Nursing Care Index

Crystal Oaks

Festus, Jefferson County, Missouri · CCN 265369 · For-profit (LLC) · part of Shafiq Malik (9 facilities, chain average 3.5 stars)

CMS rates Crystal Oaks 4 of 5 overall as of August 2026. 131 certified beds, 121 residents a day on average. 12 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $165,187.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★★☆ 4 of 5
Health inspections★★★★☆ 4 of 5
Staffing★★★☆☆ 3 of 5
Quality measures★★★☆☆ 3 of 5
Quality: long-stay / short-stay3 / 3 of 5

Staffing

Total nurse staffing4.10003 hours per resident per day
Registered nurses0.39154 hours per resident per day
Weekend total3.63609 hours per resident per day
Nursing staff turnover48.6% (registered nurses 47.1%)

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2025-12-04 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · tag F0628
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-01-17
2025-12-04 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-01-17
2024-08-22 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-10-04
2024-08-22 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 · tag F0656
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-10-04
2024-08-22 Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · tag F0679
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-10-04
2024-08-22 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-08-23
2024-08-22 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · tag F0921
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-09-17
2024-08-22 Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights Deficiencies · tag F0557
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-10-04
2024-08-22 Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights Deficiencies · tag F0576
C No actual harm, with potential for minimal harm; widespread Deficient, Provider has date of correction
2024-10-04
2024-03-21
complaint survey
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · tag F0760
J Immediate jeopardy to resident health or safety; isolated Deficient, Provider has date of correction
2024-04-19
2023-01-27 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2023-02-01
2023-01-27 Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · tag F0814
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2023-02-08

Fines and payment denials

DatePenaltyAmount
2024-03-21Fine$165,187

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Forvis Mazars LLP
Organization
adp of the snf2020-03-10
Lewis, Clarissa
Individual
adp of the snf2025-07-21
Malik, Omer
Individual
adp of the snf2022-12-01
Malik, Shafiq
Individual
adp of the snf2022-12-01
Nash, Michael
Individual
adp of the snf2025-07-21
Malik, Omer
Individual
direct ownership interest2022-12-01
Malik, Shafiq
Individual
direct ownership interest2022-12-01
Lewis, Clarissa
Individual
operational/managerial control2024-10-01
Malik, Omer
Individual
operational/managerial control2022-12-01
Malik, Shafiq
Individual
operational/managerial control2022-12-01
Nash, Michael
Individual
operational/managerial control2022-12-01

What changed

Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Jefferson County.