Crystal Heights Care Center
With 72 certified beds in Oskaloosa, Iowa, Crystal Heights Care Center has been a Medicare and Medicaid provider since 2006-06-01, averaging 66.5 residents a day.
Has Crystal Heights Care Center been cited for violations?
CMS lists 16 health-inspection deficiencies for Crystal Heights Care Center, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is E; the most recent health inspection was 2025-12-08.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-12-08 | F0760 | Ensure that residents are free from significant medication errors. | D |
| 2025-06-26 | F0657, F0679 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide activities to meet all resident's needs. | E |
| 2025-06-26 | F0550, F0567, F0578, F0641, F0690, F0697, F0699, F0725, F0880 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor the resident's right to manage his or her financial affairs. / 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. / Ensure each resident receives an accurate assessment. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe, appropriate pain management for a resident who requires such services. / Provide care or services that was trauma informed and/or culturally competent. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Provide and implement an infection prevention and control program. | D |
| 2023-12-07 | F0656, F0658, F0677, F0758 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / 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. | D |
Why was Crystal Heights Care Center fined?
| Date | Type | Amount |
|---|---|---|
| 2023-12-11 | Fine | $10,489 |
How is Crystal Heights Care Center staffed relative to the IA average?
| Measure | This facility | IA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.06797 | 3.81506 |
| Total nursing staff turnover (%) | 63.5 | 44.0 |
| Average number of residents per day | 66.5 | 52.4 |
Who owns Crystal Heights Care Center, and what chain is it in?
Crystal Heights Care Center is registered with CMS as For profit - Corporation, operates under the legal business name CANFIELD RIVER HEALTHCARE LLC and belongs to the THE ENSIGN GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| DIRECT OWNERSHIP INTEREST | GATEWAY HEALTHCARE LLC | since 05/21/2025 |
| INDIRECT OWNERSHIP INTEREST | THE ENSIGN GROUP INC | since 05/21/2025 |
| MANAGING CONTROL - GOVERNING BODY | BURNAM, SOON, KOENIG, DEBRA, NORTH, DAVID | since 05/21/2025 |
| OPERATIONAL/MANAGERIAL CONTROL | BURNAM, SOON, KOENIG, DEBRA, NORTH, DAVID | since 05/21/2025 |
| INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | JORGENSEN, DAVID, KEETCH, CHAD, PORT, BARRY | since 07/24/2025 |
| ADP OF THE SNF | ENSIGN SERVICES INC, NARROWS PEAK HEALTH HOLDINGS LLC, STANDARD BEARER HEALTHCARE OP, LP, KOENIG, DEBRA, NORTH, DAVID | since 05/21/2025 |
Were you or a family member harmed at Crystal Heights Care Center?