Illinois › Boone County › Belvidere
Symphony Maple Crest
4452 Squaw Prairie Road, Belvidere, IL 61008
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.
Symphony Maple Crest is a For-profit, limited liability company nursing home in Belvidere, Illinois, certified for 86 beds and caring for about 69 residents a day.
CMS gives it 1 of 5 stars overall, below the Illinois median of 2; the health inspection rating is 1, staffing 1 and quality measures 4.
Inspectors recorded 43 health deficiencies across the three most recent survey cycles (13, 12, 18 by cycle, most recent first), 6 of them at the actual-harm or immediate-jeopardy level. That is 50.0 per 100 beds, more than the state median of 28.4.
CMS lists 7 penalties in the period covered: fines totalling $410K and 2 payment denials.
Reported nurse staffing is 2.8 hours per resident per day (0.4 RN), close to the Illinois median of 3.3; nursing staff turnover is 53.4%.
CMS flags that the facility carries the CMS abuse icon.
Compared with county, state and nation
| Measure | This facility | Boone Co. median | Illinois median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 1 | 2 | 3.0 |
| Health citations, 3 cycles | 43 | 37 | 34 | 28.7 |
| Citations per 100 beds | 50.0 | 32.7 | 28.4 | 26.8 |
| Total nurse hours per resident day | 2.8 | 2.9 | 3.3 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.6 | 0.7 |
| Nursing staff turnover | 53.4% | 53.4% | 43.4% | 45.8% |
| Fines listed | $409,524 | $118,435 | $45,123 | — |
County and state figures are medians across facilities (3 in the county, 666 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Illinois average per facility for the same cycle, as published by CMS. Standard health survey dates: 25 Sep 2025, 20 Nov 2024.
Severity mix: J ×1 K ×2 G ×3 D ×27 E ×6 F ×4
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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 8 Jun 2026 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Complaint investigation | 9 Jun 2026 |
| 26 May 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Complaint investigation | 29 May 2026 |
| 26 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 2 Apr 2026 |
| 25 Sep 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | G | Standard survey | 3 Oct 2025 |
| 25 Sep 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 4 Oct 2025 |
| 25 Sep 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 15 Nov 2025 |
| 25 Sep 2025 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 6 Oct 2025 |
| 25 Sep 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 2 Oct 2025 |
| 25 Sep 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 3 Oct 2025 |
| 25 Sep 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 1 Oct 2025 |
| 25 Sep 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 1 Oct 2025 |
| 25 Sep 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 15 Nov 2025 |
| 16 Sep 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 1 Oct 2025 |
| 17 Mar 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 24 Mar 2025 |
| 20 Nov 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Standard survey | 11 Dec 2024 |
| 20 Nov 2024 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 11 Dec 2024 |
| 20 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 11 Dec 2024 |
| 20 Nov 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 11 Dec 2024 |
| 20 Nov 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 11 Dec 2024 |
| 20 Nov 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 11 Dec 2024 |
| 20 Nov 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 11 Dec 2024 |
| 20 Nov 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 11 Dec 2024 |
| 20 Nov 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 11 Dec 2024 |
| 4 Nov 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 22 Nov 2024 |
| 2 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Complaint investigation | 14 Oct 2024 |
| 10 Jul 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 26 Jul 2024 |
| 10 Jul 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 26 Jul 2024 |
| 17 Jun 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 28 Jun 2024 |
| 22 Apr 2024 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | Complaint investigation | 10 May 2024 |
| 22 Apr 2024 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Complaint investigation | 10 May 2024 |
| 28 Feb 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 12 Mar 2024 |
| 6 Feb 2024 | F0776 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | D | Complaint investigation | 20 Feb 2024 |
| 25 Oct 2023 | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | E | Standard survey | 3 Nov 2023 |
| 25 Oct 2023 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Standard survey | 3 Nov 2023 |
| 25 Oct 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 3 Nov 2023 |
| 25 Oct 2023 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 3 Nov 2023 |
| 25 Oct 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 3 Nov 2023 |
| 25 Oct 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 3 Nov 2023 |
| 25 Oct 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 3 Nov 2023 |
| 25 Oct 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 3 Nov 2023 |
| 25 Oct 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 3 Nov 2023 |
| 25 Oct 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 3 Nov 2023 |
| 31 Aug 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 1 Sep 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 26 May 2026 | Fine | $195,340 | |
| 16 Sep 2025 | Payment denial | — | 36 days |
| 16 Sep 2025 | Fine | $36,517 | |
| 4 Nov 2024 | Payment denial | — | 12 days |
| 4 Nov 2024 | Fine | $39,683 | |
| 2 Oct 2024 | Fine | $127,785 | |
| 31 Aug 2023 | Fine | $10,199 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Illinois average. Turnover: nursing staff 53.4%, RNs 55.6%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Illinois median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 3.8% | 11.5% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.7% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.9% | 2.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.5% | 1.5% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 9.9% | 12.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.3% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 15.6% | 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, limited liability company. Legal business name: Symphony Maple Crest Llc. Chain: Symphony Care Network (7 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Symphony Healthcare LLC | 5% or greater direct ownership interest | 99% | 11/22/2011 |
| Symag Holdings LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 11/22/2011 |
| Symphony Ml LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 11/22/2011 |
| Symphony Monarch Holdings, LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 11/22/2011 |
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 Boone County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Belvidere Health and Rehab | Belvidere | 80 | 4 | 4 | 3 | 17 | 21.3 | — | 18 Nov 2025 |
| Symphony Northwoods | Belvidere | 113 | 1 | 2 | 1 | 37 | 32.7 | $118K | 14 May 2026 |
All 3 facilities in Boone County
Questions and answers
How many deficiencies has Symphony Maple Crest been cited for?
43 health deficiencies across the three most recent survey cycles, 6 at the actual-harm or immediate-jeopardy level. The Illinois median is 34 per facility.
Has Symphony Maple Crest been fined?
Yes. CMS lists fines totalling $410K in the period covered, plus 2 payment denials.
How does staffing at Symphony Maple Crest compare?
Reported total nurse staffing is 2.8 hours per resident per day against a Illinois median of 3.3 and a national average of 3.9.
Who operates Symphony Maple Crest?
It is part of the Symphony Care Network chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Symphony Healthcare LLC, Symag Holdings LLC and Symphony Ml LLC. Individual owners and managers are not listed on this site.
When was Symphony Maple Crest last inspected?
The most recent survey or investigation in the CMS record is dated 8 Jun 2026; the most recent standard health survey was 25 Sep 2025.
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.