Crystal Oaks faces challenges in its CMS ratings, earning a D grade with a score of 54/100. The facility ranks in the 63th percentile among Missouri nursing homes, suggesting significant room for improvement.
Staffing levels at Crystal Oaks exceed national averages, with 4.28 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 0.43 hours per resident per day is near the national average of 0.7 hours.
Recent CMS inspections identified 12 deficiencies at Crystal Oaks, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.28 | 3.8 | Above Average |
| Registered Nurses (RN) | 0.43 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.74 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 3.10 | 2.4 | Above Average |
| Weekend Total Nursing | 3.73 | 3.8 | Average |
| Weekend RN Hours | 0.40 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0628 Severity DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Dec 3, 2025 · Resident Rights Deficiencies
- Tag 0880 Severity DProvide and implement an infection prevention and control program.Dec 3, 2025 · Infection Control Deficiencies
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Aug 21, 2024 · Nutrition and Dietary Deficiencies
- Tag 0656 Severity EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Aug 21, 2024 · Resident Assessment and Care Planning Deficiencies
- Tag 0679 Severity EProvide activities to meet all resident's needs.Aug 21, 2024 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 5.7% | 4.5% | Worse |
| Falls with major injury | 4.1% | 3.0% | Worse |
| On antipsychotic medication | 15.7% | 14.5% | Average |
| Urinary tract infections | 2.4% | 2.5% | Average |
| ADL decline (daily activities) | 26.5% | 14.0% | Worse |
| Excessive weight loss | 9.6% | 7.5% | Worse |
| New/worsened incontinence | 15.4% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $165,187
How This Grade Was Calculated
This facility's grade of D is based on a score of 54 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 4★ → 32 pts (max 40)
- Health Inspection Rating: 4★ → 20 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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