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F
Critical

Crystal Heights Care Center

1514 High Avenue West · Oskaloosa, IA 52577

6416737032 · For profit - Corporation

72 beds64.4 residents121 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
D
Poor
Total Staff
F
Critical
RN Staff
F
Critical
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Crystal Heights Care Center receives an overall staffing grade of F (Critical). With 2.8025 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.2342 HPRD, below the recommended 0.75. It is 1.09 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 15.55% compared to weekdays. The facility uses a moderate level of agency staff (12.35% of hours), suggesting some reliance on temporary workers.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (3)

⚠️Had 3 days with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.
🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 2.8025 HPRD — needs 0.68 more hours per resident per day.
⚠️RN staffing (0.2342 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (0)

Limited strengths identified for this quarter.

Total Nurse HPRD
2.8025hrs/resident/day▼ 1.09
CMS benchmark: 3.48
RN HPRD
0.2342hrs/resident/day▼ 0.45
Recommended: 0.75
Weekend Drop-off
15.55%
2.9314 weekday → 2.4755 weekend
Agency Staff
12.35%
0% of RN hours from contractors
Days with Zero RN
3days this quarter
4+ days = auto 1-star
CNA HPRD
1.9008hrs/resident/day
Direct care aides
LPN HPRD
0.6435hrs/resident/day
Licensed practical nurses
Consistency
0.3423std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Mahaska County Average-0.35 HPRD
3.15
02.80 HPRD
vs. Iowa State Average-1.01 HPRD
3.82
02.80 HPRD
vs. National Average-1.09 HPRD
3.90
02.80 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Crystal Heights Care Center ★
Oskaloosa · This facility
—
F
2.80250.2342★★☆☆☆
Northern Mahaska Specialty Care
Oskaloosa
1.6 mi
C
3.19650.4179★★☆☆☆
Oakwood Specialty Care
ALBIA
20.8 mi
C
3.22070.5817★★★★☆
Montezuma Specialty Care
Montezuma
20.9 mi
C
3.15850.6464★★★★☆
Accura Healthcare of Knoxville, LLC
Knoxville
22.4 mi
B
3.70110.6026★☆☆☆☆
Ridgewood Specialty Care
OTTUMWA
22.4 mi
C
3.19590.6603★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
16
Total Deficiencies
$10,489
Fines Assessed
Dec 8, 2025Health
1 deficiency cited
▼
Jun 26, 2025Health
11 deficiencies cited
▼
Dec 7, 2023Health
4 deficiencies cited
▼

Penalty History

Dec 11, 2023Fine
$10,489
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.