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Data / Nursing homes / Iowa / Crystal Heights Care Center

Crystal Heights Care Center, Oskaloosa, IA: 3 star rating, fined $10,489 across 1 fine

Crystal Heights Care Center in Oskaloosa, IA is owned by Gateway Healthcare LLC, is rated 3 of 5 stars by Medicare, and was fined $10,489 across 1 fine in the three years to October 1, 2026. CMS lists 20 health citations from inspections in that time, the latest survey on August 20, 2026, and 1 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Iowa
Address
1514 High Avenue West, Oskaloosa, IA 52577
Overall rating
3 of 5 stars
Health inspection rating
3 of 5
Staffing rating
2 of 5
Quality measure rating
4 of 5
Certified beds
72
Residents per day
67 on average
Ownership type
For profit, corporation
Legal business name
Canfield River Healthcare LLC
Chain
The Ensign Group, 347 facilities
Fines
$10,489 across 1 fine, three years to October 1, 2026
Payment denials
0
Health citations
20, of which 1 with actual harm or immediate jeopardy
Latest survey
August 20, 2026
CMS Certification Number
165570
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
December 11, 2023Fine$10,489Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
August 20, 2026F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 1, 2026data.cms.gov
August 20, 2026F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 1, 2026data.cms.gov
July 16, 2026F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.G: isolated, actual harmCorrectedAugust 6, 2026data.cms.gov
July 16, 2026F865Have a plan that describes the process for conducting QAPI and QAA activities.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 6, 2026data.cms.gov
July 16, 2026F809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 6, 2026data.cms.gov
July 16, 2026F679Provide activities to meet all resident's needs.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 6, 2026data.cms.gov
July 16, 2026F567Honor the resident's right to manage his or her financial affairs.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 6, 2026data.cms.gov
December 8, 2025F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 15, 2025data.cms.gov
June 26, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 26, 2025data.cms.gov
June 26, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 26, 2025data.cms.gov
June 26, 2025F699Provide care or services that was trauma informed and/or culturally competent.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 26, 2025data.cms.gov
June 26, 2025F697Provide safe, appropriate pain management for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 26, 2025data.cms.gov
June 26, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 26, 2025data.cms.gov
June 26, 2025F679Provide activities to meet all resident's needs.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 26, 2025data.cms.gov
June 26, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 26, 2025data.cms.gov
June 26, 2025F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 26, 2025data.cms.gov
June 26, 2025F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 26, 2025data.cms.gov
June 26, 2025F567Honor the resident's right to manage his or her financial affairs.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 26, 2025data.cms.gov
June 26, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 26, 2025data.cms.gov
December 7, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 7, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 11 individual or personal trusts (6 managers, 3 officers, directors or trustees, 2 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Gateway Healthcare LLCDirect ownerNot listedMay 21, 2025data.cms.gov
The Ensign Group IncIndirect ownerNot listedMay 21, 2025data.cms.gov
Ensign Services IncAdditional disclosable partyNot listedMay 21, 2025data.cms.gov
Narrows Peak Health Holdings LLCAdditional disclosable partyNot listedAugust 1, 2025data.cms.gov
Standard Bearer Healthcare OP, LPAdditional disclosable partyNot listedAugust 1, 2025data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.