Crystal Heights Care Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 40 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (12 vs median 5)
- High staff turnover (60%)
Below average in IA · Critically understaffed (RN) · Significantly below average staffing · $10,489 in fines
What this means for your family
Crystal Heights is highly regarded for its rehabilitation therapy and compassionate daily care, making it a strong candidate for recovery needs. However, because recent families have reported difficulty reaching the facility for admissions, we recommend visiting in person to verify their current communication standards and staffing availability.
Google Reviews
Google Reviews
40 reviews on Google“Crystal Heights Care Center receives high praise for its rehabilitation services and compassionate, long-term care staff, with many families noting that their loved ones feel treated like family. However, the facility has faced serious, albeit older, allegations regarding neglect and communication failures, as well as recent reports of difficulty reaching staff for admissions inquiries. Families should weigh the strong clinical and therapy outcomes against the inconsistent administrative responsiveness.”
Quality Themes
Tap a score for detailsStrengths
- Effective physical and occupational therapy
- Compassionate and attentive nursing staff
- Strong, family-oriented care culture
- Professional and knowledgeable clinical team
Concerns
- Poor communication and lack of responsiveness to inquiries (mentioned by 2 reviewers)
- Allegations of neglect or lack of supervision leading to falls (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 43 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1Given the recent focus on enhancing our internal processes, what specific steps is the facility taking to improve communication and responsiveness for families?
- 2I noticed the facility has a strong reputation for physical and occupational therapy; how do you integrate those services into a resident's daily routine to ensure they stay active?
- 3With the recent attention to resident safety and fall prevention, what specific protocols or supervision measures are in place to ensure my loved one remains safe during their daily activities?
- 4How does the team balance the clinical care requirements with the goal of maintaining the family-oriented culture that many residents appreciate here?
- 5We understand that maintaining a clean environment is a priority; could you walk us through your current housekeeping schedule and how you ensure high standards of cleanliness throughout the facility?
- 6In the event of a medical concern or an emergency, what is the exact process for notifying family members so we stay fully informed?
Personalized based on this facility's data
Key Review Excerpts
“The therapy he received (physical, occupational, and speech) was very helpful and made a huge difference in his recovery.”
“They know how to gently divert him when he's grumpy/angry. They work with him on how to use his walker more safely (because he won't listen to us!).”
“The staff were very professional and took great care of my grandparents as they got back on their feet.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 16 measures
8
measures
6
measures
2
measures
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Residents who got a urinary tract infection
Residents needing more daily help over time
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Short-stay residents newly given antipsychotics
Short-stay residents vaccinated for pneumonia
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Crystal Heights Care Center shows recurring problems across multiple surveys, with families filing five complaint reports in recent years. The facility has persistent issues with medication management, care planning, and building safety that repeat across surveys, particularly with sprinkler systems and construction deficiencies appearing in three separate inspections. While the provider reports correcting all deficiencies, the pattern of recurring violations in critical care areas warrants careful consideration during your visit.
Dec 8, 2025Complaint1
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Jun 26, 2025Routine11
Construction Deficiencies
Use approved construction type or materials.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Resident Rights Deficiencies
Honor the resident's right to manage his or her financial affairs.
Resident Rights Deficiencies
Honor 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.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Egress Deficiencies
Have exits that are accessible at all times.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Jun 26, 2025Complaint3
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Aug 8, 2024Routine3
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Construction Deficiencies
Use approved construction type or materials.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Dec 7, 2023Routine10
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Dec 7, 2023Complaint1
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Federal Penalties
Fine
Dec 11, 2023
$10,489
State Inspection History
State Inspections
Source: Iowa Dept. of Inspections, Appeals & Licensing
Dec 15, 2025ComplaintClean
Fed violations: 0, State violations: 0
Dec 8, 2025ComplaintClean
Fed violations: 1, State violations: 0
Jul 26, 2025InspectionClean
Fed violations: 0, State violations: 0
Jun 26, 2025InspectionClean
Fed violations: 11, State violations: 0
Aug 8, 2024InspectionClean
Fed violations: 0, State violations: 0
Jan 7, 2024InspectionClean
Fed violations: 0, State violations: 0
Dec 7, 2023InspectionClean
Fed violations: 4, State violations: 0
Sep 8, 2022InspectionClean
Fed violations: 0, State violations: 0
Ownership & Operations
Who Operates This Facility
Crystal Heights Care Center
for profit
Chain Affiliation
The Ensign Group
342 facilities nationwide
Ownership & Management
Owners
Gateway Healthcare LLC
Owner · Organization
The Ensign Group INC
Owner (parent company) · Organization
Jorgensen, David
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Keetch, Chad
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Port, Barry
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
40 reviews from families & visitors
Official Website
Visit thecrystalheights.com
Medicare data downloads
Original nursing home datasets
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