Tag 0689 · Severity E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2026-05-04For-profit
Crystal River Health and Rehabilitation Center
136 Northeast 12Th Avenue, Crystal River, FL 34429
(352) 795-5044 · Nhs Management
At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | For profit - Limited Liability company | Certified beds | 150 |
|---|---|---|---|
| Estimated occupancy | 88.7% | Latest inspection | 2026-04-02 |
County and Florida comparison
Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 4 of 5
Health-inspection score
Facility: 44.0 points
Total nurse staffing
Facility: 3.90 hours/day
RN staffing
Facility: 0.50 hours/day
Staff turnover
Facility: 54.1%
Latest health deficiencies
Facility: 10 deficiencies
View data table
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 4 of 5 | 4 of 5 | 3 of 5 |
| Health-inspection score | 44.0 points | 35.0 points | 38.5 points |
| Total nurse staffing | 3.90 hours/day | 3.79 hours/day | 3.63 hours/day |
| RN staffing | 0.50 hours/day | 0.40 hours/day | 0.62 hours/day |
| Staff turnover | 54.1% | 46.9% | 41.8% |
| Latest health deficiencies | 10 deficiencies | 7 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2026-04-02
10 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0925 · Severity E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Deficient, Provider has date of correction 2026-05-04Tag 0584 · Severity D
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.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2026-05-04Tag 0628 · Severity D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2026-05-04Tag 0641 · Severity D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2026-05-04Tag 0656 · Severity D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2026-05-04Tag 0684 · Severity D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2026-05-04Tag 0697 · Severity D
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2026-05-04Tag 0757 · Severity D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2026-05-04Tag 0880 · Severity D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2026-05-042024-10-24
7 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0812 · Severity E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2024-12-02Tag 0641 · Severity D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-12-02Tag 0645 · Severity D
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-12-02Tag 0684 · Severity D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-12-02Tag 0761 · Severity D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2024-12-02Tag 0842 · Severity D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-12-02Tag 0880 · Severity D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2024-12-022023-06-23
9 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0695 · Severity E
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-07-31Tag 0761 · Severity E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2023-07-31Tag 0812 · Severity E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2023-07-31Tag 0578 · Severity D
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.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2023-07-31Tag 0580 · Severity D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2023-07-31Tag 0641 · Severity D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2023-07-31Tag 0656 · Severity D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2023-07-31Tag 0692 · Severity D
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-07-31Tag 0880 · Severity D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2023-07-31Staffing composition
2.43 hours/dayNurse aide
0.98 hours/dayLPN
0.50 hours/dayRN
- Total staffing
- 3.90 hours/day
- County median
- 3.79 hours/day
- Florida median
- 3.63 hours/day
- Weekend total
- 3.55 hours/day
- Staff turnover
- 54.1%
- RN turnover
- 38.1%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
1.6 per 1,000 daysbetterFlorida: 2.1 per 1,000 days · County: 1.6 per 1,000 days20250101-20251231
Emergency-department visits
0.6 per 1,000 daysbetterFlorida: 1.0 per 1,000 days · County: 1.1 per 1,000 days20250101-20251231
Falls with major injury
3.6%worseFlorida: 2.2% · County: 2.5%2025Q2-2026Q1
Pressure ulcers
4.4%similarFlorida: 4.2% · County: 2.4%2025Q2-2026Q1
Urinary tract infections
0.9%unavailableFlorida: 0.0% · County: 0.0%2025Q2-2026Q1
Antipsychotic medication use
5.9%betterFlorida: 7.0% · County: 3.0%2025Q2-2026Q1
These group measures do not predict an individual resident’s experience.
Questions to ask
Use these prompts during a tour or phone call
How many RNs are typically on site during days, nights, and weekends?
Suggested because of: rn staffingWhat is driving staff turnover, and what is being done to retain nurses and aides?
Suggested because of: staff turnoverWhat fall-prevention program is used, and how are families notified after a fall?
Suggested because of: falls major injuryHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning
Facility Details
- County
- Citrus County
- Certified beds
- 150
- Average daily residents
- 133
- Ownership
- For profit - Limited Liability company
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 1977-08-26
- CCN
- 105317
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.43091 |
| Lpn hours | 0.97603 |
| Rn hours | 0.497 |
| Reported total hours | 3.90394 |
| Weekend total hours | 3.54834 |
| Weekend rn hours | 0.30727 |
| Adjusted total hours | 4.35854 |
| Total turnover percent | 54.1 |
| Rn turnover percent | 38.1 |
| Administrators left | 0 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$0.00Total fines
0Number of fines
0Payment denials
No matching penalties in the supplied CMS records.
Totals reflect the supplied CMS records, not a lifetime total.
Citations
10Health citations
14Fire safety citations
Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.
Serious Deficiencies
FL counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.
0
Ownership & Operators
| Name | Role | Share |
|---|---|---|
| JAMES N ESTES JR FAMILY DYNASTY TR NO 2 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% |
| JAMES NORMAN ESTES JR TR | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 6% |
| JENNIFER E AGEE FAMILY DYNASTY TR NO 2 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% |
| JENNIFER LEE ESTES TR 031093 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 6% |
| ESTES, JAMES | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 68% |
| REGIONS BANK | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE |
| BOYD, ROBERT | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| MCVEA, CHERI | CORPORATE DIRECTOR | NOT APPLICABLE |
| RASCO, LYNN | CORPORATE DIRECTOR | NOT APPLICABLE |
| SCHNEIDER, JULIE | CORPORATE DIRECTOR | NOT APPLICABLE |
| TONEY, DARIN | CORPORATE DIRECTOR | NOT APPLICABLE |
| ESTES, JAMES | CORPORATE OFFICER | NOT APPLICABLE |
| LONG, PHILLIP | CORPORATE OFFICER | NOT APPLICABLE |
| BOYD, ROBERT | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MCVEA, CHERI | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| RASCO, LYNN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SCHNEIDER, JULIE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| TONEY, DARIN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Helpful resources
Educational information, not medical or legal advice. Data & methodology