Above average — CMS composite of the measures below.
The next survey window likely opens around March 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Cypress Cove Care Center during CMS and state inspections, most recent first.
The facility failed to complete self-administration assessments for two residents whose unsecured medications were found at bedside. One resident had an order allowing Cepacol lozenges to be kept at bedside, but Chloraseptic spray was also present without an order or assessment. Another resident had an order for artificial tears to be kept at bedside, but Thera Tears and Tart Cherry capsules were also observed, and no self-administration assessment was documented. The DON stated the assessments were missing for both residents.
Unsecured medications were found at the bedside in two residents' rooms, including Chloraseptic spray, Thera Tears, and Tart Cherry capsules. One resident had an order allowing Artificial Tears to be kept at bedside, but the LPN said she was unaware the medication was there, and the DON stated all meds should be secured and not left at bedside. The facility policies required drugs and biologicals to be stored in locked compartments, with bedside storage allowed only under specific conditions.
The facility failed to store food safely and maintain sanitary conditions in the kitchen and nourishment rooms. Ice cream was improperly stored below meat, and nutritional drinks lacked thawed-on dates. Undated food items were found in the freezer. Microwaves and refrigerators in nourishment rooms were dirty. The Certified Dietary Manager confirmed these issues, which violated the facility's food storage policy.
The facility failed to administer medications as ordered for two residents. One resident's insulin was held without physician notification or documented parameters, while another resident's Metoprolol was held based on blood pressure rather than heart rate, contrary to physician orders. The facility's medication administration policy was not adhered to, resulting in these deficiencies.
Missing Self-Administration Assessments for Bedside Medications
Penalty
Summary
The facility failed to complete assessments for self-administration of medications for two residents. During observation of one resident's room, unsecured medications were found on the bedside table, including two bottles of Chloraseptic spray. The resident had a physician order for Cepacol Extra Strength Mouth/Throat lozenges that could be kept at bedside and self-administered, but there was no order for Chloraseptic and no assessment in the medical record for self-administration of medications. In another resident's room, unsecured medications were also observed on the bedside table, including a bottle of Thera Tears and a bottle of Tart Cherry capsules. The resident had a physician order for Artificial Tears Ophthalmic Solution that could be kept at bedside, but there was no order for self-administration and no assessment completed for self-administering medications. The DON stated that the medication self-administration assessment was missing for both residents and that the nurse who initiated the orders should have completed the assessment.
Unsecured Medications Found at Bedside
Penalty
Summary
The facility failed to properly secure medications in one of four halls observed, with unsecured medications found at the bedside in two residents' rooms. During observation, two bottles of Chloraseptic spray were present on the bedside table in one resident's room, and a bottle of Thera Tears and a bottle of Tart Cherry capsules were observed on the bedside table in another resident's room. Resident #12 had a physician order dated 11/07/2025 for Artificial Tears Ophthalmic Solution to be instilled in both eyes every 8 hours as needed for dry eyes and may be kept at bedside. During interview, an LPN stated she was not aware the resident had medication at bedside and did not see them. The DON stated her expectation was that all medications should be secured and not at bedside. The facility's Medication Storage Policy stated that all drugs and biologicals will be stored in locked compartments, and the Resident Self-Administration of Medication Policy stated bedside medication storage is permitted only when specific conditions are met, including that the manner of storage prevents access by other residents and that medications are kept in the containers dispensed by the provider pharmacy.
Food Storage and Sanitation Deficiencies
Penalty
Summary
The facility failed to ensure food was stored in a safe and sanitary manner in the main kitchen and two nourishment rooms. During a tour of the main kitchen, it was observed that individual serving ice cream containers were stored below meat products in the meat freezer, which is against proper storage practices. Additionally, there was a plate of thawed nutritional drinks in the walk-in refrigerator without a thawed-on date inscribed on the cartons. Undated bags of corn and unlabeled plastic bags of cookies were also found in the walk-in freezer. The Certified Dietary Manager confirmed these storage issues and acknowledged that all food products should be dated and labeled. In the nourishment rooms, unsanitary conditions were observed, including brown and black substances spattered on the interior upper surface of the microwaves and pooled substances in the refrigerator bins. The Certified Dietary Manager confirmed that the microwave ovens and refrigerator bins needed cleaning. The facility's policy and procedure for food receiving and storage, last reviewed on January 17, 2024, requires that food storage areas be kept clean at all times, and all foods stored in the refrigerator or freezer be covered, labeled, and dated. Uncooked and raw animal products should be stored separately in drip-proof containers and below ready-to-eat foods.
Failure to Administer Medications as Ordered
Penalty
Summary
The facility failed to administer physician-ordered medications in accordance with professional standards for two residents. Resident #10 had a physician's order for Insulin Glargine to be administered at bedtime for diabetes management. However, the insulin was held on two occasions without documented parameters or physician notification, and there was no record of blood sugar values or reasons for withholding the medication. Interviews with the Director of Nursing and physicians revealed that there were no orders to hold the insulin, and the expectation was to notify the physician if the medication was withheld. Resident #18 had a physician's order for Metoprolol Tartrate with specific parameters to hold the medication if the systolic blood pressure was below 110 or heart rate was below 60. The medication was held on several occasions when the blood pressure was at the threshold, but the heart rate was within normal limits. The staff did not notify the physician about holding the medication, and there was a misunderstanding about the parameters for holding Beta Blockers, as the focus should have been on the heart rate rather than blood pressure. The facility's policy on medication administration was not followed, leading to these deficiencies.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Crystal River
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Crystal River Health And Rehabilitation Center | 2.1 mi | ★★★★★ | 26 | 0 |
| Life Care Center Of Citrus County | 6.1 mi | ★★★★★ | 10 | 0 |
| Diamond Ridge Health And Rehabilitation Center | 7.1 mi | ★★★★★ | 0 | 0 |
| Aviata At Brentwood | 7.7 mi | ★★★★★ | 6 | 0 |
| Grove Healthcare And Rehabilitation Center And Reh | 9.4 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.