Crystal Ridge Care Center
Crystal Ridge Care Center is a nursing home in Grass Valley, California, offering skilled nursing, memory care, hospice care, palliative care, and respite care. Skilled nursing includes licensed nursing care on site around the clock, with both long-term and short-term care available. Memory care provides a secured setting with supervision for someone at risk of wandering, while hospice and palliative care focus on end-of-life support, comfort, and symptom relief. Respite care offers a short stay when a family’s usual caregiver needs to travel or recover, so the range of care can suit someone seeking short-term rehabilitation or respite now and more structured care if needs change.
Opened in 1987, the center has 99 beds, with a 97% occupancy rate meaning nearly all beds were in use at the time measured. Housing includes studios, one-bedroom accommodations, and two-bedroom accommodations. A studio offers one private living space, while a two-bedroom option may suit a couple moving together or someone who wants a companion.
Residents can receive therapy within the community through rehabilitation services and a rehabilitation gym. Courtyards provide outdoor areas, and private bathrooms with showers give residents personal bathing space. Programs cover short-term rehabilitation, pain management, complex wound care, nutrition, sub-acute care, hospice services, palliative care, and behavioral health, addressing rehabilitation, symptom management, wound treatment, nutrition, and behavioral health needs.
The area has a Walk Score of 46 out of 100 and is car-dependent, so most errands require a car or a ride; someone who no longer drives would need access to one for routine errands. Payment options include Medicare, Medicaid, and private pay, allowing families to use public coverage when eligible or pay directly. Total nurse staffing is 3 hours and 51 minutes per resident per day, representing the combined daily nursing time assigned to each resident.
Staffing
Data period: Q2 2026 (April 1 – June 30, 2026).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Sep 2026).
6 of 6 metrics below California average
Daily care time per resident, by role
US average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
US average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
US average: 2h 21m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 21m
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
US average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
US average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
81.5% of staff hours were worked by the facility's own employees
California average: 95.5% · Contractors this quarter: Certified Nursing Assistant (78), Respiratory Therapy Technician (3), Physical Therapy Aide (2), Medical Director (2), Speech Language Pathologist (2), Physical Therapy Assistant (2), Qualified Social Worker (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
Community insights.
Smaller home · May offer a more intimate, personalized care environment.
Based on residents per day and 99 beds.
Source: CMS Provider Information, average daily residents (data as of Oct 2026)
About This Community
CMS Health Inspection History
ALM Inspection Grade
5 points above the California average for CMS-certified facilities (82/100)
Category breakdown
Citations
Typical
91 severity-weighted points (45 citations) · 4% lower than the typical CMS-certified CA facility (median: 95)
Enforcement
Strong
No fines on record · 0 enforcement actions
Persistence
Concern
31 days to fix issues · slower than the typical CMS-certified CA facility (median: 25)
Citation severity
Latest inspection: Jul 16, 2026 · 7 citations, all corrected
Most cited category: Quality of Life & Care, 11 of 42 citations · 9 categories in total
Citations history
Most recent firstTop deficiency categories
Share of 42 citationsHow citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
27 of 42 citations resulted from standard inspections; 14 of 42 resulted from complaint investigations; and 1 of 42 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Show Inspection Reports
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database · Data as of Oct 2026
No penalties in the past 3 years
No civil money penalties or payment denials on record since Oct 2023.
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the California average.
13 long-stay measures: 6 better, 5 worse, 2 near CA average
8 short-stay measures: 1 better, 1 worse, 3 near CA average, 3 compared with US only
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Safety & clinical stability
Physical & mental health
Preventive care
Hospital & emergency visits
Short-stay residents
Rehab and recovery after a hospital stay · 8 measures
Daily care & independence
Safety & clinical stability
Physical & mental health
Preventive care
Hospital & emergency visits
Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Crystal Ridge Care Center’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 289 California nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
Is it financially stable?
Profitable on care
7.5% operating margin
+5.5 pts vs prior year
Positive margin in 2 of the last 8 reported years. Net income $1.2M after other income.
Does it invest in staff?
Spends less on payroll than most California homes
44.8% payroll share of revenue
CA average 61.6%Rank #255 / 289Payroll % of net patient revenue — State benchmarked This nursing home is ranked 255th out of 289 nursing homes we track in California for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the California average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $2.0M while revenue rose $2.5M. A low share can mean leaner staffing; check hours per resident in the staffing section.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with California homes.
Revenue & profit
Profitable on care
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | CA median | Compared with CA homesRank in CA | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $16.3M | +$2.5M | Trend 20172024 | CA median $15.3M | Rank in CA Rank #129 / 289Net patient revenue — State benchmarked This nursing home is ranked 129th out of 289 nursing homes we track in California for net patient revenue. Shows this facility's net patient revenue compared to the California average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 56% of homes | Above CA median Higher net patient revenue than 56% of CA homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $15.1M | +$1.6M | Trend 20172024 | CA median $16.0M | Rank in CA Rank #157 / 289Operating expenses — State benchmarked This nursing home is ranked 157th out of 289 nursing homes we track in California for operating expenses. Shows everything it cost to run the home — staff, supplies, rent, admin — compared with other California homes reporting a recent fiscal year. Expenses in dollars mostly follow how big a home is, so this compares size, not efficiency; read it next to operating margin. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 46% of homes | Within revenue Operating expenses are lower than net patient revenue, so resident care covers its costs. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | $1.2M | +$0.9M | Trend 20172024 | CA median $0.5M | Rank in CA Rank #96 / 289Net patient income — State benchmarked This nursing home is ranked 96th out of 289 nursing homes we track in California for net patient income. Shows net patient revenue minus operating expenses, compared with other California homes reporting a recent fiscal year. Homes that lost money on care are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 67% of homes | Profit, growing Resident care made money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | 7.5% | +5.5 pts | Trend 20172024 | CA median 3.3% | Rank in CA Rank #102 / 289Operating margin — State benchmarked This nursing home is ranked 102nd out of 289 nursing homes we track in California for operating margin. Shows net patient income as a share of net patient revenue, compared with other California homes reporting a recent fiscal year. Unlike the dollar figures it does not follow size, so it is the fairest comparison of financial health between a small home and a large one. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 65% of homes | Healthy margin More than 5% of revenue is left after operating expenses. |
| Other income Money not from resident care: investments, grants, services. | $0.0M | — | Trend — | CA median $0.1M | Rank in CA Rank #276 / 283Other income — State benchmarked This nursing home is ranked 276th out of 283 nursing homes we track in California for other income. Shows income from outside resident care — investments, grants, rentals, services — compared with other California homes reporting a recent fiscal year. It is not part of net patient revenue; a high rank here can offset a loss on care. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 2% of homes | Adds to profit Income from outside resident care, on top of the profit from care. |
| Net income The bottom line after other income. | $1.2M | +$0.9M | Trend — | CA median $1.1M | Rank in CA Rank #130 / 289Net income — State benchmarked This nursing home is ranked 130th out of 289 nursing homes we track in California for net income. Shows the bottom line after other income, compared with other California homes reporting a recent fiscal year. Homes with a net loss are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 55% of homes | Profit The bottom line is above zero after other income. |
Staffing spend
Spends less of revenue on staff than most California homes
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | CA median | Compared with CA homesRank in CA | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $7.3M | +$2.0M | Trend 20172024 | CA median $8.8M | Rank in CA Rank #190 / 289Payroll costs — State benchmarked This nursing home is ranked 190th out of 289 nursing homes we track in California for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the California average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 34% of homes | Below CA median Higher payroll than 34% of CA homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 44.8% | +6.6 pts | Trend 20172024 | CA median 53.8% | Rank in CA Rank #255 / 289Payroll % of net patient revenue — State benchmarked This nursing home is ranked 255th out of 289 nursing homes we track in California for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the California average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in California that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 12% of homes | 16.8 pts under CA average The CA average is 61.6% of revenue. Within 3 points of it reads as near the average. |
Charts, 2017–2024 2 charts · CA benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the California payroll average.
% of net patient revenue
Payroll share Operating margin CA payroll average
Year-by-year data, 2017–2024 every reported year · latest first, scroll sideways
| Metric | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $8.6M | $8.3M | $9.1M | $8.9M | $10.1M | $13.9M | $13.8M | $16.3M |
| Operating expenses | $9.2M | $9.1M | $9.7M | $9.6M | $10.5M | $14.0M | $13.6M | $15.1M |
| Net patient income | −$0.7M | −$0.8M | −$0.6M | −$0.7M | −$0.4M | −$0.1M | $0.3M | $1.2M |
| Operating margin | −8.0% | −10.0% | −6.3% | −8.4% | −4.0% | −0.8% | 2.0% | 7.5% |
| Net income | −$0.7M | −$0.8M | −$0.6M | −$0.2M | −$0.1M | $0.3M | $0.3M | $1.2M |
| Payroll costs | $5.4M | $5.3M | $5.3M | $5.2M | $5.1M | $5.4M | $5.3M | $7.3M |
| Payroll share of revenue | 63.2% | 64.1% | 58.0% | 59.0% | 50.9% | 39.2% | 38.2% | 44.8% |
| Beds | 99 | 99 | 99 | 99 | 99 | 99 | 99 | 99 |
| Gross revenue | $9.2M | $8.8M | $9.6M | $8.5M | $9.7M | $12.5M | $17.9M | $23.9M |
| Salaries | $4.4M | $4.4M | $4.3M | $4.2M | $4.1M | $4.6M | $4.6M | $6.3M |
| Wage-related costs | $1.0M | $0.9M | $0.9M | $1.0M | $1.1M | $0.8M | $0.7M | $1.0M |
| Contract labor | $0.0M | $0.1M | $0.1M | $0.2M | $1.1M | $2.9M | $2.5M | $1.4M |
| Other operating costs | $3.8M | $3.8M | $4.4M | $4.4M | $5.3M | $8.5M | $8.3M | $7.8M |
| Net patient revenue per day | $289 | $301 | $314 | $343 | $408 | $103,397 | $418 | $479 |
| Cost per day | $313 | $331 | $334 | $372 | $424 | $104,169 | $410 | $443 |
| Average length of stay | 119.2 days | 70.3 days | 118.0 days | 140.2 days | 85.8 days | 0.5 days | 129.3 days | 112.7 days |
Showing 2024–2022 · scroll sideways for 5 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Places of interest near Crystal Ridge Care Center
1.9 miles from city center
Estimated distance in miles from Grass Valley's city center to Crystal Ridge Care Center's address, calculated via Google Maps.
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Financial Assistance for
Nursing Home in California
Crystal Ridge Care Center is located in Grass Valley, California.
Here are the financial assistance programs available to residents in California.




