Crystal Heights Care Center
Crystal Heights Care Center is a for profit - corporation facility in Oskaloosa, IA with 72 certified beds and a 2-star overall CMS rating. The inspection file holds 16 deficiency records. Total penalties: $10K.
1514 High Avenue West, Oskaloosa, IA 52577
Phone: 6416737032
Overall CMS Rating
vs 3.0 national avg
The verdict
Crystal Heights Care Center holds a 2-star CMS overall rating — below the 3.0-star national average, with nurse staffing below the national norm. No recent finding reached the actual-harm level.
- 2 / 5
- CMS overall rating (nat'l avg 3.0)
- 2.80
- Nursing hrs/resident-day (nat'l 3.89)
- 16
- Inspection findings on file
- $10K
- Federal penalties (1)
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating. Read the components below — they often tell a sharper story than the headline.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 165570
- Ownership
- For profit - Corporation
- Provider Type
- Medicare and Medicaid
- Beds
- 72
- Residents
- 64
- In Hospital
- No
- County
- Mahaska
- Last Inspection
- Jun 26, 2025
Staffing Data
- RN Hours
- 0.23 (nat'l avg: 0.68)
- LPN Hours
- 0.64
- CNA Hours
- 1.92
- Total Nursing Hours
- 2.80 (nat'l avg: 3.89)
- PT Hours
- 0.02
- Nursing Turnover
- 59.6%
What the CMS Record Reveals About Crystal Heights Care Center
Crystal Heights Care Center operates 72 certified beds in Oskaloosa, IA with approximately 64 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (2★), staffing levels (2★), and quality measures (3★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
The inspection file contains 16 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $10K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 2.80 total nursing hours per resident day (national average 3.89), with RN coverage at 0.23 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.
Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Crystal Heights Care Center falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 59.6%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.
Deficiency History (16 most recent)
Ensure that residents are free from significant medication errors.
Category: Pharmacy Service Deficiencies
Corrected: Dec 15, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Jul 26, 2025
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Category: Nursing and Physician Services Deficiencies
Corrected: Jul 26, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Category: Resident Rights Deficiencies
Corrected: Jul 26, 2025
Provide care or services that was trauma informed and/or culturally competent.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 26, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 26, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 26, 2025
Provide activities to meet all resident's needs.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 26, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jul 26, 2025
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jul 26, 2025
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Category: Resident Rights Deficiencies
Corrected: Jul 26, 2025
Honor the resident's right to manage his or her financial affairs.
Category: Resident Rights Deficiencies
Corrected: Jul 26, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jan 7, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Category: Pharmacy Service Deficiencies
Corrected: Jan 7, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: Jan 7, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jan 7, 2024
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 17.5% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 6.5% | No |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 4.3% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 10.6% | Yes |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 8.8% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.7% | Yes |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 100.0% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 97.1% | No |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 9.0% | Yes |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 22.0% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 100.0% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | N/A | No |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.0% | Yes |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 10.4% | No |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 36.7% | Yes |
Penalty History 1 penalties totaling $10K
| Date | Type | Amount |
|---|---|---|
| Dec 11, 2023 | Fine | $10K |
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Understanding Nursing Home Data
Frequently Asked Questions
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Does Crystal Heights Care Center have any deficiencies on record?
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When was Crystal Heights Care Center last inspected?
What quality measures are tracked for Crystal Heights Care Center?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.
Read our methodology — how this data is sourced, computed, and verified.