Elder Care Record

Illinois › Mc Henry County › Crystal Lake

Crystal Pines Rehab & HCC

335 North Illinois Avenue, Crystal Lake, IL 60014

CCN 145257 · For-profit, corporation · 110 certified beds · chain Tutera Senior Living & Health Care

CMS abuse iconNo standard inspection in 2+ years
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Crystal Pines Rehab & HCC is a For-profit, corporation nursing home in Crystal Lake, Illinois, certified for 110 beds and caring for about 83 residents a day.

CMS gives it 1 of 5 stars overall, below the Illinois median of 2; the health inspection rating is 2, staffing 1 and quality measures 2.

Inspectors recorded 48 health deficiencies across the three most recent survey cycles (18, 20, 10 by cycle, most recent first), 7 of them at the actual-harm or immediate-jeopardy level. That is 43.6 per 100 beds, more than the state median of 28.4.

CMS lists 5 penalties in the period covered: fines totalling $131K and 1 payment denial.

Reported nurse staffing is 3.2 hours per resident per day (0.8 RN), close to the Illinois median of 3.3; nursing staff turnover is 55.7%.

CMS flags that the facility carries the CMS abuse icon and has not had a standard health inspection in more than two years.

48health deficiencies, 3 survey cycles7 at actual harm or worse
$131Kfines listed by CMS5 penalties in period
3.2nurse hours per resident per daystate median 3.3
75%occupancy (residents ÷ beds)83 residents a day

Compared with county, state and nation

MeasureThis facilityMc Henry Co. medianIllinois medianUS average
Overall star rating1323.0
Health citations, 3 cycles48323428.7
Citations per 100 beds43.633.028.426.8
Total nurse hours per resident day3.23.63.33.9
RN hours per resident day0.81.10.60.7
Nursing staff turnover55.7%49.3%43.4%45.8%
Fines listed$130,776$62,153$45,123—

County and state figures are medians across facilities (10 in the county, 666 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)18
Cycle 220
Cycle 310

Dark bar: this facility. Grey bar: Illinois average per facility for the same cycle, as published by CMS. Standard health survey dates: 5 Jun 2024, 19 Jul 2023.

Severity mix: J ×1 G ×6 D ×27 E ×5 F ×9

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
11 Jun 2026F0602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint investigation10 Jun 2026
6 May 2026F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.GComplaint investigation29 May 2026
20 Apr 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigationPast Non-Compliance
3 Dec 2025F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DComplaint investigation31 Dec 2025
21 Nov 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation15 Dec 2025
14 Oct 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation3 Nov 2025
20 Aug 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation29 Aug 2025
29 Apr 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation16 May 2025
15 Apr 2025F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FComplaint investigation2 May 2025
15 Apr 2025F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.FComplaint investigation2 May 2025
15 Apr 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation7 Jun 2025
24 Feb 2025F0602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint investigation10 Mar 2025
8 Jan 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation16 Jan 2025
8 Jan 2025F0602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint investigation16 Jan 2025
11 Dec 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation28 Jan 2025
27 Nov 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation16 Dec 2024
14 Nov 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint investigation11 Nov 2024
14 Nov 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation16 Dec 2024
18 Jul 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation5 Aug 2024
5 Jun 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard survey25 Jun 2024
5 Jun 2024F0695Provide safe and appropriate respiratory care for a resident when needed.EStandard survey25 Jun 2024
5 Jun 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey5 Jun 2024
5 Jun 2024F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.EStandard survey25 Jun 2024
5 Jun 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey25 Jun 2024
5 Jun 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey25 Jun 2024
5 Jun 2024F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard survey25 Jun 2024
5 Jun 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey25 Jun 2024
5 Jun 2024F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard survey25 Jun 2024
5 Jun 2024F0760Ensure that residents are free from significant medication errors.DStandard survey5 Jun 2024
5 Jun 2024F0880Provide and implement an infection prevention and control program.DStandard survey25 Jun 2024
26 Mar 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation9 Mar 2024
19 Jul 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard survey2 Aug 2023
19 Jul 2023F0692Provide enough food/fluids to maintain a resident's health.GStandard survey2 Aug 2023
19 Jul 2023F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FStandard survey2 Aug 2023
19 Jul 2023F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.FStandard survey2 Aug 2023
19 Jul 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey2 Aug 2023
19 Jul 2023F0880Provide and implement an infection prevention and control program.FStandard survey2 Aug 2023
19 Jul 2023F0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.EStandard survey2 Aug 2023
19 Jul 2023F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DStandard survey2 Aug 2023
19 Jul 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey2 Aug 2023
24 Aug 2022F0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.FStandard survey8 Sep 2022
24 Aug 2022F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.FStandard survey8 Sep 2022
24 Aug 2022F0809Ensure 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.EStandard survey8 Sep 2022
24 Aug 2022F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey8 Sep 2022
24 Aug 2022F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey8 Sep 2022
24 Aug 2022F0692Provide enough food/fluids to maintain a resident's health.DStandard survey8 Sep 2022
24 Aug 2022F0759Ensure medication error rates are not 5 percent or greater.DStandard survey8 Sep 2022
24 Aug 2022F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard survey8 Sep 2022

Penalties

DateTypeAmountDetail
6 May 2026Fine$83,990
20 Apr 2026Fine$15,935
14 Nov 2024Fine$16,801
5 Jun 2024Payment denial—31 days
5 Jun 2024Fine$14,050

Staffing

Total nursing3.15 h
Nurse aides1.87 h
LPN0.45 h
RN0.83 h
Weekend total2.98 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Illinois average. Turnover: nursing staff 55.7%, RNs 47.1%; 2 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityIllinois medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay24.2%11.5%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.0%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.8%0.7%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.8%2.6%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.7%1.5%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay28.2%12.2%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay5.1%4.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay18.5%17.8%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, corporation. Legal business name: Crystal Pines Rehabilitation And Health Care Center, Llc. Chain: Tutera Senior Living & Health Care (25 facilities).

OrganisationRole in the CMS recordInterestSince
Jct Investments, LLCDirect ownership interestNOT APPLICABLE12/28/2021
Tutera Investments, LLCDirect ownership interestNOT APPLICABLE12/28/2021
Marian Olander Tutera 2020 Mrtl TrIndirect ownership interestNOT APPLICABLE12/31/2023
Walnut Creek Management Company LLCOperational/managerial controlNOT APPLICABLE01/01/2017
Ti-Crystal Lake, LLCAdp of the snfNOT APPLICABLE12/28/2021
Walnut Creek Management Company LLCAdp of the snfNOT APPLICABLE12/28/2021

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Mc Henry County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Florence Nursing HomeMarengo56552916.1—8 May 2025
Mercy Harvard Hospital Care CenterHarvard34555926.5—18 Feb 2026
Pearl of Crystal Lake, TheCrystal Lake975443233.0—4 Jun 2026
Valley Hi Nursing HomeWoodstock1284353023.4$155K4 Mar 2026
Fair Oaks Health Care CenterCrystal Lake513342956.9$26K2 Feb 2026
Ignite Medical MchenryMchenry843334047.6$62K16 Jun 2026
Alden Estates Cts of HuntleyHuntley1702232917.1$183K12 Jun 2026
Alden Terrace of Mchenry Rehababuse iconMchenry3161215015.8$11K3 Jun 2026

All 10 facilities in Mc Henry County

Questions and answers

How many deficiencies has Crystal Pines Rehab & HCC been cited for?

48 health deficiencies across the three most recent survey cycles, 7 at the actual-harm or immediate-jeopardy level. The Illinois median is 34 per facility.

Has Crystal Pines Rehab & HCC been fined?

Yes. CMS lists fines totalling $131K in the period covered, plus 1 payment denial.

How does staffing at Crystal Pines Rehab & HCC compare?

Reported total nurse staffing is 3.2 hours per resident per day against a Illinois median of 3.3 and a national average of 3.9.

Who operates Crystal Pines Rehab & HCC?

It is part of the Tutera Senior Living & Health Care chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Jct Investments, LLC, Tutera Investments, LLC and Marian Olander Tutera 2020 Mrtl Tr. Individual owners and managers are not listed on this site.

When was Crystal Pines Rehab & HCC last inspected?

The most recent survey or investigation in the CMS record is dated 11 Jun 2026; the most recent standard health survey was 5 Jun 2024.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.