Crystal River Health and Rehabilitation Center

Name: Crystal River Health and Rehabilitation Center
Address: 136 NORTHEAST 12TH AVENUE, Crystal River, FL, 34429, US
Telephone: 3527955044

136 Northeast 12th Avenue, Crystal River, FL 34429 · Citrus County · 150 certified beds · avg 133 residents/day · certified since Aug 26, 1977

Part of chain: NHS MANAGEMENT (43 facilities, chain avg rating 2.9★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.36

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (26)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Apr 2, 2026	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Apr 2, 2026	E · Potential for harm, repeated	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests.
Apr 2, 2026	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Apr 2, 2026	D · Potential for harm, one-off	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
Apr 2, 2026	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Apr 2, 2026	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Apr 2, 2026	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Apr 2, 2026	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Apr 2, 2026	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Apr 2, 2026	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Oct 24, 2024	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Oct 24, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Oct 24, 2024	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Oct 24, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Oct 24, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Oct 24, 2024	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Oct 24, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jun 23, 2023	E · Potential for harm, repeated	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Jun 23, 2023	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jun 23, 2023	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jun 23, 2023	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Jun 23, 2023	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Jun 23, 2023	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jun 23, 2023	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jun 23, 2023	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Jun 23, 2023	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (7 → 10).

Year	Citations	Worst severity that year
2023	9	E
2024	7	E
2026	10	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Florida avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.36	4.03	3.95	top 19% in Florida; top 27% in the U.S.
Registered Nurse hours	0.55	0.76	0.69	bottom 31% in Florida; bottom 46% in the U.S.
Weekend total nurse staffing	3.96	3.68	3.50	top 20% in Florida; top 24% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.31	0.53	0.48	bottom 23% in Florida; bottom 33% in the U.S.
Total nursing staff turnover (%)	54.1	41.4	45.8	bottom 19% in Florida; bottom 27% in the U.S.
RN turnover (%)	38.1	46.0	42.9	top 35% in Florida; top 44% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.90, RN 0.50, weekend 3.55. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Estes, James	Individual	5% or Greater Direct Ownership Interest	68%	02/19/1999
James N Estes Jr Family Dynasty Tr No 2	Organization	5% or Greater Direct Ownership Interest	10%	09/30/2019
James Norman Estes Jr Tr	Organization	5% or Greater Direct Ownership Interest	6%	06/30/2013
Jennifer E Agee Family Dynasty Tr No 2	Organization	5% or Greater Direct Ownership Interest	10%	09/30/2019
Jennifer Lee Estes Tr 031093	Organization	5% or Greater Direct Ownership Interest	6%	06/30/2013
Boyd, Robert	Individual	W-2 Managing Employee	NOT APPLICABLE	03/23/2024
Boyd, Robert	Individual	Operational/Managerial Control	NOT APPLICABLE	03/23/2024
Estes, James	Individual	Corporate Officer	NOT APPLICABLE	02/19/1999
Long, Phillip	Individual	Corporate Officer	NOT APPLICABLE	10/01/2019
McVea, Cheri	Individual	Corporate Director	NOT APPLICABLE	09/27/2021
McVea, Cheri	Individual	Operational/Managerial Control	NOT APPLICABLE	09/27/2021
Rasco, Lynn	Individual	Corporate Director	NOT APPLICABLE	07/01/2022
Rasco, Lynn	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2022
Regions Bank	Organization	5% or Greater Security Interest	NOT APPLICABLE	08/26/2014
Schneider, Julie	Individual	Corporate Director	NOT APPLICABLE	04/21/2023
Schneider, Julie	Individual	Operational/Managerial Control	NOT APPLICABLE	04/21/2023
Toney, Darin	Individual	Corporate Director	NOT APPLICABLE	04/15/2024
Toney, Darin	Individual	Operational/Managerial Control	NOT APPLICABLE	04/15/2024

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How is pest control handled here, and when was the last treatment or inspection?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you assess and manage residents' pain, especially for those who have trouble communicating?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Cypress Cove Care Center	2.0 mi	Crystal River, FL	★★★★★	4/5
Life Care Center of Citrus County	5.2 mi	Lecanto, FL	★★★★★	4/5
Diamond Ridge Health and Rehabilitation Center	5.7 mi	Lecanto, FL	★★★★★	4/5
Aviata at Brentwood	6.4 mi	Lecanto, FL	★★☆☆☆	2/5
Grove Healthcare and Rehabilitation Center and Reh	8.1 mi	Hernando, FL	★★★☆☆	2/5
Arbor Trail Rehab and Skilled Nursing Center	14.6 mi	Inverness, FL	★★★★★	4/5
Citrus Health and Rehabilitation Center	14.8 mi	Inverness, FL	★★★★☆	3/5
Avante at Inverness INC	15.0 mi	Inverness, FL	★★★★☆	3/5

Compare this facility with the 3 closest →

All facilities in Crystal River →

Facility data as of CMS processing date 2026-08-01. CCN 105317.

The Care File

Visit checklist — Crystal River Health and Rehabilitation Center

136 Northeast 12th Avenue, Crystal River, FL 34429 · 3527955044

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How is pest control handled here, and when was the last treatment or inspection?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 105317 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)