The nursing home failed to ensure residents were free from significant medication errors. Cited March 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: J
Nursing home report
Crystal Oaks Skilled Nursing
Registered name: CRYSTAL OAKS
FESTUS, MO · Medicare-certified · 131 beds
In good standing
For-profitChain member
Data as of July 1, 2026
4 of 5 overall
Crystal Oaks Skilled Nursing has an overall rating of 4 out of 5 stars. It has no fines in the last 24 months, staffing is right at the federal benchmark at 4.10 hours per resident per day, and its inspection cited medication, food handling, and garbage disposal issues.
Facility ratings
Health inspections
Staffing
4.1 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 4.1.
Staffing detail
- Registered nurses
- 0.39
- Licensed practical nurses
- 0.75
- Nurse aides
- 2.96
- Weekend nursing
- 3.64
Hours per resident per day.
Total staff turnover: 49%
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
15.9%16.2%No change
Residents with a fall causing major injury
2.1%3.1%Worsening
Residents with pressure ulcers (bedsores)
4.5%6.4%Worsening
Residents with a urinary tract infection
4.3%1.1%Improving
Residents who lost too much weight
15.2%4.1%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
14.3%13.5%Improving
Residents whose ability to walk got worse
11.7%26.8%Worsening
Long-stay residents on antianxiety or sleep medication
22.9%30.4%Worsening
Short-stay residents newly given an antipsychotic
1.4%1.5%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
24.7%12.8%Improving
Residents with depressive symptoms
1.1%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
94.8%98%Improving
Short-stay residents given the seasonal flu vaccine
—98.8%—
Short-stay residents given the pneumonia vaccine
96.9%88%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.
View the original federal record
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.
View the original federal record
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
Recent ownership change · Dec 1, 2022
Now operated by Crystal Oaks Nursing and Rehab LLC, previously Crystal Oaks Long Term Care.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of SHAFIQ MALIK · 9 homes · 3.6 stars avg
- Occupancy
- 121.1 residents on an average day (92% 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.