Iowa › Mahaska County › Oskaloosa
Crystal Heights Care Center
1514 High Avenue West, Oskaloosa, IA 52577
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 72 beds, Crystal Heights Care Center serves Oskaloosa in Mahaska County, Iowa and has taken Medicare and Medicaid residents since 2006.
CMS gives it 2 of 5 stars overall, below the Iowa median of 3; the health inspection rating is 2, staffing 2 and quality measures 2.
Inspectors recorded 16 health deficiencies across the three most recent survey cycles (12, 0, 4 by cycle, most recent first), none at the actual-harm level. That is 22.2 per 100 beds, about the same as the state median of 27.5.
CMS lists 1 penalty in the period covered: fines totalling $10K.
Reported nurse staffing is 3.1 hours per resident per day (0.4 RN), close to the Iowa median of 3.7; nursing staff turnover is 63.5%.
CMS flags that the facility changed ownership in the last 12 months.
Compared with county, state and nation
| Measure | This facility | Mahaska Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 16 | 16 | 16 | 28.7 |
| Citations per 100 beds | 22.2 | 22.2 | 27.5 | 26.8 |
| Total nurse hours per resident day | 3.1 | 3.2 | 3.7 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.7 | 0.7 |
| Nursing staff turnover | 63.5% | 62.6% | 41.9% | 45.8% |
| Fines listed | $10,489 | $39,033 | $0 | — |
County and state figures are medians across facilities (3 in the county, 387 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Iowa average per facility for the same cycle, as published by CMS. Standard health survey dates: 26 Jun 2025, 8 Aug 2024.
Severity mix: D ×14 E ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 8 Dec 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 15 Dec 2025 |
| 26 Jun 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 26 Jul 2025 |
| 26 Jun 2025 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 26 Jul 2025 |
| 26 Jun 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 26 Jul 2025 |
| 26 Jun 2025 | F0567 | Honor the resident's right to manage his or her financial affairs. | D | Standard survey | 26 Jul 2025 |
| 26 Jun 2025 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 26 Jul 2025 |
| 26 Jun 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 26 Jul 2025 |
| 26 Jun 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 26 Jul 2025 |
| 26 Jun 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 26 Jul 2025 |
| 26 Jun 2025 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 26 Jul 2025 |
| 26 Jun 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Complaint investigation | 26 Jul 2025 |
| 26 Jun 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 26 Jul 2025 |
| 7 Dec 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 7 Jan 2024 |
| 7 Dec 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 7 Jan 2024 |
| 7 Dec 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 7 Jan 2024 |
| 7 Dec 2023 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 7 Jan 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 11 Dec 2023 | Fine | $10,489 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 63.5%, RNs —; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Iowa median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 21.7% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.1% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 6.5% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.6% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 4.3% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 11.1% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.5% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 37.1% | 18.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Canfield River Healthcare Llc. Chain: The Ensign Group (342 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Gateway Healthcare LLC | Direct ownership interest | NOT APPLICABLE | 05/21/2025 |
| The Ensign Group Inc | Indirect ownership interest | NOT APPLICABLE | 05/21/2025 |
| Ensign Services Inc | Adp of the snf | NOT APPLICABLE | 05/21/2025 |
| Narrows Peak Health Holdings LLC | Adp of the snf | NOT APPLICABLE | 08/01/2025 |
| Standard Bearer Healthcare Op, LP | Adp of the snf | NOT APPLICABLE | 08/01/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Mahaska County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Northern Mahaska Specialty Care | Oskaloosa | 79 | 2 | 2 | 4 | 10 | 12.7 | $39K | 24 Nov 2025 |
| Oskaloosa Care Center | Oskaloosa | 83 | 1 | 1 | 2 | 33 | 39.8 | $45K | 11 Jun 2026 |
All 3 facilities in Mahaska County
Questions and answers
How many deficiencies has Crystal Heights Care Center been cited for?
16 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.
Has Crystal Heights Care Center been fined?
Yes. CMS lists fines totalling $10K in the period covered.
How does staffing at Crystal Heights Care Center compare?
Reported total nurse staffing is 3.1 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.
Who operates Crystal Heights Care Center?
It is part of the The Ensign Group chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Gateway Healthcare LLC and The Ensign Group Inc. Individual owners and managers are not listed on this site.
When was Crystal Heights Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 8 Dec 2025; the most recent standard health survey was 26 Jun 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.