The Terrace at Crystal LLC
3245 Vera Cruz Avenue North · Crystal, MN · 55422 · 7639716300
85 certified beds For profit - Individual
Why this verdict
- On the federal Special Focus list of the most persistently poor performers.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (3 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $16,349 in fines in the last 24 months.
- Staffing hours comfortably above national benchmarks.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Special Focus Facility
CMS has designated this facility one of the most persistently poor performers in the country — it is under increased inspection and enforcement.
3 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: not rated Inspections: not rated Staffing: not rated Quality measures: not rated
| Total nurse hours / resident-day | 4.43 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.52 | 0.55–0.75 |
| Weekend hours / resident-day | 3.93 | ≈ weekday level |
| Nursing turnover / year | 28% | median 45% |
| Fines (3-yr window) | 8 · $174,044 |
Inspection citations (158 in the current record)
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Potential for harm · D April 16, 2026 · found via complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected May 6, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 16, 2026 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected May 6, 2026 · Resident Rights
-
Potential for harm · D April 16, 2026 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected May 6, 2026 · Resident Rights
-
Potential for harm · E March 19, 2026 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 9, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 5, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 31, 2026 · Quality of Life and Care
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Potential for harm · D March 5, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 31, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 30, 2026 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected February 13, 2026 · Quality of Life and Care
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Potential for harm · D January 21, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 13, 2026 · Resident Assessment and Care Planning
-
Immediate jeopardy · J December 8, 2025
Honor 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.
Corrected January 22, 2026 · Resident Rights
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Immediate jeopardy · K December 8, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 22, 2026 · Quality of Life and Care
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Immediate jeopardy · K December 8, 2025
Provide and implement an infection prevention and control program.
Corrected February 20, 2026 · Infection Control
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Potential for harm · F December 8, 2025
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected January 22, 2026 · Resident Rights
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Potential for harm · D December 8, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected January 22, 2026 · Resident Rights
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Potential for harm · D December 8, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 22, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 8, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected January 22, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 8, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 22, 2026 · Quality of Life and Care
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Potential for harm · D December 8, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 20, 2026 · Quality of Life and Care
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Potential for harm · D December 8, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Corrected February 20, 2026 · Quality of Life and Care
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Potential for harm · D December 8, 2025
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected February 20, 2026 · Nursing and Physician Services
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Potential for harm · D December 8, 2025
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected January 22, 2026 · Quality of Life and Care
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Potential for harm · D December 8, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected January 22, 2026 · Pharmacy Service
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Potential for harm · F December 8, 2025
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected January 22, 2026 · Administration
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Potential for harm · F December 8, 2025
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected January 22, 2026 · Environmental
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Potential for harm · E December 8, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected January 22, 2026 · Environmental
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Potential for harm · F December 8, 2025
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected February 20, 2026 · Administration
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 8, 2025 | Payment Denial | 41 days |
| August 30, 2024 | Payment Denial | 31 days |
| August 6, 2024 | Fine | $16,349 |
| March 27, 2024 | Fine | $17,813 |
| March 27, 2024 | Payment Denial | 25 days |
| January 22, 2024 | Fine | $14,814 |
| January 8, 2024 | Fine | $4,938 |
| January 2, 2024 | Fine | $4,545 |
| December 11, 2023 | Fine | $11,645 |
| November 6, 2023 | Fine | $8,469 |
| July 17, 2023 | Fine | $95,471 |
| July 17, 2023 | Payment Denial | 59 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 245289 · certified since November 1, 1984. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.