CRYSTAL CARE OF COAL GROVE has an overall 3-star rating, with a 1-star staffing rating and reported staffing below the federal benchmark (3.25 vs 4.1 hours per resident per day). It has no fines in the last 24 months, a 3-star health inspection rating, and a 5-star quality measures rating; recent cited issues involved care orders, psychotropic medication use, and antibiotic monitoring.
Last inspection: September 11, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2479.
Staffing detail
Registered nurses
0.50
Licensed practical nurses
0.74
Nurse aides
2.01
Weekend nursing
2.95
Hours per resident per day.
Total staff turnover: 56%
Registered nurse turnover: 57%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
3.8%7.1%Worsening
Residents with a fall causing major injury
5.7%2%Improving
Residents with pressure ulcers (bedsores)
6.5%2%Improving
Residents with a urinary tract infection
1.9%0%Improving
Residents who lost too much weight
8.7%5.4%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
8.7%12.5%Worsening
Residents whose ability to walk got worse
9.5%4.4%Improving
Long-stay residents on antianxiety or sleep medication
48.9%52.5%Worsening
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
1.9%22.7%Worsening
Residents with depressive symptoms
27.7%11.1%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—96.5%—
Long-stay residents given the pneumonia vaccine
96.2%95.9%No change
Short-stay residents given the pneumonia vaccine
—68.2%—
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: J
The home failed to properly reduce or limit psychotropic medication use and try safer non-drug approaches when appropriate. Cited October 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 758 — 42 CFR §483.45(e) — S/S: E
The home failed to monitor antibiotic use properly. Cited October 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 881 — 42 CFR §483.80 — S/S: E
The nursing home failed to develop and follow policies to make sure residents received flu and pneumonia vaccinations. Cited October 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 883 — 42 CFR §483.80 — S/S: E
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited September 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: D
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $159,708 in total fines · 1 payment denial.
Medicare/Medicaid payment denial
Mar 4, 2024
18 days
Federal fine
Mar 4, 2024
$159,708
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of HILLSTONE HEALTHCARE · 12 homes · 3.7 stars avg
Occupancy
51.4 residents on an average day (90% of 57 beds)
Resident voice
Resident council
Medicare history
Certified for 25 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.