Nursing home report
CRYSTAL, MN · Medicare-certified · 85 beds
Overall rating: not rated. This facility is a special focus facility (SFF) with $16,349 in fines in the last 24 months; reported nurse staffing is 4.43 hours per resident per day, above the federal benchmark of 4.1.
Health inspections
Staffing
4.4269 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.4269.
Hours per resident per day.
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited December 2025 — limited pattern, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: K
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited December 2025 — limited pattern, immediate jeopardy to residents.
F-Tag 880 — 42 CFR §483.80(a) — S/S: K
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited December 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 578 — 42 CFR §483.10 — S/S: J
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited July 2025 — isolated incident, actual harm.
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The nursing home failed to ensure residents were free from significant medication errors. Cited February 2025 — isolated incident, actual harm.
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
Reported nurse staffing met or exceeded the federal recommendation.
Health inspection found 1 health deficiency.
Health inspection found 2 health deficiencies.
Health inspection found 1 health deficiency.
A federal payment denial was recorded.
A federal payment denial was recorded.
A federal fine of $16,349 was recorded.
On record with Medicare: 8 fines · $174,044 in total fines · 4 payment denials.
Medicare/Medicaid payment denial
Dec 8, 2025
Medicare/Medicaid payment denial
Aug 30, 2024
Federal fine
Aug 6, 2024
Medicare/Medicaid payment denial
Mar 27, 2024
Federal fine
Mar 27, 2024
Federal fine
Jan 22, 2024
Federal fine
Jan 8, 2024
Federal fine
Jan 2, 2024
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
