Cycle 1
Health 2024-08-28 · Fire 2024-08-28
3 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
8 fire-safety deficiencies
Top issue: Miscellaneous (3 deficiencies)
Mansfield, OH
Crystal Care Center Of Mansfie
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
1159 Wyandotte Ave, Mansfield, OH
(419) 747-2666
Overall
4 / 5
CMS overall stars
Health inspections
4 / 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
74
Certified beds
Average residents
64
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1993-12-30
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
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
0.34
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.08
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
1.80
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
3.23
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
1.43
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
2.53
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.16
Weekend registered nurse coverage · state 0.41 · national 0.47
Physical therapist
0.18
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.31
CMS adjusted RN staffing hours
Adjusted total hours
2.94
CMS adjusted total nurse staffing hours
Case-mix index
1.50
Higher values indicate more complex resident acuity
RN turnover
44%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
60%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
6,439
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
32.84
Composite VBP score used to determine payment impact.
Payment multiplier
0.9873
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
7.74
Baseline 19.61% · Performance 17.84% · Measure score 7.74 · Achievement 7.74 · Improvement 6.35
Healthcare-associated infections
2.65
Baseline 8.62% · Performance 7.48% · Measure score 2.65 · Achievement 1.18 · Improvement 2.65
Total nurse turnover
2.75
Baseline 47.69% · Performance 52.46% · Measure score 2.75 · Achievement 2.75 · Improvement 0
Adjusted total nurse staffing
0
Baseline 3.14 hours · Performance 3.07 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.46% |
10.72%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 122 · Observed rate 12.3% · Lower 95% interval 8.01% |
| Discharge to community | 47.93% |
50.57%
2.6 pts worse
|
No Different than the National Rate · Eligible stays 86 · Observed rate 44.19% · Lower 95% interval 36.2% |
| Medicare spending per beneficiary | 0.97 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 42 · Denominator 42 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 42 |
| Discharge self-care score | 67.65% |
53.69%
14 pts better
|
Numerator 23 · Denominator 34 |
| Discharge mobility score | 58.82% |
50.94%
7.9 pts better
|
Numerator 20 · Denominator 34 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 42 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 7.48% |
7.12%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 52 · Observed rate 7.69% · Lower 95% interval 3.98% |
| Staff COVID-19 vaccination coverage | 2.47% |
8.2%
5.7 pts worse
|
Numerator 2 · Denominator 81 |
| Staff flu vaccination coverage | 14.06% |
42%
27.9 pts worse
|
Numerator 18 · Denominator 128 |
| Discharge function score | 85.29% |
56.45%
28.8 pts better
|
Numerator 29 · Denominator 34 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 21 · Denominator 21 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 21.74% |
25.2%
3.5 pts worse
|
Numerator 5 · Denominator 23 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.9 |
1.8
1.1 pts worse
|
1.9
1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.9 · Observed 2.2 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.6 |
1.8
0.2 pts better
|
1.8
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.2 · 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 | 93.5% |
94.5%
1 pts worse
|
95.5%
2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.1% |
3.3%
1.2 pts better
|
3.3%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 3.3% · Q3 0.0% · Q4 1.7% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 10.5% |
26.1%
15.6 pts better
|
11.4%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.5% · Q2 9.3% · Q3 10.0% · Q4 9.3% · 4Q avg 10.5% |
| Percentage of long-stay residents who lose too much weight | 5.6% |
6.2%
0.6 pts better
|
5.4%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 3.8% · Q3 8.3% · Q4 8.0% · 4Q avg 5.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.8% |
25.4%
13.6 pts better
|
19.6%
7.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 9.4% · Q3 12.0% · Q4 15.7% · 4Q avg 11.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 9.6% |
11.5%
1.9 pts better
|
16.7%
7.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 9.1% · Q3 7.3% · Q4 9.5% · 4Q avg 9.6% · 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 | 5.5% |
7.7%
2.2 pts better
|
16.3%
10.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 9.6% · Q3 0.0% · 4Q avg 5.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 5.6% |
6.2%
0.6 pts better
|
14.9%
9.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 6.4% · Q3 6.8% · Q4 2.2% · 4Q avg 5.6% · 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 | 0.0% |
0.5%
0.5 pts better
|
1.7%
1.7 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 new or worsened bowel or bladder incontinence | 11.3% |
21.7%
10.4 pts better
|
19.8%
8.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 9.5% · Q3 16.6% · Q4 15.4% · 4Q avg 11.3% |
| Percentage of long-stay residents with pressure ulcers | 1.2% |
3.7%
2.5 pts better
|
5.1%
3.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 0.0% · Q3 0.0% · Q4 2.2% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
78.1%
21.9 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.1% |
12.5%
0.6 pts worse
|
12.0%
1.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.1% · Observed 12.5% · Expected 10.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.2%
1.2 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q3 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.3% |
75.6%
13.7 pts better
|
79.7%
9.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.1% |
25.1%
8 pts better
|
23.9%
6.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.1% · Observed 16.7% · Expected 23.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-05-06 · Fire 2022-05-06
8 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
6 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Cycle 3
Health 2019-05-16 · Fire 2019-05-16
2 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
3 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-08-28
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2024-10-15
F · Potential for more than minimal harm
2024-08-28
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2024-10-15
F · Potential for more than minimal harm
2024-08-28
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-10-15
F · Potential for more than minimal harm
2024-08-28
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-10-15
F · Potential for more than minimal harm
2024-08-28
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 2024-10-15
E · Potential for more than minimal harm
2024-08-28
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2024-10-15
E · Potential for more than minimal harm
2024-08-28
K781 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2024-10-15
E · Potential for more than minimal harm
2024-08-28
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-10-15
F · Potential for more than minimal harm
2022-05-06
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2022-06-01
F · Potential for more than minimal harm
2022-05-06
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 2022-06-01
F · Potential for more than minimal harm
2022-05-06
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 2022-06-01
F · Potential for more than minimal harm
2022-05-06
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2022-06-01
F · Potential for more than minimal harm
2022-05-06
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 2022-06-01
E · Potential for more than minimal harm
2022-05-06
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2022-06-01
F · Potential for more than minimal harm
2019-05-16
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2019-06-14
F · Potential for more than minimal harm
2019-05-16
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-06-14
E · Potential for more than minimal harm
2019-05-16
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2019-06-14
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-08-28
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-10-15
D · Potential for more than minimal harm
2024-08-28
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.
Corrected 2024-10-15
D · Potential for more than minimal harm
2024-08-28
F700 · Quality of Life and Care Deficiencies
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2024-10-15
E · Potential for more than minimal harm
2022-05-06
F570 · Resident Rights Deficiencies
Health
Assure the security of all personal funds of residents deposited with the facility.
Corrected 2022-06-01
E · Potential for more than minimal harm
2022-05-06
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.
Corrected 2022-06-01
D · Potential for more than minimal harm
2022-05-06
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-06-01
D · Potential for more than minimal harm
2022-05-06
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2022-06-01
D · Potential for more than minimal harm
2022-05-06
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-06-01
D · Potential for more than minimal harm
2022-05-06
F688 · Quality of Life and Care Deficiencies
Health
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.
Corrected 2022-06-01
D · Potential for more than minimal harm
2022-05-06
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-06-01
D · Potential for more than minimal harm
2022-05-06
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2022-06-01
G · Actual harm
2019-05-16
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.
Corrected 2019-06-14
D · Potential for more than minimal harm
2019-05-16
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-06-14
Penalties and ownership
What sits behind the stars
Ownership
Smith, Susan
5% Or Greater Direct Ownership Interest · Individual
Police, Kyann
5% Or Greater Direct Ownership Interest · Individual
Smith, Jennifer
5% Or Greater Direct Ownership Interest · Individual
Ward, Mindy
5% Or Greater Direct Ownership Interest · Individual
Blanton, Lorie
Operational/Managerial Control · Individual
Brent, Jerry
Operational/Managerial Control · Individual
Brooks, Beth
Operational/Managerial Control · Individual
Gibson, Tanya
Operational/Managerial Control · Individual
Gollihue, Justine
Operational/Managerial Control · Individual
Granson, Angela
Operational/Managerial Control · Individual
Hefner, Aimee
Operational/Managerial Control · Individual
Katchmark, Shayne
Operational/Managerial Control · Individual
Police, Kyann
Corporate Officer · Individual
Rhinebolt, Renee
Operational/Managerial Control · Individual
Smith, Jennifer
Corporate Officer · Individual
Smith, Susan
Corporate Officer · Individual
Sturgill, Angie
Operational/Managerial Control · Individual
Walters, Cathy
Operational/Managerial Control · Individual
Ward, Mindy
Corporate Officer · Individual
Wymer, Rachel
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Jag Healthcare Mansfield
Mansfield, OH
1-star overall rating with 1-star inspections with $130,240 in total fines with 22 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
#2
Liberty Nursing Center Of Mansfield
Mansfield, OH
2-star overall rating with 2-star inspections with $41,243 in total fines with 13 recent health deficiencies with 18 fire-safety deficiencies in the latest cycle
#3
Winchester Terrace
Mansfield, OH
3-star overall rating with 2-star inspections with 10 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
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