nursing home in Oskaloosa, IA
Crystal Heights Care Center
1514 High Avenue West, Oskaloosa, IA 52577 · (641) 673-7032
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★2
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Crystal Heights Care Center at a glance
Crystal Heights Care Center is a 72-bed for-profit nursing home in Oskaloosa, Iowa (Mahaska County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Iowa average of 3.1.
Residents receive about 3.1 hours of nursing care per day (0.4 of them from registered nurses), worse than the state average of 3.8 hours.
Its most recent standard health inspection (July 16, 2026) found 5 health citations. The Iowa average is 6.5.
Federal regulators fined it 1 time in the past three years, totaling $10,489.
Nursing staff turnover is 63.5% per year (state average 44%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 72
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- The Ensign Group
- Medicare-certified since
- June 1, 2006
- Resident/family council
- Resident
- County
- Mahaska County
- CMS Certification Number
- 165570
Ratings
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 3.1 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 3.7 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 3.3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 5 | 3.3 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 2 / 5 | 3.3 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.07 hrs | 3.82 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.40 hrs | 0.74 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.25 hrs | 2.52 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 2.59 hrs | 3.37 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 63.5% | 44% | 45.8% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 0 | 1 | Worse |
Inspections
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 5 | 6 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 32 | 54.5 | 80.6 | Better |
Penalties
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $10,489 | $19,286 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 72 | 65 | 107 | |
| Average residents per day | 67 | 52 | 86 | |
| Occupancy | 92.4% | 81.5% | 80.9% |
Long-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3.6% | 3.8% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 2.5% | 4.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 37.1% | 19.5% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 6.5% | 2.4% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 2.1% | 1.5% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 21.7% | 17.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 11.1% | 16.6% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 6.8% | 4.6% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 4.5% | 4.2% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 22.6% | 20.8% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 18.9% | 25.6% | 19% | Average |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 95.3% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 95.1% | 94% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 4.3% | 2.1% | 1.6% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 64.6% | 84% | 82% | Worse |
Inspection citations
State inspectors cited this home for 18 health deficiencies and 12 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 16, 2026 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected July 29, 2026 |
| July 16, 2026 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected July 28, 2026 |
| July 16, 2026 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected July 17, 2026 |
| July 16, 2026 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | E Potential harm, pattern | Corrected July 17, 2026 |
| July 16, 2026 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected July 27, 2026 |
| July 16, 2026 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | E Potential harm, pattern | Corrected July 21, 2026 |
| July 16, 2026 Standard | Provide 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 Deficiencies · Tag F0688 | G Actual harm, isolated | Corrected August 6, 2026 |
| July 16, 2026 Standard | Ensure 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 provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Nutrition and Dietary Deficiencies · Tag F0809 | E Potential harm, pattern | Corrected August 6, 2026 |
| July 16, 2026 Standard | Honor the resident's right to manage his or her financial affairs. Resident Rights Deficiencies · Tag F0567 | D Potential harm, isolated | Corrected August 6, 2026 |
| July 16, 2026 Standard | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Tag F0865 | D Potential harm, isolated | Corrected August 6, 2026 |
| July 16, 2026 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | D Potential harm, isolated | Corrected August 6, 2026 |
| December 8, 2025 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected December 15, 2025 |
| June 26, 2025 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | F Potential harm, widespread | Corrected July 22, 2025 |
| June 26, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected July 22, 2025 |
| June 26, 2025 Fire safety | Have exits that are accessible at all times. Egress Deficiencies · Tag K0271 | D Potential harm, isolated | Corrected July 22, 2025 |
| June 26, 2025 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | E Potential harm, pattern | Corrected July 26, 2025 |
| June 26, 2025 Standard | Develop 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 Deficiencies · Tag F0657 | E Potential harm, pattern | Corrected July 26, 2025 |
| June 26, 2025 Standard | 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. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected July 26, 2025 |
| June 26, 2025 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected July 26, 2025 |
| June 26, 2025 Standard | Honor the resident's right to manage his or her financial affairs. Resident Rights Deficiencies · Tag F0567 | D Potential harm, isolated | Corrected July 26, 2025 |
| June 26, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected July 26, 2025 |
| June 26, 2025 Standard | Provide 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 Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected July 26, 2025 |
| June 26, 2025 Standard | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | D Potential harm, isolated | Corrected July 26, 2025 |
| June 26, 2025 Standard | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Tag F0699 | D Potential harm, isolated | Corrected July 26, 2025 |
| June 26, 2025 Complaint | Provide 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 Deficiencies · Tag F0725 | D Potential harm, isolated | Corrected July 26, 2025 |
| June 26, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected July 26, 2025 |
| August 8, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected September 15, 2024 |
| August 8, 2024 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | E Potential harm, pattern | Corrected August 21, 2024 |
| August 8, 2024 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected August 22, 2024 |
| December 7, 2023 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected January 7, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $10,489 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| December 11, 2023 | Fine | $10,489 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ENSIGN SERVICES INC Organization | adp of the snf | NOT APPLICABLE | 05/21/2025 |
| KOENIG, DEBRA Individual | adp of the snf | NOT APPLICABLE | 07/24/2025 |
| NARROWS PEAK HEALTH HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 08/01/2025 |
| NORTH, DAVID Individual | adp of the snf | NOT APPLICABLE | 07/24/2025 |
| STANDARD BEARER HEALTHCARE OP, LP Organization | adp of the snf | NOT APPLICABLE | 08/01/2025 |
| GATEWAY HEALTHCARE LLC Organization | direct ownership interest | NOT APPLICABLE | 05/21/2025 |
| THE ENSIGN GROUP INC Organization | indirect ownership interest | NOT APPLICABLE | 05/21/2025 |
| JORGENSEN, DAVID Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 08/20/2025 |
| KEETCH, CHAD Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 08/20/2025 |
| PORT, BARRY Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 07/24/2025 |
| BURNAM, SOON Individual | managing control - governing body | NOT APPLICABLE | 05/21/2025 |
| KOENIG, DEBRA Individual | managing control - governing body | NOT APPLICABLE | 08/01/2025 |
| NORTH, DAVID Individual | managing control - governing body | NOT APPLICABLE | 08/01/2025 |
| BURNAM, SOON Individual | operational/managerial control | NOT APPLICABLE | 05/21/2025 |
| KOENIG, DEBRA Individual | operational/managerial control | NOT APPLICABLE | 08/01/2025 |
| NORTH, DAVID Individual | operational/managerial control | NOT APPLICABLE | 08/01/2025 |
Other nursing homes near Crystal Heights Care Center
- ★★★★★1Much below average
Northern Mahaska Specialty Care
2401 Crestview Drive, Oskaloosa, IA 52577 · 1.6 mi
Non-profit · 79 beds · Part of Care Initiatives
★★★★★3Average- ★★★★★1Much below average
Oakwood Specialty Care
200 16th Avenue East, Albia, IA 52531 · 20.8 mi
Non-profit · 54 beds · Part of Care Initiatives
★★★★★4Above averageMontezuma Specialty Care
316 Meadow Lane Drive, Montezuma, IA 50171 · 20.9 mi
Non-profit · 41 beds · Part of Care Initiatives
★★★★★3AverageAccura Healthcare of Knoxville, LLC
606 North Seventh Street, Knoxville, IA 50138 · 22.4 mi
For-profit · 60 beds · Part of Accura Healthcare
★★★★★2Below average
Frequently asked questions
What is Crystal Heights Care Center's rating?
Crystal Heights Care Center has 3 out of 5 stars on the CMS overall star rating. The average for Iowa nursing homes is 3.1 stars.
How many inspection citations did Crystal Heights Care Center receive?
Its most recent standard health inspection found 5 citations, compared with a Iowa average of 6.5. Every citation is listed on this page with its severity.
Does Crystal Heights Care Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Crystal Heights Care Center?
It is for profit - corporation and part of The Ensign Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is Crystal Heights Care Center and how do I contact it?
Crystal Heights Care Center is at 1514 High Avenue West, Oskaloosa, IA 52577. Phone: (641) 673-7032.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.