{"schema_version":"1.0.0","facility":{"id":"cms-366239","ccn":"366239","name":"Crystal Care Center of Ashland","source_name":"CRYSTAL CARE CENTER OF ASHLAND","facility_types":["skilled_nursing_facility","nursing_home"],"primary_type":"skilled_nursing_facility","universe":"cms_certified_nursing_homes","source_type_label":"Medicare and Medicaid","status":"active","status_label":"Active CMS certification","status_evidence":"VERIFIED","state":"OH","address":{"line1":"1251 East Main Street","city":"Ashland","state":"OH","zip":"44805","county_name":"Ashland County","county_fips":"39005","county_method":"name_match","ssa_county_code":"020","urban":false},"location":{"lat":40.8641,"lon":-82.291,"method":"cms_published_coordinates"},"phone":"4192819595","certification":{"authority":"CMS","ccn":"366239","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"2002-06-18","certified_beds":72,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/366239"},"licenses":[],"license_note":"State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.","capacity":{"certified_beds":72,"avg_residents_per_day":58.1},"ownership_type":"For profit - Limited Liability company","ownership_class":"for_profit","legal_business_name":"EMBASSY CRYSTAL CARE LLC","flags":{"ccrc":false,"abuse_icon":false,"high_performing":false,"inspection_over_2y":false,"changed_ownership_12mo":false,"resident_family_council":"Both","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":2},"health_inspection":{"value":2},"quality_measures":{"value":5},"long_stay_qm":{"value":5},"short_stay_qm":{"value":4},"staffing":{"value":1},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":1.787,"lpn_hprd":0.84952,"rn_hprd":0.35387,"licensed_hprd":1.20339,"total_nurse_hprd":2.99039,"weekend_total_nurse_hprd":2.82878,"weekend_rn_hprd":0.30147,"pt_hprd":0.05178,"nursing_turnover_pct":60.9,"rn_turnover_footnote":"27","administrators_left":3,"case_mix_index":1.47733,"case_mix_index_ratio":1.04757,"case_mix_total_nurse_hprd":4.0864,"adjusted_total_nurse_hprd":2.83221,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2025-05-06","cycle1_deficiencies":17,"cycle1_score":116,"cycle2_date":"2022-09-14","cycle23_deficiencies":6,"cycle23_score":56,"total_weighted_score":101},"cms_penalty_counts":{"fines":1,"fine_total":17686,"payment_denials":0,"total":1},"chain":{"id":"cms-chain-199","cms_chain_id":"199","name":"EMBASSY HEALTHCARE"},"operator_id":"op-embassy-crystal-care-llc","first_seen":"2026-11-07T00:15:24.640Z","last_changed":"2026-11-07T00:15:24.640Z","profile_url":"https://www.medicare.gov/care-compare/details/nursing-home/366239","provenance":[{"source_id":"cms_provider_info","source_record_id":"366239","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=366239&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["name","address","phone","certification","certified_beds","ownership_type","legal_business_name","chain"],"evidence_class":"VERIFIED","status":"current"},{"source_id":"cms_provider_info","source_record_id":"366239","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=366239&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["ratings","staffing","health_survey_score"],"evidence_class":"VERIFIED","status":"current","note":"Five-Star ratings and PBJ staffing apply to the CMS-certified universe only."}],"inspection_summary":{"count":9,"health_count":6,"fire_count":3,"complaint_count":4,"latest_date":"2026-04-23","latest_standard_health":"2025-05-06","earliest_date":"2019-10-09","window_note":"CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.","evidence_class":"VERIFIED"},"deficiency_summary":{"count":58,"health_count":23,"fire_count":35,"open_count":0,"actual_harm_count":2,"immediate_jeopardy_count":0,"serious_count":2,"complaint_count":11,"by_severity":{"potential":55,"actual_harm":2,"minimal":1},"by_scope_severity":{"E":18,"D":15,"G":2,"F":22,"C":1},"by_concept":{"infection_prevention":3,"resident_rights":3,"clinical_care":10,"medication":4,"emergency_preparedness":3,"environment_life_safety":32,"staffing":1,"food_nutrition":2},"type_ids":["cms-f0880","cms-f0628","cms-f0686","cms-f0760","cms-f0689","cms-e0015","cms-e0039","cms-k0353","cms-k0363","cms-k0712","cms-k0920","cms-k0271","cms-k0372","cms-k0500","cms-f0684","cms-f0725","cms-f0812","cms-f0584","cms-f0573","cms-f0690","cms-f0693","cms-f0694","cms-f0697","cms-f0756","cms-f0761","cms-k0291","cms-k0345","cms-k0761","cms-k0914","cms-k0918","cms-k0222","cms-k0293","cms-k0753","cms-k0919","cms-k0923","cms-f0804","cms-k0347","cms-k0511","cms-k0741","cms-k0211","cms-k0321"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":1,"fines":1,"fine_total":17686,"payment_denials":0,"latest_date":"2025-08-06"},"ownership_summary":{"disclosures":9,"organizations":2,"individuals":6,"not_available":false}},"row":{"id":"cms-366239","ccn":"366239","name":"Crystal Care Center of Ashland","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"OH","city":"Ashland","zip":"44805","county_fips":"39005","county_name":"Ashland County","address":"1251 East Main Street","beds":72,"residents":58.1,"ownership":"for_profit","operator_id":"op-embassy-crystal-care-llc","operator_name":"Embassy Crystal Care LLC","chain_id":"cms-chain-199","chain_name":"Embassy Healthcare","lat":40.8641,"lon":-82.291,"overall":2,"health_rating":2,"staffing_rating":1,"qm_rating":5,"nurse_hprd":2.99,"turnover":60.9,"inspections":9,"last_inspection":"2026-04-23","deficiencies":58,"serious":2,"ij":0,"open":0,"penalties":1,"fines_total":17686,"deficiency_type_ids":["cms-f0880","cms-f0628","cms-f0686","cms-f0760","cms-f0689","cms-e0015","cms-e0039","cms-k0353","cms-k0363","cms-k0712","cms-k0920","cms-k0271","cms-k0372","cms-k0500","cms-f0684","cms-f0725","cms-f0812","cms-f0584","cms-f0573","cms-f0690","cms-f0693","cms-f0694","cms-f0697","cms-f0756","cms-f0761","cms-k0291","cms-k0345","cms-k0761","cms-k0914","cms-k0918","cms-k0222","cms-k0293","cms-k0753","cms-k0919","cms-k0923","cms-f0804","cms-k0347","cms-k0511","cms-k0741","cms-k0211","cms-k0321"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-embassy-crystal-care-llc","name":"Embassy Crystal Care LLC","legal_name":"EMBASSY CRYSTAL CARE LLC","facility_count":1,"states":["OH"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-199","name":"Embassy Healthcare","cms_chain_id":"199","facility_count":33,"states":["OH","PA"],"cms_reported":{"facility_count":33,"avg_overall_rating":2.1,"avg_health_inspection_rating":2,"avg_staffing_rating":1.4,"avg_qm_rating":4.3}},"ownership":[{"owner_type":"individual","owner_name":"George Repchick","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2020-01-01","owner_name_raw":"REPCHICK, GEORGE"},{"owner_id":"org-embassy-healthcare-management-inc","owner_type":"organization","owner_name":"Embassy Healthcare Management Inc","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2020-01-01"},{"owner_type":"individual","owner_name":"Dan Curran","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2025-01-01","owner_name_raw":"CURRAN, DAN"},{"owner_type":"individual","owner_name":"Aaron Handler","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2020-01-01","owner_name_raw":"HANDLER, AARON"},{"owner_type":"individual","owner_name":"George Repchick","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2020-01-01","owner_name_raw":"REPCHICK, GEORGE"},{"owner_id":"org-embassy-healthcare-management-inc","owner_type":"organization","owner_name":"Embassy Healthcare Management Inc","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-04-21"},{"owner_id":"org-heritage-employment-services-llc","owner_type":"organization","owner_name":"Heritage Employment Services, LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2020-01-01"},{"owner_type":"individual","owner_name":"Dan Curran","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-01-01","owner_name_raw":"CURRAN, DAN"},{"owner_type":"individual","owner_name":"George Repchick","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2020-01-01","owner_name_raw":"REPCHICK, GEORGE"}],"inspections":[{"id":"cms-366239-20260423-health","ccn":"366239","date":"2026-04-23","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":4,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0628","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-30","cmp":1},{"t":"cms-f0686","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-30","cmp":1},{"t":"cms-f0760","ss":"D","sl":2,"cs":"corrected","cd":"2026-05-30","cmp":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2026-05-30","cmp":1}]},{"id":"cms-366239-20250806-health","ccn":"366239","date":"2025-08-06","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0689","ss":"G","sl":3,"cs":"past_noncompliance","cmp":1}]},{"id":"cms-366239-20250506-fire","ccn":"366239","date":"2025-05-06","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":9,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-e0015","ss":"F","sl":2,"cs":"corrected","cd":"2025-05-28","std":1,"tv":"New"},{"t":"cms-e0039","ss":"F","sl":2,"cs":"corrected","cd":"2025-05-28","std":1,"tv":"New"},{"t":"cms-k0271","ss":"E","sl":2,"cs":"corrected","cd":"2025-05-28","std":1,"tv":"New"},{"t":"cms-k0353","ss":"F","sl":2,"cs":"corrected","cd":"2025-05-28","std":1,"tv":"New"},{"t":"cms-k0363","ss":"F","sl":2,"cs":"corrected","cd":"2025-05-28","std":1,"tv":"New"},{"t":"cms-k0372","ss":"E","sl":2,"cs":"corrected","cd":"2025-05-28","std":1,"tv":"New"},{"t":"cms-k0500","ss":"E","sl":2,"cs":"corrected","cd":"2025-05-28","std":1,"tv":"New"},{"t":"cms-k0712","ss":"F","sl":2,"cs":"corrected","cd":"2025-05-28","std":1,"tv":"New"},{"t":"cms-k0920","ss":"F","sl":2,"cs":"corrected","cd":"2025-05-28","std":1,"tv":"New"}]},{"id":"cms-366239-20250506-health","ccn":"366239","date":"2025-05-06","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[1,2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":13,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0684","ss":"G","sl":3,"cs":"corrected","cd":"2025-05-28","cmp":1,"std":1},{"t":"cms-f0573","ss":"D","sl":2,"cs":"corrected","cd":"2025-05-28","cmp":1,"std":1},{"t":"cms-f0584","ss":"E","sl":2,"cs":"corrected","cd":"2025-05-28","cmp":1,"std":1},{"t":"cms-f0686","ss":"D","sl":2,"cs":"corrected","cd":"2025-05-28","std":1},{"t":"cms-f0690","ss":"D","sl":2,"cs":"corrected","cd":"2025-05-28","std":1},{"t":"cms-f0693","ss":"D","sl":2,"cs":"corrected","cd":"2025-05-28","std":1},{"t":"cms-f0694","ss":"D","sl":2,"cs":"corrected","cd":"2025-05-28","std":1},{"t":"cms-f0697","ss":"D","sl":2,"cs":"corrected","cd":"2025-05-28","std":1},{"t":"cms-f0725","ss":"F","sl":2,"cs":"corrected","cd":"2025-05-28","cmp":1,"std":1},{"t":"cms-f0756","ss":"D","sl":2,"cs":"corrected","cd":"2025-05-28","std":1},{"t":"cms-f0761","ss":"D","sl":2,"cs":"corrected","cd":"2025-05-28","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2025-05-28","cmp":1,"std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2025-05-28","std":1}]},{"id":"cms-366239-20240110-health","ccn":"366239","date":"2024-01-10","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0690","ss":"D","sl":2,"cs":"corrected","cd":"2024-01-26","cmp":1}]},{"id":"cms-366239-20220914-fire","ccn":"366239","date":"2022-09-14","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":13,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-e0039","ss":"F","sl":2,"cs":"corrected","cd":"2022-10-13","std":1,"tv":"New"},{"t":"cms-k0222","ss":"E","sl":2,"cs":"corrected","cd":"2022-10-13","std":1,"tv":"New"},{"t":"cms-k0291","ss":"F","sl":2,"cs":"corrected","cd":"2022-10-13","std":1,"tv":"New"},{"t":"cms-k0293","ss":"E","sl":2,"cs":"corrected","cd":"2022-10-13","std":1,"tv":"New"},{"t":"cms-k0345","ss":"F","sl":2,"cs":"corrected","cd":"2022-10-13","std":1,"tv":"New"},{"t":"cms-k0353","ss":"F","sl":2,"cs":"corrected","cd":"2022-10-13","std":1,"tv":"New"},{"t":"cms-k0712","ss":"F","sl":2,"cs":"corrected","cd":"2022-10-13","std":1,"tv":"New"},{"t":"cms-k0753","ss":"E","sl":2,"cs":"corrected","cd":"2022-10-13","std":1,"tv":"New"},{"t":"cms-k0761","ss":"F","sl":2,"cs":"corrected","cd":"2022-10-13","std":1,"tv":"New"},{"t":"cms-k0914","ss":"F","sl":2,"cs":"corrected","cd":"2022-10-13","std":1,"tv":"New"},{"t":"cms-k0918","ss":"F","sl":2,"cs":"corrected","cd":"2022-10-13","std":1,"tv":"New"},{"t":"cms-k0919","ss":"E","sl":2,"cs":"corrected","cd":"2022-10-13","std":1,"tv":"New"},{"t":"cms-k0923","ss":"E","sl":2,"cs":"corrected","cd":"2022-10-13","std":1,"tv":"New"}]},{"id":"cms-366239-20220914-health","ccn":"366239","date":"2022-09-14","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":4,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0686","ss":"D","sl":2,"cs":"corrected","cd":"2022-10-13","std":1},{"t":"cms-f0761","ss":"E","sl":2,"cs":"corrected","cd":"2022-10-13","std":1},{"t":"cms-f0804","ss":"D","sl":2,"cs":"corrected","cd":"2022-10-13","std":1},{"t":"cms-f0880","ss":"F","sl":2,"cs":"corrected","cd":"2022-10-13","std":1}]},{"id":"cms-366239-20191009-fire","ccn":"366239","date":"2019-10-09","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":13,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0211","ss":"E","sl":2,"cs":"corrected","cd":"2019-12-04","std":1,"tv":"New"},{"t":"cms-k0222","ss":"E","sl":2,"cs":"corrected","cd":"2019-12-04","std":1,"tv":"New"},{"t":"cms-k0291","ss":"E","sl":2,"cs":"corrected","cd":"2019-12-04","std":1,"tv":"New"},{"t":"cms-k0321","ss":"E","sl":2,"cs":"corrected","cd":"2019-12-04","std":1,"tv":"New"},{"t":"cms-k0345","ss":"F","sl":2,"cs":"corrected","cd":"2019-12-04","std":1,"tv":"New"},{"t":"cms-k0347","ss":"F","sl":2,"cs":"corrected","cd":"2019-12-04","std":1,"tv":"New"},{"t":"cms-k0372","ss":"E","sl":2,"cs":"corrected","cd":"2019-12-04","std":1,"tv":"New"},{"t":"cms-k0511","ss":"F","sl":2,"cs":"corrected","cd":"2019-12-04","std":1,"tv":"New"},{"t":"cms-k0741","ss":"F","sl":2,"cs":"corrected","cd":"2019-12-04","std":1,"tv":"New"},{"t":"cms-k0761","ss":"F","sl":2,"cs":"corrected","cd":"2019-12-04","std":1,"tv":"New"},{"t":"cms-k0920","ss":"E","sl":2,"cs":"corrected","cd":"2019-12-04","std":1,"tv":"New"},{"t":"cms-k0923","ss":"E","sl":2,"cs":"corrected","cd":"2019-12-04","std":1,"tv":"New"},{"t":"cms-k0918","ss":"C","sl":1,"cs":"corrected","cd":"2019-12-04","std":1,"tv":"New"}]},{"id":"cms-366239-20191009-health","ccn":"366239","date":"2019-10-09","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":0,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[]}],"deficiency_types":{"cms-f0880":{"code":"F-0880","title":"Provide and implement an infection prevention and control program.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0628":{"code":"F-0628","title":"Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0686":{"code":"F-0686","title":"Provide appropriate pressure ulcer care and prevent new ulcers from developing.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0760":{"code":"F-0760","title":"Ensure that residents are free from significant medication errors.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0689":{"code":"F-0689","title":"Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-e0015":{"code":"E-0015","title":"Address subsistence needs for staff and patients.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-e0039":{"code":"E-0039","title":"Conduct testing and exercise requirements.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-k0353":{"code":"K-0353","title":"Inspect, test, and maintain automatic sprinkler systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0363":{"code":"K-0363","title":"Install corridor and hallway doors that block smoke.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0712":{"code":"K-0712","title":"Have simulated fire drills held at unexpected times.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0920":{"code":"K-0920","title":"Ensure proper usage of power strips and extension cords.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0271":{"code":"K-0271","title":"Have exits that are accessible at all times.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0372":{"code":"K-0372","title":"Ensure smoke barriers are constructed to a 1 hour fire resistance rating.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0500":{"code":"K-0500","title":"Meet other general requirements that are deficient.","category":"Services Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0684":{"code":"F-0684","title":"Provide appropriate treatment and care according to orders, resident’s preferences and goals.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0725":{"code":"F-0725","title":"Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"cms-f0812":{"code":"F-0812","title":"Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0584":{"code":"F-0584","title":"Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0573":{"code":"F-0573","title":"Let each resident or the resident's legal representative access or purchase copies of all the resident's records.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0690":{"code":"F-0690","title":"Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care,  and appropriate care  to prevent urinary tract infections.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0693":{"code":"F-0693","title":"Ensure that feeding tubes are  not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0694":{"code":"F-0694","title":"Provide for the safe, appropriate administration of IV fluids for a resident when needed.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0697":{"code":"F-0697","title":"Provide safe, appropriate pain management for a resident who requires such services.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0756":{"code":"F-0756","title":"Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0761":{"code":"F-0761","title":"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.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-k0291":{"code":"K-0291","title":"Install emergency lighting that can last at least 1 1/2 hours.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0345":{"code":"K-0345","title":"Have approved installation, maintenance and testing program for fire alarm systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0761":{"code":"K-0761","title":"To conduct inspection, testing and maintenance of fire doors by qualified individuals.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0914":{"code":"K-0914","title":"Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0918":{"code":"K-0918","title":"Have generator or other power source capable of supplying service within 10 seconds.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0222":{"code":"K-0222","title":"Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0293":{"code":"K-0293","title":"Have properly located and lighted \"Exit\" signs.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0753":{"code":"K-0753","title":"Have restrictions on the use of highly flammable decorations.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0919":{"code":"K-0919","title":"Meet requirements for the use of electrical equipment.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0923":{"code":"K-0923","title":"Have proper medical gas storage and administration areas.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0804":{"code":"F-0804","title":"Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-k0347":{"code":"K-0347","title":"Properly provide smoke detection systems in areas open to corridors.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0511":{"code":"K-0511","title":"Have properly installed electrical wiring and gas equipment.","category":"Services Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0741":{"code":"K-0741","title":"Have posted \"No-smoking\" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0211":{"code":"K-0211","title":"Keep aisles, corridors, and exits free of obstruction in case of emergency.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0321":{"code":"K-0321","title":"Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"}},"penalties":[{"id":"cms-366239-pen-f136698","type":"fine","type_label":"Civil money penalty (fine)","date":"2025-08-06","amount":17686,"fine_id":"136698","evidence_class":"VERIFIED","source_record_id":"366239|Fine|136698"}],"state_actions":[],"record_urls":{"cms_provider_info":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=366239&conditions%5B0%5D%5Boperator%5D=%3D","cms_ownership":"https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=366239&conditions%5B0%5D%5Boperator%5D=%3D","cms_health_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=366239&conditions%5B0%5D%5Boperator%5D=%3D","cms_fire_safety_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=366239&conditions%5B0%5D%5Boperator%5D=%3D","cms_penalties":"https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=366239&conditions%5B0%5D%5Boperator%5D=%3D","cms_inspection_dates":"https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=366239&conditions%5B0%5D%5Boperator%5D=%3D"},"compact_keys":{"t":"deficiency_type_id","ss":"scope_severity_code","sl":"severity_level (1–4)","cs":"correction_status","cd":"correction_date","cmp":"complaint","std":"standard survey","ic":"infection control","idr":"under IDR","iidr":"under IIDR","tv":"tag version"},"benchmarks":{"state":{"key":"OH","overall_rating":3.2,"health_inspection_rating":2.8,"qm_rating":4.5,"staffing_rating":2.4,"avg_residents_per_day":73.1,"cycle1_health_deficiencies":10.5,"cycle1_fire_deficiencies":5.5,"nurse_aide_hprd":2.12,"lpn_hprd":0.95,"rn_hprd":0.64459,"licensed_hprd":1.6,"total_nurse_hprd":3.71117,"weekend_total_nurse_hprd":3.29264,"weekend_rn_hprd":0.43,"pt_hprd":0.05,"nursing_turnover_pct":49,"rn_turnover_pct":44.4,"administrators_left":0.6,"case_mix_index":1.51114,"fines":0.6,"fine_amount":25699,"processing_note":"CMS State and US Averages"},"nation":{"key":"NATION","overall_rating":3,"health_inspection_rating":2.8,"qm_rating":3.7,"staffing_rating":3,"avg_residents_per_day":85.7,"cycle1_health_deficiencies":9.2,"cycle1_fire_deficiencies":4.4,"nurse_aide_hprd":2.35,"lpn_hprd":0.86,"rn_hprd":0.69164,"licensed_hprd":1.55,"total_nurse_hprd":3.90085,"weekend_total_nurse_hprd":3.43303,"weekend_rn_hprd":0.48,"pt_hprd":0.07,"nursing_turnover_pct":45.3,"rn_turnover_pct":42.5,"administrators_left":0.5,"case_mix_index":1.41025,"fines":0.9,"fine_amount":30351,"processing_note":"CMS State and US Averages"}},"geo":{"state":{"code":"OH","name":"Ohio"},"county":{"fips":"39005","name":"Ashland County"},"zip":"44805","city":"Ashland"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[{"id":"cms-365306","ccn":"365306","name":"Madison Health Care","address":"7600 S Ridge Rd","city":"Madison","state":"OH","zip":"44057","beds":125,"overall":1,"inspections":11,"last_inspection":"2026-06-25","deficiencies":60,"serious":1,"ij":1,"open":0,"fines_total":109991,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-365343","ccn":"365343","name":"Embassy of Willard","address":"370 E Howard St","city":"Willard","state":"OH","zip":"44890","beds":59,"overall":3,"inspections":9,"last_inspection":"2026-07-16","deficiencies":51,"serious":1,"ij":1,"open":0,"fines_total":17655,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-365354","ccn":"365354","name":"Longmeadow Care Center","address":"565 Bryn Mawr","city":"Ravenna","state":"OH","zip":"44266","beds":99,"overall":2,"inspections":9,"last_inspection":"2025-04-01","deficiencies":48,"serious":1,"ij":0,"open":0,"fines_total":47486,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-365363","ccn":"365363","name":"Parkside Nursing and Rehabilitation Center","address":"908 Symmes Road","city":"Fairfield","state":"OH","zip":"45014","beds":76,"overall":2,"inspections":7,"last_inspection":"2025-07-31","deficiencies":73,"serious":1,"ij":0,"open":1,"fines_total":36550,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-365401","ccn":"365401","name":"Heritage Health Care Center","address":"24613 Broadway Avenue","city":"Oakwood Village","state":"OH","zip":"44146","beds":60,"overall":2,"inspections":12,"last_inspection":"2026-07-14","deficiencies":97,"serious":2,"ij":0,"open":5,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-365435","ccn":"365435","name":"Embassy of Logan","address":"300 Arlington Avenue","city":"Logan","state":"OH","zip":"43138","beds":135,"overall":3,"inspections":8,"last_inspection":"2026-08-20","deficiencies":36,"serious":1,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-365550","ccn":"365550","name":"Oak Hills Nursing Center","address":"3650 Beavercrest Drive","city":"Lorain","state":"OH","zip":"44053","beds":80,"overall":3,"inspections":10,"last_inspection":"2026-03-04","deficiencies":48,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-365563","ccn":"365563","name":"Autumnwood Nursing & Rehab Center","address":"275 East Sunset Drive","city":"Rittman","state":"OH","zip":"44270","beds":75,"overall":2,"inspections":12,"last_inspection":"2026-07-14","deficiencies":61,"serious":2,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_chain_total":32,"same_site_review":[],"nearby":[{"id":"cms-365646","ccn":"365646","name":"Kingston of Ashland","address":"20 Amberwood Pkwy","city":"Ashland","state":"OH","zip":"44805","beds":110,"overall":3,"inspections":12,"last_inspection":"2025-10-30","deficiencies":48,"serious":2,"ij":0,"open":1,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":1.2},{"id":"cms-365093","ccn":"365093","name":"The Good Shepherd Health and Rehabilitation Center","address":"622 Center St","city":"Ashland","state":"OH","zip":"44805","beds":125,"overall":4,"inspections":9,"last_inspection":"2026-08-13","deficiencies":34,"serious":1,"ij":0,"open":2,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":1.9},{"id":"cms-366166","ccn":"366166","name":"Brethren Care Village Health Care Center","address":"2000 Center St","city":"Ashland","state":"OH","zip":"44805","beds":79,"overall":5,"inspections":7,"last_inspection":"2026-06-25","deficiencies":20,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":1.9},{"id":"cms-366230","ccn":"366230","name":"Country Pointe","address":"2765 North Elyria Road","city":"Wooster","state":"OH","zip":"44691","beds":42,"overall":5,"inspections":6,"last_inspection":"2025-03-06","deficiencies":20,"serious":0,"ij":0,"open":1,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":16.4}]}}