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Nursing HomeMedicaid

Crystal River Health and Rehabilitation Center

Strong Medicare quality ratings; families often praise compassionate and attentive nursing staff. Still worth an in-person visit.

136 Northeast 12th Avenue, Crystal River, FL 34429150 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
3.9/5

based on 58 Google reviews

5
4
3
2
1
Crystal River Health and Rehabilitation Center Nursing Home in Crystal River, FL — Street View
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What this means for your family

While this facility has a strong reputation for rehabilitation therapy and memory care, recent reports of facility disrepair and staffing shortages are concerning. We recommend scheduling an unannounced tour to inspect the cleanliness of the hallways and asking management specifically how they handle billing disputes to avoid the issues reported by other families.

Google Reviews

Google Reviews

58 reviews on Google
Crystal River Health and Rehabilitation Center receives highly polarized feedback, with many families praising the compassionate nursing staff and effective rehabilitation therapy. However, significant concerns exist regarding facility maintenance, billing transparency, and staffing levels, with some reviewers describing the environment as neglected and understaffed.

Quality Themes

Tap a score for details
Food6.0Staff7.0Clean5.0Activities7.0MedsN/AMemory8.0Comms7.0Value3.0

Strengths

  • Compassionate and attentive nursing staff
  • Effective physical and rehabilitation therapy
  • Welcoming and friendly atmosphere
  • Strong communication with families

Concerns

  • Facility cleanliness and maintenance issues (mentioned by 3 reviewers)
  • Understaffing leading to delayed response times (mentioned by 3 reviewers)
  • Billing and administrative disputes (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'18(3)'20(4)'22(4)'24(6)'26(3)

Distribution · 53 analyzed

5
37
4
2
3
2
2
3
1
9

How They Respond to Reviews

100%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed that your team is very active in responding to online feedback; how do you use that family input to continuously improve the daily experience for residents?
  • 2With the current focus on facility maintenance, what is your plan for addressing general upkeep and ensuring the environment remains comfortable for residents?
  • 3Given the recent health inspection reports, could you walk me through the specific steps the facility is taking to improve those internal processes?
  • 4I’ve heard great things about your therapy team; how do you integrate those rehabilitation services into a resident's daily routine to keep them engaged?
  • 5When residents need immediate assistance, what is the standard protocol for staff response times, and how do you ensure that coverage remains consistent throughout the day?
  • 6Could you share how you handle billing and administrative inquiries to ensure families feel supported and clear on the financial side of care?

Personalized based on this facility's data


Key Review Excerpts

The staff has been amazing, caring, loving, and receptive to our wants and desires. She was always clean and well groomed.

Long-term resident's family · 2020★★★★★

The Therapy group is number one in my book none better. Understanding help you push when needed and rest also.

Rehab patient · 2019★★★★★

The facility is understaffed and overworked. Either they can’t fine the help or they are unwilling to hire and pay for more staff. Getting something done within a reasonable time is not the norm.

Family member · 2024☆☆☆☆
Source: 58 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.62hrs
82%
Registered nurses for medical care
Total Nursing
4.08hrs
100%
All nurses + aides combined
Staff Turnover
53%
Lower is better (< 30% = good)
RN Turnover
21%
Lower is better (< 30% = good)

Both 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

Medicare Rating
5/ 5
Better Than Avg

9

measures

Worse Than Avg

1

measures

Mixed Results

7

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.5%
Better than Avg
Here
0.5%
US
12.1%
FL
4.1%
Citrus
5.8%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility8.8%
Mixed vs Avgs
Here
8.8%
US
19.4%
FL
11.5%
Citrus
7.6%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility5.9%
Better than Avg
Here
5.9%
US
15.3%
FL
10.6%
Citrus
8.7%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility6.3%
Mixed vs Avgs
Here
6.3%
US
15.5%
FL
8.7%
Citrus
3.5%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility11.7%
Mixed vs Avgs
Here
11.7%
US
19.5%
FL
15.0%
Citrus
9.1%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility7.0%
Mixed vs Avgs
Here
7.0%
US
14.4%
FL
9.1%
Citrus
6.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.8%
FL
94.7%
Citrus
99.4%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility97.8%
Mixed vs Avgs
Here
97.8%
US
81.8%
FL
94.8%
Citrus
99.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.5%
Better than Avg
Here
0.5%
US
1.6%
FL
1.5%
Citrus
0.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

10deficiencies
Above state avg (7.3)

This facility has 28 deficiencies across recent surveys, with recurring issues in medication management, care planning and assessment, and infection control. While all violations have been corrected by the provider, the pattern shows ongoing challenges with basic care standards. The facility has struggled with ensuring proper drug labeling, conducting accurate resident assessments, and maintaining infection prevention protocols across multiple inspection cycles, suggesting potential systemic issues that families should discuss during visits.

Apr 2, 2026Routine
18
0914Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0925Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0584Potential for harm · IsolatedCorrected

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.

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656Potential for harm · IsolatedCorrected

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0034Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Provide a means of sharing information on occupancy/needs.

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0921Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Oct 24, 2024Routine
8
0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0761Potential for harm · IsolatedCorrected

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.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jun 23, 2023Routine
14
0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0761Potential for harm · PatternCorrected

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0921Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656Potential for harm · IsolatedCorrected

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.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0222Potential for harm · IsolatedCorrected

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.

0761Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Crystal River Health and Rehabilitation Center

Organization Type

for profit

Chain Affiliation

Chain Name

Nhs Management

Chain Size

43 facilities nationwide

Chain avg rating: 2.8/5 · Rank 12 of 43

Ownership & Management

Owners

James N Estes Jr Family Dynasty Tr no 2

Owner · Organization

10%

James Norman Estes Jr Tr

Owner · Organization

6%

Jennifer E Agee Family Dynasty Tr no 2

Owner · Organization

10%

Jennifer Lee Estes Tr 031093

Owner · Organization

6%

Estes, James

Owner

68%

Key personnel

Regions Bank5% or Greater Security InterestBoyd, RobertW-2 Managing EmployeeMcvea, CheriOfficer / DirectorRasco, LynnOfficer / DirectorSchneider, JulieOfficer / Director
Source: Medicare provider data

Contact

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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