Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 245289

The Terrace At Crystal Llc

159 federal citations on record , including 7 at the Immediate Jeopardy level, and 12 federal enforcement actions totaling $174,044.

Special Focus Status 7 Immediate Jeopardy

Record summary

Federal record · Q1 2026
159
Total citations
158
Last 3 years
10
Actual harm+
12
Federal penalties
$174,044
Total fines
—
Overall ★ rating

Most common violation categories here

Quality of Care45 Resident Rights27 Care Planning19 Medication & Pharmacy13 Environment & Safety12

Most common F-tags at this facility

F6897 F6566 F6846 F9196 F8805

Citation history

159 on record
SurveyF-TagViolationSeveritySource
Jan 30, 2026F697Provide safe, appropriate pain management for a resident who requires such services.DComplaint
Jan 21, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Dec 8, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint
Dec 8, 2025F730Observe each nurse aide's job performance and give regular training.FComplaint
Dec 8, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint
Dec 8, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Dec 8, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.FComplaint
Dec 8, 2025F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.FStandard
Dec 8, 2025F946Provide training in compliance and ethics.FStandard
Dec 8, 2025F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.FStandard
Dec 8, 2025F942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.FStandard
Dec 8, 2025F941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.FStandard
Dec 8, 2025F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EStandard
Dec 8, 2025F919Make sure that a working call system is available in each resident's bathroom and bathing area.FStandard
Dec 8, 2025F880Provide and implement an infection prevention and control program.KStandard
Dec 8, 2025F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard
Dec 8, 2025F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Dec 8, 2025F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DStandard
Dec 8, 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.DStandard
Dec 8, 2025F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Dec 8, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Dec 8, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.KStandard
Dec 8, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Dec 8, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Dec 8, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Dec 8, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard
Dec 8, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Dec 8, 2025F578Honor 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.JStandard
Dec 8, 2025F576Ensure residents have reasonable access to and privacy in their use of communication methods.FStandard
Jul 2, 2025F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.FComplaint
Jul 2, 2025F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.FComplaint
Jul 2, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint
Jul 2, 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.DComplaint
Jul 2, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Jul 2, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jul 2, 2025F880Provide and implement an infection prevention and control program.DStandard
Jul 2, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Jul 2, 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.DStandard
Jul 2, 2025F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard
Jul 2, 2025F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.EStandard
Jul 2, 2025F760Ensure that residents are free from significant medication errors.DStandard
Jul 2, 2025F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Jul 2, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Jul 2, 2025F699Provide care or services that was trauma informed and/or culturally competent.DStandard
Jul 2, 2025F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Jul 2, 2025F692Provide enough food/fluids to maintain a resident's health.DStandard
Jul 2, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Jul 2, 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.DStandard
Jul 2, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Jul 2, 2025F679Provide activities to meet all resident's needs.DStandard
Jul 2, 2025F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard
Jul 2, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Jul 2, 2025F641Ensure each resident receives an accurate assessment.DStandard
Jul 2, 2025F638Assure that each resident’s assessment is updated at least once every 3 months.DStandard
Jul 2, 2025F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard
Jul 2, 2025F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard
Jul 2, 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.DStandard
Jul 2, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Jul 2, 2025F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.CStandard
Jul 2, 2025F576Ensure residents have reasonable access to and privacy in their use of communication methods.DStandard
Jul 2, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
Jul 2, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard
Jun 27, 2025F554Allow residents to self-administer drugs if determined clinically appropriate.DComplaint
May 21, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DComplaint
May 21, 2025F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.DComplaint
Mar 27, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Mar 10, 2025F700Try 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.DComplaint
Feb 13, 2025F760Ensure that residents are free from significant medication errors.GComplaint
Feb 13, 2025F727Have 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.FComplaint
Feb 13, 2025F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DStandard
Feb 13, 2025F881Implement a program that monitors antibiotic use.FStandard
Feb 13, 2025F880Provide and implement an infection prevention and control program.FStandard
Feb 13, 2025F790Provide routine and 24-hour emergency dental care for each resident.DStandard
Feb 13, 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 13, 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.DStandard
Feb 13, 2025F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Feb 13, 2025F745Provide medically-related social services to help each resident achieve the highest possible quality of life.DStandard
Feb 13, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Feb 13, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Feb 13, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Feb 13, 2025F679Provide activities to meet all resident's needs.EStandard
Feb 13, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Feb 13, 2025F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard
Feb 13, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Feb 13, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Feb 13, 2025F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Feb 13, 2025F637Assess the resident when there is a significant change in conditionDStandard
Feb 13, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Feb 13, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Feb 13, 2025F565Honor the resident's right to organize and participate in resident/family groups in the facility.BStandard
Feb 13, 2025F558Reasonably accommodate the needs and preferences of each resident.DStandard
Feb 13, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Feb 13, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint
Jan 17, 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.DComplaint
Jan 17, 2025F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DComplaint
Jan 17, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint
Jan 17, 2025F692Provide enough food/fluids to maintain a resident's health.DComplaint
Jan 17, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jan 17, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Dec 24, 2024F880Provide and implement an infection prevention and control program.DComplaint

Federal enforcement history

Federal regulators have imposed 12 enforcement actions against this facility, including 8 civil money penalties totaling $174,044 and 4 payment-denial actions spanning 184 days.

DateTypeFinePayment denial
Aug 30, 2024Payment Denial—Sep 28, 2024 · 31 days
Aug 6, 2024Fine$16,349—
Mar 27, 2024Fine$17,813—
Mar 27, 2024Payment Denial—May 25, 2024 · 25 days
Jan 22, 2024Fine$14,814—
Jan 8, 2024Fine$4,938—
Jan 2, 2024Fine$4,545—
Dec 11, 2023Fine$11,645—
Nov 6, 2023Fine$8,469—
Jul 17, 2023Fine$95,471—
Jul 17, 2023Payment Denial—Oct 17, 2023 · 59 days
May 9, 2023Payment Denial—Aug 9, 2023 · 69 days
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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