Occupancy rate
97%
In line with Iowa averageMostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
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Nursing Home
Crystal Heights Care Center
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
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
72
This home is often near full
That suggests steady demand, but availability may be limited.
Occupancy rate
97.2%
Residents per day (avg)
61
Occupancy rate
97.2%
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
Privately-owned community
Home revenue
$4.3M
Operating loss
-$19.9K
Privately-owned community
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
In line with Iowa averageOccupied beds
70 / 72
Average residents
51 per day
License details
Facility type
Free Standing Nf/snf
Status
Active
Issuance
September 1, 1993
County:
Mahaska
Additional licensing details
License number:
620049
CMS Certification Number:
165570
Certification type:
FALSE
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
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
Show Inspection Reports
Latest inspection
Date:December 15, 2025
30 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Inspection Report Summary for Crystal Heights Care Center
The most recent inspection on December 15, 2025, found the facility in substantial compliance with no deficiencies cited. Earlier inspections showed a pattern of deficiencies related primarily to medication administration errors, resident care planning, and infection control. Complaint investigations included a substantiated medication error in December 2025 that resulted in resident harm, as well as prior findings involving resident dignity, pain management, and staffing levels. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s record shows some improvement over time, with the most recent survey indicating resolution of prior issues.
Health Inspection History
Inspections
Total health inspections
2
Iowa average 4.9
Last Health inspection on Jun 2025
Total health citations
15
Iowa average 21.7
Citations per inspection
7.5
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
11 of 15 citations resulted from standard inspections; and 4 of 15 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Iowa averageIowa average: 0.6
Serious Health citations
0
0
100% better than Iowa averageIowa average: 0.9
0 critical citations
0 serious citations
15 moderate citations
0 minor citations
Citations history (last 3 years)
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jun 26, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jun 26, 2025
Corrected
Nursing Services moderate citation
Issues related to the availability and quality of nursing staff and the care they provide.
Jun 26, 2025
Issues related to the availability and quality of nursing staff and the care they provide.
Jun 26, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jun 26, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jun 26, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jun 26, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jun 26, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Iowa The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Akron Care Center, INC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Akron
45
98.1%
+30%
4.71
+10%
0
4
0
42
City Of Akron
$4,7M
$2,1M
46.1%
165595
Accura HealthCare of Carlisle
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Carlisle
46
80.5%
+7%
5.85
+36%
0
17
2
39
American Healthcare Associates Inc
$4,1M
$2,5M
59.9%
165311
Crystal Heights Care Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Oskaloosa
92
55.1%
-27%
3.56
-17%
1
15
0
61
Wills, Wesley
$4,2M
$2,0M
48.3%
165570
Accura Healthcare of Spirit Lake
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Spirit Lake
85
66.6%
-12%
4.29
0%
1
21
1
65
-
$7,1M
$3,0M
42.7%
165528
Accura Healthcare of Lake City, LLC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Lake City
46
70.4%
-7%
5.17
+20%
4
39
4
40
Accura Healthcare Of The Heartland Llc
$2,0M
$1,0M
47.4%
165082
Places of interest near Crystal Heights Care Center
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
67
Employees
43
Contractors
24
Staff to resident ratio
1.08:1
46% worse than Iowa averageIowa average ratio: 2.00:1
Avg staff/day
22
Average shift
8.5 hours
15% better than Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
17,058
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
3
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
33
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
15.9%
2,716 contractor hours this quarter
Licensed Practical Nurse: 9
Certified Nursing Assistant: 6
Physical Therapy Assistant: 2
Respiratory Therapy Technician: 1
Physical Therapy Aide: 1
Medical Director: 1
Speech Language Pathologist: 1
Qualified Social Worker: 1
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
Staff by category
| 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 |
33 Certified Nursing Assistant
% of Days
100%
11 Licensed Practical Nurse
% of Days
99%
1 RN Director of Nursing
% of Days
75%
2 Clinical Nurse Specialist
% of Days
73%
3 Registered Nurse
% of Days
69%
3 Other Dietary Services Staff
% of Days
98%
1 Dietitian
% of Days
69%
1 Medication Aide/Technician
% of Days
49%
2 Nurse Practitioner
% of Days
41%
1 Administrator
% of Days
29%
1 Respiratory Therapy Technician
% of Days
47%
1 Physical Therapy Aide
% of Days
63%
1 Occupational Therapy Aide
% of Days
14%
1 Medical Director
% of Days
7%
2 Physical Therapy Assistant
% of Days
31%
1 Speech Language Pathologist
% of Days
26%
1 Occupational Therapy Assistant
% of Days
10%
1 Qualified Social Worker
% of Days
14%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
62 residents
Residents by payment source
Medicare
1 resident (1.6%)
Medicaid
49 residents (79%)
Private pay or other
12 residents (19.4%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Family Member Group
Family members meet regularly to discuss policies, care quality, and activities
Active Family Council
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.0
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.0
41% better than Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
8.6
60% better than Iowa averageIowa average: 21.6
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
10.0%
Percent of long-stay residents whose need for help with daily activities has increased
10.0%
47% better than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
10.4%
Percent of long-stay residents whose ability to move independently worsened
10.4%
47% better than Iowa averageIowa average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
5.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
5.4%
80% better than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.9%
Percent of long-stay residents experiencing one or more falls with major injury
0.9%
76% better than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
1.5%
Percent of long-stay high risk residents with pressure ulcers
1.5%
66% better than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
11.3%
Percent of long-stay residents with a urinary tract infection
11.3%
354% worse than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
7.4%
Percent of long-stay residents who lose too much weight
7.4%
47% worse than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
9.4%
Percent of long-stay residents who have depressive symptoms
9.4%
141% worse than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
26.7%
Percent of long-stay residents who received an antipsychotic medication
26.7%
40% worse than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Iowa averageIowa average: 95.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.6%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.6%
16% better than Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Iowa averageIowa average: 1.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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
78% lower than Iowa averageIowa average: $48K
Number of fines
1
41% fewer fines than Iowa averageIowa average: 1.7
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Iowa averageIowa average: 0.5
Fines amount comparison
Fines amount comparison
This facility
$10K
Iowa average
$48K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 11, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
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
Loading trend charts...
Guides for Better Senior Living
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