Coal Grove, OH

Crystal Care Of Coal Grove

3-star overall rating with 3-star inspections with $159,708 in total fines with 5 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

813 1/2 Marion Pike, Coal Grove, OH

(740) 532-0449

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 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

57

Certified beds

Average residents

52

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Hillstone Healthcare

Operator or chain grouping

Approved since

2000-08-10

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.47

Registered nurse staffing

LPN hours / resident day

0.73

Licensed practical nurse staffing

Aide hours / resident day

1.92

Nurse aide staffing

Weekend hours

2.86

Weekend nurse staffing

RN turnover

50%

Annual RN turnover

Total nurse turnover

47%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.6
1.8
0.2 pts better
1.9
0.3 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.9
1.8
0.1 pts worse
1.8
0.1 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 93.3%
92.4%
0.9 pts better
93.4%
0.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.5%
94.5%
2 pts better
95.5%
1 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 4.8%
3.3%
1.5 pts worse
3.3%
1.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 25.4%
26.1%
0.7 pts better
11.4%
14 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 6.3%
6.2%
0.1 pts worse
5.4%
0.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 53.1%
25.4%
27.7 pts worse
19.6%
33.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 10.9%
11.5%
0.6 pts better
16.7%
5.8 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 5.0%
7.7%
2.7 pts better
16.3%
11.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 5.2%
6.2%
1 pts better
14.9%
9.7 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents with a urinary tract infection 0.5%
0.5%
About the same
1.7%
1.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 6.9%
21.7%
14.8 pts better
19.8%
12.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 3.7%
3.7%
About the same
5.1%
1.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 66.7%
78.1%
11.4 pts worse
81.7%
15 pts worse
Short Stay · 2024Q4-2025Q3
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

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-11 · Fire 2025-09-11

5 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

4 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 2 Health 2023-10-19 · Fire 2023-10-19

12 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 3 Health 2021-12-07 · Fire 2021-12-07

8 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-09-11

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-10-08

E · Potential for more than minimal harm 2025-09-11

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 2025-10-08

E · Potential for more than minimal harm 2025-09-11

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-10-08

E · Potential for more than minimal harm 2025-09-11

K915 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper power supply for life support equipment.

Corrected 2025-10-08

E · Potential for more than minimal harm 2023-10-19

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-11-08

F · Potential for more than minimal harm 2021-12-07

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-01-06

F · Potential for more than minimal harm 2021-12-07

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-01-06

F · Potential for more than minimal harm 2021-12-07

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-01-06

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-09-11

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 2025-10-08

D · Potential for more than minimal harm 2025-09-11

F697 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-10-08

D · Potential for more than minimal harm 2025-09-11

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2025-10-08

D · Potential for more than minimal harm 2025-09-11

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2025-10-08

D · Potential for more than minimal harm 2025-09-11

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2025-10-08

D · Potential for more than minimal harm 2024-03-26

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 2024-04-16

D · Potential for more than minimal harm 2024-03-26

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 2024-04-16

J · Immediate jeopardy 2024-03-04

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-04-16

E · Potential for more than minimal harm 2023-10-19

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2023-11-08

E · Potential for more than minimal harm 2023-10-19

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2023-11-08

E · Potential for more than minimal harm 2023-10-19

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2023-11-08

D · Potential for more than minimal harm 2023-10-19

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 2023-11-08

D · Potential for more than minimal harm 2023-10-19

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-11-08

D · Potential for more than minimal harm 2023-10-19

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 2023-11-08

D · Potential for more than minimal harm 2023-10-19

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-11-08

D · Potential for more than minimal harm 2023-10-19

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2023-11-08

D · Potential for more than minimal harm 2023-10-19

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2023-11-08

D · Potential for more than minimal harm 2021-12-07

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2022-01-06

D · Potential for more than minimal harm 2021-12-07

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 2022-01-06

D · Potential for more than minimal harm 2021-12-07

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-01-06

D · Potential for more than minimal harm 2021-12-07

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2022-01-06

D · Potential for more than minimal harm 2021-12-07

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2022-01-06

D · Potential for more than minimal harm 2021-12-07

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2022-01-06

D · Potential for more than minimal harm 2021-12-07

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2022-01-06

C · Minimal harm 2021-12-07

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2022-01-06

Penalties and ownership

What sits behind the stars

$159,708 2024-03-04

Fine

Fine · fine $159,708

Fine

$0 2024-03-04

Payment Denial

Payment Denial · denial start 2024-03-29 · 18 days

18 day denial

Ownership

Hillstone Healthcare Inc.

5% Or Greater Direct Ownership Interest · Organization

100% 10 facilities 2017-09-01
Dapore, Matthew

5% Or Greater Indirect Ownership Interest · Individual

40% 10 facilities 2016-02-01
Bergsten, Paul

5% Or Greater Indirect Ownership Interest · Individual

0% 10 facilities 2016-02-01
Bergsten, Paul

Operational/Managerial Control · Individual

0% 10 facilities 2016-02-01
Bergsten, Paul

Corporate Officer · Individual

0% 10 facilities 2016-02-01
Dapore, Matthew

Operational/Managerial Control · Individual

0% 10 facilities 2016-02-01
Dapore, Matthew

Corporate Officer · Individual

0% 10 facilities 2016-02-01
Detty, Peter

W-2 Managing Employee · Individual

0% 1 facilities 2016-03-01
Ramsey, Tara

W-2 Managing Employee · Individual

0% 1 facilities 2023-02-16

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3-star overall rating with 3-star inspections with $75,265 in total fines with 2 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

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Health
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Staffing
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Fines
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#3

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2-star overall rating with 3-star inspections with 4 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

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Health
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Staffing
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