Crystal Heights Care Center: Staffing, Turnover, and Inspection Record
Crystal Heights Care Center is a 72-bed for-profit nursing home in Oskaloosa, Iowa, part of The Ensign Group. In the CMS August 2026 release it reported 2.25 nurse aide hours per resident per day, 11% below the Iowa average of 2.51, and 63.5% nursing staff turnover (Iowa average 44.0%).
Crystal Heights Care Center
1514 High Avenue WestOskaloosa, IA 52577
Mahaska County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Crystal Heights Care Center, nurse aides logged 2.25 hours per resident per day, 11% below the Iowa average. With about 67 residents a day, that works out to roughly 149 aide hours a day, or about 19 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 16% below the all-days figure.
| Hours per resident per day | This home | Iowa avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.25 | 2.51 | 2.32 |
| Licensed practical nurses | 0.42 | 0.56 | 0.86 |
| Registered nurses | 0.40 | 0.74 | 0.69 |
| All nursing staff | 3.07 | 3.82 | 3.86 |
| All nursing staff, weekends | 2.59 | 3.37 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
63.5% of nursing staff at Crystal Heights Care Center left over the year CMS measured, against a Iowa average of 44.0% and a US average of 45.8%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jun 26, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 12 health deficiencies (Iowa average 6.5). CMS lists 1 fine totaling $10,489 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Dec 11, 2023 | Fine | $10,489 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Crystal Heights Care Center holds 2 of 5 overall; the Iowa average is 3.1.
About Crystal Heights Care Center
- Ownership: For profit - Corporation
- Chain: The Ensign Group, 342 homes
- Legal name: Canfield River Healthcare LLC
- Medicare and Medicaid certified since: Jun 1, 2006
- Changed ownership in the last 12 months
- Councils: resident and family councils
- Area: rural
Nursing homes near Crystal Heights Care Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Oskaloosa Care Center Oskaloosa | 0.4 | 83 | 2.56 | 3.66 | 62.6% | 1 | $45,354 |
| Northern Mahaska Specialty Care Oskaloosa | 1.6 | 79 | 2.07 | 3.20 | 31.3% | 2 | $39,033 |
| The Cottages Pella | 15.9 | 100 | 2.63 | 4.18 | 50.0% | 1 | $52,060 |
| Oakwood Specialty Care Albia | 20.8 | 54 | 2.03 | 3.26 | 31.7% | 4 | None |
| Montezuma Specialty Care Montezuma | 20.9 | 41 | 2.21 | 3.30 | 51.6% | 3 | None |
| Accura Healthcare of Knoxville, LLC Knoxville | 22.4 | 60 | 2.12 | 3.47 | 53.2% | 2 | $16,153 |
| Ridgewood Specialty Care Ottumwa | 22.4 | 60 | 1.91 | 3.27 | 43.5% | 3 | $8,999 |
| Good Samaritan - Ottumwa Ottumwa | 22.7 | 126 | 2.28 | 3.63 | 31.2% | 2 | $91,569 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.