Crystal Lake Healthcare and Rehabilitation

395 Lakeside Blvd · Bayville, NJ · 08721 · 7322690500

235 certified beds For profit - Limited Liability company

Why this verdict

  • On the federal Special Focus list of the most persistently poor performers.
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $482,934 in fines in the last 24 months.
  • Inspection results have improved across recent cycles.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

Get the Safety Report

Red flags

Special Focus Facility

CMS has designated this facility one of the most persistently poor performers in the country — it is under increased inspection and enforcement.

8 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

6 abuse-related citations at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

$482,934 in federal fines in the last 24 months

3 fines — CMS fines are reserved for verified, serious non-compliance.

Score breakdown

Inspection record 30% of score 18
Serious harm & abuse 20% 48
Staffing 20% 64
Federal penalties 15% 0
Trend 10% 92
Context 5% 0

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: not rated Inspections: not rated Staffing: not rated Quality measures: not rated

Total nurse hours / resident-day3.873.48 min · 4.1 strong
RN hours / resident-day0.420.55–0.75
Weekend hours / resident-day3.55≈ weekday level
Nursing turnover / year60%median 45%
Fines (3-yr window)4 · $490,864

Inspection citations (54 in the current record)

  • Potential for harm · D May 8, 2025

    Honor 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.

    Corrected June 6, 2025 · Resident Rights

  • Potential for harm · E May 8, 2025

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Corrected June 6, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E May 8, 2025

    Assure that each resident’s assessment is updated at least once every 3 months.

    Corrected June 6, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E May 8, 2025

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Corrected June 6, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 8, 2025

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected June 6, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 8, 2025

    Provide 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.

    Corrected June 6, 2025 · Quality of Life and Care

  • Potential for harm · D May 8, 2025

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected June 6, 2025 · Quality of Life and Care

  • Potential for harm · D May 8, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected June 6, 2025 · Quality of Life and Care

  • Potential for harm · D May 8, 2025

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Corrected June 6, 2025 · Nutrition and Dietary

  • Potential for harm · E May 8, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected June 6, 2025 · Nutrition and Dietary

  • Potential for harm · F May 8, 2025

    Provide a neutral and fair arbitration process and agree to arbitrator and venue.

    Corrected June 6, 2025 · Administration

  • Potential for harm · E May 8, 2025

    Provide and implement an infection prevention and control program.

    Corrected June 6, 2025 · Infection Control

  • Immediate jeopardy · J April 29, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected May 22, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J April 29, 2025 · found via complaint

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Corrected May 22, 2025 · Administration

  • Potential for harm · D April 29, 2025 · found via complaint

    Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

    Corrected May 22, 2025 · Nursing and Physician Services

  • Potential for harm · F April 29, 2025 · found via complaint

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Corrected May 22, 2025 · Administration

  • Immediate jeopardy · L December 30, 2024 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected December 30, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · L December 30, 2024 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected December 30, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D December 30, 2024 · found via complaint

    Keep residents' personal and medical records private and confidential.

    Corrected December 30, 2024 · Resident Rights

  • Potential for harm · D December 30, 2024 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected December 31, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J October 29, 2024 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected December 28, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J October 29, 2024 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected December 28, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J October 29, 2024 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected December 28, 2024 · Resident Assessment and Care Planning

  • Immediate jeopardy · J October 29, 2024 · found via complaint

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Corrected December 28, 2024 · Administration

  • Actual harm · G October 29, 2024 · found via complaint

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected December 28, 2024 · Resident Assessment and Care Planning

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
January 27, 2026Fine$99,528
April 29, 2025Fine$207,415
April 29, 2025Payment Denial38 days
October 29, 2024Fine$175,991
February 8, 2024Fine$7,930

Family & resident reviews — a separate signal, never mixed into the score

No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.

Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.

Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 315125 · certified since May 9, 1971. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.