Crystal Heights Care Center

CCN 165570 · CANFIELD RIVER HEALTHCARE LLC · For profit - Corporation · THE ENSIGN GROUP chain · 72 certified beds · Mahaska · IA


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 dateTagDeficiencySeverity
2025-12-08F0760Ensure that residents are free from significant medication errors.D
2025-06-26F0657, F0679Develop 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
2025-06-26F0550, F0567, F0578, F0641, F0690, F0697, F0699, F0725, F0880Honor 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
2023-12-07F0656, F0658, F0677, F0758Develop 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?

DateTypeAmount
2023-12-11Fine$10,489

How is Crystal Heights Care Center staffed relative to the IA average?

MeasureThis facilityIA average
Total nurse staffing hours per resident per day3.067973.81506
Total nursing staff turnover (%)63.544.0
Average number of residents per day66.552.4

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.

RoleOwnerAssociation date
DIRECT OWNERSHIP INTERESTGATEWAY HEALTHCARE LLCsince 05/21/2025
INDIRECT OWNERSHIP INTERESTTHE ENSIGN GROUP INCsince 05/21/2025
MANAGING CONTROL - GOVERNING BODYBURNAM, SOON, KOENIG, DEBRA, NORTH, DAVIDsince 05/21/2025
OPERATIONAL/MANAGERIAL CONTROLBURNAM, SOON, KOENIG, DEBRA, NORTH, DAVIDsince 05/21/2025
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFJORGENSEN, DAVID, KEETCH, CHAD, PORT, BARRYsince 07/24/2025
ADP OF THE SNFENSIGN SERVICES INC, NARROWS PEAK HEALTH HOLDINGS LLC, STANDARD BEARER HEALTHCARE OP, LP, KOENIG, DEBRA, NORTH, DAVIDsince 05/21/2025

Were you or a family member harmed at Crystal Heights Care Center?