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THE TERRACE AT CRYSTAL LLC Inspection Report, Violations & Safety Grade (CRYSTAL, Minnesota)

3245 VERA CRUZ AVENUE NORTH, CRYSTAL, Minnesota 55422

Phone: 7639716300

CMS Overall:1/5

Overview & Bed Count

Certified Beds
85
Avg Residents/Day
61.1
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Hennepin
Sprinkler Systems
Yes
Special Focus
SFF Candidate
Abuse Icon
No

CMS Star Ratings

Overall1/5
Health1/5
Staffing1/5
Quality1/5

Nurse Staffing Check

MetricThis FacilityMinnesota AvgDifference
RN Hours per Resident per Day0.001.08-1.08
Total Nurse Hours per Resident per Day0.004.27-4.27
CMS Staffing Rating1/54.2/5-
Nursing Staff TurnoverN/A42.1%-

Health Citation History

139 health citations on record

DateCategoryDescriptionSeverity
2026-06-05Infection Control DeficienciesProvide and implement an infection prevention and control program.J – Immediate Jeopardy
2026-06-05Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.G – Actual Harm
2026-06-05Quality of Life and Care DeficienciesEnsure the activities program is directed by a qualified professional.F – Moderate Harm Potential
2026-06-05Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2026-06-05Administration DeficienciesConduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.F – Moderate Harm Potential
2026-06-05Administration DeficienciesProvide training in compliance and ethics.F – Moderate Harm Potential
2026-06-05Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E – Moderate Harm Potential
2026-06-05Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E – Moderate Harm Potential
2026-06-05Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2026-06-05Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.D – Moderate Harm Potential
2026-06-05Freedom from Abuse, Neglect, and Exploitation DeficienciesPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D – Moderate Harm Potential
2026-06-05Resident Rights DeficienciesEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.D – Moderate Harm Potential
2026-06-05Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D – Moderate Harm Potential
2026-06-05Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2026-06-05Quality of Life and Care DeficienciesEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D – Moderate Harm Potential
2026-06-05Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2026-06-05Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.D – Moderate Harm Potential
2026-06-05Quality of Life and Care DeficienciesAssist a resident in gaining access to vision and hearing services.D – Moderate Harm Potential
2026-06-05Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D – Moderate Harm Potential
2026-06-05Nursing and Physician Services DeficienciesEnsure that the resident and his/her doctor meet face-to-face at all required visits.D – Moderate Harm Potential
2026-06-05Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D – Moderate Harm Potential
2026-06-05Environmental DeficienciesKeep all essential equipment working safely.D – Moderate Harm Potential
2026-06-05Environmental DeficienciesMake sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.D – Moderate Harm Potential
2026-06-05Nursing and Physician Services DeficienciesPost nurse staffing information every day.C – Minimal Harm Potential
2026-04-16Freedom from Abuse, Neglect, and Exploitation DeficienciesEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.D – Moderate Harm Potential
2026-04-16Resident Rights DeficienciesEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.D – Moderate Harm Potential
2026-04-16Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D – Moderate Harm Potential
2026-03-19Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.E – Moderate Harm Potential
2026-03-05Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2026-03-05Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential
2026-01-30Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.D – Moderate Harm Potential
2026-01-21Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential
2025-12-08Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.K – Immediate Jeopardy
2025-12-08Infection Control DeficienciesProvide and implement an infection prevention and control program.K – Immediate Jeopardy
2025-12-08Resident Rights DeficienciesHonor 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.J – Immediate Jeopardy
2025-12-08Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.F – Moderate Harm Potential
2025-12-08Resident Rights DeficienciesEnsure residents have reasonable access to and privacy in their use of communication methods.F – Moderate Harm Potential
2025-12-08Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F – Moderate Harm Potential
2025-12-08Nursing and Physician Services DeficienciesObserve each nurse aide's job performance and give regular training.F – Moderate Harm Potential
2025-12-08Administration DeficienciesSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.F – Moderate Harm Potential
2025-12-08Environmental DeficienciesMake sure that a working call system is available in each resident's bathroom and bathing area.F – Moderate Harm Potential
2025-12-08Administration DeficienciesDevelop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.F – Moderate Harm Potential
2025-12-08Resident Rights DeficienciesEnsure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.F – Moderate Harm Potential
2025-12-08Administration DeficienciesConduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.F – Moderate Harm Potential
2025-12-08Administration DeficienciesProvide training in compliance and ethics.F – Moderate Harm Potential
2025-12-08Administration DeficienciesProvide behavior health training consistent with the requirements and as determined by a facility assessment.F – Moderate Harm Potential
2025-12-08Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.E – Moderate Harm Potential
2025-12-08Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.E – Moderate Harm Potential
2025-12-08Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E – Moderate Harm Potential
2025-12-08Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D – Moderate Harm Potential

Showing 50 of 139 citations.

Fire Safety Citation History

12 fire safety citations on record

DateCategoryDescriptionSeverity
2026-06-05Egress DeficienciesHave properly located and lighted "Exit" signs.F – Moderate Harm Potential
2026-06-05Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.E – Moderate Harm Potential
2026-06-05Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.D – Moderate Harm Potential
2025-12-08Smoke DeficienciesInstall an approved automatic sprinkler system.F – Moderate Harm Potential
2025-12-08Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2025-12-08Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.F – Moderate Harm Potential
2025-07-02Egress DeficienciesHave stairways and smokeproof enclosures used as exits that meet safety requirements.E – Moderate Harm Potential
2025-07-02Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2025-07-02Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2025-07-02Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.D – Moderate Harm Potential
2025-01-17Emergency Preparedness DeficienciesAddress subsistence needs for staff and patients.L – Immediate Jeopardy
2024-03-27Emergency Preparedness DeficienciesEstablish staff and initial training requirements.F – Moderate Harm Potential

Total Penalties & Fines

$80,370
Total Fine Amount (CMS)
7
Number of Fines
11
Total Penalties
DateTypeFine AmountPayment Denial
2026-06-05Payment Denial-1 days starting 2026-07-15
2025-12-08Payment Denial-41 days starting 2026-01-10
2024-08-30Payment Denial-31 days starting 2024-09-28
2024-08-06Fine$18,146-
2024-03-27Fine$17,813-
2024-03-27Payment Denial-25 days starting 2024-05-25
2024-01-22Fine$14,814-
2024-01-08Fine$4,938-
2024-01-02Fine$4,545-
2023-12-11Fine$11,645-
2023-11-06Fine$8,469-

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