorporate directorIndividual12/31/2013
Sourk, LukeCorporate directorIndividual12/31/2013
Sourk, SaraCorporate directorIndividual12/31/2013
Sourk, SaraCorporate officerIndividual12/31/2013
Crestview Operations IncOperational/managerial controlOrganization12/31/2013
Henninger, CarolOperational/managerial controlIndividual01/09/2023
Niehues, BethOperational/managerial controlIndividual05/22/2007
Snyder, JarodOperational/managerial controlIndividual03/01/2021
Sourk, SaraOperational/managerial controlIndividual12/31/2013
Crestview LLCAdp of the SNFOrganization12/31/2013
Snyder, JarodAdp of the SNFIndividual07/01/2025
Sourk, SaraAdp of the SNFIndividual06/27/2025

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on October 24, 2024: "Develop and implement policies and procedures for flu and pneumonia vaccinations."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on October 24, 2024: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on October 24, 2024: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
  4. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on November 4, 2021: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."

Other nursing homes nearby

Common questions

What is Crestview Nursing & Residential Living's Medicare star rating?
CMS rates Crestview Nursing & Residential Living 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Crestview Nursing & Residential Living get at its last inspection?
3 health deficiencies at the standard inspection on October 24, 2024. The Kansas average is 9.5.
Has Crestview Nursing & Residential Living been fined?
CMS lists no fines in the last three years.
Does Crestview Nursing & Residential Living accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Crestview Nursing & Residential Living?
CMS lists 20 owners and managers. Legal business name: CRESTVIEW OPERATIONS INC.

Sources

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