Skilled nursing facility · CMS certification number 365945
CRYSTAL CARE CENTER OF MANSFIE
MANSFIELD, Ohio · Medicare and Medicaid
Certified beds, as filed in Care Compare: 74
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on December 12, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,177,849 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,919,557 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,258,292 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,461,203 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$202,911 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $27,433 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$175,478 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$175,478 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 74 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 27,084 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,452 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 14,186 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 7,574 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 23,212 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 30 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 13 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 24 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 67 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.4 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,091.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 346.45 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1444457, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 14, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,002,674 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,695,326 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,307,348 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,429,479 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$122,131 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $432,391 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $310,260 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $310,260 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 74 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,795 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 105 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 52.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 376.97 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 217.1 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1399001, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 14, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,615,423 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $698,868 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,916,555 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,842,161 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $74,394 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $377,965 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $452,359 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $452,359 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 74 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,829 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 299 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 88.06 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 76.35 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1370520, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 18, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,625,016 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $465,546 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,159,470 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,542,481 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$383,011 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $931,254 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $548,243 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $548,243 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 74 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,343 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 229 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.27 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 227.48 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 88.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1345674, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on March 4, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,685,000 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $816,271 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,868,729 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,525,135 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$656,406 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $590,883 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$65,523 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$65,523 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 74 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,790 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 294 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 134.56 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 80.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1311369, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 15, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,652,934 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,459,397 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,193,537 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,406,565 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$213,028 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $42,086 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$170,942 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$170,942 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 74 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,822 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 360 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 173.77 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 68.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1282507, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 13, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,504,243 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,644,644 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,859,599 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,101,177 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$241,578 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $169,512 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$72,066 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$72,066 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 74 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,906 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 344 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.15 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 111.01 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 72.4 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1250971, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 27, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,893,366 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,655,544 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,237,822 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,620,560 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$382,738 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $36,329 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$346,409 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$346,409 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 74 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,549 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 341 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.03 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 164.85 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 74.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1212371, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 24, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,097,257 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,316,636 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,780,621 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,767,787 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $12,834 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $30,285 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $43,119 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $43,119 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 74 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,564 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 151 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 426.62 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 169.3 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1174730, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 17, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,451,036 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,182,883 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,268,153 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,981,326 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $286,827 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $89 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $286,916 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $286,916 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 74 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,999 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 269 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.73 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 299.62 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 96.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1150815, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 20, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,617,103 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $799,065 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,818,038 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,800,356 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $17,682 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $46,625 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $64,307 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $64,307 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 74 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,811 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 282 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.55 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 199.28 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 91.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1121876, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 7, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,574,377 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $776,819 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,797,558 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,773,439 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $24,119 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $31,964 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $56,083 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $56,083 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 74 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,529 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 259 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.26 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 248.64 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 90.85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1089927, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on March 27, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,507,265 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $514,824 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,992,441 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,922,205 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $70,236 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,001 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $76,237 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $76,237 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 74 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,814 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 247 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.37 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 262.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 100.46 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1057625, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 30, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,162,540 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $5,162,540 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,172,767 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$10,227 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $140,065 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $129,838 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $129,838 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 74 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,173 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 266 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.96 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 293.46 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 94.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1044359, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 24, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,482,310 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,814,717 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$332,407 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $8,207 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$324,200 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 74 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,896 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 228 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.02 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 352.96 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 113.58 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 432426, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 27, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,071,204 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,969,959 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $101,245 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $8,095 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $109,340 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 74 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,199 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 225 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.31 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 293.37 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 116.44 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 393241, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended December 31, 2008
Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on January 28, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,704,232 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,669,824 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $34,408 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $51,594 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $86,002 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 74 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,507 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 197 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 46.61 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 362.93 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 129.48 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 363176, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 8, 2008.
None of these figures is carried on this report.
CMS report record 329682, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 28, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,980,953 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,950,904 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $30,049 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $35,448 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $65,497 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 74 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,509 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 126 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.56 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 403.57 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 138.96 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 310106, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended December 31, 2005
Cost report for January 1, 2005 to December 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 25, 2007.
None of these figures is carried on this report.
CMS report record 271107, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended December 31, 2004
Cost report for January 1, 2004 to December 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on November 22, 2005.
None of these figures is carried on this report.
CMS report record 237347, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended December 31, 2003
Cost report for January 1, 2003 to December 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 18, 2005.
None of these figures is carried on this report.
CMS report record 214443, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended December 31, 2002
Cost report for January 1, 2002 to December 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 15, 2004.
None of these figures is carried on this report.
CMS report record 171031, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended December 31, 2001
Cost report for January 1, 2001 to December 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 7, 2003.
None of these figures is carried on this report.
CMS report record 138263, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended December 31, 2000
Cost report for January 1, 2000 to December 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 19, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,075,313 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,172,665 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$97,352 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $47,238 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$50,114 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 24 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 8,595 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 8 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 19 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,693.8 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 1,074.38 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 48896, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended December 31, 1999
Cost report for January 1, 1999 to December 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 10, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,012,198 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,026,769 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$14,571 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,118 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$13,453 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 24 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 8,547 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 7 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 61 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,357.67 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 1,221 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 48894, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended December 31, 1998
Cost report for January 1, 1998 to December 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 1, 2000.
Net income: −$24,548 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
CMS report record 48892, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended December 31, 1997
Cost report for January 1, 1997 to December 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 23, 1999.
Net income: −$12,528 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
CMS report record 48890, read from the public cost report file SNFFY1997.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| POLICE, KYANN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 5% | since 05/15/2012 |
| SMITH, JENNIFER | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 5% | since 01/01/1993 |
| SMITH, SUSAN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 85% | since 05/09/2012 |
| WARD, MINDY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 5% | since 01/01/1993 |
| BLANTON, LORIE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/15/1988 |
| BRENT, JERRY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/01/2016 |
| BROOKS, BETH | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/01/2024 |
| GIBSON, TANYA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/03/2003 |
| GOLLIHUE, JUSTINE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/18/2019 |
| GRANSON, ANGELA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/05/2016 |
| HEFNER, AIMEE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2024 |
| KATCHMARK, SHAYNE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/16/2018 |
| RHINEBOLT, RENEE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/10/2018 |
| STURGILL, ANGIE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/26/2022 |
| WALTERS, CATHY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/24/2025 |
| WYMER, RACHEL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/24/2025 |
| POLICE, KYANN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/15/2017 |
| SMITH, JENNIFER | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/1993 |
| SMITH, SUSAN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/09/2012 |
| WARD, MINDY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/1993 |
| BLANTON, LORIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/15/1988 |
| BRENT, JERRY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/01/2016 |
| BROOKS, BETH | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/01/2024 |
| GIBSON, TANYA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/03/2003 |
| GOLLIHUE, JUSTINE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/18/2019 |
| GRANSON, ANGELA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/05/2016 |
| HEFNER, AIMEE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2024 |
| KATCHMARK, SHAYNE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/16/2018 |
| RHINEBOLT, RENEE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/10/2018 |
| STURGILL, ANGIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/26/2022 |
| WALTERS, CATHY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/24/2025 |
| WYMER, RACHEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/24/2025 |
Medicare enrollment
As filed (Medicare enrollment ownership), under the enrollment of CRYSTAL CARE CENTER OF MANSFIELD INC. (enrollment ID O20120724000619).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| JENNIFER SMITH | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5 | 1/1/1993 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KYANN POLICE | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5 | 5/15/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MINDY WARD | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5 | 1/1/1993 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SUSAN SMITH | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 85 | 5/9/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AIMEE HEFNER | Individual | ADP OF THE SNF | Not stated in the filing | 5/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANGELA L GRANSON | Individual | ADP OF THE SNF | Not stated in the filing | 10/5/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANGIE STURGILL | Individual | ADP OF THE SNF | Not stated in the filing | 4/26/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BETH BROOKS | Individual | ADP OF THE SNF | Not stated in the filing | 2/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CATHY WALTERS | Individual | ADP OF THE SNF | Not stated in the filing | 1/24/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JERRY BRENT | Individual | ADP OF THE SNF | Not stated in the filing | 11/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JUSTINE GOLLIHUE | Individual | ADP OF THE SNF | Not stated in the filing | 12/18/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LORIE BLANTON | Individual | ADP OF THE SNF | Not stated in the filing | 7/15/1988 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RACHEL WYMER | Individual | ADP OF THE SNF | Not stated in the filing | 1/24/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RENEE RHINEBOLT | Individual | ADP OF THE SNF | Not stated in the filing | 8/10/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHAYNE KATCHMARK | Individual | ADP OF THE SNF | Not stated in the filing | 11/16/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TANYA GIBSON | Individual | ADP OF THE SNF | Not stated in the filing | 6/3/2003 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 1/14/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JENNIFER SMITH | Individual | CORPORATE OFFICER | Not stated in the filing | 1/1/1993 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KYANN POLICE | Individual | CORPORATE OFFICER | Not stated in the filing | 5/15/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MINDY WARD | Individual | CORPORATE OFFICER | Not stated in the filing | 1/1/1993 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SUSAN SMITH | Individual | CORPORATE OFFICER | Not stated in the filing | 5/9/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AIMEE HEFNER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANGELA L GRANSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/5/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANGIE STURGILL | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/26/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BETH BROOKS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CATHY WALTERS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/24/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JERRY BRENT | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JUSTINE GOLLIHUE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/18/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LORIE BLANTON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/15/1988 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RACHEL WYMER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/24/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RENEE RHINEBOLT | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/10/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHAYNE KATCHMARK | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/16/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TANYA GIBSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 6/3/2003 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- July 1, 2025: JERRY W SMITH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JERRY W SMITH no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JERRY W SMITH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JERRY BRENT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since November 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JERRY BRENT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since November 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: SHAYNE KATCHMARK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since November 16, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: SHAYNE KATCHMARK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since November 16, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: ANGIE STURGILL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 26, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: ANGIE STURGILL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 26, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: RACHEL WYMER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 24, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: RACHEL WYMER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 24, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: RENEE RHINEBOLT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 10, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: RENEE RHINEBOLT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 10, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: CATHY WALTERS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 24, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: CATHY WALTERS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 24, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: AIMEE HEFNER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: AIMEE HEFNER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: BETH BROOKS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: BETH BROOKS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: TANYA GIBSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since June 3, 2003. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: TANYA GIBSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since June 3, 2003. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JUSTINE GOLLIHUE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since December 18, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JUSTINE GOLLIHUE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since December 18, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: LORIE BLANTON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since July 15, 1988. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: LORIE BLANTON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since July 15, 1988. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: ANGELA L GRANSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since October 5, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: ANGELA L GRANSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since October 5, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
Recent changes on this record
- September 1, 2026: ownership_type: For profit - Partnership → For profit - Individual. NH_ProviderInfo_Sep2026_3.csv
- June 30, 2026: A deficiency was cited under tag F 0607, scope and severity C. NH_HealthCitations_Sep2026_2.csv
- June 30, 2026: A deficiency was cited under tag F 0761, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- June 30, 2026: A deficiency was cited under tag F 0677, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- June 30, 2026: A deficiency was cited under tag F 0880, scope and severity F. NH_HealthCitations_Sep2026_2.csv
- June 30, 2026: An inspection was recorded in inspection cycle 1. NH_SurveySummary_Sep2026_2.csv
- December 12, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- July 1, 2025: JERRY W SMITH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JERRY W SMITH no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JERRY W SMITH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JERRY BRENT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since November 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JERRY BRENT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since November 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: SHAYNE KATCHMARK (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since November 16, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: SHAYNE KATCHMARK (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since November 16, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: ANGIE STURGILL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 26, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: ANGIE STURGILL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since April 26, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: RACHEL WYMER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 24, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: RACHEL WYMER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 24, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: RENEE RHINEBOLT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 10, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: RENEE RHINEBOLT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since August 10, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: CATHY WALTERS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 24, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: CATHY WALTERS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 24, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: AIMEE HEFNER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: AIMEE HEFNER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: BETH BROOKS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: BETH BROOKS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since February 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: TANYA GIBSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since June 3, 2003. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: TANYA GIBSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since June 3, 2003. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JUSTINE GOLLIHUE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since December 18, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JUSTINE GOLLIHUE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since December 18, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: LORIE BLANTON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since July 15, 1988. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: LORIE BLANTON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since July 15, 1988. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: ANGELA L GRANSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since October 5, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: ANGELA L GRANSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since October 5, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- November 14, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- December 14, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- April 18, 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- March 4, 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- April 15, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | June 30, 2026 | June 30, 2026 | 4 | 2 |
| 2 | August 28, 2024 | August 28, 2024 | 3 | 8 |
| 3 | May 6, 2022 | May 6, 2022 | 8 | 6 |
| 3 | May 16, 2019 | May 16, 2019 | 2 | 3 |
From the Care Compare inspection summary file NH_SurveySummary_Oct2026.csv, processed on October 1, 2026.
Deficiencies cited
18 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| June 30, 2026 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | C | No | Deficient, Provider has date of correction | August 4, 2026 |
| June 30, 2026 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | August 4, 2026 |
| June 30, 2026 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Yes | Deficient, Provider has plan of correction | August 4, 2026 |
| June 30, 2026 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | August 4, 2026 |
| June 30, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | August 4, 2026 |
| August 28, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | October 15, 2024 |
| August 28, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | October 15, 2024 |
| August 28, 2024 | Health | F 0700 | Quality of Life and Care Deficiencies | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | No | Deficient, Provider has date of correction | October 15, 2024 |
| May 6, 2022 | Health | F 0570 | Resident Rights Deficiencies | Assure the security of all personal funds of residents deposited with the facility. | E | No | Deficient, Provider has date of correction | June 1, 2022 |
| May 6, 2022 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | June 1, 2022 |
| May 6, 2022 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | June 1, 2022 |
| May 6, 2022 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | June 1, 2022 |
| May 6, 2022 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | No | Deficient, Provider has date of correction | June 1, 2022 |
| May 6, 2022 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | No | Deficient, Provider has date of correction | June 1, 2022 |
| May 6, 2022 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has date of correction | June 1, 2022 |
| May 6, 2022 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | June 1, 2022 |
| May 16, 2019 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | June 14, 2019 |
| May 16, 2019 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | No | Deficient, Provider has date of correction | June 14, 2019 |
From the Care Compare health citations file NH_HealthCitations_Oct2026.csv, processed on October 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Individual |
| Legal Business Name | CRYSTAL CARE CENTER OF MANSFIELD INC. |
| Date First Approved to Provide Medicare and Medicaid Services | 1993-12-30 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Richland |
| Telephone Number | 4197472666 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 74 |
| Average Number of Residents per Day | 62.7 |
| Overall Rating | 3 |
| Health Inspection Rating | 4 |
| QM Rating | 4 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 3 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on CRYSTAL CARE CENTER OF MANSFIE: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On September 1, 2026: ownership_type: For profit - Partnership → For profit - Individual. That is one line of the alert.
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The citable document for CRYSTAL CARE CENTER OF MANSFIE
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Ohio at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 365945.