All citations for Crystal Cove Post Acute

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Crystal Cove Post Acute

Last standard health inspection on record

January 13, 2026

Showing 1 to 25 of 59 citations

  1. Immediate jeopardy to resident health or safety

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0678, Quality of Life and Care Deficiencies. Inspection of March 12, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 31, 2025).

  2. Harm to a resident

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of February 7, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 31, 2025).

  3. Harm to a resident

    Provide enough food/fluids to maintain a resident's health.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of February 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2025).

  4. No harm, with potential for more than minimal harm

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

    Widespread (many residents). CMS level F.

    Health citation F-0802, Nutrition and Dietary Deficiencies. Inspection of August 22, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 6, 2025).

  5. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of August 22, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 6, 2025).

  6. No harm, with potential for more than minimal harm

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Widespread (many residents). CMS level F.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of February 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2025).

  7. No harm, with potential for more than minimal harm

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Widespread (many residents). CMS level F.

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of February 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2025).

  8. No harm, with potential for more than minimal harm

    Establish 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.

    Widespread (many residents). CMS level F.

    Health citation F-0837, Administration Deficiencies. Inspection of February 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2025).

  9. No harm, with potential for more than minimal harm

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Widespread (many residents). CMS level F.

    Health citation F-0865, Administration Deficiencies. Inspection of February 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2025).

  10. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of February 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2025).

  11. No harm, with potential for more than minimal harm

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0835, Administration Deficiencies. Inspection of August 22, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 6, 2025).

  12. No harm, with potential for more than minimal harm

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0565, Resident Rights Deficiencies. Inspection of February 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2025).

  13. No harm, with potential for more than minimal harm

    Honor the resident's right to manage his or her financial affairs.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0567, Resident Rights Deficiencies. Inspection of February 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2025).

  14. No harm, with potential for more than minimal harm

    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0568, Resident Rights Deficiencies. Inspection of February 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2025).

  15. No harm, with potential for more than minimal harm

    Honor 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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of February 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2025).

  16. No harm, with potential for more than minimal harm

    Honor 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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0585, Resident Rights Deficiencies. Inspection of February 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2025).

  17. No harm, with potential for more than minimal harm

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0604, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of February 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2025).

  18. No harm, with potential for more than minimal harm

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0623, Resident Rights Deficiencies. Inspection of February 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2025).

  19. No harm, with potential for more than minimal harm

    Notify 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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0625, Resident Rights Deficiencies. Inspection of February 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2025).

  20. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of February 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2025).

  21. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of February 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2025).

  22. No harm, with potential for more than minimal harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of February 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2025).

  23. No harm, with potential for more than minimal harm

    Ensure services provided by the nursing facility meet professional standards of quality.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of February 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2025).

  24. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of February 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2025).

  25. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of February 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 31, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.