The nursing home failed to protect residents from abuse and neglect by others. Cited November 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
Crystal Pines Rehabilitation & Health Care Center
Registered name: CRYSTAL PINES REHAB & HCC
CRYSTAL LAKE, IL · Medicare-certified · 110 beds
Needs attention
Abuse citationFor-profitChain member
Data as of July 1, 2026
1 of 5 overall
Crystal Pines Rehabilitation & Health Care Center has a 1-star overall rating, with 1-star staffing and 2-star health inspection and quality ratings. It also had $116,726 in fines in the last 24 months, a recent abuse citation, and reported staffing of 3.15 hours per resident per day versus the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
3.1501 hrs/resident/day
Quality measures
Last inspection: May 6, 2026Penalties, last 24 months: $116,726recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1501.
Staffing detail
- Registered nurses
- 0.83
- Licensed practical nurses
- 0.45
- Nurse aides
- 1.87
- Weekend nursing
- 2.98
Hours per resident per day.
Total staff turnover: 56%
Registered nurse turnover: 47%
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
20%15.3%Improving
Residents with a fall causing major injury
2.9%1.3%Improving
Residents with pressure ulcers (bedsores)
6.8%3.2%Improving
Residents with a urinary tract infection
6%0%Improving
Residents who lost too much weight
12.7%11.9%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
24.6%30.9%Worsening
Residents whose ability to walk got worse
—27.8%—
Long-stay residents on antianxiety or sleep medication
18.2%16.2%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%1%Worsening
Residents with new or worsening incontinence
29.1%37.8%Worsening
Residents with depressive symptoms
6.1%97.1%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
98.6%96%Worsening
Short-stay residents given the seasonal flu vaccine
—56.7%—
Short-stay residents given the pneumonia vaccine
87.9%58.7%Worsening
What the inspectors found
The home failed to make sure feeding tubes were used only when medically needed and that residents with feeding tubes received proper care. Cited May 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 693 — 42 CFR §483.25 — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2026 — 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.
View the original federal record
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.
View the original federal record
F-Tag 801 — 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.
- PENALTY
A federal fine of $83,990 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $15,935 was recorded.
- 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
- 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: 5 fines · $152,720 in total fines · 1 payment denial.
- $83,990
Federal fine
May 6, 2026
- $15,935
Federal fine
Apr 20, 2026
- $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 · 2.1 stars avg
- Occupancy
- 82.6 residents on an average day (75% of 110 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 52 years
The most recent standard health inspection was more than two years ago.
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.