Crestwood Center
40 Crosby Street, Milford, NH 03055 · Hillsborough County · 82 certified beds · avg 64 residents/day · certified since Apr 1, 1996
Part of chain: GENESIS HEALTHCARE (184 facilities, chain avg rating 2.4★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Jun 26, 2024 · F-0880 · triggered by a complaint
The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Why it matters: Weak infection control lets illnesses like flu, COVID-19, and drug-resistant infections spread quickly among vulnerable residents.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jun 17, 2024 (Past Non-Compliance)
All citations in the current public record (13)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Dec 18, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Dec 18, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Dec 18, 2025 | C · Minimal risk, facility-wide | The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies. |
| Jun 26, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Jan 30, 2024 | E · Potential for harm, repeated | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint |
| Jan 30, 2024 | E · Potential for harm, repeated | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. |
| Jan 30, 2024 | D · Potential for harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. |
| Jan 30, 2024 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Jan 30, 2024 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Jan 30, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jan 30, 2024 | C · Minimal risk, facility-wide | The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. |
| Jan 30, 2024 | B · Minimal risk, repeated | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Jan 30, 2024 | B · Minimal risk, repeated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 10 | 1 | J ▲ |
| 2025 | 3 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $15,646.
| Date | Type | Amount / length |
|---|---|---|
| Jun 26, 2024 | Fine | $15,646 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | New Hampshire avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.26 | 4.11 | 3.95 | bottom 29% in New Hampshire; bottom 25% in the U.S. |
| Registered Nurse hours | 0.79 | 0.82 | 0.69 | top 47% in New Hampshire; top 29% in the U.S. |
| Weekend total nurse staffing | 2.83 | 3.67 | 3.50 | bottom 24% in New Hampshire; bottom 22% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.69 | 0.55 | 0.48 | top 21% in New Hampshire; top 17% in the U.S. |
| Total nursing staff turnover (%) | 43.1 | 44.1 | 45.8 | top 45% in New Hampshire; top 45% in the U.S. |
| RN turnover (%) | 42.9 | 40.9 | 42.9 | bottom 42% in New Hampshire; bottom 49% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.37, RN 0.81, weekend 2.92. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 4/5 · short-stay residents: 5/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Fc-Gen Operations Investment LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/01/2019 |
| Gen Operations I LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/01/2019 |
| Gen Operations II LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/01/2019 |
| Genesis Healthcare INC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/01/2019 |
| Genesis Healthcare LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/01/2019 |
| Genesis Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/01/2019 |
| Harborside Healthcare LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/01/2019 |
| Harborside New Hampshire Limited Partnership | Organization | 5% or Greater Direct Ownership Interest | 100% | 05/01/2019 |
| Harborside Toledo Business LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/01/2019 |
| Sun Healthcare Group INC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/01/2019 |
| Sunbridge Healthcare LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/01/2019 |
| Whitman, Arnold | Individual | 5% or Greater Indirect Ownership Interest | — | 05/01/2019 |
| Benson, Hannah | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2024 |
| Benson, Hannah | Individual | ADP of the SNF | NOT APPLICABLE | 03/18/2025 |
| Berg, Michael | Individual | Corporate Officer | NOT APPLICABLE | 05/01/2019 |
| Bridgeford, Laura | Individual | Corporate Officer | NOT APPLICABLE | 06/01/2024 |
| Mendelson, Avi | Individual | Corporate Officer | NOT APPLICABLE | 06/01/2024 |
| Morris, Diane | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/23/2023 |
| Morris, Diane | Individual | ADP of the SNF | NOT APPLICABLE | 12/27/2023 |
| Ojutalayo, Ayobami | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you decide you have enough staff and resources for your resident population, including nights and weekends?"
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
- "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| The Elms Center | 0.3 mi | Milford, NH | ★★☆☆☆ | 3/5 | |
| Courville at Nashua | 11.6 mi | Nashua, NH | ★★★★★ | 4/5 | |
| Nashua Post Acute Care | 12.0 mi | Nashua, NH | ★☆☆☆☆ | 1/5 | |
| Bedford Nursing & Rehabilitation Center | 12.4 mi | Bedford, NH | ★☆☆☆☆ | 1/5 | SFF |
| Ridgewood Center, Genesis Healthcare | 12.7 mi | Bedford, NH | ★★☆☆☆ | 2/5 | |
| Bedford Hills Center | 12.7 mi | Bedford, NH | ★★★★☆ | 4/5 | |
| Hillsborough County Nursing Home | 13.6 mi | Goffstown, NH | ★★★★★ | 3/5 | |
| Fairview Nursing Home | 14.1 mi | Hudson, NH | ★☆☆☆☆ | 1/5 | |
| Goffstown Nursing and Rehab Center | 14.2 mi | Goffstown, NH | ★☆☆☆☆ | 1/5 | |
| Pheasant Wood Center | 14.6 mi | Peterborough, NH | ★★☆☆☆ | 2/5 | |
| Maple Leaf Health Care Center | 15.3 mi | Manchester, NH | ★★★★★ | 5/5 | |
| Courville at Manchester | 15.5 mi | Manchester, NH | ★★☆☆☆ | 1/5 | SFF |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 305061.