Crystal Lake Rehabilitation and Care Center
State inspectors recorded 3 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2024-09-25 — ACTUAL HARM (tag F0760, severity G)
Pharmacy Service Deficiencies · correction not recorded in CMS data
Ensure that residents are free from significant medication errors.
2024-06-13 — IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-05-08 — ACTUAL HARM (tag F0684, severity H)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2024-05-08 — IMMEDIATE JEOPARDY (tag F0805, severity K)
Nutrition and Dietary Deficiencies · correction not recorded in CMS data
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
2024-04-04 — IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-02-27 — ACTUAL HARM (tag F0558, severity G)
Resident Rights Deficiencies · correction not recorded in CMS data
Reasonably accommodate the needs and preferences of each resident.
2023-12-07 — IMMEDIATE JEOPARDY (tag F0600, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2023-12-07 — IMMEDIATE JEOPARDY (tag F0740, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Staffing, from payroll records
Nursing hours / resident / day
2.80
state median 3.21
Weekend staffing gap
+3%
more nursing hours on weekends · state median −7%
RN hours / resident / day
0.81
registered nurses only
Contract (agency) staff
11%
share of all nursing hours
Nursing staff turnover
58%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
17 enforcement action(s), totaling $306,656 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-09-25 | Fine | $29,328 |
| 2024-06-13 | Fine | $27,213 |
| 2024-02-27 | Fine | $9,318 |
| 2024-02-27 | Fine | $10,845 |
| 2024-02-27 | Fine | $105,651 |
| 2024-02-27 | Payment Denial | payment denial |
| 2024-02-20 | Fine | $4,938 |
| 2024-02-12 | Fine | $4,938 |
| 2024-01-22 | Fine | $14,814 |
| 2024-01-08 | Fine | $4,938 |
Ownership
Ownership type: For profit - Limited Liability company.
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2025-04-17 | F0582 | Resident Rights Deficiencies | B | not recorded |
| 2025-04-17 | F0641 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2025-04-17 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-04-17 | F0684 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-04-17 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2025-04-17 | F0838 | Administration Deficiencies | F | not recorded |
| 2024-11-06 | F0658 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-11-06 | F0760 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-11-06 | F0839 | Administration Deficiencies | F | not recorded |
| 2024-09-25 | F0760 | Pharmacy Service Deficiencies | G | not recorded |
| 2024-06-13 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2024-05-08 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2024-05-08 | F0577 | Resident Rights Deficiencies | C | not recorded |
| 2024-05-08 | F0641 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-05-08 | F0656 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-05-08 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-05-08 | F0684 | Quality of Life and Care Deficiencies | H | not recorded |
| 2024-05-08 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-05-08 | F0690 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-05-08 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-05-08 | F0726 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2024-05-08 | F0740 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-05-08 | F0759 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-05-08 | F0760 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-05-08 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-05-08 | F0805 | Nutrition and Dietary Deficiencies | K | not recorded |
| 2024-05-08 | F0809 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2024-05-08 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2024-05-08 | F0835 | Administration Deficiencies | F | not recorded |
| 2024-05-08 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-05-08 | F0880 | Infection Control Deficiencies | F | not recorded |
| 2024-05-08 | F0881 | Infection Control Deficiencies | F | not recorded |
| 2024-05-08 | F0947 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2024-04-04 | F0550 | Resident Rights Deficiencies | E | not recorded |
| 2024-04-04 | F0676 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-04-04 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2024-03-28 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-03-22 | F0690 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-02-29 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2024-02-29 | F0583 | Resident Rights Deficiencies | D | not recorded |
| 2024-02-29 | F0658 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-02-29 | F0835 | Administration Deficiencies | F | not recorded |
| 2024-02-27 | F0558 | Resident Rights Deficiencies | G | not recorded |
| 2024-02-27 | F0573 | Resident Rights Deficiencies | B | not recorded |
| 2024-02-27 | F0625 | Resident Rights Deficiencies | D | not recorded |
| 2024-02-27 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-01-10 | F0567 | Resident Rights Deficiencies | E | not recorded |
| 2023-12-07 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | J | not recorded |
| 2023-12-07 | F0679 | Quality of Life and Care Deficiencies | E | not recorded |
| 2023-12-07 | F0740 | Quality of Life and Care Deficiencies | J | not recorded |
| 2023-12-07 | F0940 | Administration Deficiencies | E | not recorded |
| 2023-09-12 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2023-08-16 | F0760 | Pharmacy Service Deficiencies | E | not recorded |
| 2023-07-14 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2023-07-14 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-07-14 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-07-14 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-07-14 | F0760 | Pharmacy Service Deficiencies | E | not recorded |
| 2023-07-14 | F0761 | Pharmacy Service Deficiencies | F | not recorded |
| 2023-07-14 | F0880 | Infection Control Deficiencies | D | not recorded |