Crystal Heights Care Center
Nursing Home · Oskaloosa, IA
CMS certification number165570
Contact & location
1514 High Avenue WestOskaloosa, IA 52577
Mahaska County
- Phone
- (641) 673-7032
- ZIP code
- 52577 – all care providers
Facility details
- Certified beds
- 72
- Residents per day
- 66.5 (92% occupied)
- Ownership
- For profit - Corporation
- Legal name
- Canfield River Healthcare LLC
- Chain
- The Ensign Group (342 facilities, avg 3.2★)
- Medicare certified since
- June 1, 2006
- Participates in
- Medicare and Medicaid
- Council
- Both council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.07 (state 3.82 · U.S. 3.86)
- Registered nurses (RN)
- 0.40 (state 0.74 · U.S. 0.69)
- Licensed practical nurses
- 0.42 (state 0.56 · U.S. 0.86)
- Nurse aides
- 2.25 (state 2.51 · U.S. 2.32)
- Weekend total
- 2.59 (state 3.37 · U.S. 3.42)
- Nursing staff turnover
- 63.5 (state 44.0 · U.S. 45.8)%
- RN turnover
- —
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- June 26, 2025
- Health deficiencies (last cycle)
- 12.0 (state 6.5 · U.S. 9.3)
- From complaints
- 4
- Citations on record (3 years)
- 16 health · 13 fire safety
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2025-12-08 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-15 |
| 2025-06-26 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-07-26 |
| 2025-06-26 | Provide activities to meet all resident's needs. F0679 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-07-26 |
| 2025-06-26 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-07-26 |
| 2025-06-26 | Honor the resident's right to manage his or her financial affairs. F0567 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-07-26 |
| 2025-06-26 | 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. F0578 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-07-26 |
| 2025-06-26 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-07-26 |
| 2025-06-26 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-07-26 |
| 2025-06-26 | Provide safe, appropriate pain management for a resident who requires such services. F0697 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-07-26 |
| 2025-06-26 | Provide care or services that was trauma informed and/or culturally competent. F0699 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-07-26 |
| 2025-06-26 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-07-26 |
| 2025-06-26 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-07-26 |
| 2023-12-07 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-07 |
| 2023-12-07 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-07 |
| 2023-12-07 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-07 |
| 2023-12-07 | 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. F0758 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-07 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
1 penalty in the last three years, including $10,489 in fines.
| Date | Type | Amount |
|---|---|---|
| 2023-12-11 | Fine | $10,489 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Ensign Services INC (organization) | Administrator · NOT APPLICABLE | |
| Koenig, Debra (individual) | Administrator · NOT APPLICABLE | |
| Narrows Peak Health Holdings LLC (organization) | Administrator · NOT APPLICABLE | |
| North, David (individual) | Administrator · NOT APPLICABLE | |
| Standard Bearer Healthcare Op, LP (organization) | Administrator · NOT APPLICABLE | |
| Gateway Healthcare LLC (organization) | Direct Ownership Interest · NOT APPLICABLE | |
| The Ensign Group INC (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Jorgensen, David (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Keetch, Chad (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Port, Barry (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Burnam, Soon (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Koenig, Debra (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| North, David (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Burnam, Soon (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Koenig, Debra (individual) | Operational/managerial Control · NOT APPLICABLE | |
| North, David (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Crystal Heights Care Center?
Crystal Heights Care Center has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Iowa.
How many beds does Crystal Heights Care Center have?
It has 72 certified beds and cares for about 67 residents per day.
Has Crystal Heights Care Center been fined?
Yes. CMS lists 1 penalty totaling $10,489 in the last three years.
Who owns Crystal Heights Care Center?
It is part of The Ensign Group and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Crystal Heights Care Center?
(641) 673-7032. The facility is located at 1514 High Avenue West, Oskaloosa, IA 52577.
Other nursing homes in Oskaloosa
-
Northern Mahaska Specialty Care
Nursing Home · Oskaloosa, IA · 79 beds
★★ -
Oskaloosa Care Center
Nursing Home · Oskaloosa, IA · 83 beds
★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.