Ashland, OH

Crystal Care Center Of Ashland

2-star overall rating with 2-star inspections with $26,685 in total fines with 14 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle

1251 East Main Street, Ashland, OH

(419) 281-9595

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Embassy Healthcare

Operator or chain grouping

Approved since

2002-06-18

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

37 facilities

Chain averages 3 overall / 2 health / 2 staffing / 5 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.32

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.86

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

2.02

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.20

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.18

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

2.94

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.23

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.04

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.32

CMS adjusted RN staffing hours

Adjusted total hours

3.22

CMS adjusted total nurse staffing hours

Case-mix index

1.36

Higher values indicate more complex resident acuity

RN turnover

50%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

52%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,624

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

35.51

Composite VBP score used to determine payment impact.

Payment multiplier

0.9891

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

6.54

Baseline 19.08% · Performance 18.40% · Measure score 6.54 · Achievement 6.54 · Improvement 2.81

Healthcare-associated infections

2.81

Baseline 5.75% · Performance 7.00% · Measure score 2.81 · Achievement 2.81 · Improvement 0

Total nurse turnover

2.92

Performance 51.72% · Measure score 2.92 · Achievement 2.92 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

1.93

Baseline 2.48 hours · Performance 3.28 hours · Measure score 1.93 · Achievement 0.73 · Improvement 1.93

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	8.99%	10.72% 1.7 pts better	No Different than the National Rate · Eligible stays 72 · Observed rate 4.17% · Lower 95% interval 6.26%
Discharge to community	48.62%	50.57% 2 pts worse	No Different than the National Rate · Eligible stays 51 · Observed rate 43.14% · Lower 95% interval 34.86%
Medicare spending per beneficiary	0.88	1.02 0.1 pts better
Drug regimen review with follow-up	97.5%	95.27% 2.2 pts better	Numerator 39 · Denominator 40
Falls with major injury	2.5%	0.77% 1.7 pts worse	Numerator 1 · Denominator 40
Discharge self-care score	61.29%	53.69% 7.6 pts better	Numerator 19 · Denominator 31
Discharge mobility score	54.84%	50.94% 3.9 pts better	Numerator 17 · Denominator 31
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 40 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	6.99%	7.12% 0.1 pts better	No Different than the National Rate · Eligible stays 32 · Observed rate 6.25% · Lower 95% interval 4.09%
Staff COVID-19 vaccination coverage	Not Available	8.2%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Staff flu vaccination coverage	11.29%	42% 30.7 pts worse	Numerator 21 · Denominator 186
Discharge function score	67.74%	56.45% 11.3 pts better	Numerator 21 · Denominator 31
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	25%	25.2% 0.2 pts worse	Numerator 6 · Denominator 24

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.8	1.8 About the same	1.9 0.1 pts better	Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.6 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.9	1.8 0.9 pts better	1.8 0.9 pts better	Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.7 · Expected 1.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	92.4% 7.6 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	94.5% 5.5 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	2.4%	3.3% 0.9 pts better	3.3% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 3.6% · Q3 1.9% · Q4 2.3% · 4Q avg 2.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	26.1% 26.1 pts better	11.4% 11.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight	4.4%	6.2% 1.8 pts better	5.4% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 4.2% · Q3 2.1% · Q4 10.0% · 4Q avg 4.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	25.1%	25.4% 0.3 pts better	19.6% 5.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 24.5% · Q3 25.0% · Q4 29.3% · 4Q avg 25.1%
Percentage of long-stay residents who received an antipsychotic medication	8.7%	11.5% 2.8 pts better	16.7% 8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 5.7% · Q3 11.8% · Q4 7.1% · 4Q avg 8.7% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	2.7%	7.7% 5 pts better	16.3% 13.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 0.0% · Q3 4.9% · 4Q avg 2.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	4.7%	6.2% 1.5 pts better	14.9% 10.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 4.3% · Q3 9.1% · Q4 0.0% · 4Q avg 4.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.2% 0.2 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.5%	0.5% 1 pts worse	1.7% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.9% · Q3 3.7% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	16.0%	21.7% 5.7 pts better	19.8% 3.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 19.3% · Q2 13.3% · Q3 14.4% · Q4 17.7% · 4Q avg 16.0%
Percentage of long-stay residents with pressure ulcers	3.3%	3.7% 0.4 pts better	5.1% 1.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 2.0% · Q3 3.5% · Q4 4.5% · 4Q avg 3.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	97.0%	78.1% 18.9 pts better	81.7% 15.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 98.8% · Q2 96.4% · Q3 96.2% · Q4 96.4% · 4Q avg 97.0%
Percentage of short-stay residents who had an outpatient emergency department visit	20.8%	12.5% 8.3 pts worse	12.0% 8.8 pts worse	Short Stay · 20240701-20250630 · Adjusted 20.8% · Observed 23.7% · Expected 12.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.1%	1.2% 0.1 pts better	1.6% 0.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.4% · Q3 2.1% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	95.4%	75.6% 19.8 pts better	79.7% 15.7 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 95.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	19.2%	25.1% 5.9 pts better	23.9% 4.7 pts better	Short Stay · 20240701-20250630 · Adjusted 19.2% · Observed 21.1% · Expected 26.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-06 · Fire 2025-05-06

14 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

9 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2022-09-14 · Fire 2022-09-14

4 health deficiencies

Top issue: Infection Control (1 deficiency)

13 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)

Cycle 3 Health 2019-10-09 · Fire 2019-10-09

1 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

13 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-05-06

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2025-05-28

F · Potential for more than minimal harm 2025-05-06

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-05-28

F · Potential for more than minimal harm 2025-05-06

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-05-28

F · Potential for more than minimal harm 2025-05-06

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-05-28

F · Potential for more than minimal harm 2025-05-06

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-05-28

F · Potential for more than minimal harm 2025-05-06

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-05-28

E · Potential for more than minimal harm 2025-05-06

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2025-05-28

E · Potential for more than minimal harm 2025-05-06

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-05-28

E · Potential for more than minimal harm 2025-05-06

K500 · Services Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2025-05-28

F · Potential for more than minimal harm 2022-09-14

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2022-10-13

F · Potential for more than minimal harm 2022-09-14

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2022-10-13

F · Potential for more than minimal harm 2022-09-14

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-10-13

F · Potential for more than minimal harm 2022-09-14

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-10-13

F · Potential for more than minimal harm 2022-09-14

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-10-13

F · Potential for more than minimal harm 2022-09-14

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2022-10-13

F · Potential for more than minimal harm 2022-09-14

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2022-10-13

F · Potential for more than minimal harm 2022-09-14

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2022-10-13

E · Potential for more than minimal harm 2022-09-14

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2022-10-13

E · Potential for more than minimal harm 2022-09-14

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2022-10-13

E · Potential for more than minimal harm 2022-09-14

K753 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of highly flammable decorations.

Corrected 2022-10-13

E · Potential for more than minimal harm 2022-09-14

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2022-10-13

E · Potential for more than minimal harm 2022-09-14

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2022-10-13

F · Potential for more than minimal harm 2019-10-09

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2019-12-04

F · Potential for more than minimal harm 2019-10-09

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2019-12-04

F · Potential for more than minimal harm 2019-10-09

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2019-12-04

F · Potential for more than minimal harm 2019-10-09

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2019-12-04

F · Potential for more than minimal harm 2019-10-09

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2019-12-04

E · Potential for more than minimal harm 2019-10-09

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2019-12-04

E · Potential for more than minimal harm 2019-10-09

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2019-12-04

E · Potential for more than minimal harm 2019-10-09

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2019-12-04

E · Potential for more than minimal harm 2019-10-09

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2019-12-04

E · Potential for more than minimal harm 2019-10-09

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2019-12-04

E · Potential for more than minimal harm 2019-10-09

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2019-12-04

E · Potential for more than minimal harm 2019-10-09

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2019-12-04

C · Minimal harm 2019-10-09

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2019-12-04

Inspection history

Recent health citations

G · Actual harm 2025-08-06

F689 · Quality of Life and Care Deficiencies

Health

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

Not marked corrected

G · Actual harm 2025-05-06

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-05-28

F · Potential for more than minimal harm 2025-05-06

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-05-28

F · Potential for more than minimal harm 2025-05-06

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-05-28

E · Potential for more than minimal harm 2025-05-06

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2025-05-28