Facility profile · CCN 415099
Crystal Lake Rehabilitation And Care Center
60 federal citations on record , including 5 at the Immediate Jeopardy level, and 17 federal enforcement actions totaling $306,656.
Record summary
Federal record · Q1 202660
Total citations
60
Last 3 years
8
Actual harm+
17
Federal penalties
$306,656
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
60 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Apr 17, 2025 | F838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | Standard |
| Apr 17, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Apr 17, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard |
| Apr 17, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Apr 17, 2025 | F641 | Ensure each resident receives an accurate assessment. | E | Standard |
| Apr 17, 2025 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B | Standard |
| Nov 6, 2024 | F839 | Employ staff that are licensed, certified, or registered in accordance with state laws. | F | Complaint |
| Nov 6, 2024 | F760 | Ensure that residents are free from significant medication errors. | E | Complaint |
| Nov 6, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint |
| Sep 25, 2024 | F760 | Ensure that residents are free from significant medication errors. | G | Complaint |
| Jun 13, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| May 8, 2024 | F947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | Standard |
| May 8, 2024 | F881 | Implement a program that monitors antibiotic use. | F | Standard |
| May 8, 2024 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| May 8, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| May 8, 2024 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Standard |
| May 8, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| May 8, 2024 | F809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | F | Standard |
| May 8, 2024 | F805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | K | Standard |
| May 8, 2024 | 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 |
| May 8, 2024 | F760 | Ensure that residents are free from significant medication errors. | E | Standard |
| May 8, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Standard |
| May 8, 2024 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | E | Standard |
| May 8, 2024 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Standard |
| May 8, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| May 8, 2024 | 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. | E | Standard |
| May 8, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| May 8, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | H | Standard |
| May 8, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| May 8, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| May 8, 2024 | F641 | Ensure each resident receives an accurate assessment. | E | Standard |
| May 8, 2024 | F577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Standard |
| May 8, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Apr 4, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Apr 4, 2024 | F676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | E | Complaint |
| Apr 4, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint |
| Mar 28, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Mar 22, 2024 | 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. | E | Complaint |
| Feb 29, 2024 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Complaint |
| Feb 29, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint |
| Feb 29, 2024 | F583 | Keep residents' personal and medical records private and confidential. | D | Complaint |
| Feb 29, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Feb 27, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Feb 27, 2024 | F625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Complaint |
| Feb 27, 2024 | F573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | B | Complaint |
| Feb 27, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | G | Complaint |
| Jan 10, 2024 | F567 | Honor the resident's right to manage his or her financial affairs. | E | Complaint |
| Dec 7, 2023 | F940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E | Complaint |
| Dec 7, 2023 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | J | Complaint |
| Dec 7, 2023 | F679 | Provide activities to meet all resident's needs. | E | Complaint |
| Dec 7, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint |
| Sep 12, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint |
| Aug 16, 2023 | F760 | Ensure that residents are free from significant medication errors. | E | Complaint |
| Jul 14, 2023 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Jul 14, 2023 | 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. | F | Standard |
| Jul 14, 2023 | F760 | Ensure that residents are free from significant medication errors. | E | Standard |
| Jul 14, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Jul 14, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Jul 14, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Jul 14, 2023 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
Federal enforcement history
Federal regulators have imposed 17 enforcement actions against this facility, including 15 civil money penalties totaling $306,656 and 2 payment-denial actions spanning 10 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Sep 25, 2024 | Fine | $29,328 | — |
| Jun 13, 2024 | Fine | $27,213 | — |
| Feb 27, 2024 | Fine | $105,651 | — |
| Feb 27, 2024 | Fine | $10,845 | — |
| Feb 27, 2024 | Payment Denial | — | May 27, 2024 · 2 days |
| Feb 27, 2024 | Fine | $9,318 | — |
| Feb 20, 2024 | Fine | $4,938 | — |
| Feb 12, 2024 | Fine | $4,938 | — |
| Jan 22, 2024 | Fine | $14,814 | — |
| Jan 8, 2024 | Fine | $4,938 | — |
| Jan 2, 2024 | Fine | $4,545 | — |
| Dec 11, 2023 | Fine | $13,762 | — |
| Dec 7, 2023 | Fine | $53,430 | — |
| Dec 7, 2023 | Payment Denial | — | Dec 29, 2023 · 8 days |
| Nov 20, 2023 | Fine | $4,587 | — |
| Nov 13, 2023 | Fine | $4,587 | — |
| Oct 23, 2023 | Fine | $13,762 | — |
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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