Crystal Heights Care Center in Oskaloosa, IA is owned by a for-profit corporation, in Oskaloosa, IA, in zipcode 52577, is Medicaid certified, Medicare certified, got worse on scores over the last two years (3 in total), had a deficiency in how to develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals, had a deficiency in how to ensure services provided by the nursing facility meet professional standards of quality, had a deficiency in how to ensure that special areas is constructed so that walls can resist fire for one hour or have an approved fire extinguishing system, had a deficiency in how to have generator or other power source capable of supplying service within 10 seconds, had a deficiency in how to have properly installed electrical wiring and gas equipment, had a deficiency in how to install corridor and hallway doors that block smoke, has a Family Council, has a Resident Council, has automatic sprinklers in all required areas, doesn't have fines or payment denials, had a deficiency in both health and fire safety, has a 1- or 2-star rating in both staffing and registered-nurse staffing, has a 4- or 5-star rating in short-stay quality measures, is worse than the nationwide mental-health averages in long-stay residents who received an antipsychotic medication, is better than the nationwide mental-health averages in both short-stay residents who newly received an antipsychotic medication and long-stay residents who have depressive symptoms, is worse than the nationwide hospital-related averages in each of short-stay residents who had an outpatient emergency department visit, outpatient emergency department visits per 1,000 long-stay resident days, and hospitalizations per 1,000 long-stay resident days, is better than the nationwide hospital-related averages in short-stay residents who were rehospitalized after a nursing home admission, is worse than the nationwide averages in short-stay residents who made improvements in function and had an outpatient emergency department visit, is better than the nationwide averages in short-stay residents who newly received an antipsychotic medication, were assessed and appropriately given the pneumococcal vaccine, were assessed and appropriately given the seasonal influenza vaccine, and were rehospitalized after a nursing home admission (4 total), is worse than the nationwide physical-health averages in long-stay residents who experienced one or more falls with major injury, has a urinary tract infection, had a catheter inserted and left in their bladder, and lose too much weight (4 total), and is better than the nationwide physical-health averages in long-stay residents who became less able to move independently, were high-risk and had pressure ulcers, were physically restrained, were low-risk and lost control of their bowels or bladder, and needed increased help with daily activities (5 total).

Numeric values:
- incentive bonus payments per $1M in claims ($10,717)
- total fines ($0)
- total fines per resident ($0.00)
- change in total fines over two years (-$4,881)
- long-stay residents assessed and appropriately given the seasonal influenza vaccine (100%)
- long-stay residents assessed and appropriately given the pneumococcal vaccine (93.0%)
- short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (90.9%)
- short-stay residents assessed and appropriately given the pneumococcal vaccine (84.7%)
- certified-bed occupancy rate (74.3%)
- short-stay residents who made improvements in function (67.6%)
- low-risk long-stay residents who lose control of their bowels or bladder (40.0%)
- short-stay residents who were rehospitalized or had an outpatient emergency department visit (27.9%)
- long-stay residents who received an antianxiety or hypnotic medication (18.8%)
- long-stay residents who received an antipsychotic medication (15.9%)
- short-stay residents who had an outpatient emergency department visit (15.0%)
- long-stay residents whose ability to move independently worsened (13.9%)
- short-stay residents who were rehospitalized after a nursing home admission (12.9%)
- long-stay residents whose need for help with daily activities has increased (10.6%)
- long-stay residents who lose too much weight (6.1%)
- long-stay residents with a urinary tract infection (5.7%)
- long-stay residents experiencing one or more falls with major injury (4.2%)
- high-risk long-stay residents with pressure ulcers (3.0%)
- long-stay residents with a catheter inserted and left in their bladder (2.5%)
- long-stay residents who have depressive symptoms (1.8%)
- short-stay residents who newly received an antipsychotic medication (0.0%)
- long-stay residents who were physically restrained (0.0%)
- change in health-inspection rating over two years (0 stars)
- change in overall rating over two years (-1 star)
- change in quality-measures rating over two years (-2 stars)
- change in residents in certified beds over two years (-6.5)
- change in staffing rating over two years (0 stars)
- health-inspection rating (3 stars)
- long-stay quality-measures rating (3 stars)
- overall rating (3 stars)
- quality-measures rating (3 stars)
- registered-nurse staffing rating (2 stars)
- RN staffing hours per resident per day (0.49)
- short-stay quality-measures rating (4 stars)
- staffing rating (2 stars)
- total nurse staffing hours per resident per day (3.50)
- change in facility-reported incidents or substantiated complaints over two years (0)
- change in last-inspection-cycle health-deficiency score over two years (+12)
- change in last-inspection-cycle total health-inspection score over two years (+12)
- change in total last-inspection-cycle fire-safety deficiencies over two years (-4)
- change in total last-inspection-cycle health deficiencies over two years (-5)
- change in total weighted health survey score over two years (+4.9)
- count of administration deficiencies (0)
- count of automatic sprinkler systems deficiencies (0)
- count of construction deficiencies (0)
- count of corridor walls and doors deficiencies (0)
- count of electrical deficiencies (0)
- count of emergency plans and fire drills deficiencies (0)
- count of emergency preparedness deficiencies (0)
- count of environmental deficiencies (0)
- count of exit deficiencies (0)
- count of fire alarm systems deficiencies (0)
- count of freedom from abuse, neglect, and exploitation deficiencies (0)
- count of gas, vacuum, and electrical systems deficiencies (2)
- count of hazardous area deficiencies (0)
- count of illumination and emergency power deficiencies (0)
- count of interior deficiencies (0)
- count of laboratories deficiencies (0)
- count of medical gases and anesthetizing areas deficiencies (0)
- count of miscellaneous deficiencies (0)
- count of nursing and physician services deficiencies (2)
- count of nutrition and dietary deficiencies (0)
- count of pharmacy service deficiencies (0)
- count of quality of life and care deficiencies (0)
- count of resident assessment and care planning deficiencies (3)
- count of resident rights deficiencies (0)
- count of services deficiencies (1)
- count of smoke deficiencies (3)
- count of smoking regulations deficiencies (0)
- facility-reported incidents (1)
- facility-reported incidents or substantiated complaints (3)
- facility-reported incidents or substantiated complaints per 100 residents in a certified bed (4.4)
- fines (0)
- health deficiencies during the last inspection cycle (5)
- health deficiencies from complaint surveys during the last inspection cycle (1)
- health deficiencies from the standard survey during the last inspection cycle (5)
- health-deficiency score during the last inspection cycle (16)
- hospitalizations per 1,000 long-stay resident days (1.75)
- outpatient emergency department visits per 1,000 long-stay resident days (1.32)
- payment denials (0)
- substantiated complaints (2)
- total health-inspection score during the last inspection cycle (16)
- total number of fire-safety deficiencies (6)
- total number of health deficiencies (5)
- total penalties (0)
- total weighted health survey score during the last 3 inspection cycles (23.3)
- certified beds (92)
- change in RN staffing hours per resident per day (-0.2)
- change in total nurse staffing hours per resident per day (+0.3)
- LPN staffing hours per resident per day (1.07)
- Nurse Aide staffing hours per resident per day (1.94)
- residents in certified beds (68.4)
- years certified for Medicare/Medicaid (14.4)