The nursing home failed to protect residents from abuse and neglect by others. Cited November 2024 — isolated incident, immediate jeopardy to residents.
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F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
CRYSTAL PINES REHAB & HCC
CRYSTAL LAKE, IL · Medicare-certified · 110 beds
Needs attention
Abuse citationFor-profitChain member
1 of 5 overall
CRYSTAL PINES REHAB & HCC has a 1-star overall rating, with 1-star staffing and 2-star health inspection and quality ratings. It reports nurse staffing below the federal benchmark (3.15 vs. 4.1 hours per resident per day), $30,851 in fines over the last 24 months, and a recent abuse citation.
Facility ratings
Health inspections
Staffing
3.146 hrs/resident/day
Quality measures
Last inspection: December 3, 2025Penalties, last 24 months: $30,851recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.146.
Staffing detail
- Registered nurses
- 0.78
- Licensed practical nurses
- 0.45
- Nurse aides
- 1.92
- Weekend nursing
- 2.94
Hours per resident per day.
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
16.3%18%Worsening
Residents with a fall causing major injury
4.1%2.7%Improving
Residents with pressure ulcers (bedsores)
9.9%2.7%Improving
Residents with a urinary tract infection
4.3%0%Improving
Residents who lost too much weight
12.5%7.7%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
23.4%22.4%Improving
Residents whose ability to walk got worse
—29.1%—
Long-stay residents on antianxiety or sleep medication
16.2%21.4%Worsening
Short-stay residents newly given an antipsychotic
0%4%Worsening
Residents with a long-term catheter
0%2.1%Worsening
Residents with new or worsening incontinence
35.7%26.2%Improving
Residents with depressive symptoms
11.9%43.1%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—56.7%—
Short-stay residents given the pneumonia vaccine
78.3%69.4%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to provide enough food and fluids to keep residents healthy. Cited July 2023 — isolated incident, actual harm.
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F-Tag 692 — 42 CFR §483.25(g) — S/S: G
The home failed to have enough qualified staff to properly provide food and nutrition services. Cited April 2025 — widespread issue, potential for harm.
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F-Tag 801 — 42 CFR §483.60 — S/S: F
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited April 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $16,801 was recorded.
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $14,050 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $52,795 in total fines · 1 payment denial.
- $16,801
Federal fine
Nov 14, 2024
- 31 days
Medicare/Medicaid payment denial
Jun 5, 2024
- $14,050
Federal fine
Jun 5, 2024
- $21,944
Federal fine
Jul 19, 2023
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of TUTERA SENIOR LIVING & HEALTH CARE · 26 homes · 2.2 stars avg
- Occupancy
- 81.2 residents on an average day (74% of 110 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 52 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.