SYMPHONY MAPLE CREST in Belvidere, IL has a 1-star overall rating, with 1-star staffing and 2-star health inspection scores; reported nurse staffing is 3.19 hours per resident per day, below the federal benchmark of 4.1, and the facility has had $167,468 in fines in the last 24 months plus a recent federal penalty.
Last inspection: March 26, 2026Penalties, last 24 months: $167,468recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1862.
Staffing detail
Registered nurses
0.46
Licensed practical nurses
0.78
Nurse aides
1.94
Weekend nursing
2.78
Hours per resident per day.
Total staff turnover: 46%
Registered nurse turnover: 58%
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).
Last yrNowTrend
Long-stay residents on antipsychotic medication
13.3%16.1%Worsening
Residents with a fall causing major injury
1.9%0%Improving
Residents with pressure ulcers (bedsores)
1.2%1.8%Worsening
Residents with a urinary tract infection
0%1.8%Worsening
Residents who lost too much weight
7.9%12.8%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
16.2%0%Improving
Residents whose ability to walk got worse
—10.4%—
Long-stay residents on antianxiety or sleep medication
18.4%28.2%Worsening
Short-stay residents newly given an antipsychotic
2.4%3.3%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
34.6%28.8%Improving
Residents with depressive symptoms
5.9%13.5%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—80.7%—
Long-stay residents given the pneumonia vaccine
90.7%89.3%Worsening
Short-stay residents given the seasonal flu vaccine
—43%—
Short-stay residents given the pneumonia vaccine
55.7%62.7%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: K
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited September 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited November 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: F
The home failed to ensure nurse aides had the skills and training needed to care for residents safely, including dementia care and abuse prevention. Cited April 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 947 — 42 CFR §483.95 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — 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
PENALTY
A federal payment denial was recorded.
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 payment denial was recorded.
PENALTY
A federal fine of $39,683 was recorded.
PENALTY
A federal fine of $127,785 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $177,667 in total fines · 2 payment denials.
Medicare/Medicaid payment denial
Sep 16, 2025
36 days
Medicare/Medicaid payment denial
Nov 4, 2024
12 days
Federal fine
Nov 4, 2024
$39,683
Federal fine
Oct 2, 2024
$127,785
Federal fine
Aug 31, 2023
$10,199
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of SYMPHONY CARE NETWORK · 7 homes · 1.9 stars avg
Occupancy
63.8 residents on an average day (74% of 86 beds)
Resident voice
Resident council
Medicare history
Certified for 26 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.