Nursing homeActive

Crystal Care Of Coal Grove

813 1/2 Marion Pike, Coal Grove, OH 45638740532044957 certified beds · 51 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
5
since 2021
Deficiencies
25
1231
Penalties · 3 yrs
$159,708
1 fine · 1 action
Last survey
2025-09-11
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 1
Quality 5
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Ohio Department of Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2025-09-11Standard050CMS-2567 (Care Compare)
2024-03-26Complaint020CMS-2567 (Care Compare)
2024-03-04Complaint001CMS-2567 (Care Compare)
2023-10-19Standard090CMS-2567 (Care Compare)
2021-12-07Standard170CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Ohio Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2025-09-11Standard survey · 5 deficienciesOfficial report
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-08Record 366202-20250911-F656
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-08Record 366202-20250911-F697
F699Provide care or services that was trauma informed and/or culturally competent.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-08Record 366202-20250911-F699
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-08Record 366202-20250911-F756
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-08Record 366202-20250911-F757
2024-03-26Complaint survey · 2 deficienciesOfficial report
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-16Record 366202-20240326-F677
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-16Record 366202-20240326-F725
2024-03-04Complaint survey · 1 deficiencyOfficial report
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-04-16Record 366202-20240304-F684
2023-10-19Standard survey · 9 deficienciesOfficial report
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-08Record 366202-20231019-F656
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-08Record 366202-20231019-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-08Record 366202-20231019-F689
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-08Record 366202-20231019-F692
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-08Record 366202-20231019-F756
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-08Record 366202-20231019-F757
F758Implement 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-08Record 366202-20231019-F758
F881Implement a program that monitors antibiotic use.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-08Record 366202-20231019-F881
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-08Record 366202-20231019-F883
2021-12-07Standard survey · 8 deficienciesOfficial report
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-01-06Record 366202-20211207-F686
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-01-06Record 366202-20211207-F689
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-01-06Record 366202-20211207-F692
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-01-06Record 366202-20211207-F755
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-01-06Record 366202-20211207-F756
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-01-06Record 366202-20211207-F759
F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-01-06Record 366202-20211207-F805
F732Post nurse staffing information every day.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2022-01-06Record 366202-20211207-F732

Penalties & enforcement

DateActionAmountSource
2024-03-04Civil money penalty$159,708CMS · Penalties
2024-03-04Denial of payment for new admissions
Payment denial for 18 days, from 2024-03-29
CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.44
Facility
Ohio
National
Ohio 0.64 · National 0.69
Total nurse hours per resident day3.16
Facility
Ohio
National
Ohio 3.69 · National 3.86
Weekend total nurse hours2.87
Facility
Ohio
National
Ohio 3.28 · National 3.42
Total nursing staff turnover49%
Facility
Ohio
National
Ohio 49% · National 46%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityOhioNational
Percentage of long-stay residents with pressure ulcers
lower is better
2.1%3.4%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
2.0%3.2%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
6.3%8.8%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.0%0.4%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.1%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
8.4%5.3%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
7.4%6.2%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
54.8%25.5%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Bergsten, Paul
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Dapore, Matthew
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Bergsten, Paul
Individual
CORPORATE OFFICERNOT APPLICABLE
Dapore, Matthew
Individual
CORPORATE OFFICERNOT APPLICABLE
Detty, Peter
Individual
W-2 MANAGING EMPLOYEENOT APPLICABLE
Ramsey, Tara
Individual
W-2 MANAGING EMPLOYEENOT APPLICABLE
Part of a chain
Hillstone Healthcare9 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Ohio.

No county cost figures on file for Lawrence.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Sanctuary At Ohio Valley
Ironton
0.9 mi2025-03-06060
Harbor Healthcare Of Ironton
Ironton
0.9 mi2025-01-30020
Oakmont Manor
Flatwoods
2.6 mi2026-04-22050
Woodland Oaks
Ashland
3.9 mi2026-05-29040
Kingsbrook Lifecare Center
Ashland
5.7 mi2025-06-05042
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01