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Nursing home report

Crystal Heights Care Center

Oskaloosa, IA · Medicare-certified · 72 beds

Needs attention
For-profitChain member
1 of 5 overall

Crystal Heights Care Center in Oskaloosa, IA has a 1-star overall rating, with a 1-star staffing rating and nurse staffing below the federal benchmark (2.94 vs. 4.1 hours per resident per day). It has no fines in the last 24 months, but it is flagged for the lowest overall rating and recent inspection citations included care planning, resident activities, and medication error concerns.

Facility ratings

Health inspections

Staffing

2.9377 hrs/resident/day

Quality measures

Last inspection: December 8, 2025Penalties, last 24 months: $0lowest overall rating

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.9377.

Staffing detail

Registered nurses
0.34
Licensed practical nurses
0.49
Nurse aides
2.11
Weekend nursing
2.51

Hours per resident per day.

Total staff turnover: 64%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

31.9%34.7%Worsening

Residents with a fall causing major injury

0%3.1%Worsening

Residents with pressure ulcers (bedsores)

0%1.5%Worsening

Residents with a urinary tract infection

20%6.3%Improving

Residents who lost too much weight

10.3%8.8%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

7.1%21.8%Worsening

Residents whose ability to walk got worse

10.8%20.7%Worsening

Long-stay residents on antianxiety or sleep medication

19%20.7%Worsening

Short-stay residents newly given an antipsychotic

0%

Residents with a long-term catheter

5.9%0%Improving

Residents with new or worsening incontinence

4.9%25.5%Worsening

Residents with depressive symptoms

12.7%0%Improving

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

100%

Long-stay residents given the pneumonia vaccine

100%89.1%Worsening

Short-stay residents given the pneumonia vaccine

57.1%

What the inspectors found

The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited June 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E

The home failed to provide activities that met all residents’ needs. Cited June 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 679 — 42 CFR §483.24 — S/S: E

The nursing home failed to ensure residents were free from significant medication errors. Cited December 2025 — isolated incident, potential for harm.

View the original federal record

F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: D

The nursing home failed to honor a resident’s right to manage their own money and financial affairs. Cited June 2025 — isolated incident, potential for harm.

View the original federal record

F-Tag 567 — 42 CFR §483.10 — S/S: D

The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited June 2025 — isolated incident, potential for harm.

View the original federal record

F-Tag 578 — 42 CFR §483.10 — S/S: D

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 11 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $10,489 in total fines.

  • Federal fine

    Dec 11, 2023

    $10,489

Operator & ownership

Ownership
For profit - Corporation
Chain
Part of THE ENSIGN GROUP · 338 homes · 3.2 stars avg
Occupancy
67.1 residents on an average day (93% of 72 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 20 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.