Crestwood Ridge Skilled Nursing and Rehab
141 Willettsville Pike, Hillsboro, OH 45133 · Highland County · 50 certified beds · avg 47 residents/day · certified since Oct 22, 1993
Part of chain: CONTINUING HEALTHCARE SOLUTIONS (12 facilities, chain avg rating 2.1★)
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)
▲ Actual harm, one-off · Jan 16, 2025 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Feb 1, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (23)
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 |
|---|---|---|
| Jan 16, 2025 | ▲ G · Actual harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Dec 12, 2024 | F · Potential for harm, facility-wide | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Dec 12, 2024 | F · Potential for harm, 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. |
| Dec 12, 2024 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Dec 12, 2024 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Dec 12, 2024 | D · Potential for harm, one-off | 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. |
| Dec 12, 2024 | D · Potential for harm, one-off | The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. |
| Dec 12, 2024 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Dec 12, 2024 | 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. |
| Aug 10, 2024 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · from a complaint |
| Aug 10, 2024 | D · Potential for harm, one-off | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · from a complaint |
| Aug 10, 2024 | D · Potential for harm, one-off | The facility did not let a resident return after a hospital stay or approved leave that lasted longer than the facility's bed-hold policy allowed. Residents generally have the right to come back to the next available bed. · from a complaint |
| Jul 18, 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 |
| Aug 15, 2023 | E · Potential for harm, repeated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint |
| May 5, 2022 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| May 5, 2022 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| May 5, 2022 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| May 5, 2022 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| May 5, 2022 | D · Potential for harm, one-off | The facility did not provide appropriate treatment and services to residents with a mental health condition, difficulty adjusting emotionally, or a history of trauma or post-traumatic stress disorder (PTSD). |
| May 5, 2022 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| May 5, 2022 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| May 5, 2022 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| May 9, 2019 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (8 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 1 | 0 | D |
| 2022 | 8 | 0 | D |
| 2023 | 1 | 0 | E |
| 2024 | 12 | 0 | F |
| 2025 | 1 | 1 | G ▲ |
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)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Ohio avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.05 | 3.45 | 3.95 | bottom 29% in Ohio; bottom 15% in the U.S. |
| Registered Nurse hours | 0.50 | 0.60 | 0.69 | bottom 39% in Ohio; bottom 37% in the U.S. |
| Weekend total nurse staffing | 2.75 | 3.07 | 3.50 | bottom 32% in Ohio; bottom 18% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.45 | 0.42 | 0.48 | top 33% in Ohio; top 40% in the U.S. |
| Total nursing staff turnover (%) | 47.5 | 48.7 | 45.8 | top 47% in Ohio; bottom 43% in the U.S. |
| RN turnover (%) | 50.0 | 43.9 | 42.9 | bottom 43% in Ohio; bottom 39% 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 3.18, RN 0.52, weekend 2.87. Staffing rating: 2/5.
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: 5/5 · short-stay residents: —/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bunner, Michael | Individual | Corporate Director | NOT APPLICABLE | 11/18/2011 |
| Continuing Healthcare Solutions INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 05/01/2012 |
| Hughey, Tracy | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2026 |
| Hughey, Tracy | Individual | ADP of the SNF | NOT APPLICABLE | 04/15/2013 |
| Kauffman, Kevin | Individual | Corporate Officer | NOT APPLICABLE | 08/01/2024 |
| Kauffman, Kevin | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2024 |
| Kauffman, Kevin | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2024 |
| Mallett, Christopher | Individual | Corporate Director | NOT APPLICABLE | 01/01/2013 |
| Miller, Michael | Individual | Trustee of the SNF | NOT APPLICABLE | 01/01/2026 |
| Parsons, Benjamin | Individual | Corporate Director | NOT APPLICABLE | 01/01/2013 |
| Sprenger, Mark | Individual | Corporate Director | NOT APPLICABLE | 01/01/2014 |
| Sprenger, Timothy | Individual | Corporate Director | NOT APPLICABLE | 01/01/2013 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "How does your quality committee work, and can you share an example of a problem it identified and fixed?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
- "If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "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 |
|---|---|---|---|---|---|
| Hillsboro Post Acute | 1.5 mi | Hillsboro, OH | ★★★★★ | 5/5 | |
| Hillsboro Health and Rehab LLC | 1.5 mi | Hillsboro, OH | ★☆☆☆☆ | 1/5 | |
| Edgewood Manor of Greenfield | 15.9 mi | Greenfield, OH | ★★☆☆☆ | 2/5 | |
| Greenfield Skilled Nursing and Rehabilitation | 16.4 mi | Greenfield, OH | ★★★★☆ | 4/5 | |
| Monarch Meadows Nursing and Rehabilitation | 17.2 mi | Seaman, OH | ★★★☆☆ | 3/5 | |
| Continental Manor Nurs and Rehabilitation Center | 19.8 mi | Blanchester, OH | ★★★★★ | 4/5 | |
| Laurels of Blanchester, the | 19.9 mi | Blanchester, OH | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 365934.