The Terrace at Crystal LLC

June 5, 2026 · Standard inspection · 24 citations

• Provide and implement an infection prevention and control program.

  Immediate danger to residents, a few residents (level J)Infection ControlPlan to fix it accepted

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

  Residents were harmed, a few residents (level G)Quality of Life and CarePlan to fix it accepted

• Ensure the activities program is directed by a qualified professional.

  Risk of harm, no one hurt, widespread (level F)Quality of Life and CarePlan to fix it accepted

• Provide training in compliance and ethics.

  Risk of harm, no one hurt, widespread (level F)AdministrationPlan to fix it accepted

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

  Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryPlan to fix it accepted

• Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

  Risk of harm, no one hurt, widespread (level F)AdministrationPlan to fix it accepted

• Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

  Risk of harm, no one hurt, a pattern (level E)EnvironmentalFrom a complaintPlan to fix it accepted

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

  Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintPlan to fix it accepted

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

  Risk of harm, no one hurt, a few residents (level D)Pharmacy ServicePlan to fix it accepted

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

  Risk of harm, no one hurt, a few residents (level D)Resident RightsPlan to fix it accepted

• Keep all essential equipment working safely.

  Risk of harm, no one hurt, a few residents (level D)EnvironmentalFrom a complaintPlan to fix it accepted

• Make 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.

  Risk of harm, no one hurt, a few residents (level D)EnvironmentalPlan to fix it accepted

• Reasonably accommodate the needs and preferences of each resident.

  Risk of harm, no one hurt, a few residents (level D)Resident RightsPlan to fix it accepted

• Provide activities to meet all resident's needs.

  Risk of harm, no one hurt, a few residents (level D)Quality of Life and CarePlan to fix it accepted

• Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

  Risk of harm, no one hurt, a few residents (level D)Resident RightsPlan to fix it accepted

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

  Risk of harm, no one hurt, a few residents (level D)Resident RightsPlan to fix it accepted

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

  Risk of harm, no one hurt, a few residents (level D)Quality of Life and CarePlan to fix it accepted

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

  Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationPlan to fix it accepted

• Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

  Risk of harm, no one hurt, a few residents (level D)Quality of Life and CarePlan to fix it accepted

• Ensure that the resident and his/her doctor meet face-to-face at all required visits.

  Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesPlan to fix it accepted

• Assist a resident in gaining access to vision and hearing services.

  Risk of harm, no one hurt, a few residents (level D)Quality of Life and CarePlan to fix it accepted

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

  Risk of harm, no one hurt, a few residents (level D)Quality of Life and CarePlan to fix it accepted

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

  Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningPlan to fix it accepted

• Post nurse staffing information every day.

  Minimal harm or risk, widespread (level C)Nursing and Physician ServicesFrom a complaintPlan to fix it accepted

April 16, 2026 · Complaint investigation · 3 citations

• Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

  Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected May 6, 2026

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

  Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected May 6, 2026

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

  Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected May 6, 2026