Crystal Heights Care Center

Nursing Home, Hospice Care, Palliative Care, Respite Care & Skilled Nursing · Oskaloosa, IA

CMS overall rating

1514 High Avenue West, Oskaloosa, Ia 525771997 View map

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Crystal Heights Care Center accepts Medicare, Medicaid, and private pay.

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Crystal Heights Care Center accepts Medicare, Medicaid, and private pay.

Overview of Crystal Heights Care Center

At its 72-bed medical property on High Avenue West, Crystal Heights Care Center manages resident accounts using a combination of private payments, Medicare credits, and state Medicaid options. Operating under the leadership of administrator Danielle Grove and owner Wesley Wills, the campus sustains a high occupancy rate of nearly 97 percent. Residential placements span an average of 289 days, indicating an environment that balances short-term, post-hospital rehabilitation with extended long-term care programs.

The nursing staff provides about 3 hours and 34 minutes of direct care for each resident every day. Aides, LPNs, and registered nurses share the shifts to handle daily medical needs, physical, occupational, and speech therapy, and even on-site dental and podiatry checkups. Having these specialists come directly to the building means residents rarely have to travel out for appointments. If you come to visit, the neighborhood is highly walkable, scoring a 75 out of 100, so you can easily step out and take care of errands on foot.

The Iowa Department of Inspections, Appeals, and Licensing recently reviewed the facility’s daily care routines, infection controls, and staffing levels. Their report gave the home a clean bill of health, confirming that everything meets state operating standards. The administrative staff utilizes these regular health reports to guide internal policy adjustments and direct continuous skill training for the clinical staff.

Older adults looking into local enrollment parameters can contact the front administrative desk to check on active room availability, request an intake guide for on-site physical rehabilitation, or plan a morning to walk through the common lounges.

Facility Direct Line (641) 673-7032

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day vs Iowa averages

Total nursing care This home is ranked 195th out of 234 homes in Iowa for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.

3h 34m

17% below state avg

Staff type

Hours / day / resident

vs state avg

Registered Nurse (RN)

21m

LPN / LVN

29m

Nurse Aide

2h 7m

Weekend Total Nursing

2h 31m

Physical Therapist

Weekend RN

13m

All 6 underlying metrics fall below the state average

Capacity and availability

289 days

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.

Walk Score: 75 / 100

Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate

97%

Higher than the Iowa average: 75.4%

Occupied beds

70 / 72

Average occupied beds in Iowa homes 51 beds

Facility TypeFree Standing Nursing Facility / Skilled Nursing Facility

StatusActive

IssuanceSeptember 1, 1993

ExpirationAugust 1, 2026 Expires in 1 day

CountyMahaska

License Number620049

CMS Certification Number165570

Certification TypeFALSE

Crystal Heights Care Center is administered by Danielle Grove.

Owner NameWestbrook Acres(Free Standing Nf/Snf) | 860029

Rehabilitation Services

Respite Care

Email dgrove@ensignservices.net

Fax6416730068

Pets not allowed

Since 2020 · 6 years of data 50 deficiencies 13 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2020 vs. Iowa state average

Overall vs. IA average

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	IA Average	vs. IA Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	50	27	This facility has 85% more total deficiencies than a typical Iowa nursing home (50 vs. IA avg 27).↑ 85% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	IA Average	vs. IA Avg
Total inspections Combined count of all inspections conducted at this facility.	13	15	This facility has had 13% fewer total inspections than the Iowa average (13 vs. IA avg 15). More inspections can mean more regulatory scrutiny rather than worse care.↓ 13% fewer

Show Inspection Reports

Inspections since 2023

Total health inspections 2

State average 4.9

Last Health inspection on Jun 2025

Total health citations

State average 21.7

Citations per inspection

7.5

State 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

100% better than State average

State average: 0.6

Serious health citations

100% better than State average

State average: 0.9

0 critical citations State average: 0.6

0 serious citations State average: 0.9

15 moderate citations State average: 19.7

0 minor citations State average: 0.5

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

Total staff 103

Employees 83

Contractors 20

Staff to resident ratio 1.66 : 1

19% fewer staff per resident than Iowa average

Avg staff/day 30

Average shift 8.3 hours

12% better than Iowa average

Total staff hours (quarter) 22,786

Nursing staff breakdown

9.2 hours

9.1 hours

9.4 hours

Contractor staffing

1,138 contractor hours this quarter

Registered Nurse: 11 Licensed Practical Nurse: 9

Staff by category


Certified Nursing Assistant	31	0	31	12,722	92	100%	9.4
Licensed Practical Nurse	9	9	18	2,288	90	98%	9.1
Registered Nurse	4	11	15	1,193	79	86%	9.2
Speech Language Pathologist	11	0	11	1,077	82	89%	5.4
Physical Therapy Aide	4	0	4	931	66	72%	6.2
RN Director of Nursing	2	0	2	709	67	73%	10
Dietitian	2	0	2	645	51	55%	8
Administrator	3	0	3	536	66	72%	8
Nurse Practitioner	1	0	1	504	63	68%	8
Clinical Nurse Specialist	3	0	3	417	43	47%	7.7
Dental Services Staff	2	0	2	415	54	59%	7.7
Physical Therapy Assistant	2	0	2	378	54	59%	6.6
Other Dietary Services Staff	2	0	2	362	55	60%	6.6
Medication Aide/Technician	1	0	1	314	42	46%	7.5
Respiratory Therapy Technician	5	0	5	150	44	48%	3.1
Qualified Social Worker	1	0	1	146	38	41%	3.9

31 Certified Nursing Assistant

% of Days 100%

18 Licensed Practical Nurse

% of Days 98%

15 Registered Nurse

% of Days 86%

11 Speech Language Pathologist

% of Days 89%

4 Physical Therapy Aide

% of Days 72%

2 RN Director of Nursing

% of Days 73%

2 Dietitian

% of Days 55%

3 Administrator

% of Days 72%

1 Nurse Practitioner

% of Days 68%

3 Clinical Nurse Specialist

% of Days 47%

2 Dental Services Staff

% of Days 59%

2 Physical Therapy Assistant

% of Days 59%

2 Other Dietary Services Staff

% of Days 60%

1 Medication Aide/Technician

% of Days 46%

5 Respiratory Therapy Technician

% of Days 48%

1 Qualified Social Worker

% of Days 41%

View All Staffing Data

Total fines amount $10K

78% lower than Iowa average

Iowa average: $48K

Number of fines 1

41% fewer fines than Iowa average

Iowa average: 1.7

Payment Denials 0

100% fewer payment denials than Iowa average

Iowa average: 0.5

Fines amount comparison

This facility $10K

Iowa average $48K

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Dec 11, 2023 · $10K

Civil Money Penalty Dec 11, 2023

$10K

Last updated: Jan 2026

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

Average Iowa avg: 3.3

Need for Help with Daily Activities Increased 10.0%

47% better than Iowa average

Iowa average: 18.8%

Walking Ability Worsened 10.4%

47% better than Iowa average

Iowa average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence 5.4%

80% better than Iowa average

Iowa average: 26.2%

Falls with Major Injury 0.9%

76% better than Iowa average

Iowa average: 3.6%

High Risk Residents with Pressure Ulcers 1.5%

66% better than Iowa average

Iowa average: 4.4%

Urinary Tract Infection 11.3%

354% worse than Iowa average

Iowa average: 2.5%

Lost Too Much Weight 7.4%

47% worse than Iowa average

Iowa average: 5.0%

Depressive Symptoms 9.4%

141% worse than Iowa average

Iowa average: 3.9%

Antipsychotic Use 26.7%

40% worse than Iowa average

Iowa average: 19.0%

Pneumococcal Vaccine 100.0%

6% better than Iowa average

Iowa average: 94.4%

Influenza Vaccine 100.0%

5% better than Iowa average

Iowa average: 95.3%

Hospitalizations per 1,000 days 1.28

14% better than Iowa average

Iowa average: 1.48

ED visits per 1,000 days 1.42

32% better than Iowa average

Iowa average: 2.09

Short-stay resident measures

Pneumococcal Vaccine 98.6%

16% better than Iowa average

Iowa average: 85.1%

Antipsychotic medication increase 0.0%

100% better than Iowa average

Iowa average: 1.8%

Falls with major injury 0.0%

100% better than Iowa average

Iowa average: 0.8%

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

Total residents 62

Medicare

1.6% of residents

Medicaid

79% of residents

Private pay or other

19.4% of residents

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.

Financial Trends

Historical financial and operational data for Crystal Heights Care Center from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 55.1% ↓ 0.1pp vs 2022

Net Patient Income $463.3K ↑ ~$850.1K vs 2022

Payroll Costs $2.3M ↑ ~$126.7K vs 2022

Operating Margin 11.4% ↑ 22.6pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	96.4%	41.5%	93.4%	93.2%	92.6%	92.8%	83.5%	83.1%	81.4%	68.5%	56.5%	55.2%	55.1%
Beds	78	78	78	78	78	78	92	92	92	92	92	92	92
Net Income	$82,523	$18,322	$194,350	$341,030	$108,555	$154,545	$203,953	-$120,101	-$16,401	-$191,891	$675,466	-$581,650	-$19,905
Gross Revenue	$3,924,865	$3,797,713	$4,117,995	$4,600,283	$4,531,315	$4,692,585	$5,809,343	$4,902,245	$4,614,026	$4,759,439	$3,726,737	$3,644,620	$4,220,876
Operating Expenses	$3,525,773	$3,422,280	$3,548,404	$3,711,430	$3,939,780	$3,912,954	$4,608,057	$4,396,286	$4,228,553	$4,387,396	$3,931,636	$3,832,502	$3,604,521
Net Patient Income	$209,533	$82,842	$271,573	$457,847	$217,389	$348,686	$351,552	$39,528	$235,164	$10,734	-$425,249	-$386,877	$463,261
Net Patient Revenue	$3,735,306	$3,505,122	$3,819,977	$4,169,277	$4,157,169	$4,261,640	$4,959,609	$4,435,814	$4,463,717	$4,398,130	$3,506,387	$3,445,625	$4,067,782
Payroll Costs	$2,010,786	$2,018,024	$2,108,614	$2,105,887	$2,120,989	$2,102,713	$2,370,795	$2,498,417	$2,722,242	$2,682,501	$2,237,301	$2,154,937	$2,281,622
Operating Margin %	5.6%	2.4%	7.1%	11.0%	5.2%	8.2%	7.1%	0.9%	5.3%	0.2%	-12.1%	-11.2%	11.4%
Medicare %	3.1%	8.5%	5.0%	6.0%	4.7%	3.0%	6.5%	4.9%	2.4%	4.3%	3.4%	3.5%	1.8%
Medicaid %	67.6%	12.8%	57.1%	63.4%	63.6%	66.7%	61.5%	69.8%	66.9%	66.3%	74.1%	81.4%	80.3%
Private %	29.2%	78.7%	37.9%	30.7%	31.7%	30.3%	32.0%	25.3%	30.7%	29.5%	22.5%	15.1%	17.8%
Net Patient Revenue/Day	$136	$296	$144	$157	$158	$161	$180	$159	$163	$191	$185	$186	$220
Cost/Day	$128	$289	$133	$140	$149	$148	$168	$158	$155	$190	$207	$207	$195
Avg Length of Stay	538.3 days	86.4 days	192.7 days	201.1 days	263.6 days	169.7 days	151.9 days	200.7 days	182.2 days	211.6 days	267.2 days	237.5 days	289.2 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$4.1M

Net patient income

$463.3K

For-profit Corporation

Net patient revenue

$4.1M

Net patient income

$463.3K

Other income

$33.4K

Payroll costs

$2.3M 56.1% of net patient revenue

Other operating costs

$1.3M

Total costs

$3.6M

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

New residents most often arrive under Medicaid (41% of admissions), and a typical Medicaid stay runs around 1 - 2 years.

Coverage residents most often arrive under.

Medicare 22%

Private pay 38%

Medicaid 41%

Coverage residents most often leave under.

Medicare 23%

Private pay 34%

Medicaid 42%

0.0 miles from city center Estimated distance in miles from Oskaloosa's city center to Crystal Heights Care Center's address, calculated via Google Maps.

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Info below is compiled from CMS reports & the IA Dept. of Inspections, Appeals & Licensing (DIAL), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.


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Green Hills Retirement Community	NH AL IL MC SNF	Ames (Hamilton Drive)	56 Facility 56 IA AVG 72 Rank #232 / 404	78.6% Facility 78.6% IA AVG 64.7 Rank #138 / 377	+21%	5.86 Facility 5.86 IA AVG 4.30 Rank #10 / 234	-11%	+36%	$0 Facility $0 IA AVG $53.4k Rank #1 / 239	8 Facility 8 IA AVG 21.7 Rank #44 / 232	4.0 Facility 4.0 IA AVG 4.1 Rank #123 / 232	-	44	-	18 Facility 18 IA AVG 47 Rank #430 / 505	Green Hills Residents' Association	$8.0MFiscal year ending 06/2024 Facility $8.0MFiscal year ending 06/2024 IA AVG $6.9M Rank #67 / 224	$5.4MFiscal year ending 06/2024 Facility $5.4MFiscal year ending 06/2024 IA AVG $4.2M Rank #41 / 224	67.5%Fiscal year ending 06/2024 Facility 67.5%Fiscal year ending 06/2024 IA AVG 60.3% Rank #46 / 224	165577
Wesley Acres	NH ADC AL IL MC SNF	Des Moines (Greenwood)	80 Facility 80 IA AVG 72 Rank #105 / 404	91.3% Facility 91.3% IA AVG 64.7 Rank #44 / 377	+41%	4.24 Facility 4.24 IA AVG 4.30 Rank #112 / 234	+43%	-1%	$0 Facility $0 IA AVG $53.4k Rank #1 / 239	5 Facility 5 IA AVG 21.7 Rank #17 / 232	1.7 Facility 1.7 IA AVG 4.1 Rank #15 / 232	-	73	-	72 Facility 72 IA AVG 47 Rank #89 / 505	Damon Buskohl	$29.3MFiscal year ending 12/2023 Facility $29.3MFiscal year ending 12/2023 IA AVG $6.9M Rank #1 / 224	$20.8MFiscal year ending 12/2023 Facility $20.8MFiscal year ending 12/2023 IA AVG $4.2M Rank #1 / 224	71%Fiscal year ending 12/2023 Facility 71%Fiscal year ending 12/2023 IA AVG 60.3% Rank #31 / 224	165487
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Crystal Heights Care Center	NH HOS PC RC SNF	Oskaloosa	72 Facility 72 IA AVG 72 Rank #143 / 404	97.2% Facility 97.2% IA AVG 64.7 Rank #10 / 377	+50%	3.56 Facility 3.56 IA AVG 4.30 Rank #195 / 234	+25%	-17%	$10.5k Facility $10.5k IA AVG $53.4k Rank #156 / 239	15 Facility 15 IA AVG 21.7 Rank #102 / 232	7.5 Facility 7.5 IA AVG 4.1 Rank #215 / 232	-	70	-	75 Facility 75 IA AVG 47 Rank #74 / 505	Wesley Wills	$4.1MFiscal year ending 12/2023 Facility $4.1MFiscal year ending 12/2023 IA AVG $6.9M Rank #171 / 224	$2.3MFiscal year ending 12/2023 Facility $2.3MFiscal year ending 12/2023 IA AVG $4.2M Rank #180 / 224	56.1%Fiscal year ending 12/2023 Facility 56.1%Fiscal year ending 12/2023 IA AVG 60.3% Rank #132 / 224	165570

Nursing Home Explorer

Who is the owner of Crystal Heights Care Center?

Crystal Heights Care Center is legally operated by Westbrook Acres(Free Standing NF/SNF) | 860029, and administered by Danielle Grove.

Is Crystal Heights Care Center in a walkable area?

Crystal Heights Care Center has a walk score of 75. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the license number of Crystal Heights Care Center?

According to IA state health department records, Crystal Heights Care Center's license number is 620049.

When does Crystal Heights Care Center's license expire?

According to IA state health department records, Crystal Heights Care Center's license expires on August 1, 2026.

What is the occupancy rate at Crystal Heights Care Center?

Crystal Heights Care Center's occupancy is 97%.

How long has Crystal Heights Care Center been in business?

Crystal Heights Care Center has been operating for approximately 32 years, based on available licensing and registration records.

Are pets allowed at Crystal Heights Care Center?

No, Crystal Heights Care Center has a no-pet policy.

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Crystal Heights Care Center

Overview of Crystal Heights Care Center

Quality ratings

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Contact Information

Additional Policies & Features

Amenities & Lifestyle

Contact Crystal Heights Care Center

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Health Inspection History

Inspections since 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

31 Certified Nursing Assistant

18 Licensed Practical Nurse

15 Registered Nurse

11 Speech Language Pathologist

4 Physical Therapy Aide

2 RN Director of Nursing

2 Dietitian

3 Administrator

1 Nurse Practitioner

3 Clinical Nurse Specialist

2 Dental Services Staff

2 Physical Therapy Assistant

2 Other Dietary Services Staff

1 Medication Aide/Technician

5 Respiratory Therapy Technician

1 Qualified Social Worker

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Family Member Group

Active Family Council

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly long-term care residents

Admissions

Discharges

Places of interest near Crystal Heights Care Center

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