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Nursing home report

Crystal Lake Rehabilitation and Care Center

Pascoag, RI · Medicare-certified · 71 beds

Needs attention
For-profit
1 of 5 overall

Crystal Lake Rehabilitation and Care Center in Pascoag, RI has a 1-star overall rating, with a 1-star health inspection rating, 3-star staffing, and 2-star quality measures. It reports nurse staffing below the federal benchmark (3.58 vs. 4.1 hours per resident per day), $56,541 in fines over the last 24 months, a recent federal penalty, and recent inspection citations involving food service, accident hazards/supervision, and behavioral health care.

Facility ratings

Health inspections

Staffing

3.5805 hrs/resident/day

Quality measures

Last inspection: April 17, 2025Penalties, last 24 months: $56,541recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5805.

Staffing detail

Registered nurses
0.92
Licensed practical nurses
0.38
Nurse aides
2.28
Weekend nursing
3.10

Hours per resident per day.

Total staff turnover: 58%
Registered nurse turnover: 57%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

39.5%Improving

Residents with a fall causing major injury

1.8%Improving

Residents with pressure ulcers (bedsores)

4.2%Improving

Residents with a urinary tract infection

6%Worsening

Residents who lost too much weight

5.1%Worsening

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

23.9%Worsening

Residents whose ability to walk got worse

24.2%Steady
Show all measures

Long-stay residents on antianxiety or sleep medication

37.9%Worsening

Short-stay residents newly given an antipsychotic

4.8%Steady

Residents with a long-term catheter

0.5%Worsening

Residents with new or worsening incontinence

20.7%Worsening

Residents with depressive symptoms

8.8%Worsening

Long-stay residents given the seasonal flu vaccine

97.8%Steady

Long-stay residents given the pneumonia vaccine

92.4%Improving

Short-stay residents given the seasonal flu vaccine

76.3%Steady

Short-stay residents given the pneumonia vaccine

69.6%Improving

What the inspectors found

The home failed to ensure residents received food prepared in a form that met their individual needs. Cited May 2024 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 805 — 42 CFR §483.60 — S/S: K

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The nursing home failed to ensure residents received the behavioral health care and services they needed. Cited December 2023 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 740 — 42 CFR §483.40 — S/S: J

The nursing home failed to protect residents from abuse and neglect by others. Cited December 2023 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 600 — 42 CFR §483.12 — S/S: J

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited May 2024 — limited pattern, actual harm.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: H

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 6 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  4. PENALTY

    A federal fine of $29,328 was recorded.

  5. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  6. PENALTY

    A federal fine of $27,213 was recorded.

Penalties & enforcement

On record with Medicare: 15 fines · $306,656 in total fines · 2 payment denials.

  • Federal fine

    Sep 25, 2024

    $29,328
  • Federal fine

    Jun 13, 2024

    $27,213
  • Medicare/Medicaid payment denial

    Feb 27, 2024

    2 days
  • Federal fine

    Feb 27, 2024

    $105,651
  • Federal fine

    Feb 27, 2024

    $10,845
  • Federal fine

    Feb 27, 2024

    $9,318
  • Federal fine

    Feb 20, 2024

    $4,938
  • Federal fine

    Feb 12, 2024

    $4,938

Operator & ownership

Ownership
For profit - Limited Liability company
Occupancy
41.4 residents on an average day (58% of 71 beds)
Resident voice
Resident council
Medicare history
Certified for 34 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.