Crystal Ridge Care Center

396 Dorsey Dr · Grass Valley, CA · 95945 · 5302722273

99 certified beds For profit - Limited Liability company Chain: Pacs Group

  • No federal fines or payment denials in CMS’s 3-year window.

The composite number cleared 72 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

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Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

RN staffing in the bottom 10% nationally

0.26 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Score breakdown

Inspection record 30% of score 47
Serious harm & abuse 20% 100
Staffing 20% 55
Federal penalties 15% 100
Trend 10% 70
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.733.48 min · 4.1 strong
RN hours / resident-day0.260.55–0.75
Weekend hours / resident-day3.21≈ weekday level
Nursing turnover / year57%median 45%
Fines (3-yr window)none

Inspection citations (45 in the current record)

  • Potential for harm · D April 3, 2026 · found via complaint

    Provide enough food/fluids to maintain a resident's health.

    Corrected April 24, 2026 · Quality of Life and Care

  • Potential for harm · D January 15, 2026 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected January 22, 2026 · Quality of Life and Care

  • Potential for harm · D July 24, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected July 25, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D June 26, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected June 25, 2025 · Quality of Life and Care

  • Potential for harm · D May 23, 2025

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected June 5, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 23, 2025

    Assess the resident when there is a significant change in condition

    Corrected June 5, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 23, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected June 5, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 23, 2025

    Honor each resident's preferences, choices, values and beliefs.

    Corrected June 5, 2025 · Quality of Life and Care

  • Potential for harm · D May 23, 2025

    Provide appropriate foot care.

    Corrected June 5, 2025 · Quality of Life and Care

  • Potential for harm · D May 23, 2025

    Ensure that the resident and his/her doctor meet face-to-face at all required visits.

    Corrected June 5, 2025 · Nursing and Physician Services

  • Potential for harm · D May 23, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected June 5, 2025 · Pharmacy Service

  • Potential for harm · D May 23, 2025

    Provide routine and 24-hour emergency dental care for each resident.

    Corrected June 5, 2025 · Quality of Life and Care

  • Potential for harm · D May 23, 2025

    Provide special eating equipment and utensils for residents who need them and appropriate assistance.

    Corrected June 5, 2025 · Nutrition and Dietary

  • Potential for harm · E May 23, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected June 5, 2025 · Nutrition and Dietary

  • Potential for harm · D May 23, 2025

    Provide and implement an infection prevention and control program.

    Corrected June 5, 2025 · Infection Control

  • Potential for harm · D May 23, 2025

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Corrected June 5, 2025 · Environmental

  • Potential for harm · D May 23, 2025 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected June 5, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 23, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected June 5, 2025 · Quality of Life and Care

  • Potential for harm · D December 4, 2024 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected December 13, 2024 · Pharmacy Service

  • Potential for harm · D December 4, 2024 · found via complaint

    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.

    Corrected December 13, 2024 · Pharmacy Service

  • Potential for harm · D December 4, 2024 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected December 13, 2024 · Infection Control

  • Potential for harm · D November 26, 2024 · found via complaint

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected December 13, 2024 · Quality of Life and Care

  • Potential for harm · E November 26, 2024 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected December 13, 2024 · Pharmacy Service

  • Potential for harm · D November 26, 2024 · found via complaint

    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.

    Corrected December 13, 2024 · Pharmacy Service

  • Potential for harm · D November 1, 2024 · found via complaint

    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

    Corrected November 15, 2024 · Nutrition and Dietary

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 555283 · certified since September 28, 1987. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.