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CMS Nursing Home Compare · March 2026

Crystal Oaks

1500 Calvary Church Road, Festus, MO 63028

Crystal Oaks, a 131-bed for profit - limited liability company nursing facility in Festus, MO, holds a 4-star CMS overall rating - well above the 3.0-star national average, with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

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.

Phone: 6369331818

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4 / 5
Above average · CMS overall · nat'l 3.0
4.28
Above average · nurse hrs/day · nat'l 3.89
11
Inspection findings · 1 serious
$165K
Federal penalties (1)

Health Inspection

4/5

Staffing

2/5

Quality Measures

3/5

Long-Stay Quality

2/5

Facility Information

Provider Number
265369
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
131
Residents
124
In Hospital
No
County
Jefferson
Last Inspection
Dec 4, 2025

Staffing Data

How the 4.28 total nursing hours per resident-day are staffed:

RN Hours
0.43 (nat'l avg: 0.68)
LPN Hours
0.74
CNA Hours
3.10
Total Nursing Hours
4.28 (nat'l avg: 3.89)
PT Hours
0.07
Nursing Turnover
55.5%
RN Turnover
60.0%

What the CMS Record Reveals About Crystal Oaks

Crystal Oaks operates 131 certified beds in Festus, MO with approximately 124 residents currently in care, and carries a CMS overall rating of 4 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 (4★), 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 11 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $165K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 4.28 total nursing hours per resident day (national average 3.89), with RN coverage at 0.43 per resident day, the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Crystal Oaks 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 55.5%, 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 (11 most recent)

E - Pattern - Minimal harm Aug 22, 2024 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Sep 17, 2024

E - Pattern - Minimal harm Aug 22, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 23, 2024

F - Widespread - Minimal harm Aug 22, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 4, 2024

E - Pattern - Minimal harm Aug 22, 2024 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 4, 2024

E - Pattern - Minimal harm Aug 22, 2024 Tag: 0656

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: Oct 4, 2024

C - Widespread - No harm Aug 22, 2024 Tag: 0576

Ensure residents have reasonable access to and privacy in their use of communication methods.

Category: Resident Rights Deficiencies

Corrected: Oct 4, 2024

D - Isolated - Minimal harm Aug 22, 2024 Tag: 0557

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Category: Resident Rights Deficiencies

Corrected: Oct 4, 2024

J - Isolated - Jeopardy Mar 21, 2024 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Apr 19, 2024

F - Widespread - Minimal harm Jan 27, 2023 Tag: 0814

Dispose of garbage and refuse properly.

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 8, 2023

F - Widespread - Minimal harm Jan 27, 2023 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 1, 2023

C - Widespread - No harm Feb 7, 2020 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Feb 25, 2020

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 26.5% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 2.4% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 4.1% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 23.0% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 5.7% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 15.7% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.7% Yes
Percentage of long-stay residents who lose too much weight Long Stay 9.6% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.5% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 96.7% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 24.0% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 15.4% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 94.6% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 98.8% No

Penalty History 1 penalties totaling $165K

Date Type Amount
Mar 21, 2024 Fine $165K

Frequently Asked Questions

What is the overall CMS rating for Crystal Oaks?
Crystal Oaks has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (4★), staffing levels (2★), and quality measures (3★).
What are the staffing levels at Crystal Oaks?
Crystal Oaks reports 4.28 total nursing hours per resident day (national average: 3.89). RN hours are 0.43 per resident day (national average: 0.68). Nursing staff turnover is 55.5%.
How many beds does Crystal Oaks have?
Crystal Oaks has 131 certified beds with approximately 124 residents. The facility is located at 1500 Calvary Church Road, Festus, MO 63028.
Does Crystal Oaks have any deficiencies on record?
Yes, Crystal Oaks has 11 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Crystal Oaks received any fines or penalties?
Yes, Crystal Oaks has received 1 penalties totaling $165K.
Who owns Crystal Oaks?
Crystal Oaks is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Crystal Oaks last inspected?
The most recent health inspection for Crystal Oaks was on Dec 4, 2025. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for Crystal Oaks?
Crystal Oaks is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

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.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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