1251 East Main Street, Ashland, OH 44805 · Ashland County · (419) 281-9595
72 certified beds, about 61 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2002
CMS Care Compare ratings, data as of September 1, 2026 · CCN 366239 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on May 6, 2025, inspectors cited 13 health deficiencies (the Ohio average is 10.5, the national average 9.2).
Of 23 health citations since October 2019, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $17,686 in the last three years; the largest was $17,686, and the latest is dated August 6, 2025.
Nurses and nurse aides worked 2.93 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.37 of those hours.
55.9% of nursing staff left within the year CMS measured (Ohio average 48.7%).
CMS links it to Embassy Healthcare, an affiliated group of 33 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 23 health citations on file.
Inspectors wroteBased on record review, observation, staff interview and review of the manufacturer instructions for the facility glucometers, the facility failed to ensure staff maintained proper infection control practices while using glucometers. This affected two (Residents #12 and #41) of two residents blood sugar assessments observed and had the potential to affect an additional seven (Residents #3, #5, #24, #40, #41, #43, #44 and #58) identified by the facility as also receiving blood sugar monitoring via glucometer. The facility census was 58.
Inspectors wroteBased on record review and interviews, the facility failed to ensure a safe discharge for Resident #62. This affected one (Resident #62) of three residents reviewed for planned discharges. The facility census was 58.
Inspectors wroteBased on record review, observation, interviews, facility policy review, and review of the 2025 International Pressure Injury Guidelines, the facility did not follow appropriate infection control practices during wound care and failed to provide or offer an appropriate pressure reducing mattress to support healing of a pressure ulcer. This failure affected one resident (Resident #26) of three residents reviewed for wound care. The facility census was 58.
Inspectors wroteBased on record review, observation, interview and review of the insulin pen instruction manual, the facility failed to administer insulin to Resident #12 per the physician order. This affected one (Resident #12) of two residents observed for insulin administration. The facility census was 58.
Inspectors wroteTHE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on observation, interview, closed medical record review, facility policy review, review of an Emergency Medical Services (EMS) run report, and hospital records, the facility failed to ensure Resident #60 was transferred and weighed in a manner consistent with his plan of care. This resulted in Actual Harm on [DATE] at approximately 9:00 A.M. when Resident #60 was weighed while using a Hoyer (mechanical) lift by Certified Nursing Assistants (CNA) #150 and #152. Resident #60 raised himself up in his electric lift chair, stood up with the assistance of his front wheeled walker, and a Hoyer lift sling was placed underneath him. Resident #60 was then raised into the air by two staff members in the Hoyer lift, where Resident #60 weighed 438 pounds. [...]
Inspectors wroteBased on medical record review, resident interview, staff interview, Nurse Practitioner (NP) interview, review of hospital records, and review of facility policy, the facility failed to adequately monitor Resident #271's cellulitis (potentially serious bacterial skin infection), failed to timely identify a change in condition, and further failed to notify the physician of the resident's decline. This resulted in actual harm for Resident #271 on 03/29/25 when the facility failed to adequately monitor the resident's right lower extremity cellulitis to identify a worsening of the condition and, therefore, did not notify the physician of the decline. Resident #271's family member intervened and requested the facility transfer the resident to the hospital for further evaluation and treatment. [...]
Inspectors wroteBased on resident interview, staff interview, review of the Facility Assessment (FA) and review of staffing reports, the facility failed to have sufficient staff to meet resident needs as identified in the FA. This had the potential to affect all 59 residents of the facility. The facility census was 59.
Inspectors wroteBased on observation, staff interview and review of the facility policy, the facility failed to maintain a clean and sanitary kitchen and further failed to ensure food items were not stored directly on the floor. This had the potential to affect all 59 residents who received meals from the facility kitchen. The facility census was 59.
Inspectors wroteBased on observation, resident interview, staff interview, and policy review, the facility failed to maintain a comfortable, clean, sanitary, and homelike environment that was in good repair. This affected four (#40, #30, #48 and #22) of four residents reviewed for the environment with the potential to affect and additional 23 residents (#3, #8, #10, #16, #17, #20, #24, #26, #27, #28, #34, #41, #42, #43, #47, #54, #57, #59, #319, #320, #321, #322, #323) residents who resided on the 300-unit. The facility census was 59.
Inspectors wroteBased on medical record review, review of electronic communications (e-mail), staff interview and review of facility policy, the facility failed to ensure a request for medical records was addressed timely. This affected one (#270) of one resident reviewed for medical record requests. The facility census was 59.
Inspectors wroteBased on observation, resident interview, staff interview, medical record review and review of facility policy, the facility failed to ensure wound care recommendations for an alternating air/low air loss mattress were implemented to prevent the development of pressure ulcers. This affected on (#53) of three residents reviewed for pressure ulcers. The facility census was 59.
Inspectors wrote2. Review of the medical record for Resident #48 revealed an admission date of 02/02/24. Diagnoses included type II diabetes mellitus and obstructive and reflux uropathy. Review of the quarterly MDS assessment, dated dated 03/31/25, revealed Resident #48 was cognitively intact and had an indwelling urinary catheter. Review of a physician order dated 09/30/24 revealed Resident #48 had an order for indwelling urinary catheter care every shift. Review of the Treatment Administration Record (TAR) for April 2025 revealed Resident #48's catheter care was not documented as provided on the 6:00 A.M. to 6:00 P.M. shift on 04/04/25, 04/06/25, 04/09/25, 04/10/25, 04/19/25, and 04/20/25. Further review revealed no evidence the care was provided on the 6:00 P.M. to 6:00 A.M. on 04/23/25. Interview on 04/30/25 at 9:18 A.M. [...]
Inspectors wroteBased on medical record review, observation, staff interview, visitor interview, and review of facility policies, the facility failed to obtain physician orders to ensure a percutaneous endoscopic gastrostomy (PEG) tube was monitored and cared for appropriately. This affected one (#28) of one resident reviewed fur tube feedings. The facility census was 59.
Inspectors wroteBased on medical record review, observation, staff interview and review of the facility policy, the facility failed to ensure central lines were cared for in accordance with professional standards of practice. This affected one (#323) of one resident reviewed for intravenous (IV) therapy. The facility census was 59.
Inspectors wroteBased on medical record review, resident interview, staff interview and review of facility policy, the facility failed to ensure resident pain was effectively managed. This affected one (#269) of one resident reviewed for pain management. The facility census was 59.
Inspectors wroteBased on medical record review, review of pharmacy recommendations, staff interview and review of facility policy, the facility failed to ensure pharmacy recommendations were reviewed by the physician timely. This affected one (#3) of five residents reviewed for unnecessary medications. The facility census was 59.
Inspectors wroteBased on observation, medical record review, staff interview and review of the facility policy, the facility failed to properly store medications in a safe manner. This affected one (#21) of one resident reviewed for for medication storage. The facility census was 59.
Inspectors wroteBased on observation, staff interview, medical record review, review of the Centers for Disease Control and Prevention (CDC) guidance and review of facility policy, the facility failed to ensure receptacles for contaminated personal protective equipment (PPE) were appropriately placed to prevent the transmission of pathogens. This affected one (#320) reviewed for urinary tract infections and medication administration. The facility census was 59.
Inspectors wroteBased on record review and staff interview, the facility failed to ensure physician's orders were followed timely to change the resident's Foley catheter. This affected one (#60) of three residents reviewed for Foley catheter. The facility census was 65.
Inspectors wroteBased on medical record review, observation, staff interview, review of the county positivity rate, review of the Centers for Disease Control (CDC) online resources, and policy review, the facility failed to ensure staff sanitized their eye protection upon leaving the room of residents identified to be on transmission-based precautions. This had the potential to affect all residents residing in the facility. The facility census was 57.
Inspectors wroteBased on observation, interview, and policy review the facility failed to ensure expired over the counter medication was removed from the medication cart and the medication storage room. This affected one medication cart and one medication storage room out of one medication cart and medication storage room observed. The facility had a total of two medication carts and two medication storage rooms. The facility identified four residents (#10, #05, #03, and #48) who were ordered the expired medications in the medication cart and the medication storage room. The facility census was 57.
Inspectors wroteBased on medical record review, staff interview, review of the hospital after visit summary, and policy review, the facility failed to ensure timely treatments were in place when a resident was admitted with a deep tissue injury. This affected one resident (#203) out of three residents reviewed for pressure ulcers. The facility census was 57.
Inspectors wroteBased on observation, interview, and policy review, the facility failed to serve food at a safe and palatable temperature for resident satisfaction. This affected two residents (#35 and #40) out of six residents reviewed for meal service concerns. The facility census was 57.
35 fire safety citations on file: 9 on May 6, 2025, 13 on September 14, 2022, 13 on October 9, 2019.
| Date | Penalty | Amount or length |
|---|---|---|
| August 6, 2025 | Fine | $17,686 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Ohio | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 2.93 | 3.69 | 3.86 |
| Registered nurses | 0.37 | 0.64 | 0.69 |
| All nursing staff on weekends | 2.85 | 3.28 | 3.42 |
| Nurse aides | 1.73 | ||
| Licensed practical nurses | 0.83 | ||
| Nursing staff turnover (share who left in a year) | 55.9% | 48.7% | 45.8% |
| Registered nurse turnover | 57.1% | 43.9% | 42.9% |
| Administrators who left | 2 |
CMS expects 4.25 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 2.97 on weekdays and 2.85 on weekends, 4% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.46 in April to June 2025 to 2.93 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 2.93 | 0.37 | 2.97 | 2.85 | 0.4% | 0 of 90 | 61 |
| Oct to Dec 2025 | 3.07 | 0.36 | 3.15 | 2.86 | 2.1% | 0 of 92 | 64 |
| Jul to Sep 2025 | 3.20 | 0.32 | 3.30 | 2.94 | 0.0% | 0 of 92 | 58 |
| Apr to Jun 2025 | 3.46 | 0.34 | 3.58 | 3.15 | 4.4% | 0 of 91 | 59 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Ohio, Jan to Mar 2026 | 3.64 | 0.60 | 3.80 | 3.24 | 4.6% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Ohio, all employers | |||
| CNAs (nursing assistants) | $18.76 | $17.93 to $21.44 | 63,280 |
| LPNs and LVNs | $29.78 | $27.34 to $31.68 | 39,900 |
| Registered nurses | $39.67 | $38.08 to $47.61 | 143,730 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Ohio | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 4.2 | 5.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.2 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.5 | 0.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.9 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.5 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 4.3 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.3 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 7.4 | 8.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 23.6 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 19.5 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.8 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Crystal Care Center of Ashland's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (48.6% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
48.6% this home
No different from the national rate
US median of homes 51.5% · Ohio: 147 better, 20 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 51 eligible stays.
9.0% this home
No different from the national rate
US median of homes 10.7% · Ohio: 3 better, 7 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 72 eligible stays.
7.0% this home
No different from the national rate
US median of homes 7.1% · Ohio: 1 better, 4 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 32 eligible stays.
64.5% this home
Median of homes: Ohio55.6% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 31 residents counted.
2.1% this home
Median of homes: Ohio0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 47 residents counted.
0.0% this home
Median of homes: Ohio1.4% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 47 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Ohio100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 10 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: EMBASSY CRYSTAL CARE LLC. CMS links this home to Embassy Healthcare, a group of 33 nursing homes averaging 2.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Repchick, George | Managing control - governing body | Individual | 01/01/2020 | |
| Embassy Healthcare Management Inc | Operational/managerial control | Organization | 01/01/2020 | |
| Curran, Dan | Operational/managerial control | Individual | 01/01/2025 | |
| Handler, Aaron | Operational/managerial control | Individual | 01/01/2020 | |
| Repchick, George | Operational/managerial control | Individual | 01/01/2020 | |
| Embassy Healthcare Management Inc | Adp of the SNF | Organization | 04/21/2025 | |
| Heritage Employment Services, LLC | Adp of the SNF | Organization | 01/01/2020 | |
| Curran, Dan | Adp of the SNF | Individual | 01/01/2025 | |
| Repchick, George | Adp of the SNF | Individual | 01/01/2020 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Ohio. NursingHomeClear cannot take or act on complaints.