Safety Report: Crystal Cove Care Center
Official ratings
Medicare's star ratings compare nursing homes within the same state for health inspections. A 5-star facility performed better than most in its state; a 1-star facility performed worse than most.
Stars are calculated by CMS, not by us. We do not create our own safety score.
Serious documented violations
No citations at the “actual harm” or “immediate jeopardy” level in the last three inspection cycles.
Citations by topic
Topics use CMS's own deficiency categories; “accidents & supervision” counts tag F689 (free of accident hazards / adequate supervision). Counts cover the last three inspection cycles, including complaint investigations.
Is it getting better or worse?
Fewer citations in the most recent cycle (23) than in the cycle before (25).
An inspection cycle is roughly one year and includes the standard inspection plus complaint investigations. Counts depend partly on how many complaint investigations occurred, so treat small changes with caution. Red bars include at least one serious citation.
Staffing and rating trends will appear as we collect monthly CMS releases. We have one month so far, so a staffing trend cannot yet be determined.
Repeat findings
These requirements were cited on more than one inspection date in the last three cycles.
| Requirement | Times cited | Inspection dates |
|---|---|---|
| Provide and implement an infection prevention and control program. (F880) | 5 | June 19, 2026; December 23, 2025; October 14, 2025; February 24, 2025; August 21, 2023 |
| Provide appropriate treatment and care according to orders, resident’s preferences and goals. (F684) | 5 | June 19, 2026; October 14, 2025; February 24, 2025; November 30, 2023; August 21, 2023 |
| 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. (F761) | 4 | June 19, 2026; June 12, 2025; February 24, 2025; August 21, 2023 |
| Provide safe and appropriate respiratory care for a resident when needed. (F695) | 4 | June 19, 2026; February 24, 2025; December 7, 2023; August 21, 2023 |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (F657) | 4 | June 19, 2026; June 12, 2025; February 24, 2025; August 21, 2023 |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (F842) | 3 | June 19, 2026; February 24, 2025; November 30, 2023 |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F812) | 3 | June 19, 2026; February 24, 2025; August 21, 2023 |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F755) | 3 | June 19, 2026; October 14, 2025; August 21, 2023 |
| 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. (F758) | 3 | March 13, 2025; February 24, 2025; August 21, 2023 |
| Implement a program that monitors antibiotic use. (F881) | 2 | June 19, 2026; August 21, 2023 |
| Provide enough food/fluids to maintain a resident's health. (F692) | 2 | June 19, 2026; February 24, 2025 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F689) | 2 | June 19, 2026; August 21, 2023 |
| Respond appropriately to all alleged violations. (F610) | 2 | June 19, 2026; August 21, 2023 |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (F609) | 2 | June 19, 2026; August 21, 2023 |
| Keep residents' personal and medical records private and confidential. (F583) | 2 | March 3, 2026; February 24, 2025 |
| Provide safe, appropriate pain management for a resident who requires such services. (F697) | 2 | July 15, 2025; November 30, 2023 |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (F690) | 2 | June 12, 2025; February 24, 2025 |
| Ensure each resident’s drug regimen must be free from unnecessary drugs. (F757) | 2 | February 24, 2025; August 21, 2023 |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. (F698) | 2 | February 24, 2025; August 21, 2023 |
| 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. (F578) | 2 | February 24, 2025; August 21, 2023 |
| Keep all essential equipment working safely. (F908) | 2 | February 24, 2025; August 21, 2023 |
Fines and enforcement
No federal fines or payment denials in the last three years.
Federal civil money penalties and Medicare/Medicaid payment denials. State-level penalties may not be included.
Complete inspection history
June 19, 2026 — 17 citations
March 3, 2026 — 1 citation · complaint investigation
December 23, 2025 — 1 citation · complaint investigation
October 14, 2025 — 4 citations · complaint investigation
July 15, 2025 — 1 citation · complaint investigation
June 12, 2025 — 3 citations · complaint investigation
March 13, 2025 — 1 citation · complaint investigation
February 24, 2025 — 20 citations
July 25, 2024 — 2 citations · complaint investigation
December 7, 2023 — 1 citation · complaint investigation
November 30, 2023 — 6 citations · complaint investigation
August 21, 2023 — 26 citations
Source: CMS Health Deficiencies dataset (data as of October 1, 2026); full inspection narratives on Medicare Care Compare