Nursing homes › Missouri › Crestwood Health Care Center, LLC
11400 Mehl Avenue, Florissant, MO 63033 · 3147413525 · 150 certified beds
Per CMS filings, this facility is affiliated with Reliant Care Management, a group operating 33 facilities in 2 states. Group record: average rating 1.2/5, 14 abuse citation icons, 8 facilities on the Special Focus list, $4,513,946 in federal fines. This facility rates below its group average (1.2/5).
Total nurse staffing: 2.62 (Missouri median: 3.36). RN hours: 0.16. Weekend total: 2.29. Nursing staff turnover: 65%.
All-time on record: 81 deficiency citations, including 6 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-22 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | Past Non-Compliance |
| 2026-05-01 | Protect each resident from the wrongful use of the resident's belongings or money. | E | complaint | corrected 2026-03-20 |
| 2026-05-01 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | complaint | corrected 2026-06-15 |
| 2025-11-18 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | complaint | corrected 2025-10-13 |
| 2025-11-18 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-11-24 |
| 2025-09-22 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | Past Non-Compliance |
| 2025-07-31 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | complaint | corrected 2025-08-29 |
| 2025-07-31 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2025-08-29 |
| 2025-06-13 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | complaint | corrected 2025-08-29 |
| 2025-06-13 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-07-10 |
| 2025-06-13 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-07-10 |
| 2025-06-13 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2025-07-10 |
| 2025-06-13 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2025-08-29 |
| 2025-03-25 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2025-03-22 |
| 2025-03-07 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | complaint | corrected 2025-03-21 |
| 2025-02-19 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2025-02-05 |
| 2025-01-09 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | complaint | corrected 2025-01-02 |
| 2024-12-20 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2024-12-14 |
| 2024-11-06 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2024-10-28 |
| 2024-09-23 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2024-10-21 |
| 2024-06-21 | 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. | F | Health | corrected 2024-08-09 |
| 2024-06-21 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2024-08-09 |
| 2024-06-21 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | Health | corrected 2024-08-09 |
| 2024-06-21 | Assure the security of all personal funds of residents deposited with the facility. | E | Health | corrected 2024-08-09 |
| 2024-06-21 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Health | corrected 2024-08-09 |
| 2024-06-21 | 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. | E | Health | corrected 2024-08-09 |
| 2024-06-21 | Provide and implement an infection prevention and control program. | E | Health | corrected 2024-08-09 |
| 2024-06-21 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2024-08-09 |
| 2024-05-06 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | complaint | corrected 2024-05-23 |
| 2024-05-06 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-05-23 |
| 2024-03-19 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | complaint | corrected 2024-05-23 |
| 2024-03-19 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-05-23 |
| 2024-03-19 | Respond appropriately to all alleged violations. | D | complaint | corrected 2024-04-22 |
| 2024-02-06 | Ensure that residents are free from significant medication errors. | J | complaint | corrected 2024-03-22 |
| 2024-02-06 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2024-03-22 |
| 2024-01-10 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2023-12-23 |
| 2023-12-08 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | complaint | corrected 2024-05-23 |
| 2023-12-08 | Ensure that residents are free from significant medication errors. | J | complaint | corrected 2024-03-22 |
| 2023-12-08 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | complaint | corrected 2024-01-21 |
| 2023-12-08 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-05-23 |
| Date | Type | Amount |
|---|---|---|
| 2025-11-18 | Fine | $17,644 |
| 2023-12-08 | Fine | $129,243 |
| 2023-12-08 | Payment Denial | 76 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| DESTEFANE, RICHARD | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2008 |
| RELIANT CARE MANAGEMENT COMPANY LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 02/14/2008 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 265823. Corrections: data@carerecords.org.