Crystal River Health and Rehabilitation Center
Strong Medicare quality ratings; families often praise compassionate and attentive nursing staff. Still worth an in-person visit.
based on 58 Google reviews

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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 detailsStrengths
- 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
Distribution · 53 analyzed
How They Respond to Reviews
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.”
“The Therapy group is number one in my book none better. Understanding help you push when needed and rest also.”
“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.”
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
9
measures
1
measures
7
measures
Residents with depression symptoms
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
Residents whose walking got worse
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents needing more daily help over time
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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, 2026Routine18
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
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.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Emergency Preparedness Deficiencies
Provide a means of sharing information on occupancy/needs.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Oct 24, 2024Routine8
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jun 23, 2023Routine14
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
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.
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.
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 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
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Ownership & Operations
Who Operates This Facility
Crystal River Health and Rehabilitation Center
for profit
Chain Affiliation
Nhs Management
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
James Norman Estes Jr Tr
Owner · Organization
Jennifer E Agee Family Dynasty Tr no 2
Owner · Organization
Jennifer Lee Estes Tr 031093
Owner · Organization
Estes, James
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
58 reviews from families & visitors
Official Website
Visit crystalriverhealthandrehab.com
Medicare data downloads
Original nursing home datasets
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