The home failed to provide appropriate care to help a resident maintain or improve movement and mobility. Cited July 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 688 — 42 CFR §483.25(c) — S/S: G
Nursing home report
Crystal Heights Care Center
Oskaloosa, IA · Medicare-certified · 72 beds
In good standing
For-profitChain member
Data as of September 1, 2026
3 of 5 overall
Crystal Heights Care Center in Oskaloosa, IA has an overall rating of 3 out of 5 stars. Its staffing and quality measures are both 2 stars, nurse staffing is 3.07 hours per resident day versus the 4.1-hour federal benchmark, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.068 hrs/resident/day
Quality measures
Last inspection: July 16, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.068.
Staffing detail
- Registered nurses
- 0.40
- Licensed practical nurses
- 0.42
- Nurse aides
- 2.25
- Weekend nursing
- 2.59
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
38.6%35.3%Improving
Residents with a fall causing major injury
3.3%4.9%Worsening
Residents with pressure ulcers (bedsores)
2.8%3.5%Worsening
Residents with a urinary tract infection
6.7%6.7%No change
Residents who lost too much weight
5.1%8.8%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
12.1%13%Worsening
Residents whose ability to walk got worse
7.3%6.7%Improving
Long-stay residents on antianxiety or sleep medication
23.7%21.1%Improving
Short-stay residents newly given an antipsychotic
—4.3%—
Residents with a long-term catheter
3.5%0%Improving
Residents with new or worsening incontinence
1.4%23.4%Worsening
Residents with depressive symptoms
8.8%4%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%91.8%Worsening
Short-stay residents given the pneumonia vaccine
57.1%41.4%Worsening
What the inspectors found
The home failed to make sure residents were served meals and snacks at times that fit their needs, preferences, and requests. Cited July 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 809 — 42 CFR §483.60 — 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 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 nursing home failed to honor a resident’s right to manage their own money and financial affairs. Cited July 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 567 — 42 CFR §483.10 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- OWNERSHIP
The facility reported a change in ownership in the past 12 months.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $10,489 in total fines.
- $10,489
Federal fine
Dec 11, 2023
Operator & ownership
Recent ownership change · Aug 1, 2025
Now operated by Canfield River Healthcare LLC, previously Wills Corporation.
- Ownership
- For profit - Corporation
- Chain
- Part of THE ENSIGN GROUP · 344 homes · 3.2 stars avg
- Occupancy
- 66.5 residents on an average day (92% of 72 beds)
- Resident voice
- Resident council
- 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.