The nursing home failed to ensure residents were free from significant medication errors. Cited March 2024 — isolated incident, immediate jeopardy to residents.
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F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: J
Nursing home report
CRYSTAL OAKS
FESTUS, MO · Medicare-certified · 131 beds
In good standing
For-profitChain member
4 of 5 overall
Crystal Oaks in Festus, MO has an overall rating of 4 out of 5 stars, with 4-star health inspection results and 3-star staffing and quality measures. It reported 4.12 nursing hours per resident per day, just above the federal benchmark of 4.1, with $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.1156 hrs/resident/day
Quality measures
Last inspection: December 4, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.1156.
Staffing detail
- Registered nurses
- 0.42
- Licensed practical nurses
- 0.69
- Nurse aides
- 3.00
- Weekend nursing
- 3.50
Hours per resident per day.
Total staff turnover: 53%
Registered nurse turnover: 47%
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
16.9%11.9%Improving
Residents with a fall causing major injury
5.1%3.1%Improving
Residents with pressure ulcers (bedsores)
5.6%5.1%Improving
Residents with a urinary tract infection
1%1.1%No change
Residents who lost too much weight
7.7%10.4%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
43.4%14.5%Improving
Residents whose ability to walk got worse
38.8%18.8%Improving
Long-stay residents on antianxiety or sleep medication
20%32.5%Worsening
Short-stay residents newly given an antipsychotic
0%1.6%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
19.1%12%Improving
Residents with depressive symptoms
0%0%No change
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%100%No change
Short-stay residents given the seasonal flu vaccine
—98.8%—
Short-stay residents given the pneumonia vaccine
99.6%84.8%Worsening
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to properly dispose of garbage and other waste. Cited January 2023 — widespread issue, potential for harm.
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F-Tag 814 — 42 CFR §483.60 — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited August 2024 — limited pattern, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited August 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $165,187 in total fines.
- $165,187
Federal fine
Mar 21, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of SHAFIQ MALIK · 8 homes · 3.1 stars avg
- Occupancy
- 121.5 residents on an average day (93% of 131 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 37 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.