Nursing HomeInspections

Crystal Heights Care Center

Nursing home in Oskaloosa, IA

Medicare & Medicaid certified2★ overall (CMS)

Call (641) 673-7032Send a messageMap ↗

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
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
2 of 5
Quality measures rating
2 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 (342 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jun 1, 2006
Changed ownership in last 12 months
Yes
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident and family councils
Sprinklers in all required areas
Yes

CMS certification number 165570. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jun 26, 2025. CMS lists 16 health citations for this facility across its last three standard inspection cycles and complaint inspections (Dec 7, 2023 to Dec 8, 2025): 5 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
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
Jun 26, 2025Provide 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		D
Potential for more than minimal harm, isolated
Jun 26, 2025Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jun 26, 2025Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jun 26, 2025Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 26, 2025Provide and implement an infection prevention and control program.
Infection Control · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 26, 2025Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern
Jun 26, 2025Provide activities to meet all resident's needs.
Quality of Life and Care		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 16. 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 Aug 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 Aug 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
0.40 hours
Nurse aide time per resident per day
2.25 hours
Total nurse staffing on weekends
2.59 hours
Nursing staff turnover (yearly)
64%
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.

Other nursing homes in Oskaloosa

Northern Mahaska Specialty Care2401 Crestview Drive · Oskaloosa, IA 52577 · (641) 673-3000 · Nonprofit10 health citations in 3 inspection cycles · last standard inspection Nov 24, 2025 · $39,033 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)Oskaloosa Care Center605 Highway 432 · Oskaloosa, IA 52577 · (641) 676-3414 · For-profit33 health citations in 3 inspection cycles · last standard inspection Jun 19, 2025 · $45,354 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

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