Senior CareScorecard

Nursing home · Festus, MO

Crystal Oaks

1500 Calvary Church Road, Festus, MO 63028 · 131 certified beds · for profit ownership · part of Shafiq Malik

Medicare & MedicaidFined $165,187 in 3 years
Medicare overall rating4 / 5Above averageFestus area 2.4 · Missouri 2.51 · U.S. 2.99
4/5Health inspections Above average
3/5Staffing Average
3/5Quality measures Average
3/5Short-stay (rehab) quality Average
3/5Long-stay quality Average

Source: CMS Provider Data, processed Sep 1, 2026.

The latest inspection, in plain English

Inspectors' most recent visit in the CMS data was on Dec 4, 2025, when they cited 2 problems. The most common area was resident rights (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. 0 of 2 are marked corrected in the CMS data. At its most recent standard inspection (Dec 4, 2025) it had 2 citations, compared with an average of 11.5 for Festus-area homes, 11.4 in Missouri and 9.2 nationally.

Staffing and turnover

Nursing staff spend 4.10 hours per resident per day here, 20% more than the Missouri average (3.43) and 6% more than the U.S. average (3.86). Registered nurses account for 0.39 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 49% over the past year, 7 points lower than Missouri (56%) and 3 points higher than the U.S. (46%).

How Crystal Oaks compares

This home's latest CMS figures next to the averages for Festus-area homes (10), Missouri (487) and the U.S. (14,680).

This homeFestus areaMissouriU.S.
Total nurse hours per resident per day4.102.813.433.86
Registered nurse hours per resident per day0.390.310.460.68
Weekend nurse hours per resident per day3.642.463.013.42
Nursing staff turnover (past year)49%57%56%46%
Registered nurse turnover (past year)47%52%48%43%
Citations at the most recent standard inspection211.511.49.2

Inspection history

Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.

Dec 4, 20252standard
Aug 22, 20247standard
Mar 21, 20241complaint · 1 harm-level citation
Jan 27, 20232standard

Medicare does not publish past star ratings in its current data, so we show inspection history instead.

Most recent 12 of 12 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).

Show all citations
DateDeficiencySeverityStatus
Dec 4, 2025Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident rights
DDeficient, Provider has date of correction
Dec 4, 2025Provide and implement an infection prevention and control program.
Infection control
DDeficient, Provider has date of correction
Aug 22, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
FDeficient, Provider has date of correction
Aug 22, 2024Develop 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
EDeficient, Provider has date of correction
Aug 22, 2024Provide activities to meet all resident's needs.
Quality of life and care
EDeficient, Provider has date of correction
Aug 22, 2024Provide and implement an infection prevention and control program.
Infection control
EDeficient, Provider has date of correction
Aug 22, 2024Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental
EDeficient, Provider has date of correction
Aug 22, 2024Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident rights
DDeficient, Provider has date of correction
Aug 22, 2024Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident rights
CDeficient, Provider has date of correction
Mar 21, 2024Ensure that residents are free from significant medication errors.
Pharmacy service · complaint
J immediate jeopardyDeficient, Provider has date of correction
Jan 27, 2023Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
FDeficient, Provider has date of correction
Jan 27, 2023Dispose of garbage and refuse properly.
Nutrition and dietary
FDeficient, Provider has date of correction

Fines and penalties

DateTypeAmount
Mar 21, 2024Fine$165,187

Location

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Questions about Crystal Oaks

Answers computed from CMS data for this facility.

What is Crystal Oaks's Medicare rating?

Medicare rates Crystal Oaks 4 out of 5 stars overall (above average). The average for Festus-area nursing homes is 2.4, for Missouri 2.51 and for the U.S. 2.99.

How did Crystal Oaks do on its last inspection?

Inspectors' most recent visit in the CMS data was on Dec 4, 2025, when they cited 2 problems. The most common area was resident rights (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. 0 of 2 are marked corrected in the CMS data. At its most recent standard inspection (Dec 4, 2025) it had 2 citations, compared with an average of 11.5 for Festus-area homes, 11.4 in Missouri and 9.2 nationally.

Has Crystal Oaks been fined?

Yes. CMS reports 1 fine totaling $165,187 in the past three years.

Does Crystal Oaks accept Medicaid?

Crystal Oaks is certified for both Medicare and Medicaid. Call (636) 933-1818 to ask whether a Medicaid bed is open.

Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.