Crystal Cove Post Acute

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 10, 2026

• Provide 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 10, 2026

• Ensure that testing and maintenance of electrical equipment is performed.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 30, 2026

• Inspect, test, and maintain automatic sprinkler systems.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 30, 2026

• Conduct testing and exercise requirements.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 17, 2026

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 6, 2026

• Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 9, 2026

• Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Mar 6, 2026

• Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 6, 2026

• Install smoke barrier doors that can resist smoke for at least 20 minutes.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 9, 2026

• Ensure 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 6, 2026

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 6, 2026

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 6, 2026

• Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 6, 2026

• Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 6, 2026

• Provide and implement an infection prevention and control program.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 6, 2026

• Implement a program that monitors antibiotic use.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 6, 2026

• Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 6, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 6, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 6, 2026

• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 6, 2026

• Provide or obtain dental services for each resident.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 6, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 6, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 6, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 6, 2026

• Provide for the safe, appropriate administration of IV fluids for a resident when needed.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 6, 2026

• Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 6, 2026

• Provide safe, appropriate dialysis care/services for a resident who requires such services.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 6, 2026

• Observe each nurse aide's job performance and give regular training.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 6, 2026

• Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 6, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 6, 2026

• Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 6, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 6, 2026

• Ensure each resident receives an accurate assessment.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 6, 2026

• Respond appropriately to all alleged violations.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 6, 2026

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

  Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Jan 22, 2026

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 24, 2025

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 24, 2025

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

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Oct 6, 2025

• Provide properly protected cooking facilities.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Sep 15, 2025

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

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Oct 6, 2025

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Oct 6, 2025

• Provide and implement an infection prevention and control program.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 6, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 6, 2025

• Inspect, test, and maintain automatic sprinkler systems.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 15, 2025

• Have properly installed electrical wiring and gas equipment.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 15, 2025

• Properly select, install, inspect, or maintain portable fire extinguishes.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 15, 2025

• Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 6, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 18, 2025

• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 15, 2025

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

  Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Mar 31, 2025

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

  Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Mar 31, 2025

• Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 31, 2025

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

  Severity G of L: actual harm, isolatedCorrected Mar 31, 2025

• Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 26, 2025

• Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 26, 2025

• Conduct testing and exercise requirements.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 26, 2025

• Establish staff and initial training requirements.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 26, 2025

• Provide family notifications of emergency plan.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 26, 2025

• Provide primary/alternate means for communication.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 26, 2025

• Create arrangements with other facilities to receive patients.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 26, 2025

• Address subsistence needs for staff and patients.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 26, 2025

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

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 31, 2025

• 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.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 31, 2025

• 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.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 31, 2025

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

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 31, 2025

• Provide and implement an infection prevention and control program.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 31, 2025

• Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 26, 2025

• Ensure that testing and maintenance of electrical equipment is performed.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 26, 2025

• Have generator or other power source capable of supplying service within 10 seconds.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 26, 2025

• To conduct inspection, testing and maintenance of fire doors by qualified individuals.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 26, 2025

• Have simulated fire drills held at unexpected times.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 26, 2025

• Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 31, 2025

• Meet other general requirements.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 26, 2025

• Provide for the safe, appropriate administration of IV fluids for a resident when needed.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 31, 2025

• Provide 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 31, 2025

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 31, 2025

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 31, 2025

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 31, 2025

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 31, 2025

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 31, 2025

• Ensure each resident receives an accurate assessment.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 31, 2025

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 31, 2025

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 31, 2025

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 31, 2025

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 31, 2025

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 31, 2025

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 31, 2025

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 31, 2025

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 31, 2025

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 31, 2025

• Implement 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 31, 2025

• Ensure 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 31, 2025

• Ensure 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 31, 2025

• Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 31, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 31, 2025

• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 31, 2025

• Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 31, 2025

• Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 31, 2025

• Keep residents' personal and medical records private and confidential.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 31, 2025

• Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 31, 2025

• PASARR screening for Mental disorders or Intellectual Disabilities

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 31, 2025

• Provide activities to meet all resident's needs.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 31, 2025

• Provide appropriate foot care.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 31, 2025

• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 31, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 31, 2025

• Provide safe, appropriate dialysis care/services for a resident who requires such services.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 31, 2025

• Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 31, 2025

• Ensure medication error rates are not 5 percent or greater.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 31, 2025

• Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 31, 2025

• Implement a program that monitors antibiotic use.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 31, 2025

• Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 31, 2025

• Inspect, test, and maintain automatic sprinkler systems.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 26, 2025

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Mar 31, 2025

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Mar 31, 2025

• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Oct 9, 2024

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

  Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Aug 30, 2024

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

  Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Aug 30, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 15, 2024

• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 15, 2024

• Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 25, 2024

• Have policies on smoking.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected May 8, 2024

• Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 8, 2024

• Respond appropriately to all alleged violations.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 8, 2024

• Establish staff and initial training requirements.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 10, 2024

• Have generator or other power source capable of supplying service within 10 seconds.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 15, 2024

• Conduct testing and exercise requirements.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 10, 2024

• Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 10, 2024

• Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 25, 2024

• Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 25, 2024

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 25, 2024

• Provide and implement an infection prevention and control program.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 25, 2024

• Ensure medication error rates are not 5 percent or greater.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 25, 2024

• Implement 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 25, 2024

• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 25, 2024

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 25, 2024

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 25, 2024

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 25, 2024

• Provide or obtain dental services for each resident.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 25, 2024

• Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 25, 2024

• Ensure each resident receives an accurate assessment.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 25, 2024

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 25, 2024

• Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 25, 2024

• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 25, 2024

• Ensure 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 25, 2024

• Inspect, test, and maintain automatic sprinkler systems.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 10, 2024

• Have 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 25, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 25, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 25, 2024

• Provide appropriate foot care.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 25, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 25, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 25, 2024

• PASARR screening for Mental disorders or Intellectual Disabilities

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 25, 2024

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 25, 2024

• Properly select, install, inspect, or maintain portable fire extinguishes.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 10, 2024

• Install smoke barrier doors that can resist smoke for at least 20 minutes.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 10, 2024

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 25, 2024

• Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 25, 2024

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 25, 2024

• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 25, 2024

• Prepare residents for a safe transfer or discharge from the nursing home.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Nov 3, 2023

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Nov 3, 2023

• Ensure that residents are fully informed and understand their health status, care and treatments.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Nov 3, 2023

Crystal Cove Post Acute offers Skilled Nursing / Long Term Care.

Crystal Cove Post Acute is located at 1505 Carpenter Road Se in Lacey, Washington.

Crystal Cove Post Acute is a skilled nursing facility in Lacey, WA that emphasizes physician oversight, specialist coordination, and holistic care for residents needing long-term or rehabilitative nursing support. No detailed family reviews were provided, and the community's average Google rating of 3.1 from 50 reviews points to a mixed reputation among online reviewers.

Crystal Cove Post Acute had 18 government inspection visits in the last three years, with 163 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

Submit the Request Information form on this page to connect with Crystal Cove Post Acute and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.