Crystal River Health And Rehabilitation Center

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

38.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 73 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 72.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 50 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.32 therapist hours per resident per day in 2026Q1 — more than 54% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 14% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 150 beds and averages 133.0 residents a day — about 89% occupied, or roughly 17 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.90 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.50 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.43 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.55 hrs/resident/day on weekends vs 4.05 on weekdays — 12% thinner on weekends. RN hours go from 0.57 to 0.31 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 54% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

26 citations, most serious first. The 10 most serious are shown; the remaining 16 are one tap away and print in full.

• Potential for harm · E2026-04-02 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  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. There was no locking mechanisms or other security measures observed to restrict access to the chemicals.Review of the Safety Data Sheet (SDS) information for Virex II 256 documented the product is classified as corrosive and may cause eye and skin burns, and may be harmful if inhaled, absorbed through the skin, or swallowed. The product is labeled for industrial/institutional use and is intended to be handled with appropriate precautions and stored safely to prevent exposure.Review of the SDS for Virex TB Ready-to-Use…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-04-02 · tag F0925 — failed to control pests — pattern
  Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure an effective pest control program to eradicate common household pests.Findings include: During an observation on 03/30/2026 at 9:32 AM, a live brown-colored insect was observed crawling on the wall, and a dead brown-colored insect was observed on the windowsill of the training room adjacent to the kitchen and dining area. (Photographic evidence obtained) During an observation on 04/01/2026 at 8:48 AM, a live brown-colored insect was observed crawling under a cabinet in the dining area. (Photographic evidence obtained) During an observation on 04/01/2026 at 9:02 AM, a live brown-colored insect was observed crawling on the floor immediately outside of Resident #45's doorway in the [NAME] Wing, down the hallway from the kitchen entrance. During an observation on 04/01/2026 at 11:48 AM, a dead brown-colored insect was observed on the floor near the exit door leading from the kitchen food preparation area. (Photographic evidence obtained) During an observation on 04/01/2026 at 1:29 PM, a live brown-colored…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-02 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review the facility failed to ensure residents had a clean, homelike environment for 1 of 3 units. Findings include:During an observation on 3/30/2026 at 10:04 AM of Resident #38's room the base boards were missing on the left side of the bathroom doorway, the wall was peeling and had black stains. Inside of the bathroom there were tiles lifting around the toilet seat and some were missing. The bathroom sink wall had cracks and gaps and the bathroom vent was covered in a gray matter. [Photographic evidence obtained]During an observation on 3/30/2026 at 10:24 AM of Resident #24's room the wall paint was missing exposing the wall. [Photographic evidence obtained]During an observation on 3/30/2026 at 10:25 AM of Resident #2's room the wall pain was peeling and had holes near the base board. [Photographic evidence obtained]During an observation on 3/30/2026 at 10:28 AM of Resident #15's room the door handle was loose, the toilet paper holder was missing one of the mounts, and the sink wall had gaps and cracks. [Photographic evidence…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-02 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to provide a bed hold notice for 1 of 3 residents, Resident #138, reviewed for hospitalizations. Findings include:Review of Resident #138's progress note dated 01/28/2026 read, Physician office requested for patient to go [Hospital Name]. Reached out to hospital and ortho floor stated unable to take patient without direct admit. Called office back and got in touch with [Doctor's Name] who stated to send her to closest hospital to assess right hip. Called non-emergent transport [Name of the transport company] and they picked up patient at 5:45 PM and taking to [Hospital Name]. Son at bedside and agreeable with POC [Plan of Care].Review of Resident #138's Nursing Home Transfer and Discharge Notice Resident was sent to hospital on [DATE]Review of Resident #138 Hospital Transfer Form dated 1/28/2026 read, send to ER [emergency room] to eval [evaluate] and treat.During an interview on 03/31/2026 at 3:37 PM Staff O, Licensed Practical Nurse Medical Records…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-02 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review the facility failed to ensure accurate coding of the Minimum Data Set (MDS) for 1 of 4 residents, Resident #2, reviewed for respiratory services. Findings include:During an observation 3/31/2026 at 8:15 AM Resident #2 was lying in bed. Oxygen was being administered via nasal cannula at 2 liters per minute.Review of Resident #2's physician order dated 2/2/2026 read, O2 [oxygen] at 2L/min [2 liters per minute] via nc [nasal cannula] for shortness of breath as needed.Review of Resident #2's Minimum Date Set titled Significant Change dated 2/23/2026 in Section O Special Treatments, Procedures, Programs did not document oxygen was in use by the resident.During an interview on 3/31/2026 at 3:52 PM Staff G Licensed Practical Nurse MDS stated, Oxygen use was documented in the notes a few times. It should have been coded as in use, it will need to be corrected.Review of Resident #2's progress note date 2/22/2026 read, Pulmonary/Respiratory Service: Oxygen Therapy (indicate L/P/M [liters per minute] and delivery) 2L-95% [two liters- 95…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-02 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure the implementation of person-centered comprehensive care plans for 1 of 6 residents, Resident #89, reviewed for safety concerns. Findings include: Review of Resident #89's clinical record documented re-admission on [DATE] with medical diagnosis that included foot drop right foot, bradycardia (slow heart rate), heart failure (fluid buildup in heart), dementia, abnormal auditory perceptions, psychotic disturbance, mood disturbance and anxiety, and absence epileptic syndrome (seizures). Review of Resident #89's physician orders dated 6/2/2025 read, BL [bilateral] floor mats at bedside when in bed Review of Resident #89's Care Plan documented the care plan was initiated 4/11/2025 and updated 3/23/2026. Focus: Problem potential for falls, seizure disorder, foot drop. Interventions: Encourage bed in lowest position while occupied, BL [bilateral both sides of the bed] floor mats at bedside when in bed. During an observation on 3/30/2026…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-02 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview the facility failed to ensure the provision of necessary care and services of medication administration to maintain appropriate blood pressure control for 1 of 1 resident, Resident #111, reviewed for surgical coordination. Findings include: Review of Resident #111's clinical record documented an admission 1/29/2024 with diagnosis including but not limited to hypertension, anxiety, depression, and anemia. During an interview on 3/30/2026 at 10:20 AM Resident #111 stated I did not receive my medications before surgery and the surgery was cancelled because my blood pressure was too high. I still do not have a date scheduled for my surgery. Review of Resident #111's pre-operative instructions from [surgical center name] read Surgery date 3/23/2026, no food, drink or water after midnight. Medications: day of surgery, Take heart medications, blood pressure medications, thyroid medications, with a small amount of water. Do not take diuretics or water pills. If you use an inhaler, bring it with you. Review of Resident #111's physician orders dated…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-02 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, observation, and record review, the facility failed to ensure pain management was provided to residents who require such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for 1 of 7 residents, Resident #11, reviewed for medication pain management.Findings include:During an interview on 3/30/2026 at approximately 3:00 PM, Resident #11 stated he has pain in his right shoulder. He received medication for the pain, but he continued to have pain. He used his feet to push himself in his wheelchair because he was not able to use his hands/arms.During an observation on 3/30/2026 at approximately 3:00 PM Resident #11 was propelling himself backwards in his wheelchair using only his feet. He held his right arm against his body in a protective manner. Review of Resident #11's physician orders documented dated 1/10/2026 Lyrica (pregabalin) [a nerve medication used to treat neuropathic pain) tablet 25 mg…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-02 · tag F0757 — failed to avoid unnecessary drugs — isolated
  Ensure each resident’s drug regimen must be free from unnecessary drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review the facility failed to ensure all residents were free from unnecessary medications for 1 of 5 residents, Resident #80, reviewed for unnecessary medications.Findings include:Review of Resident #80's physician order dated 3/2/2026 read, Midodrine tablet, 5 mg [milligrams], 1 tablet oral, three times a day (8:00 AM, 12:00 PM, 5:00 PM), special instructions: Hold for systolic BP [blood pressure] over 110.Review of Resident #80's Medication Administration Record (MAR) for March 2026 documented 13 administrations of midodrine outside of the physician ordered parameters. During an interview on 4/1/2026 at 3:10 PM Staff L, LPN (Licensed Practical Nurse) stated, The documentations for administration of Midodrine was a documentation error, I always check the resident's blood pressure prior to administration of a medication with parameters and would not have administered the medication if the blood pressure was outside the ordered parameters.During an interview on 4/1/2026 at 3:20 PM Staff M, LPN stated, I always check the blood pressure prior to…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-02 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review the facility failed to prevent the possible spread of infection for respiratory equipment for 3 of 4 residents, Residents #2, #12, and #54, reviewed for respiratory services. Findings include: 1) During an observation on 3/30/2026 at 10:26 AM of Resident #2's room, the resident was not in the room. In the room there was an oxygen concentrator and coiled on top of the concentrator was oxygen tubing dated 3/14/2026 and the tubing was not bagged. During an observation on 03/31/2026 at 8:15 AM Resident #2 was lying in bed. Oxygen was being administered via nasal cannula at 2 liters per minute. The oxygen tubing was dated 3/14/2026. Resident #2's wheelchair was in front of the bed. On the wheelchair there was nasal cannula tubing that was not bagged and coiled around the arm rest. During an interview on 3/31/2026 at 1:44 PM Staff Q, Licensed Practical Nurse (LPN) stated, Oxygen tubing should be bagged when not in use. I am not sure how often the tubing is changed. That is supposed to be done on the night shift. During an interview…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to NHS MANAGEMENT — 43 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 18 rows in the source record cover these 12 parties — each is shown once here with every role it holds. Nothing is omitted.

5 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 72% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $1.6M paid to related parties — landlords or management companies under common ownership — equal to about 11% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2024). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in FL