GoodStanding

Nursing home report

Crystal Heights Care Center

Oskaloosa, IA · Medicare-certified · 72 beds

In good standing
New ownership (past 12 mo)For-profitChain member
Data as of July 1, 2026
2 of 5 overall

Crystal Heights Care Center in Oskaloosa, IA has a 2-star overall rating, with 2-star scores for health inspection, staffing, and quality measures. Reported nurse staffing is 3.07 hours per resident per day, below the 4.1 federal benchmark, and there were no fines in the last 24 months; recent inspection citations included care planning, activities, and medication errors.

Facility ratings

Health inspections

Staffing

3.068 hrs/resident/day

Quality measures

Last inspection: December 8, 2025Penalties, 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 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 home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited June 2025 — isolated incident, potential for harm.

View the original federal record

F-Tag 550 — 42 CFR §483.10(a) — 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

Recent history

  1. OWNERSHIP

    The facility reported a change in ownership in the past 12 months.

  2. STAFFING

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

  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. INSPECTION

    Health inspection found 11 health deficiencies.

    See what inspectors found
  5. 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

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 · 346 homes · 3.2 stars avg
Occupancy
66.5 residents on an average day (92% 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.