Crystal Cove Post Acute
On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.
based on 48 Google reviews
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What this means for your family
While recent renovations and a rebrand have improved the facility's appearance, the persistent reports of neglect and medication errors are deeply concerning. We strongly advise families to conduct unannounced visits and speak directly with current residents' families before making a decision, as the quality of care appears highly inconsistent.
Google Reviews
Google Reviews
48 reviews on Google“Crystal Cove Post Acute, formerly known as Roo Lan, receives highly polarized reviews that suggest significant inconsistency in care quality. While some families praise the facility for its recent physical renovations, garden areas, and compassionate staff, a large number of reviewers report severe neglect, including issues with medication management, dehydration, and poor communication. Potential families should be aware of serious allegations regarding patient safety and administrative transparency that have persisted over several years.”
Quality Themes
Tap a score for detailsStrengths
- Well-maintained building and grounds
- Pleasant outdoor garden and walking areas
- Some staff noted as compassionate and attentive
Concerns
- Neglect and poor basic care (dehydration, hygiene, feeding) (mentioned by 6 reviewers)
- Medication management errors and delays (mentioned by 3 reviewers)
- Lack of promised rehabilitation or memory care services (mentioned by 3 reviewers)
- Poor communication and difficulty reaching staff (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 49 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1Given the recent focus on staffing levels, could you walk me through your current process for ensuring residents receive consistent assistance with daily hygiene and hydration needs?
- 2I noticed the facility has a beautiful outdoor garden area; how are residents encouraged to utilize these spaces, and what does a typical social or activity schedule look like for them?
- 3Could you explain your current protocols for medication management and how you ensure accuracy and timeliness for residents who require daily assistance?
- 4I see that you have responded to some feedback online; what is your preferred method for family members to communicate with the care team, and how do you ensure updates are shared promptly?
- 5With the facility's current focus on rehabilitation and memory care, how do you tailor your support services to meet the specific needs of residents who require a higher level of daily supervision?
- 6How does your nursing team coordinate with families during medical emergencies, and what steps do you take to ensure clear communication during those transitions?
Personalized based on this facility's data
Key Review Excerpts
“If you want your family to die of neglect, send them here. They get their morning meds at noon. The might get fed. That is if staff decides to give them food.”
“My mom spent 5 awful months in this place. I'm not sure what memory care is there because none was ever done and rehab shouldn't be in the name because she never got any.”
“Clean, well run,friendly competent staff,this place is a great community asset,low key building with a nice paved and landscaped walking trail that weaves around the facility.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
8
measures
8
measures
1
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Crystal Cove Post Acute shows significant quality concerns with 40 complaint-triggered deficiencies indicating families have repeatedly filed reports about problems. The facility has persistent issues across resident safety, medication management, and nutrition services, with safety hazards and treatment failures recurring across multiple surveys. While most violations show correction dates, the pattern of ongoing complaints and repeat deficiencies suggests systemic problems that families should carefully consider.
Mar 12, 2026Complaint2
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Jan 13, 2026Routine31
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Resident Rights Deficiencies
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies
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.
Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration Deficiencies
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Jan 13, 2026Complaint2
Nutrition and Dietary Deficiencies
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jan 2, 2026Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Dec 5, 2025Complaint2
Resident Rights Deficiencies
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.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Aug 22, 2025Complaint10
Nutrition and Dietary Deficiencies
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Provide properly protected cooking facilities.
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Federal Penalties
Fine
Dec 5, 2025
$19,115
Payment Denial
Jun 27, 2025
9-day denial
Fine
Dec 26, 2024
$117,108
Payment Denial
Dec 26, 2024
8-day denial
Fine
Jul 16, 2024
$85,527
Ownership & Operations
Who Operates This Facility
Crystal Cove Post Acute
for profit
Ownership & Management
Key personnel
Contact
Get in Touch
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
48 reviews from families & visitors
Official Website
Visit crystalcovepostacute.com
Medicare data downloads
Original nursing home datasets
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