Nursing HomeMedicaid

Crestwood Center

Strong Medicare quality ratings; families often praise compassionate and attentive nursing/lna staff. Still worth an in-person visit.

40 Crosby Street, Milford · Milford, NH 03055|82 beds|Licensed & Active

4/5

Medicare

Inspection

Quality

Staffing

Google rating

4.3/5

based on 67 Google reviews

(603) 673-7061 Directions Website

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What this means for your family

Crestwood Center is widely praised for its compassionate, family-like staff and clean environment, making it a strong contender for those prioritizing quality of care. However, because some reviewers noted issues with food quality and occasional responsiveness, we recommend visiting during off-hours to observe staffing levels and asking specifically about their process for addressing dietary concerns.

Google Reviews

67 reviews on Google

“Crestwood Center receives high praise for its compassionate, attentive, and professional nursing and support staff who often treat residents like family. While many families report their loved ones are thriving in a clean environment, there are recurring concerns regarding facility aging, occasional staffing shortages, and inconsistent food quality. Prospective families should be aware that while the care culture is highly regarded, the physical building is described as dated and in need of upgrades.”

Quality Themes

Tap a score for details

Strengths

Compassionate and attentive nursing/LNA staff
Clean and well-maintained facility
Welcoming and professional management
Strong rehabilitation and support services

Concerns

Understaffing leading to delayed call button response (mentioned by 2 reviewers)
Facility is dated and in need of physical upgrades (mentioned by 2 reviewers)
Inconsistent quality or variety of food (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

Distribution · 69 analyzed

How They Respond to Reviews

80%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

1I noticed the facility has a very active management team that engages with online feedback; how do you incorporate that kind of family input into your daily operations?
2With the facility being an established location, what plans or ongoing projects do you have in place for physical updates and renovations to the living spaces?
3We understand that staffing can be a challenge in this industry; what is your current process for ensuring call buttons are answered promptly during peak times?
4We’ve heard mixed feedback regarding the dining experience; could you walk us through how you manage menu variety and accommodate specific dietary preferences or nutritional needs?
5Given the importance of medication management, what safety protocols and oversight measures do you have in place to ensure accuracy and consistency for residents?
6Could you share how you keep residents engaged throughout the day, and are there specific social activities that are most popular among your current residents?

Personalized based on this facility's data

Key Review Excerpts

“From the nurses to LNAs and cleaners, everyone has a smile on their face and treats my brother like he’s part of the family. I was impressed when the housekeepers said hi and called him by name.”

Rehab patient's family · 2024★★★★★

“The facility could use an upgrade - nothing expensive but it’s beginning to look and feel a bit worn. And dated. The staff at Crestwood are exceptional”

Visitor/Family · 2024★★★★★

“My mom has been to a few nursing homes and was not taken well cared for at all , after putting her in Crestwood we can see she is thriving there and being taken care of very well”

Long-term resident's family · 2022★★★★★

Source: 67 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.88hrs

Registered nurses for medical care

Total Nursing

3.34hrs

82%

All nurses + aides combined

Staff Turnover

45%

Lower is better (< 30% = good)

RN Turnover

40%

Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating

5/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

🛏️

Residents needing more daily help over time

↓ Lower is better

This Facility31.1%

Worse than Avg

Here

31.1%

14.4%

21.8%

Hillsborough

13.1%

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility32.0%

Worse than Avg

Here

32.0%

19.5%

19.1%

Hillsborough

17.9%

🚶

Residents whose walking got worse

↓ Lower is better

This Facility26.1%

Worse than Avg

Here

26.1%

15.3%

18.7%

Hillsborough

13.5%

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility26.7%

Worse than Avg

Here

26.7%

19.4%

26.3%

Hillsborough

15.9%

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility9.9%

Better than Avg

Here

9.9%

15.5%

17.8%

Hillsborough

11.1%

😔

Residents with depression symptoms

↓ Lower is better

This Facility5.4%

Better than Avg

Here

5.4%

12.1%

Hillsborough

6.2%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility91.7%

Mixed vs Avgs

Here

91.7%

81.8%

86.5%

Hillsborough

95.5%

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility85.2%

Mixed vs Avgs

Here

85.2%

79.8%

83.0%

Hillsborough

93.5%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility0.5%

Better than Avg

Here

0.5%

1.6%

1.4%

Hillsborough

1.0%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

3deficiencies

1penalties

Near state avg (4.0)

4 complaint-triggered

$15,646 in fines

Families have filed complaints about Crestwood Center that triggered inspections revealing serious issues with nursing staffing, infection control, and accident prevention. The facility shows recurring problems with fire safety systems, resident rights, and infection control across multiple surveys. While most deficiencies have correction dates, recent findings in December 2024 and future dates in 2025 suggest ongoing compliance struggles that warrant careful consideration.

Dec 18, 2025Routine3 findings

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0838Minimal · WidespreadCorrected

Administration Deficiencies

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Dec 4, 2024Routine2 findings

0345Potential for harm · PatternCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0324Minimal · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

Jun 26, 2024Complaint1 finding

0880Immediate jeopardy · IsolatedResolved (past non-compliance)

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jan 30, 2024Routine12 findings

0801Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

0325Potential for harm · PatternCorrected

Smoke Deficiencies

Have properly installed hallway dispensers for alcohol-based hand rub.

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0918Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0561Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

0223Potential for harm · IsolatedCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0868Minimal · WidespreadCorrected

Administration Deficiencies

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

0911Minimal · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of electrical systems.

0582Minimal · PatternCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0679Minimal · PatternCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

Jan 30, 2024Complaint3 findings

0725Potential for harm · PatternResolved (past non-compliance)

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Federal Penalties

Fine

Jun 26, 2024

$15,646

Ownership & Operations

Who Operates This Facility

Owner / Operator

Crestwood Center

Organization Type

for profit

Chain Affiliation

Chain Name

Genesis Healthcare

Chain Size

187 facilities nationwide

Chain avg rating: 2.4/5 · Rank 18 of 188

Ownership & Management

Owners

Harborside New Hampshire Limited Partnership

Owner · Organization

100%

Gen Operations I LLC