Crystal Pines Rehab & Hcc
335 North Illinois Avenue · Crystal Lake, IL · 60014 · 8154597791
110 certified beds For profit - Corporation Chain: Tutera Senior Living & Health Care
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $16,801 in fines in the last 24 months.
- 5 citations involved actual harm to residents.
- 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.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
3 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.15 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.78 | 0.55–0.75 |
| Weekend hours / resident-day | 2.94 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 3 · $52,795 |
Inspection citations (46 in the current record)
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Actual harm · G April 20, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Past Non-Compliance · Quality of Life and Care
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Potential for harm · D December 3, 2025 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected December 31, 2025 · Resident Rights
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Potential for harm · D November 21, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 15, 2025 · Quality of Life and Care
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Actual harm · G October 14, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 3, 2025 · Quality of Life and Care
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Potential for harm · D August 20, 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 August 29, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 29, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 16, 2025 · Quality of Life and Care
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Potential for harm · F April 15, 2025 · found via complaint
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected May 2, 2025 · Nutrition and Dietary
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Potential for harm · F April 15, 2025 · found via complaint
Ensure 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.
Corrected May 2, 2025 · Nutrition and Dietary
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Potential for harm · F April 15, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 7, 2025 · Nutrition and Dietary
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Potential for harm · D February 24, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected March 10, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 8, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 16, 2025 · Resident Rights
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Potential for harm · D January 8, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected January 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 11, 2024 · found via complaint
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 January 28, 2025 · Quality of Life and Care
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Potential for harm · D November 27, 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 16, 2024 · Resident Assessment and Care Planning
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Immediate jeopardy · J November 14, 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 November 11, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 14, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 16, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 18, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 5, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G June 5, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 25, 2024 · Quality of Life and Care
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Potential for harm · D June 5, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 25, 2024 · Quality of Life and Care
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Potential for harm · D June 5, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 25, 2024 · Quality of Life and Care
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Potential for harm · D June 5, 2024
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 25, 2024 · Quality of Life and Care
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Potential for harm · D June 5, 2024
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 25, 2024 · Quality of Life and Care
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Potential for harm · D June 5, 2024
Ensure 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.
Corrected June 25, 2024 · Quality of Life and Care
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Potential for harm · E June 5, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 25, 2024 · Quality of Life and Care
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Potential for harm · E June 5, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 5, 2024 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 14, 2024 | Fine | $16,801 |
| June 5, 2024 | Fine | $14,050 |
| June 5, 2024 | Payment Denial | 31 days |
| July 19, 2023 | Fine | $21,944 |
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.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 145257 · certified since November 1, 1973. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.