Facility profile · CCN 315125
Crystal Lake Healthcare And Rehabilitation
54 federal citations on record , including 8 at the Immediate Jeopardy level, and 5 federal enforcement actions totaling $544,456.
Record summary
Federal record · Q1 202654
Total citations
42
Last 3 years
10
Actual harm+
5
Federal penalties
$544,456
Total fines
—
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
54 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| May 8, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| May 8, 2025 | F848 | Provide a neutral and fair arbitration process and agree to arbitrator and venue. | F | Standard |
| May 8, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| May 8, 2025 | F806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard |
| May 8, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| May 8, 2025 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| May 8, 2025 | F688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard |
| May 8, 2025 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| May 8, 2025 | F640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | Standard |
| May 8, 2025 | F638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Standard |
| May 8, 2025 | F636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | Standard |
| May 8, 2025 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard |
| Apr 29, 2025 | F865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Complaint |
| Apr 29, 2025 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | J | Complaint |
| Apr 29, 2025 | F728 | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | D | Complaint |
| Apr 29, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint |
| Dec 30, 2024 | F610 | Respond appropriately to all alleged violations. | L | Complaint |
| Dec 30, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Dec 30, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | L | Complaint |
| Dec 30, 2024 | F583 | Keep residents' personal and medical records private and confidential. | D | Complaint |
| Oct 29, 2024 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | J | Complaint |
| Oct 29, 2024 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint |
| Oct 29, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | J | Complaint |
| Oct 29, 2024 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | G | Complaint |
| Oct 29, 2024 | F610 | Respond appropriately to all alleged violations. | J | Complaint |
| Oct 29, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint |
| Apr 4, 2024 | F576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | Complaint |
| Feb 8, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Feb 8, 2024 | F700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Standard |
| Feb 8, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Feb 8, 2024 | F678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | Standard |
| Feb 8, 2024 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard |
| Feb 8, 2024 | F638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Standard |
| Feb 8, 2024 | F610 | Respond appropriately to all alleged violations. | E | Standard |
| Feb 8, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Standard |
| Feb 8, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Standard |
| Feb 8, 2024 | F583 | Keep residents' personal and medical records private and confidential. | D | Standard |
| Feb 8, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Aug 18, 2023 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Aug 18, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Aug 18, 2023 | F641 | Ensure each resident receives an accurate assessment. | D | Complaint |
| Aug 18, 2023 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Oct 29, 2021 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Oct 29, 2021 | F814 | Dispose of garbage and refuse properly. | D | Standard |
| Oct 29, 2021 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Oct 29, 2021 | F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard |
| Oct 29, 2021 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Oct 29, 2021 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Oct 29, 2021 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Oct 29, 2021 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Oct 29, 2021 | F641 | Ensure each resident receives an accurate assessment. | B | Standard |
| Oct 29, 2021 | F638 | Assure that each resident’s assessment is updated at least once every 3 months. | B | Standard |
| Oct 29, 2021 | F636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | B | Standard |
| Oct 29, 2021 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard |
Federal enforcement history
Federal regulators have imposed 5 enforcement actions against this facility, including 4 civil money penalties totaling $544,456 and 1 payment-denial actions spanning 38 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jan 27, 2026 | Fine | $153,120 | — |
| Apr 29, 2025 | Fine | $207,415 | — |
| Apr 29, 2025 | Payment Denial | — | Aug 9, 2025 · 38 days |
| Oct 29, 2024 | Fine | $175,991 | — |
| Feb 8, 2024 | Fine | $7,930 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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