The Terrace at Crystal, Crystal, Minnesota
- 147
- Citations from health inspectionsMinnesota average: 23 a home
- 11
- Residents harmed or put in dangerMinnesota average: 1.4 a home
- $80,370
- Fines from the federal governmentMinnesota average: $24,507 a home
- No rating given
- Overall rating in starsMinnesota average: 3.2
The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files
26 inspection visits produced 147 citations. Residents were in immediate danger in seven findings. Residents were found hurt in four cases. Federal fines came to $80,370 (seven fines). Four times, Medicare stopped paying for new admissions.
This home is a Special Focus Facility. Homes that have done poorly on past inspections are put on this list by CMS, and they get extra attention.
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- The home's overall star rating
- No rating is given while the home stays on the Special Focus list
- Rating for health inspections
- No rating is given while the home stays on the Special Focus list
- Rating for staffing
- No rating is given while the home stays on the Special Focus list
- Rating for quality of care
- No rating is given while the home stays on the Special Focus list
- Nurse time for each resident
- 4.78 hours each dayThe Minnesota average is 4.19 hours
- Time from registered nurses
- 0.57 hours each dayThe Minnesota average is 1.06 hours
- Nursing staff who left during one year
- 34.7%against the Minnesota average of 42.2%
- Beds that are certified
- 85
- Ownership
- Limited Liability company (for profit)
- Chain
- This home is not part of a chain
- Street address
- 3245 Vera Cruz Avenue North, Crystal, Minnesota 55422
- County
- Hennepin
Each inspection's citations
Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.
24 citations dated June 5, 2026
- F946 Compliance and Ethics Training: risk of harm, no one found hurt, widespread.
- F944 Staff Training on Quality Improvement Program: risk of harm, no one found hurt, widespread.
- F921 A Safe, Clean Building: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F917 Adequate Room, Window, Bedding, Furniture, and Closet: risk of harm, no one found hurt, one or a few residents.
- F908 Keep Essential Equipment Working Safely: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F880 Infection Prevention and Control: immediate danger to residents, one or a few residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
- F756 Monthly Drug Regimen Review: risk of harm, no one found hurt, one or a few residents.
- F732 Post Daily Nurse Staffing Information: minimal risk to residents, widespread, found on a complaint visit.
- F712 Face to Face Doctor Visits: risk of harm, no one found hurt, one or a few residents.
- F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F685 Help Getting Vision and Hearing Care: risk of harm, no one found hurt, one or a few residents.
- F684 Quality of Care: residents were harmed, one or a few residents.
- F680 Qualified Activities Director: risk of harm, no one found hurt, widespread.
- F679 Activities That Meet Every Resident's Needs: risk of harm, no one found hurt, one or a few residents.
- F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents.
- F676 Help Residents Keep Daily Living Abilities: risk of harm, no one found hurt, one or a few residents.
- F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents.
- F628 Required Transfer Paperwork and Notices: risk of harm, no one found hurt, one or a few residents.
- F627 Safe Transfer or Discharge Meeting Resident Needs: risk of harm, no one found hurt, one or a few residents.
- F605 Avoid Unnecessary Sedating or Psychiatric Drugs: risk of harm, no one found hurt, one or a few residents.
- F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, one or a few residents.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents.
Three citations dated April 16, 2026
- F628 Required Transfer Paperwork and Notices: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F627 Safe Transfer or Discharge Meeting Resident Needs: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F604 Freedom From Physical Restraints: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated March 19, 2026
- F658 Care That Meets Professional Standards: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
Two citations dated March 5, 2026
One citation dated Jan. 30, 2026
- F697 Pain Management: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated Jan. 21, 2026
- F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
26 citations dated Dec. 8, 2025
- F949 Behavioral Health Training for Staff: risk of harm, no one found hurt, widespread.
- F946 Compliance and Ethics Training: risk of harm, no one found hurt, widespread.
- F944 Staff Training on Quality Improvement Program: risk of harm, no one found hurt, widespread.
- F942 Staff Training on Resident Rights: risk of harm, no one found hurt, widespread.
- F941 Communication Training for Direct Care Staff: risk of harm, no one found hurt, widespread.
- F921 A Safe, Clean Building: risk of harm, no one found hurt, a pattern, several residents.
- F919 Working Call System in Bathrooms: risk of harm, no one found hurt, widespread.
- F880 Infection Prevention and Control: immediate danger to residents, a pattern, several residents.
- F867 Ongoing Quality Review Group and Correction Plans: risk of harm, no one found hurt, widespread.
- F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F757 Unnecessary Drugs: risk of harm, no one found hurt, one or a few residents.
- F740 Behavioral Health Care and Services: risk of harm, no one found hurt, one or a few residents.
- F730 Review Nurse Aide Performance and Training: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F726 Nurses and Aides Have Needed Skills: risk of harm, no one found hurt, one or a few residents.
- F725 Enough Nursing Staff: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F697 Pain Management: risk of harm, no one found hurt, one or a few residents.
- F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents.
- F689 Accident Hazards and Supervision: immediate danger to residents, a pattern, several residents.
- F684 Quality of Care: risk of harm, no one found hurt, one or a few residents.
- F677 Help With Daily Living: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
- F628 Required Transfer Paperwork and Notices: risk of harm, no one found hurt, one or a few residents.
- F578 The Right to Refuse Treatment: immediate danger to residents, one or a few residents.
- F576 Private Access to Communication Methods: risk of harm, no one found hurt, widespread.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, widespread, found on a complaint visit.
33 citations dated July 2, 2025
- F925 Pest Control Program: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F921 A Safe, Clean Building: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
- F808 Doctor Ordered Special Diets: risk of harm, no one found hurt, one or a few residents.
- F806 Food That Meets Allergies and Preferences: risk of harm, no one found hurt, one or a few residents.
- F805 Food Prepared to Meet Individual Needs: risk of harm, no one found hurt, a pattern, several residents.
- F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F760 Significant Medication Errors: risk of harm, no one found hurt, one or a few residents.
- F757 Unnecessary Drugs: risk of harm, no one found hurt, one or a few residents.
- F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents.
- F699 Trauma Informed and Culturally Respectful Care: risk of harm, no one found hurt, one or a few residents.
- F697 Pain Management: risk of harm, no one found hurt, one or a few residents.
- F692 Enough Food and Fluids: risk of harm, no one found hurt, one or a few residents.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents.
- F688 Range of Motion and Mobility: risk of harm, no one found hurt, one or a few residents.
- F686 Pressure Ulcer (Bedsore) Care: residents were harmed, one or a few residents, found on a complaint visit.
- F684 Quality of Care: risk of harm, no one found hurt, one or a few residents.
- F679 Activities That Meet Every Resident's Needs: risk of harm, no one found hurt, one or a few residents.
- F676 Help Residents Keep Daily Living Abilities: risk of harm, no one found hurt, one or a few residents.
- F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F641 Accurate Resident Assessments: risk of harm, no one found hurt, one or a few residents.
- F638 Update Assessments Every Three Months: risk of harm, no one found hurt, one or a few residents.
- F636 Complete Assessments at Admission and Yearly: risk of harm, no one found hurt, one or a few residents.
- F605 Avoid Unnecessary Sedating or Psychiatric Drugs: risk of harm, no one found hurt, one or a few residents.
- F585 Right to File Complaints Without Retaliation: risk of harm, no one found hurt, one or a few residents.
- F580 Telling the Family About a Change: risk of harm, no one found hurt, one or a few residents.
- F577 Access to Inspection Results and Advocates: minimal risk to residents, widespread.
- F576 Private Access to Communication Methods: risk of harm, no one found hurt, one or a few residents.
- F552 Keep Residents Informed About Health and Care: risk of harm, no one found hurt, one or a few residents.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, a pattern, several residents.
One citation dated June 27, 2025
- F554 Let Residents Take Own Medicines When Appropriate: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Two citations dated May 21, 2025
- F628 Required Transfer Paperwork and Notices: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F627 Safe Transfer or Discharge Meeting Resident Needs: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated March 27, 2025
- F755 Pharmacy Services: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
One citation dated March 10, 2025
- F700 Safe Use of Bed Rails: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Three citations dated Feb. 13, 2025
- F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F760 Significant Medication Errors: residents were harmed, one or a few residents, found on a complaint visit.
- F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, widespread, found on a complaint visit.
Six citations dated Jan. 17, 2025
- F808 Doctor Ordered Special Diets: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F806 Food That Meets Allergies and Preferences: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F692 Enough Food and Fluids: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated Dec. 24, 2024
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated Dec. 6, 2024
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Seven citations dated Aug. 30, 2024
- F921 A Safe, Clean Building: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F791 Dental Services for Residents: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F685 Help Getting Vision and Hearing Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated Aug. 6, 2024
- F689 Accident Hazards and Supervision: immediate danger to residents, one or a few residents, found on a complaint visit.
Three citations dated April 12, 2024
- F843 Hospital Transfer Agreement: minimal risk to residents, widespread, found on a complaint visit.
- F689 Accident Hazards and Supervision: immediate danger to residents, one or a few residents, found on a complaint visit.
- F610 Investigating Abuse Allegations: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Two citations dated April 4, 2024
Nine citations dated March 27, 2024
- F919 Working Call System in Bathrooms: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F803 Menus That Meet Nutrition Needs: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F759 Medication Error Rate of 5 Percent or More: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F726 Nurses and Aides Have Needed Skills: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F692 Enough Food and Fluids: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Two citations dated Dec. 8, 2023
Three citations dated Nov. 28, 2023
- F926 Smoking Policies: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Five citations dated Oct. 31, 2023
- F838 Facility Wide Assessment of Needed Resources: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F742 Mental Health and Trauma Treatment: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F740 Behavioral Health Care and Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F689 Accident Hazards and Supervision: immediate danger to residents, one or a few residents, found on a complaint visit.
- F660 Discharge Planning That Meets Resident Goals: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Three citations dated Sept. 21, 2023
- F919 Working Call System in Bathrooms: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F725 Enough Nursing Staff: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F686 Pressure Ulcer (Bedsore) Care: residents were harmed, one or a few residents, found on a complaint visit.
Five citations dated Sept. 8, 2023
- F919 Working Call System in Bathrooms: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F725 Enough Nursing Staff: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F661 Share Information at Planned Discharge: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F623 Notice Before Transfer or Discharge: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Payment Denials and Fines
| Date | Penalty | Amount |
|---|---|---|
| June 5, 2026 | Payment denial for new admissions | one day |
| Dec. 8, 2025 | Payment denial for new admissions | 41 days |
| Aug. 30, 2024 | Payment denial for new admissions | 31 days |
| Aug. 6, 2024 | Fine | $18,146 |
| March 27, 2024 | Fine | $17,813 |
| March 27, 2024 | Payment denial for new admissions | 25 days |
| Jan. 22, 2024 | Fine | $14,814 |
| Jan. 8, 2024 | Fine | $4,938 |
| Jan. 2, 2024 | Fine | $4,545 |
| Dec. 11, 2023 | Fine | $11,645 |
| Nov. 6, 2023 | Fine | $8,469 |
Ownership and Management of the Home
One person with an ownership stake is also listed by CMS.
The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 245289. Other homes in Minnesota.