Crystal River Health and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Crystal River Health and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF609Feb 10, 2022

  Based on record review and interview, the facility failed to ensure the allegations of abuse were reported to the State Survey Agency and other officials for 3 of 3 residents reviewed for facility response to abuse allegations, Residents #10, #59, and #69. Findings: Review of the facility grievances report dated September 2021 revealed Resident #10 had voiced an allegation of verbal abuse that a Certified Nursing Assistant had called him a name. Review of the facility grievances report dated October 2021 revealed Resident #69 had voiced an allegation that he was told to urinate in his brief, and he was not getting water. […]

• No harm, potential for more than minimal, widespreadF761Feb 10, 2022

  Based on observation, interview, and record review, the facility failed to ensure the medications used in the facility were labeled and stored in accordance with currently accepted professional principles and included the expiration date when applicable in 5 of 6 medication carts reviewed. Findings: On 2/6/2022 at 9:25 AM, the surveyor observed Medication Cart #1 with Staff A, Licensed Practical Nurse (LPN), and found one opened [MEDICATION(S)] pen with no opened or expiration dates, one opened [MEDICATION(S)] insulin pen with no opened or expiration dates, one opened bottle of [MEDICATION(S)] with no opened or expiration dates, and one opened bottle of [MEDICATION(S)] eye drops with no opened or expiration dates. […]

• No harm, potential for more than minimal, widespreadF835Feb 10, 2022

  Based on record review and interview, the facility administration failed to ensure the facility was administered in a manner to maintain the highest practicable physical, mental, and psychosocial well-being for 3 of 3 residents reviewed for facility response to abuse allegations, Residents #10, #59, and #69. Findings: Review of the job description for the Administrator with an effective date of 10/1/1994 and review date of 6/30/2003 reads, General Purpose: To direct the day-to-day functions of the facility in accordance with current Federal, State and local standards governing long-term care facilities to ensure that the highest practicable level of care is provided to the residents. […]

• No harm, potential for more than minimal, widespreadF865Feb 10, 2022

  Based on record review and interview, the facility quality assurance and performance improvement committee failed to identify and implement a performance improvement plan related to the failure to report allegations of abuse as required for 3 of 3 residents reviewed for facility response to abuse allegations, Residents #10, #59, and #69. Findings: Review of the facility grievances report dated September 2021 revealed Resident #10 had voiced an allegation of verbal abuse that a Certified Nursing Assistant had called him a name. Review of the facility grievances report dated October 2021 revealed Resident #69 had voiced an allegation that he was told to urinate in his brief, and he was not getting water. […]

• No harm, potential for more than minimal, patternF689Apr 2, 2026

  Based on observation, interview, and record review the facility failed to ensure the residents' environment remained free of accident hazards for the main dining room by failing to secure hazardous cleaning chemicals in a resident non-accessible area. Findings include:During an observation on 4/1/2026 at 8:48 AM, a lower cabinet located in the main dining room was observed unlocked and accessible. Inside the cabinet, two bottles of cleaning chemicals were observed: Virex II 256 One-Step Disinfectant Cleaner and Deodorant and Virex TB Ready-to-Use Disinfectant Cleaner. […]