Federal inspection record · CMS data as of October 1, 2026
Crystal Care Of Coal Grove
813 1/2 Marion Pike, Coal Grove, OH · (740) 532-0449
- Certified beds
- 57
- Residents per day
- 54
- Ownership
- For-Profit
- Chain
- Hillstone Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 10, 2000
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Ohio.
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Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Ohio homes
Crystal Care Of Coal Grove carries 47.75 inspection points. That is fewer than 62% of Ohio's 913 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Ohio: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–15 pts
- 4★ 15–42 pts
- 3★ 42–69 pts
- 2★ 69–121.25 pts
- 1★ over 121.25 pts
Bars show every rated home in Ohio by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
25 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Quality of Life and Care9D
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide care or services that was trauma informed and/or culturally competent.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide enough food/fluids to maintain a resident's health.
Pharmacy Service8E
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- E
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.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure medication error rates are not 5 percent or greater.
Resident Assessment and Care Planning2D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nursing and Physician Services2D
- D
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- C
Post nurse staffing information every day.
Infection Control2E
- E
Implement a program that monitors antibiotic use.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Nutrition and Dietary1D
- D
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Inspection history
2025-09-11
5 health deficiencies · 4 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2023-10-19
9 health deficiencies · 1 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
2021-12-07
11 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 5 min of nursing staff time a day, 26 min of it from a registered nurse.
This home
3 h 5 min
Ohio average
3 h 43 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 50% of nursing staff and 0% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$159,708 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-03-04 | Fine | $159,708 |
| 2024-03-04 | Payment Denial · 18 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.8 pts better | 0.9 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts better | 1.2 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.8 pts better | 93.5% | 92.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.3 pts worse | 90.4% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.1 pts better | 3.0% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms20.2 pts better | 11.4% | 31.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.8 pts worse | 6.9% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication28.8 pts worse | 54.3% | 25.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.2 pts better | 8.3% | 8.5% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.7 pts worse | 7.0% | 5.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.5 pts worse | 8.5% | 5.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better | 0.0% | 0.2% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts better | 0.0% | 0.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1 pts worse | 21.9% | 20.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.3 pts better | 0.9% | 3.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.2 pts worse | 74.2% | 78.4% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts better | 0.0% | 1.2% | 1.5% |
·
Who owns and runs it
6 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Bergsten, Paul | Corporate Officer · Individual | 0% | 8 facilities |
| Bergsten, Paul | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Dapore, Matthew | Corporate Officer · Individual | 0% | 8 facilities |
| Dapore, Matthew | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Detty, Peter | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Ramsey, Tara | W-2 Managing Employee · Individual | 0% | 2 facilities |
·
Fire safety
8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3F
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems2F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have proper power supply for life support equipment.
Egress2E
- E
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.
- E
Have properly located and lighted "Exit" signs.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
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Other homes nearby
-
Harbor Healthcare Of Ironton
Ironton, OH · Ecc Trust
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 46 min
- Fines
- $0
-
Sanctuary At Ohio Valley
Ironton, OH · American Health Foundation
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 43 min
- Fines
- $0
-
Oakmont Manor
Flatwoods, KY · Bluegrass Health Ky
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 14 min
- Fines
- $0