Show Inspection Reports
Total Health inspections
2
59% below Iowa average
Iowa average:
4.9
Last Health inspection on Jun 2025
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Crystal Heights Care Center
Crystal Heights Care Center is a Nursing Home in Iowa
Crystal Heights Care Center is a Nursing Home in Iowa
Crystal Heights Care Center
Crystal Heights Care Center is a Nursing Home in Iowa
Crystal Heights Care Center is a Nursing Home in Iowa
Crystal Heights Care Center provides skilled nursing, short-term rehabilitation, and long-term care services in a compassionate environment. The facility focuses on restoring health and wellbeing while ensuring dignity and compassion in care. A dedicated team of healthcare professionals is available to support residents around the clock.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
72
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
55.1%
Residents per day (avg)
61
Occupancy rate
55.1%
Residents per day (avg)
61
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
22% of new residents, usually for short-term rehab.
Typical stay
22 days
Private pay
38% of new residents, often for short stays.
Typical stay
4 - 5 months
Medicaid
41% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Finances and operations
Proprietary home
Other
Home revenue
$4.3M
Operating loss
-$19.9K
Proprietary home
Other
Home revenue
$4,254,289.00
Operating loss
$-19,905.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.0M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.7M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$3.8M
72-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
32 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
About this community
Occupancy Rate
97%
Occupied Beds
70 of 72
Percentage of available beds currently in use by residents.
License Status
ActiveFacility Type
Free Standing NF/SNF
License Date
September 1, 1993
Additional licensing details
License number:
620049
CMS Certification Number:
165570
Certification type:
FALSE
County:
Mahaska
Ownership & operating entity
Crystal Heights Care Center is administrated by Danielle Grove.
Owner name:
Westbrook Acres(Free Standing NF/SNF) | 860029
Care Services
Nursing Services
Rehabilitation Services
Respite Care
Skilled Nursing
Licensed Nurses/CNAs
Contact Information
Email:
[email protected]
Fax:
6416730068
Amenities & Lifestyle
Programs & Activities
Specific Programs
Skilled Nursing, Rehabilitation Therapy, Things To Do
Inspection History
In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.
13 visits/inspections
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Latest inspection
Date:December 15, 2025
30 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Compare Nursing Homes around Iowa
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Akron Care Center, INC
+15%
+10%
+30%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 510017716
45
No
CITY OF AKRON
98.1%
$4,650,730.00
$2,144,112.00
46.1%
42.00
4.7098
-
4
-
+15%+10%+30%
Accura HealthCare of Carlisle
-40%
+36%
+7%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 500478733
46
No
AMERICAN HEALTHCARE ASSOCIATES INC
80.5%
$4,098,046.00
$2,453,646.00
59.9%
38.90
5.8515
-
17
2
-40%+36%+7%
Crystal Heights Care Center
-61%
-17%
-27%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 525771997
92
No
WILLS, WESLEY
55.1%
$4,220,876.00
$2,038,201.00
48.3%
60.80
3.5623
1
15
-
-61%-17%-27%
Accura Healthcare of Spirit Lake
-8%
-12%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 513601000
85
No
-
66.6%
$7,053,735.00
$3,009,392.00
42.7%
65.20
4.2922
1
21
1
-8%
0%
-12%
Accura Healthcare of Lake City, LLC
-33%
+20%
-7%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 514499701
46
No
ACCURA HEALTHCARE OF THE HEARTLAND LLC
70.4%
$2,045,587.00
$969,532.00
47.4%
39.80
5.1665
4
39
4
-33%+20%-7%
Akron Care Center, INC
Type of care:
SNF
AL
Community:
IA 510017716
Bed Count:
45
Pets Allowed:
No
Operator:
CITY OF AKRON
CCN:
165595
Occupancy:
98.1%
Home Revenue:
$4,650,730.00
Payroll Costs:
$2,144,112.00
Payroll %:
46.1%
Avg Residents/Day:
42.00
Overall Rating:
Adj Nurse Hours:
4.7098
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
4
RN share vs State Avg:
+15%
+15%
Staffing vs State Avg:
+10%
+10%
Occupancy vs State Avg:
+30%
+30%
Accura HealthCare of Carlisle
Type of care:
SNF
AL
Community:
IA 500478733
Bed Count:
46
Pets Allowed:
No
Operator:
AMERICAN HEALTHCARE ASSOCIATES INC
CCN:
165311
Occupancy:
80.5%
Home Revenue:
$4,098,046.00
Payroll Costs:
$2,453,646.00
Payroll %:
59.9%
Avg Residents/Day:
38.90
Overall Rating:
Adj Nurse Hours:
5.8515
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
17
Severe Citations:
2
RN share vs State Avg:
-40%
-40%
Staffing vs State Avg:
+36%
+36%
Occupancy vs State Avg:
+7%
+7%
Crystal Heights Care Center
Type of care:
SNF
AL
Community:
IA 525771997
Bed Count:
92
Pets Allowed:
No
Operator:
WILLS, WESLEY
CCN:
165570
Occupancy:
55.1%
Home Revenue:
$4,220,876.00
Payroll Costs:
$2,038,201.00
Payroll %:
48.3%
Avg Residents/Day:
60.80
Overall Rating:
Adj Nurse Hours:
3.5623
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
15
RN share vs State Avg:
-61%
-61%
Staffing vs State Avg:
-17%
-17%
Occupancy vs State Avg:
-27%
-27%
Accura Healthcare of Spirit Lake
Type of care:
SNF
AL
Community:
IA 513601000
Bed Count:
85
Pets Allowed:
No
CCN:
165528
Occupancy:
66.6%
Home Revenue:
$7,053,735.00
Payroll Costs:
$3,009,392.00
Payroll %:
42.7%
Avg Residents/Day:
65.20
Overall Rating:
Adj Nurse Hours:
4.2922
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
21
Severe Citations:
1
RN share vs State Avg:
-8%
-8%
Staffing vs State Avg:
0%
Occupancy vs State Avg:
-12%
-12%
Accura Healthcare of Lake City, LLC
Type of care:
SNF
AL
Community:
IA 514499701
Bed Count:
46
Pets Allowed:
No
Operator:
ACCURA HEALTHCARE OF THE HEARTLAND LLC
CCN:
165082
Occupancy:
70.4%
Home Revenue:
$2,045,587.00
Payroll Costs:
$969,532.00
Payroll %:
47.4%
Avg Residents/Day:
39.80
Overall Rating:
Adj Nurse Hours:
5.1665
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
4
Citations:
39
Severe Citations:
4
RN share vs State Avg:
-33%
-33%
Staffing vs State Avg:
+20%
+20%
Occupancy vs State Avg:
-7%
-7%Places of interest near Crystal Heights Care Center
Oskaloosa, IA 525771997
Oskaloosa, IA 525771997
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
67
Total Staff
43
Employees
24
Contractors
17,058
Total Hours (Quarter)
22
Avg Staff/Day
8.5
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 3 | 8.2 | No |
| Licensed Practical Nurse | 11 | 9.4 | Yes |
| Certified Nursing Assistant | 33 | 9.4 | Yes |
Staff by Category
Administration ⓘ
2 staff
7.9hs shift avg
Nursing Staff ⓘ
49 staff
9.4hs shift avg
Physicians & Practitioners ⓘ
4 staff
9.1hs shift avg
Therapy Services ⓘ
7 staff
1.9hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
1 staff
1.4hs shift avg
Dietary Services ⓘ
4 staff
7.2hs shift avg
Other Services ⓘ
0 staff
0hs shift avg
Contractor Analysis
15.9%
of total hours from contractors
2,716 contractor hours this quarter
Certified Nursing Assistant: 6
Respiratory Therapy Technician: 1
Physical Therapy Aide: 1
Medical Director: 1
Licensed Practical Nurse: 9
Physical Therapy Assistant: 2
Speech Language Pathologist: 1
Qualified Social Worker: 1
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 27 | 6 | 33 | 9,846 | 91 | 100% | 9.4 |
| Licensed Practical Nurse | 2 | 9 | 11 | 2,596 | 90 | 99% | 9.4 |
| RN Director of Nursing | 1 | 0 | 1 | 737 | 68 | 75% | 10.8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 628 | 66 | 73% | 8.3 |
| Registered Nurse | 3 | 0 | 3 | 627 | 63 | 69% | 8.2 |
| Other Dietary Services Staff | 3 | 0 | 3 | 626 | 89 | 98% | 6.8 |
| Dietitian | 1 | 0 | 1 | 488 | 63 | 69% | 7.7 |
| Medication Aide/Technician | 1 | 0 | 1 | 484 | 45 | 49% | 10.8 |
| Nurse Practitioner | 2 | 0 | 2 | 420 | 37 | 41% | 10.5 |
| Administrator | 1 | 0 | 1 | 208 | 26 | 29% | 8 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 97 | 43 | 47% | 2.3 |
| Physical Therapy Aide | 0 | 1 | 1 | 90 | 57 | 63% | 1.6 |
| Occupational Therapy Aide | 0 | 1 | 1 | 56 | 13 | 14% | 4.3 |
| Medical Director | 0 | 1 | 1 | 45 | 6 | 7% | 7.5 |
| Physical Therapy Assistant | 0 | 2 | 2 | 38 | 28 | 31% | 1.4 |
| Speech Language Pathologist | 0 | 1 | 1 | 29 | 24 | 26% | 1.2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 26 | 9 | 10% | 2.9 |
| Qualified Social Worker | 0 | 1 | 1 | 19 | 13 | 14% | 1.4 |
Health Inspection History
Total Health citations
15
31% below Iowa average
Iowa average:
21.7
7.5 citations per inspection (avg)
Citations origin
Citations can result from standard inspections or complaint-based investigations.
Standard inspections
15 citations
Complaint investigations
4 citations
Breakdown of citations
Critical Health citations
0
100% below Iowa average
Iowa average:
0.6
Serious Health citations
0
100% below Iowa average
Iowa average:
0.9
Moderate Health citations
15
Minor Health citations
0
Citations history (last 3 years)
Infection Control moderate citation
Jun 26, 2025
Corrected
Nursing Services moderate citation
Jun 26, 2025
Corrected
Quality of Care moderate citation
Jun 26, 2025
Corrected
Quality of Care moderate citation
Jun 26, 2025
Corrected
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit Corporation
Resident Census by Payment Source
62
Total Residents
Medicare
1
(1.6%)
ⓘ
Medicaid
49
(79%)
ⓘ
Private Pay/Other
12
(19.4%)
ⓘ
Specialized Care Beds
14
Total Specialty Beds
15.2%
of Bed Capacity
14
Alzheimer's / Dementia Beds ⓘ
15.2%
Programs & Services
Residents' Group
ⓘ
Family Member Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Family Council
ⓘ
Active
Resident Council
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
6.0
41% better than Iowa average
Iowa average:
10.2
Functional decline score
8.6
60% better than Iowa average
Iowa average:
21.6
Long-Stay Resident Measures
Daily care & independence
Need for Help with Daily Activities Increased
10.0%
47% below Iowa average.
Walking Ability Worsened
10.4%
47% below Iowa average.
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
5.4%
80% below Iowa average.
Safety & clinical stability
Falls with Major Injury
0.9%
76% below Iowa average.
High Risk Residents with Pressure Ulcers
1.5%
66% below Iowa average.
Urinary Tract Infection
11.3%
354% above Iowa average.
Emotional & behavioral wellbeing
Depressive Symptoms
9.4%
141% above Iowa average.
Antipsychotic Use
26.7%
40% above Iowa average.
Preventive care
Pneumococcal Vaccine
100.0%
6% above Iowa average.
Influenza Vaccine
100.0%
5% above Iowa average.
Nutrition & physical health
Lost Too Much Weight
7.4%
47% above Iowa average.Short-stay resident measures
Pneumococcal Vaccine
98.6%
16% better than Iowa average
Antipsychotic medication increase
0.0%
100% better than Iowa average Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$10K
This home paid 78% less in fines than the state average.
Iowa average:
$48K
Number of Fines
1
This home received 41% fewer fines than the state average.
Iowa average:
1.7
Payment Denials
0
This home had 100% fewer payment denials than the state average.
Iowa average:
0.5
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Dec 11, 2023
$10K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Crystal Heights Care Center based on CMS SNF Cost Reports.
Occupancy Rate
55.1%
↓ 0.1pp vs 2022
Net Income
-$19,905
↑ ~$562K vs 2022
Total Payroll
$2,566,192
↑ ~$24K vs 2022
Profit Margin
-0.5%
↑ 15.5pp vs 2022
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