Crystal Heights Care Center
Oskaloosa · 0.4 mi · 72 beds
Citations0Substantiated0
Oskaloosa Care Center
605 Highway 432, Oskaloosa, IA, 52577
Nursing home83 licensed beds0 citations on record
2 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 16 deficiencies against Oskaloosa Care Center in Oskaloosa, Iowa at its most recent standard inspection on 2025-06-19, 11 of them arising from complaints. 1 finding has been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 1 time, totalling $45,354. Medicare rates it 1 out of 5 overall.
1 / 5Medicare overall rating
83certified beds
16deficiencies at the last inspection
1immediate-jeopardy findings on record
1actual-harm findings on record
1federal fines, $45,354
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.1
Actual harmA resident was harmed, but not placed in immediate danger.1
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.28
Potential for minimal harmThe least serious band.0
Most recentEEDDDJGDDDDEDDDDEDDD
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · F0658 · 2026-04-15 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · F0760 · 2026-04-15 · from a complaint · No actual harm, potential for more than minimal harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2026-04-15 · from a complaint · No actual harm, potential for more than minimal harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0610 · 2026-04-15 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2025-11-13 · from a complaint · No actual harm, potential for more than minimal harm
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of Life and Care Deficiencies · F0678 · 2025-09-17 · from a complaint · Immediate jeopardy to resident health or safety
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2025-09-17 · from a complaint · Actual harm to a resident
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Administration Deficiencies · F0940 · 2025-09-17 · from a complaint · No actual harm, potential for more than minimal harm
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Administration Deficiencies · F0944 · 2025-09-17 · from a complaint · No actual harm, potential for more than minimal harm
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Infection Control Deficiencies · F0945 · 2025-09-17 · from a complaint · No actual harm, potential for more than minimal harm
Provide training in compliance and ethics.
Administration Deficiencies · F0946 · 2025-09-17 · from a complaint · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2025-06-19 · standard survey · No actual harm, potential for more than minimal harm
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0605 · 2025-06-19 · standard survey · No actual harm, potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · F0656 · 2025-06-19 · standard survey · No actual harm, potential for more than minimal harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · F0658 · 2025-06-19 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-06-19 · standard survey · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2025-01-23 · from a complaint · No actual harm, potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · F0550 · 2025-01-23 · from a complaint · No actual harm, potential for more than minimal harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · F0641 · 2025-01-23 · from a complaint · No actual harm, potential for more than minimal harm
Ensure a qualified health professional conducts resident assessments.
Resident Assessment and Care Planning Deficiencies · F0642 · 2025-01-23 · from a complaint · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below1 of 5
Health inspectionBased on the last three inspection cycles1 of 5
StaffingNurse hours per resident, adjusted for how sick residents are2 of 5
Quality measuresResident outcomes reported by the home2 of 5
Nurse hours per resident per dayReported by the home to CMS3.65866
Nursing staff turnoverShare of nursing staff who left in a year62.6%
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS1
Total fined$45,354
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one1
Ownership
Who owns Oskaloosa Care Center
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| OSKALOOSA CARE CENTER INC | Organization | 100% | since 05/19/2008 |
| BARBARA S. DONOHUE, REVOCABLE TRUST | Organization | NO PERCENTAGE PROVIDED | since 03/22/2016 |
| CARLSON, KENNETH | Individual | NO PERCENTAGE PROVIDED | since 05/19/2008 |
| DONOHUE, BARBARA | Individual | NO PERCENTAGE PROVIDED | since 03/22/2016 |
| REITMEIER, RONALD | Individual | NO PERCENTAGE PROVIDED | since 05/19/2008 |
| THEOBALD, MICHAEL | Individual | NO PERCENTAGE PROVIDED | since 05/19/2008 |
| CARLSON, KENNETH | Individual | NOT APPLICABLE | since 05/19/2008 |
| DONOHUE, RICHARD | Individual | NOT APPLICABLE | since 05/19/2008 |
| REITMEIER, RONALD | Individual | NOT APPLICABLE | since 05/19/2008 |
| THEOBALD, MICHAEL | Individual | NOT APPLICABLE | since 05/19/2008 |
| CARLSON, KENNETH | Individual | NOT APPLICABLE | since 05/19/2008 |
| REITMEIER, RONALD | Individual | NOT APPLICABLE | since 05/19/2008 |
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Northern Mahaska Specialty Care
Oskaloosa · 1.6 mi · 79 beds
Citations0Substantiated0
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 165589.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction