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 breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

3h 34m per day

vs avg

6 of 6 metrics below state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	21m per day	▼ 53% State avg: 44m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	29m per day	▼ 14% State avg: 34m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	2h 7m per day	▼ 17% State avg: 2h 32m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	2h 31m per day	▼ 25% State avg: 3h 21m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	1m per day	▼ 27% State avg: 2m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	13m per day	▼ 56% State avg: 30m per day · National avg: 28m per day

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 21 days

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

Latest Inspection December 15, 2025

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 assisted living residence (50 vs. IA avg 27).↑ 85% worse
Deficiencies per year Average deficiencies per year since 2020.	8.3	4.5	This facility has 84% more deficiencies per year than a typical Iowa assisted living residence (8.3 vs. IA avg 4.5).↑ 84% worse
Deficiencies per inspection Average deficiencies per inspection.	3.8	1.8	This facility has 111% more deficiencies per inspection than a typical Iowa assisted living residence (3.8 vs. IA avg 1.8).↑ 111% 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 routine and focused inspections. Excludes complaint investigations.	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

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

The December 15, 2025 follow-up accepted the facility’s plan of correction and certified it in compliance with no outstanding deficiencies.
The December 8, 2025 complaint investigation substantiated a medication error where the wrong drug was administered, causing resident harm during a hypoglycemic episode.
The June 26, 2025 annual inspection found 11 deficiencies including failure to assist residents with toileting, insufficient nursing staff, inadequate infection control, and poor pain and trauma-informed care.

Show Inspection Reports

Inspections since 2023

Total health inspections 2

State average N/A

Last Health inspection on Jun 2025

Total health citations

State average N/A

Citations per inspection

7.5

State average N/A

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

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

15 moderate citations State average: N/A

0 minor citations State average: N/A

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

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 30

Average shift 8.3 hours

0% compared with State average

State average: 0 hours

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 State average

State average: $48K

Number of fines 1

41% fewer fines than State average

State average: 1.7

Payment Denials 0

100% fewer payment denials than State average

State average: 0.5

Fines amount comparison

This facility $10K

State 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 State average

State average: 10.2

Functional decline score 8.6

60% better than State average

State average: 21.6

Long-stay resident measures

Average State avg: 3.3

Need for Help with Daily Activities Increased 10.0%

47% better than State average

State average: 18.8%

Walking Ability Worsened 10.4%

47% better than State average

State average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence 5.4%

80% better than State average

State average: 26.2%

Falls with Major Injury 0.9%

76% better than State average

State average: 3.6%

High Risk Residents with Pressure Ulcers 1.5%

66% better than State average

State average: 4.4%

Urinary Tract Infection 11.3%

354% worse than State average

State average: 2.5%

Lost Too Much Weight 7.4%

47% worse than State average

State average: 5.0%

Depressive Symptoms 9.4%

141% worse than State average

State average: 3.9%

Antipsychotic Use 26.7%

40% worse than State average

State average: 19.0%

Pneumococcal Vaccine 100.0%

6% better than State average

State average: 94.4%

Influenza Vaccine 100.0%

5% better than State average

State average: 95.3%

Hospitalizations per 1,000 days 1.28

14% better than State average

State average: 1.48

ED visits per 1,000 days 1.42

32% better than State average

State average: 2.09

Short-stay resident measures

Pneumococcal Vaccine 98.6%

16% better than State average

State average: 85.1%

Antipsychotic medication increase 0.0%

100% better than State average

State average: 1.8%

Falls with major injury 0.0%

100% better than State average

State 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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The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.


Bethany Home Retirement Center	NH IL MC SNF	Dubuque (Eagle Point District)	-	66	-	69	1 Bed / 2 Bed
Sunrise Retirement Community	NH AL IL MC RC SNF	Sioux City	-	74	A+	22	Studio
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Meth Wick Community	NH AL IL MC RC SNF	Cedar Rapids (The Meth-Wick Community)	-	69	-	23	-
Crystal Heights Care Center	NH HOS PC RC SNF	Oskaloosa	-	72	-	75	-

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%.

Are pets allowed at Crystal Heights Care Center?

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

What is the best email address for Crystal Heights Care Center?

The team at Crystal Heights Care Center can be reached at DGrove@ensignservices.net.

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Crystal Heights Care Center

Overview of Crystal Heights Care Center

Quality ratings

Staffing hours breakdown

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.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

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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