CCN 215323 · Prince Georges County, Maryland
Crescent Cities Nursing & Rehabilitation Center
4409 East West Highway, Riverdale, MD 20737
Crescent Cities Nursing & Rehabilitation Center is a 158-bed for-profit nursing home in Riverdale, Maryland, first certified for Medicare or Medicaid in 1999. CMS rates it 3 out of 5 stars overall in its September 2026 data, and it averaged 153.9 residents a day, about 97% of its certified beds. HUD's healthcare database shows 3 FHA-insured Section 232 loans for a project matching this facility, most recently $0.6 million in July 2010 (223(a)(7) refinance of Operating Loss on 232 Health Care Facility), and none of them appears in HUD's active-loan file.
Facility facts
- Certified beds
- 158
- Average residents per day
- 153.9 (97.4% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Crescent Cities SNF LLC
- Certified since
- Apr 14, 1999
- Chain or affiliated group
- Lifeworks Rehab (64 facilities, chain average 2.1 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Maryland median | US median |
|---|---|---|---|
| Overall rating | 3 of 5 | State spread: 33 at 1, 43 at 2, 46 at 3, 43 at 4, 54 at 5 | |
| Health inspections | 2 of 5 | ||
| Quality measures | 5 of 5 | ||
| Staffing | 3 of 5 | ||
| Total nurse hours per resident per day | 3.52 | 3.60 | 3.68 |
| RN hours per resident per day | 0.53 | 0.70 | 0.58 |
| Weekend nurse hours per resident per day | 3.22 | ||
| Nursing staff turnover | 31.6% | 41.5% | 44.9% |
| Occupancy (residents / beds) | 97.4% | 89.0% | 85.7% |
| Fines reported by CMS | 1 totaling $16,801 | ||
| Health deficiencies, latest standard survey | 26 (Mar 2, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Crescent Cities Nursing & Rehabilitation Center meets that part today: 3 stars overall, 2 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Crescent Cities Health Holdco LLCOrganization | Direct Ownership Interest | 100% | 02/01/2019 |
| Forest HoldingsOrganization | Indirect Ownership Interest | 10% | 02/01/2019 |
| Birnbaum, IsraelIndividual | Indirect Ownership Interest | 22% | 05/01/2021 |
| Kohn, AvrohomIndividual | Indirect Ownership Interest | 45% | 05/01/2021 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Feb 1, 2019 | Crescent Cities SNF LLC | Crescent Cities Charities Inc |
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Jul 29, 2010 | 223(a)(7) refinance of Operating Loss on 232 Health Care FacilityHUD project name: Crescent Cities Center, 158 beds. Lender at endorsement: 0 | $627,600 | Ended Sep 18, 2014Prepayment | 00015008 |
| Jul 29, 2010 | 223(a)(7) refinance of a construction loanHUD project name: Crescent Cities Center, 158 beds. Lender at endorsement: 0 | $9,690,000 | Ended Feb 1, 2019Prepayment | 00043066 |
| May 21, 2003 | 223(d) operating loss loanHUD project name: Crescent Cities Center, 140 beds. Lender at endorsement: 0 | $721,000 | Ended Jul 30, 2010Prepayment | 00015007 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.