The Terrace at Crystal LLC
Crystal, Minnesota · CCN 245289
70 surveys since 2010, 24 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 492
- Surveys
- 70
- Harm or worse
- 24
- Immediate jeopardy
- 12
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 85
- Ownership
- For profit - Limited Liability company
- Chain
- Independent
- County
- Hennepin
- Medicare-certified since
- 1984
CMS ratings
- Overall
- —
- Health inspection
- —
- Staffing
- —
- Quality measures
- —
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 27 for-profit facilities of 66–99 beds in Minnesota.
Last survey on record
Jun 5, 2026
157 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 4.78 | 3.64 |
| Registered-nurse hours per resident day | 0.57 | — |
| Annual nurse turnover | 34.7% | 41.7% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $80,370 across 7 penalties
- Payment denials
- 4
- Special focus
- SFF
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J63.8% | K21.3% | L— |
| Actual harm | G42.5% | H— | I— |
| No harm, potential for more than minimal | D9660.4% | E2415.1% | F2415.1% |
| No harm, potential for minimal | A— | B— | C31.9% |
Most frequently cited here
In CMS’s current monthly file.
- F6899×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F5505×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F6565×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F6845×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F8045×
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
In the surveyor’s words
From the most serious findings on record at The Terrace at Crystal LLC, in the surveyor’s own words.
- Immediate jeopardy, patternF689Dec 8, 2025
Based on observation, interview, and document review, the facility failed to ensure 4 of 4 residents (R22, R53, R66 and R36) who exited the facility out of the front door after-hours had the ability to safely and timely reenter the building. This resulted in an immediate jeopardy situation for R22, R53, R66 and R36 who had to wait for an extended period of time in severe cold temperatures in order to get back into the building. This failure created a risk of serious harm, injury, impairment or death for any resident who may attempt to reenter the building after hours. […]
- Immediate jeopardy, patternF880Dec 8, 2025
Based on observation, interview, and document review, the facility failed to ensure contact precautions were followed 1 of 1 resident (R1, R12 ) reviewed for contact precautions. In addition, the facility failed to ensure infection prevention practices were followed for medications and food storage. This had the potential to affect all 31 residents on the 3rd floor. Findings include: Contact Precautions R1's quarterly Minimum Data Set (MDS) assessment, dated 11/20/25, identified R1 had intact cognition, and demonstrated no delusional thinking. […]
- Immediate jeopardy, isolatedF880Jun 5, 2026
Based on observation, interview, and document review, the facility failed to ensure a shared blood glucometer (device to test blood sugar levels) was cleaned and disinfected properly between resident use to prevent transmission of bloodborne pathogens for 2 of 2 residents (R33, R38,) and failed to properly disinfect a blood glucose monitor following use with R31 and prior to placing on shelf at nursing station for use with other residents reviewed for shared use of medical equipment. This practice resulted in an immediate jeopardy (IJ) situation for R38 due to the risk of potential transmission of blood borne pathogens from R33 to R38. […]
- Immediate jeopardy, isolatedF578Dec 8, 2025
Based on observations, interview, and document review, the facility failed to ensure written Physician's Orders for Life Sustaining Treatment (i.e., POLST) were accurately entered, transcribed and reflected in the medical record to ensure current resuscitation measures (i.e., DNR - Do Not Resuscitate or CPR - Cardiopulmonary Resuscitation) would be performed in accordance with resident wishes for 1 of 2 residents (R1) reviewed for advanced directives. These findings constituted an immediate jeopardy (IJ) situation for R1 who would have received CPR against her declared wishes documented on a POLST dated [DATE].The IJ began on [DATE], when R1's POLST, indicating R1's wishes for DNR comfort focused treatment (allow natural death) was signed and it wasn't changed within the facility'… […]
- Immediate jeopardy, isolatedF689Aug 6, 2024
Based on interview and document review, the facility failed to provide adequate supervision while out of the facility at an appointment for 1 of 3 residents (R1). This deficient practice resulted in an immediate jeopardy (IJ) for R1 when R1 went to an appointment without supervision and the facility did not know his whereabouts until 20 hours after he left. The immediate jeopardy began on 7/24/24 when the facility sent R1 to an appointment without supervision, R1 did not come back to the facility, and the facility did not know his whereabouts until 20 hours after he left. The director of nursing (DON) and administrator were notified of the immediate jeopardy at 12:15 p.m. on 8/2/24. […]
Read 42 findings in full →The most serious and the most recent: 42 of 492 on record.
Every survey on record
FindingsAt actual harm or above
- Jun 5, 2026Standard24 findings · 2 harm
- Apr 16, 2026Complaint3 findings
- Mar 19, 2026Complaint1 finding
- Mar 5, 2026Complaint2 findings
- Jan 30, 2026Complaint1 finding
- Jan 21, 2026Complaint1 finding
- Dec 8, 2025Standard and complaint26 findings · 3 harm
- Jul 2, 2025Standard and complaint33 findings · 1 harm
Show the 62 earlier surveys
- Jun 27, 2025Complaint1 finding
- May 21, 2025Complaint2 findings
- Mar 27, 2025Complaint1 finding
- Mar 10, 2025Complaint1 finding
- Feb 13, 2025Standard and complaint26 findings · 1 harm
- Jan 17, 2025Complaint6 findings
- Dec 24, 2024Complaint1 finding
- Dec 6, 2024Complaint1 finding
- Aug 30, 2024Standard and complaint33 findings
- Aug 6, 2024Complaint1 finding · 1 harm
- Apr 12, 2024Complaint3 findings · 1 harm
- Apr 4, 2024Complaint2 findings
- Mar 27, 2024Standard and complaint22 findings
- Dec 8, 2023Complaint2 findings
- Nov 28, 2023Complaint3 findings
- Oct 31, 2023Complaint5 findings · 1 harm
- Sep 21, 2023Complaint3 findings · 1 harm
- Sep 8, 2023Complaint5 findings
- Aug 24, 2023Complaint3 findings
- Aug 17, 2023Complaint1 finding · 1 harm
- Aug 11, 2023Complaint2 findings
- Jul 27, 2023Complaint3 findings
- Jul 17, 2023Complaint3 findings
- May 12, 2023Standard and complaint27 findings
- Apr 25, 2023Complaint5 findings
- Apr 18, 2023Complaint1 finding
- Jan 19, 2023Complaint2 findings
- Dec 22, 2022Complaint1 finding
- Oct 12, 2022Complaint1 finding
- Sep 29, 2022Complaint2 findings
- Aug 18, 2022Standard and complaint27 findings
- Aug 9, 2022Complaint8 findings · 2 harm
- Jul 25, 2022Complaint4 findings
- Jul 7, 2022Complaint1 finding
- Apr 22, 2022Complaint1 finding
- Apr 11, 2022Complaint3 findings · 1 harm
- Mar 18, 2022Complaint1 finding
- Jan 20, 2022Complaint1 finding
- Dec 10, 2021Complaint2 findings
- Apr 8, 2021Standard7 findings
- Apr 1, 2021Complaint1 finding
- May 7, 2020Complaint2 findings
- Mar 17, 2020Complaint1 finding
- Feb 5, 2020Complaint1 finding
- Oct 18, 2019Standard and complaint22 findings · 1 harm
- Jul 2, 2019Complaint2 findings
- May 4, 2019Complaint1 finding · 1 harm
- Mar 13, 2019Complaint2 findings
- Jan 14, 2019Standard23 findings · 2 harm
- Jan 10, 2019Complaint2 findings · 2 harm
- Sep 24, 2018Complaint1 finding · 1 harm
- Oct 6, 2017Standard14 findings
- Dec 22, 2016Standard8 findings · 1 harm
- Feb 5, 2016Standard17 findings
- Jan 9, 2015Standard22 findings
- Oct 25, 2013—6 findings
- Oct 24, 2013—1 finding · 1 harm
- Nov 9, 2012—11 findings
- Aug 9, 2012—1 finding
- Oct 6, 2011—13 findings
- Dec 30, 2010—24 findings
- Oct 8, 2010—2 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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