Nursing HomeInspections

Crystal Heights Care Center

Nursing home in Oskaloosa, IA

Medicare & Medicaid certified3★ overall (CMS)

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Public-record details

Address
1514 High Avenue West, Oskaloosa, IA 52577
Phone
(641) 673-7032
Listed under
For-profit
Medicare CCN
165570
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
3 of 5
Staffing rating
2 of 5
Quality measures rating
4 of 5
Certified beds
72
Average residents per day
67
Ownership
For-profit, corporation
Legal business name
Canfield River Healthcare LLC
Chain
The Ensign Group (347 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jun 1, 2006
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 165570. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Jul 16, 2026. CMS lists 20 health citations for this facility across its last three standard inspection cycles and complaint inspections (Dec 7, 2023 to Aug 20, 2026): 7 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
Aug 20, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Aug 20, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Jul 16, 2026Honor the resident's right to manage his or her financial affairs.
Resident Rights
D
Potential for more than minimal harm, isolated
Jul 16, 2026Provide activities to meet all resident's needs.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Jul 16, 2026Have a plan that describes the process for conducting QAPI and QAA activities.
Administration
D
Potential for more than minimal harm, isolated
Jul 16, 2026Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be…
Nutrition and Dietary
E
Potential for more than minimal harm, pattern
Jul 16, 2026Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care · under dispute review
G
Actual harm, isolated
Dec 8, 2025Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection
D
Potential for more than minimal harm, isolated
Jun 26, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Jun 26, 2025Honor the resident's right to manage his or her financial affairs.
Resident Rights
D
Potential for more than minimal harm, isolated
Jun 26, 2025Honor 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…
Resident Rights
D
Potential for more than minimal harm, isolated
Jun 26, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 20. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $10,489 in the last three years.

Dec 11, 2023Fine: $10,489

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.07 hours
Registered nurse (RN) time per resident per day
0.41 hours
Nurse aide time per resident per day
2.20 hours
Total nurse staffing on weekends
2.55 hours
Nursing staff turnover (yearly)
57%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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