Crystal Heights Care Center
1514 High Avenue West, Oskaloosa, IA, 52577
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: The Ensign Group
- Certified beds
- 72 · avg 67 residents/day
- Total nursing staff turnover
- 63.8% — higher than most Iowa nursing homesIowa avg: 44.4% · National avg: 46.1% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Iowa averageIowa avg: 0.5 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $10,489 total
Medicare certification
- CMS Certification Number
- 165570
- Certified beds
- 72 beds · avg 67 residents/day
- Ownership type
- For profit - Corporation
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Canfield River Healthcare Llc
- Chain affiliation
- The Ensign Group
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the The Ensign Group chain — 338 facilities across 17 states. Chain-wide average overall rating 3.2 / 5.
Disclosed owners (8 on record)
- David e North
Operational/managerial Control · since 2025
- Debra k Koenig
Operational/managerial Control · since 2025
- Narrows Peak Health Holdings Llc
Adp of The Snf · since 2025
- Standard Bearer Healthcare Op, lp
Adp of The Snf · since 2025
- Ensign Services Inc
Adp of The Snf · since 2025
- Gateway Healthcare Llc
Direct Ownership Interest · 100% · since 2025
+ 2 additional owners on the federal record.
Recent change of ownership
August 2025 (11 months ago) · acquired from Crystal Heights Care Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of May 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 16)
- D0760·Dec 8, 2025Complaint
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- D0880·Jun 26, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0725·Jun 26, 2025Complaint
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- D0550·Jun 26, 2025Complaint
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D0699·Jun 26, 2025
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
- D0697·Jun 26, 2025
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
- D0690·Jun 26, 2025
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E0679·Jun 26, 2025
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Federal penalties
By year
- 20231 fine · $10K
Most recent events
- Dec 11, 2023Fine · $10K
Fire-safety citations
13 Life-Safety-Code citations on file. Most recent: Jun 26, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Crystal Heights Care Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.