Crystal Cove Post Acute
State inspectors recorded 2 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
2026-01-02 — ACTUAL HARM (tag F0689, severity G)
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.
2025-03-12 — IMMEDIATE JEOPARDY (tag F0678, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
2025-02-07 — 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.
2025-02-06 — ACTUAL HARM (tag F0692, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide enough food/fluids to maintain a resident's health.
2024-08-19 — ACTUAL HARM (tag F0689, severity G)
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.
2024-08-19 — IMMEDIATE JEOPARDY (tag F0684, severity J)
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.
Staffing, from payroll records
Nursing hours / resident / day
3.62
state median 3.78
Weekend staffing gap
−15%
fewer nursing hours on weekends · state median −9%
RN hours / resident / day
0.56
registered nurses only
Contract (agency) staff
1%
share of all nursing hours
Nursing staff turnover
70%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
5 enforcement action(s), totaling $215,060 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-12-05 | Fine | $12,425 |
| 2025-06-27 | Payment Denial | payment denial |
| 2024-12-26 | Fine | $117,108 |
| 2024-12-26 | Payment Denial | payment denial |
| 2024-07-16 | Fine | $85,527 |
Ownership
Ownership type: For profit - Limited Liability company.
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-03-12 | F0628 | Resident Rights Deficiencies | D | not recorded |
| 2026-03-12 | F0688 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-01-13 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2026-01-13 | F0565 | Resident Rights Deficiencies | D | not recorded |
| 2026-01-13 | F0569 | Resident Rights Deficiencies | D | not recorded |
| 2026-01-13 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2026-01-13 | F0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2026-01-13 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2026-01-13 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-01-13 | F0656 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2026-01-13 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-01-13 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-01-13 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-01-13 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-01-13 | F0694 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-01-13 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-01-13 | F0698 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-01-13 | F0730 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2026-01-13 | F0757 | Pharmacy Service Deficiencies | E | not recorded |
| 2026-01-13 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2026-01-13 | F0791 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-01-13 | F0806 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2026-01-13 | F0809 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2026-01-13 | F0812 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2026-01-13 | F0847 | Administration Deficiencies | D | not recorded |
| 2026-01-13 | F0849 | Administration Deficiencies | D | not recorded |
| 2026-01-13 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2026-01-13 | F0881 | Infection Control Deficiencies | D | not recorded |
| 2026-01-13 | F0887 | Infection Control Deficiencies | E | not recorded |
| 2026-01-13 | F0947 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2026-01-02 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-12-05 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2025-12-05 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-08-22 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-08-22 | F0802 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2025-08-22 | F0803 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2025-08-22 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2025-08-22 | F0835 | Administration Deficiencies | E | not recorded |
| 2025-08-22 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-07-16 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-06-27 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-03-12 | F0678 | Quality of Life and Care Deficiencies | J | not recorded |
| 2025-02-07 | F0686 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-02-07 | F0693 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-02-06 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2025-02-06 | F0561 | Resident Rights Deficiencies | D | not recorded |
| 2025-02-06 | F0565 | Resident Rights Deficiencies | E | not recorded |
| 2025-02-06 | F0567 | Resident Rights Deficiencies | E | not recorded |
| 2025-02-06 | F0568 | Resident Rights Deficiencies | E | not recorded |
| 2025-02-06 | F0569 | Resident Rights Deficiencies | D | not recorded |
| 2025-02-06 | F0583 | Resident Rights Deficiencies | D | not recorded |
| 2025-02-06 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2025-02-06 | F0585 | Resident Rights Deficiencies | E | not recorded |
| 2025-02-06 | F0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2025-02-06 | F0622 | Resident Rights Deficiencies | D | not recorded |
| 2025-02-06 | F0623 | Resident Rights Deficiencies | E | not recorded |
| 2025-02-06 | F0625 | Resident Rights Deficiencies | E | not recorded |
| 2025-02-06 | F0641 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2025-02-06 | F0645 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-02-06 | F0656 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2025-02-06 | F0657 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2025-02-06 | F0658 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2025-02-06 | F0677 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-02-06 | F0679 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-02-06 | F0684 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-02-06 | F0687 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-02-06 | F0688 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-02-06 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-02-06 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-02-06 | F0692 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-02-06 | F0694 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-02-06 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-02-06 | F0698 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-02-06 | F0725 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2025-02-06 | F0726 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2025-02-06 | F0756 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-02-06 | F0757 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-02-06 | F0758 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-02-06 | F0759 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-02-06 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-02-06 | F0806 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2025-02-06 | F0808 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2025-02-06 | F0837 | Administration Deficiencies | F | not recorded |
| 2025-02-06 | F0847 | Administration Deficiencies | E | not recorded |
| 2025-02-06 | F0865 | Administration Deficiencies | F | not recorded |
| 2025-02-06 | F0868 | Administration Deficiencies | E | not recorded |
| 2025-02-06 | F0880 | Infection Control Deficiencies | F | not recorded |
| 2025-02-06 | F0881 | Infection Control Deficiencies | D | not recorded |
| 2025-02-06 | F0887 | Infection Control Deficiencies | D | not recorded |
| 2024-12-26 | F0689 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-12-26 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-09-24 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-08-19 | F0684 | Quality of Life and Care Deficiencies | J | not recorded |
| 2024-08-19 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-07-16 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2024-07-16 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-05-14 | F0622 | Resident Rights Deficiencies | D | not recorded |
| 2024-04-26 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-04-26 | F0744 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-04-26 | F0926 | Environmental Deficiencies | E | not recorded |
| 2024-03-11 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2024-03-11 | F0561 | Resident Rights Deficiencies | E | not recorded |
| 2024-03-11 | F0578 | Resident Rights Deficiencies | D | not recorded |
| 2024-03-11 | F0582 | Resident Rights Deficiencies | D | not recorded |
| 2024-03-11 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2024-03-11 | F0585 | Resident Rights Deficiencies | D | not recorded |
| 2024-03-11 | F0625 | Resident Rights Deficiencies | D | not recorded |
| 2024-03-11 | F0641 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-03-11 | F0644 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-03-11 | F0645 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-03-11 | F0655 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-03-11 | F0657 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-03-11 | F0658 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-03-11 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-03-11 | F0684 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-03-11 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-03-11 | F0687 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-03-11 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-03-11 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-03-11 | F0727 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2024-03-11 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-03-11 | F0758 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-03-11 | F0759 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-03-11 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-03-11 | F0791 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-03-11 | F0804 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-03-11 | F0809 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-03-11 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-03-11 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2023-10-18 | F0552 | Resident Rights Deficiencies | D | not recorded |
| 2023-10-18 | F0624 | Resident Rights Deficiencies | D | not recorded |
| 2023-10-18 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |