The Terrace at Crystal LLC
State inspectors recorded 6 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
CMS currently lists this facility as: SFF (the Special Focus program tracks facilities with a persistent pattern of serious inspection findings).
Serious inspection findings
2026-06-05 — IMMEDIATE JEOPARDY (tag F0880, severity J)
Infection Control Deficiencies · correction not recorded in CMS data
Provide and implement an infection prevention and control program.
2026-06-05 — ACTUAL HARM (tag F0684, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2025-12-08 — IMMEDIATE JEOPARDY (tag F0578, severity J)
Resident Rights Deficiencies · correction not recorded in CMS data
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.
2025-12-08 — IMMEDIATE JEOPARDY (tag F0880, severity K)
Infection Control Deficiencies · correction not recorded in CMS data
Provide and implement an infection prevention and control program.
2025-12-08 — IMMEDIATE JEOPARDY (tag F0689, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-07-02 — ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2025-02-13 — ACTUAL HARM (tag F0760, severity G)
Pharmacy Service Deficiencies · correction not recorded in CMS data
Ensure that residents are free from significant medication errors.
2024-08-06 — IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Staffing, from payroll records
Nursing hours / resident / day
3.98
state median 3.48
Weekend staffing gap
−9%
fewer nursing hours on weekends · state median −4%
RN hours / resident / day
0.44
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Nursing staff turnover
35%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
12 enforcement action(s), totaling $174,044 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-12-08 | Payment Denial | payment denial |
| 2024-08-30 | Payment Denial | payment denial |
| 2024-08-06 | Fine | $16,349 |
| 2024-03-27 | Fine | $17,813 |
| 2024-03-27 | Payment Denial | payment denial |
| 2024-01-22 | Fine | $14,814 |
| 2024-01-08 | Fine | $4,938 |
| 2024-01-02 | Fine | $4,545 |
| 2023-12-11 | Fine | $11,645 |
| 2023-11-06 | Fine | $8,469 |
Ownership
Ownership type: For profit - Limited Liability company.
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-06-05 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2026-06-05 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2026-06-05 | F0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2026-06-05 | F0627 | Resident Rights Deficiencies | D | not recorded |
| 2026-06-05 | F0628 | Resident Rights Deficiencies | D | not recorded |
| 2026-06-05 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-06-05 | F0676 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-06-05 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-06-05 | F0679 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-06-05 | F0680 | Quality of Life and Care Deficiencies | F | not recorded |
| 2026-06-05 | F0684 | Quality of Life and Care Deficiencies | G | not recorded |
| 2026-06-05 | F0685 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-06-05 | F0689 | Quality of Life and Care Deficiencies | E | not recorded |
| 2026-06-05 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-06-05 | F0712 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2026-06-05 | F0732 | Nursing and Physician Services Deficiencies | C | not recorded |
| 2026-06-05 | F0756 | Pharmacy Service Deficiencies | D | not recorded |
| 2026-06-05 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2026-06-05 | F0880 | Infection Control Deficiencies | J | not recorded |
| 2026-06-05 | F0908 | Environmental Deficiencies | D | not recorded |
| 2026-06-05 | F0917 | Environmental Deficiencies | D | not recorded |
| 2026-06-05 | F0921 | Environmental Deficiencies | E | not recorded |
| 2026-06-05 | F0944 | Administration Deficiencies | F | not recorded |
| 2026-06-05 | F0946 | Administration Deficiencies | F | not recorded |
| 2026-04-16 | F0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2026-04-16 | F0627 | Resident Rights Deficiencies | D | not recorded |
| 2026-04-16 | F0628 | Resident Rights Deficiencies | D | not recorded |
| 2026-03-19 | F0658 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2026-03-05 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-03-05 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-01-30 | F0697 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-01-21 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-12-08 | F0550 | Resident Rights Deficiencies | F | not recorded |
| 2025-12-08 | F0576 | Resident Rights Deficiencies | F | not recorded |
| 2025-12-08 | F0578 | Resident Rights Deficiencies | J | not recorded |
| 2025-12-08 | F0628 | Resident Rights Deficiencies | D | not recorded |
| 2025-12-08 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-12-08 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-12-08 | F0677 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-12-08 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-12-08 | F0689 | Quality of Life and Care Deficiencies | K | not recorded |
| 2025-12-08 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-12-08 | F0697 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-12-08 | F0725 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2025-12-08 | F0726 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2025-12-08 | F0730 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2025-12-08 | F0740 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-12-08 | F0757 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-12-08 | F0804 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2025-12-08 | F0867 | Administration Deficiencies | F | not recorded |
| 2025-12-08 | F0880 | Infection Control Deficiencies | K | not recorded |
| 2025-12-08 | F0919 | Environmental Deficiencies | F | not recorded |
| 2025-12-08 | F0921 | Environmental Deficiencies | E | not recorded |
| 2025-12-08 | F0941 | Administration Deficiencies | F | not recorded |
| 2025-12-08 | F0942 | Resident Rights Deficiencies | F | not recorded |
| 2025-12-08 | F0944 | Administration Deficiencies | F | not recorded |
| 2025-12-08 | F0946 | Administration Deficiencies | F | not recorded |
| 2025-12-08 | F0949 | Administration Deficiencies | F | not recorded |
| 2025-07-02 | F0550 | Resident Rights Deficiencies | E | not recorded |
| 2025-07-02 | F0552 | Resident Rights Deficiencies | D | not recorded |
| 2025-07-02 | F0576 | Resident Rights Deficiencies | D | not recorded |
| 2025-07-02 | F0577 | Resident Rights Deficiencies | C | not recorded |
| 2025-07-02 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2025-07-02 | F0585 | Resident Rights Deficiencies | D | not recorded |
| 2025-07-02 | F0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-07-02 | F0636 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-07-02 | F0638 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-07-02 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-07-02 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-07-02 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-07-02 | F0676 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-07-02 | F0679 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-07-02 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-07-02 | F0686 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-07-02 | F0688 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-07-02 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-07-02 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-07-02 | F0697 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-07-02 | F0699 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-07-02 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-07-02 | F0757 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-07-02 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-07-02 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-07-02 | F0804 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2025-07-02 | F0805 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2025-07-02 | F0806 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2025-07-02 | F0808 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2025-07-02 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2025-07-02 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-07-02 | F0921 | Environmental Deficiencies | F | not recorded |
| 2025-07-02 | F0925 | Environmental Deficiencies | F | not recorded |
| 2025-06-27 | F0554 | Resident Rights Deficiencies | D | not recorded |
| 2025-05-21 | F0627 | Resident Rights Deficiencies | D | not recorded |
| 2025-05-21 | F0628 | Resident Rights Deficiencies | D | not recorded |
| 2025-03-27 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-03-10 | F0700 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-02-13 | F0727 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2025-02-13 | F0760 | Pharmacy Service Deficiencies | G | not recorded |
| 2025-02-13 | F0804 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2025-01-17 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2025-01-17 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-01-17 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-01-17 | F0804 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2025-01-17 | F0806 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2025-01-17 | F0808 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2024-12-24 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2024-12-06 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-08-30 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-08-30 | F0685 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-08-30 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-08-30 | F0689 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-08-30 | F0791 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-08-30 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2024-08-30 | F0921 | Environmental Deficiencies | F | not recorded |
| 2024-08-06 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2024-04-12 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-04-12 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2024-04-12 | F0843 | Administration Deficiencies | C | not recorded |
| 2024-04-04 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-04-04 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-03-27 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2024-03-27 | F0558 | Resident Rights Deficiencies | E | not recorded |
| 2024-03-27 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-03-27 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-03-27 | F0726 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2024-03-27 | F0759 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-03-27 | F0803 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2024-03-27 | F0804 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-03-27 | F0919 | Environmental Deficiencies | E | not recorded |
| 2023-12-08 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2023-12-08 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2023-11-28 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-11-28 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-11-28 | F0926 | Environmental Deficiencies | D | not recorded |
| 2023-10-31 | F0660 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-10-31 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2023-10-31 | F0740 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-10-31 | F0742 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-10-31 | F0838 | Administration Deficiencies | E | not recorded |
| 2023-09-21 | F0686 | Quality of Life and Care Deficiencies | G | not recorded |
| 2023-09-21 | F0725 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2023-09-21 | F0919 | Environmental Deficiencies | F | not recorded |
| 2023-09-08 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2023-09-08 | F0623 | Resident Rights Deficiencies | E | not recorded |
| 2023-09-08 | F0661 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2023-09-08 | F0725 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2023-09-08 | F0919 | Environmental Deficiencies | F | not recorded |
| 2023-08-24 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-08-24 | F0726 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2023-08-24 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-08-17 | F0578 | Resident Rights Deficiencies | J | not recorded |
| 2023-08-11 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2023-08-11 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2023-07-27 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-07-27 | F0838 | Administration Deficiencies | F | not recorded |
| 2023-07-27 | F0919 | Environmental Deficiencies | E | not recorded |
| 2023-07-17 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-07-17 | F0725 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2023-07-17 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |