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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 505254

Crystal Cove Post Acute

121 federal citations on record , including 2 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $202,635.

Special Focus Status 2 Immediate Jeopardy

Record summary

Federal record · Q1 2026
121
Total citations
120
Last 3 years
6
Actual harm+
4
Federal penalties
$202,635
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care36 Resident Rights28 Nutrition & Dietary14 Care Planning13 Medication & Pharmacy12

Most common F-tags at this facility

F6896 F6845 F8124 F8804 F5843

Citation history

121 on record
SurveyF-TagViolationSeveritySource
Jan 13, 2026F809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.EComplaint
Jan 13, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jan 2, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Dec 5, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Dec 5, 2025F584Honor 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.DComplaint
Aug 22, 2025F880Provide and implement an infection prevention and control program.DComplaint
Aug 22, 2025F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.EComplaint
Aug 22, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
Aug 22, 2025F803Ensure 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.DComplaint
Aug 22, 2025F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.FComplaint
Aug 22, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Jul 16, 2025F692Provide enough food/fluids to maintain a resident's health.DComplaint
Jun 27, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Mar 12, 2025F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.JComplaint
Feb 7, 2025F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DComplaint
Feb 7, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Feb 6, 2025F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.DStandard
Feb 6, 2025F881Implement a program that monitors antibiotic use.DStandard
Feb 6, 2025F880Provide and implement an infection prevention and control program.FStandard
Feb 6, 2025F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyEStandard
Feb 6, 2025F865Have a plan that describes the process for conducting QAPI and QAA activities.FStandard
Feb 6, 2025F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.EStandard
Feb 6, 2025F837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.FStandard
Feb 6, 2025F808Ensure 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.EStandard
Feb 6, 2025F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard
Feb 6, 2025F761Ensure 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.EStandard
Feb 6, 2025F759Ensure medication error rates are not 5 percent or greater.DStandard
Feb 6, 2025F758Implement 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.EStandard
Feb 6, 2025F757Ensure each resident’s drug regimen must be free from unnecessary drugs.EStandard
Feb 6, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Feb 6, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.FStandard
Feb 6, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FStandard
Feb 6, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Feb 6, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Feb 6, 2025F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.EStandard
Feb 6, 2025F692Provide enough food/fluids to maintain a resident's health.GStandard
Feb 6, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Feb 6, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Feb 6, 2025F688Provide 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.EStandard
Feb 6, 2025F687Provide appropriate foot care.DStandard
Feb 6, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Feb 6, 2025F679Provide activities to meet all resident's needs.DStandard
Feb 6, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Feb 6, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
Feb 6, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Feb 6, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Feb 6, 2025F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Feb 6, 2025F641Ensure each resident receives an accurate assessment.EStandard
Feb 6, 2025F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.EStandard
Feb 6, 2025F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard
Feb 6, 2025F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard
Feb 6, 2025F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.EStandard
Feb 6, 2025F585Honor 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.EStandard
Feb 6, 2025F584Honor 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.EStandard
Feb 6, 2025F583Keep residents' personal and medical records private and confidential.DStandard
Feb 6, 2025F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.DStandard
Feb 6, 2025F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.EStandard
Feb 6, 2025F567Honor the resident's right to manage his or her financial affairs.EStandard
Feb 6, 2025F565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard
Feb 6, 2025F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard
Feb 6, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Dec 26, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint
Dec 26, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint
Sep 24, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Aug 19, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Aug 19, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint
Jul 16, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Jul 16, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
May 14, 2024F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DComplaint
Apr 26, 2024F926Have policies on smoking.EComplaint
Apr 26, 2024F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DComplaint
Apr 26, 2024F610Respond appropriately to all alleged violations.DComplaint
Mar 11, 2024F880Provide and implement an infection prevention and control program.EStandard
Mar 11, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Mar 11, 2024F809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.EStandard
Mar 11, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard
Mar 11, 2024F791Provide or obtain dental services for each resident.EStandard
Mar 11, 2024F761Ensure 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.EStandard
Mar 11, 2024F759Ensure medication error rates are not 5 percent or greater.EStandard
Mar 11, 2024F758Implement 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.EStandard
Mar 11, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Mar 11, 2024F727Have 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.DStandard
Mar 11, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Mar 11, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Mar 11, 2024F687Provide appropriate foot care.DStandard
Mar 11, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Mar 11, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Mar 11, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Mar 11, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
Mar 11, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Mar 11, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEStandard
Mar 11, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Mar 11, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.EStandard
Mar 11, 2024F641Ensure each resident receives an accurate assessment.EStandard
Mar 11, 2024F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DStandard
Mar 11, 2024F585Honor 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.DStandard
Mar 11, 2024F584Honor 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.EStandard
Mar 11, 2024F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Mar 11, 2024F578Honor 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.DStandard
Mar 11, 2024F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.EStandard

Federal enforcement history

Federal regulators have imposed 4 enforcement actions against this facility, including 2 civil money penalties totaling $202,635 and 2 payment-denial actions spanning 17 days.

DateTypeFinePayment denial
Jun 27, 2025Payment Denial—Sep 27, 2025 · 9 days
Dec 26, 2024Fine$117,108—
Dec 26, 2024Payment Denial—Mar 23, 2025 · 8 days
Jul 16, 2024Fine$85,527—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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