The Terrace at Crystal LLC

CRYSTAL, MN · 85 beds · For profit - Individual

0 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • Government has flagged this facility for serious quality issues
  • 32 deficiencies — 4.0x the state average
  • 6 citation(s) at the highest severity level — immediate risk to residents
  • 3 citation(s) where residents suffered actual harm
  • $174,044 in fines over 3 years
  • RN hours significantly below state average

Green Flags

  • Low staff turnover (24%)

Quick Facts

N/A
CMS Overall
N/A
Health Inspection
32
4.0x state avg
Deficiencies
$174,044
Fines (3-yr)
N/A
Staffing

Violation Timeline

December 7, 2025

20 deficiencyies
F0576 Potential Harm Scope/Severity: F

Resident Rights Deficiencies

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Ensure residents have reasonable access to and privacy in their use of communication methods.

F0578 Immediate Jeopardy Scope/Severity: J

Resident Rights Deficiencies

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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.

F0580 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

F0628 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

F0656 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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

F0657 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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

F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

F0689 Immediate Jeopardy Scope/Severity: K

Quality of Life and Care Deficiencies

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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0695 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide safe and appropriate respiratory care for a resident when needed.

F0697 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide safe, appropriate pain management for a resident who requires such services.

F0726 Potential Harm Scope/Severity: D

Nursing and Physician Services Deficiencies

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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.

F0740 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

F0757 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure each resident’s drug regimen must be free from unnecessary drugs.

F0867 Potential Harm Scope/Severity: F

Administration Deficiencies

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Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

F0880 Potential Harm Scope/Severity: E

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

F0919 Potential Harm Scope/Severity: F

Environmental Deficiencies

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Make sure that a working call system is available in each resident's bathroom and bathing area.

F0921 Potential Harm Scope/Severity: E

Environmental Deficiencies

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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

F0941 Potential Harm Scope/Severity: F

Administration Deficiencies

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Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

F0942 Potential Harm Scope/Severity: F

Resident Rights Deficiencies

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Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

F0944 Potential Harm Scope/Severity: F

Administration Deficiencies

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Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

See full violation history →

Staffing

0.49
RN hrs/res/day
1.09
LPN hrs/res/day
3.57
CNA hrs/res/day
4.27
Weekend hrs/res/day
24%
Total nurse turnover
N/A
RN turnover

A nurse checks on each resident roughly every 4.7 hours on average.

Fines & Penalties

  • Payment Denial Aug 29, 2024
    Payment Denial
  • Fine Aug 5, 2024
    $16,349
  • Fine Mar 26, 2024
    $17,813
  • Payment Denial Mar 26, 2024
    Payment Denial
  • Fine Jan 21, 2024
    $14,814
  • Fine Jan 7, 2024
    $4,938
  • Fine Jan 1, 2024
    $4,545
  • Fine Dec 10, 2023
    $11,645
  • Fine Nov 5, 2023
    $8,469
  • Fine Jul 16, 2023
    $95,471
  • Payment Denial Jul 16, 2023
    Payment Denial
  • Payment Denial May 8, 2023
    Payment Denial
Total $174,044

Ownership

For profit - Individual Independent (not part of a chain)
  • KATZ, GEORGE

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 01/01/2021

    100% Individual
  • KATZ, GEORGE

    CORPORATE OFFICER

    Since since 01/01/2001

    Individual
  • MERCHANT, ZENAE

    W-2 MANAGING EMPLOYEE

    Since since 01/01/2021

    Individual

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