The Terrace at Crystal LLC
3245 VERA CRUZ AVENUE NORTH, CRYSTAL, MN 55422 · CCN 245289
SFF
Ratings
- Overall
- — —
- Health inspection
- — —
- Quality measures
- — —
- Staffing
- — —
Facility
- Ownership type
- For profit - Individual
- Certified beds
- 85
- Avg residents/day
- 57.4
- Phone
- 7639716300
Inspection history vs Minnesota & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Minnesota avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-12-08 | 34 | 8.1 | 9.5 | +25.9 worse |
| 2 | 2025-07-02 | 64 | 7.8 | 9.8 | +56.2 worse |
| 3 | 2025-02-13 | 61 | 7.4 | 9.3 | +53.6 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 8 |
| Resident assessment and care planning | 3 |
| Nursing and physician services | 3 |
| Resident rights | 9 |
| Nutrition and dietary | 1 |
| Pharmacy service | 2 |
| Environmental | 2 |
| Administration | 5 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.90 | 23.8% |
| RN staffing (reported) | 0.47 | — |
| Total nurse staffing (adjusted) | 5.15 | — |
Fines & penalties
- Total fines
- $174,044
- Number of fines
- 8
- Number of penalties
- 12
- Payment denials
- 4
Inspection citations (159)7 immediate jeopardy3 actual harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2026-01-30 · Health · corrected 2026-02-13
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2026-01-21 · Health · corrected 2026-02-13
Potential for more than minimal harm
- FF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-12-08 · Health · corrected 2026-01-22
Potential for more than minimal harm
- FF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2025-12-08 · Health · corrected 2026-01-22
Potential for more than minimal harm
- JF0578Honor 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.2025-12-08 · Health · corrected 2026-01-22
Immediate jeopardy
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-12-08 · Health · corrected 2026-01-22
Potential for more than minimal harm
- DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-12-08 · Health · corrected 2026-01-22
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-12-08 · Health · corrected 2026-01-22
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-12-08 · Health · corrected 2026-01-22
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-12-08 · Health · corrected 2026-01-22
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-12-08 · Health · corrected 2026-01-22
Potential for more than minimal harm
- KF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-12-08 · Health · corrected 2026-01-22
Immediate jeopardy
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-12-08 · Health · corrected 2026-02-20
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-12-08 · Health · corrected 2026-02-20
Potential for more than minimal harm
- FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-12-08 · Health · corrected 2026-01-22
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-12-08 · Health · corrected 2026-02-20
Potential for more than minimal harm
- FF0730Observe each nurse aide's job performance and give regular training.2025-12-08 · Health · corrected 2026-01-22
Potential for more than minimal harm
- DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2025-12-08 · Health · corrected 2026-01-22
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-12-08 · Health · corrected 2026-01-22
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-12-08 · Health · corrected 2026-01-22
Potential for more than minimal harm
- FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2025-12-08 · Health · corrected 2026-01-22
Potential for more than minimal harm
- KF0880Provide and implement an infection prevention and control program.2025-12-08 · Health · corrected 2026-02-20
Immediate jeopardy
- FF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-12-08 · Health · corrected 2026-01-22
Potential for more than minimal harm
- EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-12-08 · Health · corrected 2026-01-22
Potential for more than minimal harm
- FF0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.2025-12-08 · Health · corrected 2026-02-20
Potential for more than minimal harm
- FF0942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.2025-12-08 · Health · corrected 2026-01-22
Potential for more than minimal harm
- FF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2025-12-08 · Health · corrected 2026-01-22
Potential for more than minimal harm
- FF0946Provide training in compliance and ethics.2025-12-08 · Health · corrected 2026-01-22
Potential for more than minimal harm
- FF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2025-12-08 · Health · corrected 2026-01-22
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-07-02 · Health · corrected 2025-08-26
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-07-02 · Health · corrected 2025-08-26
Potential for more than minimal harm
- DF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2025-07-02 · Health · corrected 2025-08-26
Potential for more than minimal harm
- CF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2025-07-02 · Health · corrected 2025-08-26
Potential for minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-07-02 · Health · corrected 2025-08-26
Potential for more than minimal harm
- DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2025-07-02 · Health · corrected 2025-08-26
Potential for more than minimal harm
- DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-07-02 · Health · corrected 2025-08-26
Potential for more than minimal harm
- DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2025-07-02 · Health · corrected 2025-08-26
Potential for more than minimal harm
- DF0638Assure that each resident’s assessment is updated at least once every 3 months.2025-07-02 · Health · corrected 2025-08-26
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2025-07-02 · Health · corrected 2025-08-26
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-07-02 · Health · corrected 2025-08-26
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-07-02 · Health · corrected 2025-08-26
Potential for more than minimal harm
- DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2025-07-02 · Health · corrected 2025-08-26
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2025-07-02 · Health · corrected 2025-08-26
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-07-02 · Health · corrected 2025-08-26
Potential for more than minimal harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-07-02 · Health · corrected 2025-08-26
Actual harm
- DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2025-07-02 · Health · corrected 2025-08-26
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-07-02 · Health · corrected 2025-08-26
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2025-07-02 · Health · corrected 2025-08-26
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-07-02 · Health · corrected 2025-08-26
Potential for more than minimal harm
- DF0699Provide care or services that was trauma informed and/or culturally competent.2025-07-02 · Health · corrected 2025-08-26
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-07-02 · Health · corrected 2025-08-26
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-07-02 · Health · corrected 2025-08-26
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2025-07-02 · Health · corrected 2025-08-26
Potential for more than minimal harm
- DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2025-07-02 · Health · corrected 2025-08-26
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-07-02 · Health · corrected 2025-08-26
Potential for more than minimal harm
- EF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2025-07-02 · Health · corrected 2025-09-11
Potential for more than minimal harm
- DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2025-07-02 · Health · corrected 2025-08-26
Potential for more than minimal harm
- DF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.2025-07-02 · Health · corrected 2025-08-26
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-07-02 · Health · corrected 2025-08-26
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-07-02 · Health · corrected 2025-08-26
Potential for more than minimal harm
- FF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-07-02 · Health · corrected 2025-08-26
Potential for more than minimal harm
- FF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2025-07-02 · Health · corrected 2025-08-26
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-06-27 · Health · corrected 2025-07-30
Potential for more than minimal harm
- DF0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.2025-05-21 · Health · corrected 2025-06-24
Potential for more than minimal harm
- DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-05-21 · Health · corrected 2025-06-24
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-03-27 · Health · corrected 2025-04-21
Potential for more than minimal harm
- DF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2025-03-10 · Health · corrected 2025-03-27
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-02-13 · Health · corrected 2025-03-31
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2025-02-13 · Health · corrected 2025-03-31
Potential for more than minimal harm
- BF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2025-02-13 · Health · corrected 2025-03-31
Potential for minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-02-13 · Health · corrected 2025-03-31
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-02-13 · Health · corrected 2025-03-24
Potential for more than minimal harm
- DF0637Assess the resident when there is a significant change in condition2025-02-13 · Health · corrected 2025-03-31
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-02-13 · Health · corrected 2025-03-31
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-02-13 · Health · corrected 2025-03-31
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-02-13 · Health · corrected 2025-03-31
Potential for more than minimal harm
- DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2025-02-13 · Health · corrected 2025-03-31
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-02-13 · Health · corrected 2025-03-31
Potential for more than minimal harm
- EF0679Provide activities to meet all resident's needs.2025-02-13 · Health · corrected 2025-03-24
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-02-13 · Health · corrected 2025-03-31
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-02-13 · Health · corrected 2025-03-31
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-02-13 · Health · corrected 2025-03-31
Potential for more than minimal harm
- FF0727Have 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.2025-02-13 · Health · corrected 2025-03-31
Potential for more than minimal harm
- DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2025-02-13 · Health · corrected 2025-03-31
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-02-13 · Health · corrected 2025-03-31
Potential for more than minimal harm
- DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2025-02-13 · Health · corrected 2025-03-31
Potential for more than minimal harm
- GF0760Ensure that residents are free from significant medication errors.2025-02-13 · Health · corrected 2025-03-31
Actual harm
- EF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2025-02-13 · Health · corrected 2025-03-31
Potential for more than minimal harm
- DF0790Provide routine and 24-hour emergency dental care for each resident.2025-02-13 · Health · corrected 2025-03-31
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-02-13 · Health · corrected 2025-03-31
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2025-02-13 · Health · corrected 2025-03-31
Potential for more than minimal harm
- FF0881Implement a program that monitors antibiotic use.2025-02-13 · Health · corrected 2025-03-31
Potential for more than minimal harm
- DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-02-13 · Health · corrected 2025-03-31
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-01-17 · Health · corrected 2025-02-28
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-01-17 · Health · corrected 2025-02-28
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2025-01-17 · Health · corrected 2025-02-28
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-01-17 · Health · corrected 2025-02-28
Potential for more than minimal harm
- DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2025-01-17 · Health · corrected 2025-02-28
Potential for more than minimal harm
- DF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.2025-01-17 · Health · corrected 2025-02-28
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-12-24 · Health · corrected 2025-02-02
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-12-06 · Health · corrected 2025-01-06
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-08-30 · Health · corrected 2024-10-04
Potential for more than minimal harm
- DF0685Assist a resident in gaining access to vision and hearing services.2024-08-30 · Health · corrected 2024-10-04
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-08-30 · Health · corrected 2024-10-04
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-08-30 · Health · corrected 2024-10-29
Potential for more than minimal harm
- DF0791Provide or obtain dental services for each resident.2024-08-30 · Health · corrected 2024-10-04
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-08-30 · Health · corrected 2024-10-04
Potential for more than minimal harm
- FF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-08-30 · Health · corrected 2024-10-04
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-08-06 · Health · corrected 2024-08-22
Immediate jeopardy
- DF0610Respond appropriately to all alleged violations.2024-04-12 · Health · corrected 2024-05-17
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-04-12 · Health · corrected 2024-05-17
Immediate jeopardy
- CF0843Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.2024-04-12 · Health · corrected 2024-05-17
Potential for minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-04-04 · Health · corrected 2024-05-31
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-04-04 · Health · corrected 2024-05-31
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-03-27 · Health · corrected 2024-05-31
Potential for more than minimal harm
- EF0558Reasonably accommodate the needs and preferences of each resident.2024-03-27 · Health · corrected 2024-05-31
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2024-03-27 · Health · corrected 2024-05-31
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-03-27 · Health · corrected 2024-05-31
Potential for more than minimal harm
- FF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-03-27 · Health · corrected 2024-05-31
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2024-03-27 · Health · corrected 2024-05-31
Potential for more than minimal harm
- DF0803Ensure 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.2024-03-27 · Health · corrected 2024-06-19
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-03-27 · Health · corrected 2024-05-31
Potential for more than minimal harm
- EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2024-03-27 · Health · corrected 2024-05-31
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-12-08 · Health · corrected 2023-12-14
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2023-12-08 · Health · corrected 2023-12-14
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-11-28 · Health · corrected 2023-12-15
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-11-28 · Health · corrected 2023-12-15
Potential for more than minimal harm
- DF0926Have policies on smoking.2023-11-28 · Health · corrected 2023-12-15
Potential for more than minimal harm
- DF0660Plan the resident's discharge to meet the resident's goals and needs.2023-10-31 · Health · corrected 2023-11-30
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-10-31 · Health · corrected 2023-11-30
Immediate jeopardy
- DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2023-10-31 · Health · corrected 2023-11-30
Potential for more than minimal harm
- DF0742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.2023-10-31 · Health · corrected 2023-11-30
Potential for more than minimal harm
- EF0838Conduct 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.2023-10-31 · Health · corrected 2023-11-30
Potential for more than minimal harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-09-21 · Health · corrected 2023-10-13
Actual harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-09-21 · Health · corrected 2023-11-10
Potential for more than minimal harm
- FF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2023-09-21 · Health · corrected 2023-10-10
Potential for more than minimal harm
- DF0584Honor 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.2023-09-08 · Health · corrected 2023-10-13
Potential for more than minimal harm
- EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-09-08 · Health · corrected 2023-11-10
Potential for more than minimal harm
- EF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2023-09-08 · Health · corrected 2023-11-10
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-09-08 · Health · corrected 2023-11-10
Potential for more than minimal harm
- FF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2023-09-08 · Health · corrected 2023-10-10
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-08-24 · Health · corrected 2023-09-21
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-08-24 · Health · corrected 2023-09-21
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-08-24 · Health · corrected 2023-11-10
Potential for more than minimal harm
- JF0578Honor 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.2023-08-17 · Health · corrected 2023-08-18
Immediate jeopardy
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-08-11 · Health · corrected 2023-09-01
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-08-11 · Health · corrected 2023-09-01
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-07-27 · Health · corrected 2023-11-10
Potential for more than minimal harm
- FF0838Conduct 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.2023-07-27 · Health · corrected 2023-11-10
Potential for more than minimal harm
- EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2023-07-27 · Health · corrected 2023-10-10
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-07-17 · Health · corrected 2023-08-18
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-07-17 · Health · corrected 2023-08-18
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-07-17 · Health · corrected 2023-08-18
Potential for more than minimal harm
- DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2023-04-25 · Health · corrected 2023-05-26
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2023-04-25 · Health · corrected 2023-05-26
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-04-25 · Health · corrected 2023-05-26
Potential for more than minimal harm
- DF0685Assist a resident in gaining access to vision and hearing services.2023-04-25 · Health · corrected 2023-05-26
Potential for more than minimal harm
- DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-04-25 · Health · corrected 2023-05-26
Potential for more than minimal harm
- DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2023-04-18 · Health · corrected 2023-05-12
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| KATZ, GEORGE | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2021-01-01 |
| KATZ, GEORGE | Individual | CORPORATE OFFICER | — | 2001-01-01 |
| MERCHANT, ZENAE | Individual | W-2 MANAGING EMPLOYEE | — | 2021-01-01 |
Other facilities in CRYSTAL
| Name | Overall | Beds |
|---|---|---|
| WOODLAKE HEALTHCARE AND REHABILITATION CENTER | ★★★★☆ | 188 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.