Starfile

Starfile / Illinois

CRYSTAL PINES REHAB & HCC

335 NORTH ILLINOIS AVENUE, CRYSTAL LAKE, IL 60014 · CCN 145257

Abuse icon

Ratings

Overall
★☆☆☆☆ 1
Health inspection
★★☆☆☆ 2
Quality measures
★★☆☆☆ 2
Staffing
★☆☆☆☆ 1

Facility

Ownership type
For profit - Corporation
Certified beds
110
Avg residents/day
76.9
Phone
8154597791

Inspection history vs Illinois & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityIllinois avgNational avgvs state
12024-06-051912.29.5+6.8 worse
22023-07-191812.79.8+5.3 worse
32022-08-241013.19.3-3.1 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation1
Quality of life and care10
Resident rights1
Nutrition and dietary4
Pharmacy service2
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.29
RN staffing (reported)0.80
Total nurse staffing (adjusted)3.00

Fines & penalties

Total fines
$52,795
Number of fines
3
Number of penalties
4
Payment denials
1

Chain

Chain
TUTERA SENIOR LIVING & HEALTH CARE
Facilities in chain
25
Chain avg overall
2.20 / 5

Inspection citations (47)1 immediate jeopardy4 actual harm

  1. DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2025-12-03 · Health · corrected 2025-12-31

    Potential for more than minimal harm

  2. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-11-21 · Health · corrected 2025-12-15

    Potential for more than minimal harm

  3. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-10-14 · Health · corrected 2025-11-03

    Actual harm

  4. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-08-20 · Health · corrected 2025-08-29

    Potential for more than minimal harm

  5. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-04-29 · Health · corrected 2025-05-16

    Potential for more than minimal harm

  6. FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2025-04-15 · Health · corrected 2025-05-02

    Potential for more than minimal harm

  7. FF0803Ensure 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.2025-04-15 · Health · corrected 2025-05-02

    Potential for more than minimal harm

  8. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-04-15 · Health · corrected 2025-06-07

    Potential for more than minimal harm

  9. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2025-02-24 · Health · corrected 2025-03-10

    Potential for more than minimal harm

  10. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-01-08 · Health · corrected 2025-01-16

    Potential for more than minimal harm

  11. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2025-01-08 · Health · corrected 2025-01-16

    Potential for more than minimal harm

  12. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-12-11 · Health · corrected 2025-01-28

    Potential for more than minimal harm

  13. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-11-27 · Health · corrected 2024-12-16

    Potential for more than minimal harm

  14. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-11-14 · Health · corrected 2024-11-11

    Immediate jeopardy

  15. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-11-14 · Health · corrected 2024-12-16

    Potential for more than minimal harm

  16. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-07-18 · Health · corrected 2024-08-05

    Potential for more than minimal harm

  17. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-06-05 · Health · corrected 2024-06-25

    Potential for more than minimal harm

  18. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-06-05 · Health · corrected 2024-06-25

    Potential for more than minimal harm

  19. DF0688Provide 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.2024-06-05 · Health · corrected 2024-06-25

    Potential for more than minimal harm

  20. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-06-05 · Health · corrected 2024-06-25

    Actual harm

  21. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-06-05 · Health · corrected 2024-06-25

    Potential for more than minimal harm

  22. DF0693Ensure 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.2024-06-05 · Health · corrected 2024-06-25

    Potential for more than minimal harm

  23. EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-06-05 · Health · corrected 2024-06-25

    Potential for more than minimal harm

  24. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-06-05 · Health · corrected 2024-06-05

    Potential for more than minimal harm

  25. DF0760Ensure that residents are free from significant medication errors.2024-06-05 · Health · corrected 2024-06-05

    Potential for more than minimal harm

  26. EF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2024-06-05 · Health · corrected 2024-06-25

    Potential for more than minimal harm

  27. DF0880Provide and implement an infection prevention and control program.2024-06-05 · Health · corrected 2024-06-25

    Potential for more than minimal harm

  28. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-03-26 · Health · corrected 2024-03-09

    Potential for more than minimal harm

  29. DF0584Honor 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.2023-07-19 · Health · corrected 2023-08-02

    Potential for more than minimal harm

  30. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-07-19 · Health · corrected 2023-08-02

    Actual harm

  31. GF0692Provide enough food/fluids to maintain a resident's health.2023-07-19 · Health · corrected 2023-08-02

    Actual harm

  32. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-07-19 · Health · corrected 2023-08-02

    Potential for more than minimal harm

  33. EF0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.2023-07-19 · Health · corrected 2023-08-02

    Potential for more than minimal harm

  34. FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2023-07-19 · Health · corrected 2023-08-02

    Potential for more than minimal harm

  35. FF0803Ensure 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.2023-07-19 · Health · corrected 2023-08-02

    Potential for more than minimal harm

  36. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-07-19 · Health · corrected 2023-08-02

    Potential for more than minimal harm

  37. FF0880Provide and implement an infection prevention and control program.2023-07-19 · Health · corrected 2023-08-02

    Potential for more than minimal harm

  38. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-03-30 · Health · corrected 2023-04-12

    Potential for more than minimal harm

  39. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-03-30 · Health · corrected 2023-04-13

    Potential for more than minimal harm

  40. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-08-24 · Health · corrected 2022-09-08

    Potential for more than minimal harm

  41. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2022-08-24 · Health · corrected 2022-09-08

    Potential for more than minimal harm

  42. DF0692Provide enough food/fluids to maintain a resident's health.2022-08-24 · Health · corrected 2022-09-08

    Potential for more than minimal harm

  43. DF0759Ensure medication error rates are not 5 percent or greater.2022-08-24 · Health · corrected 2022-09-08

    Potential for more than minimal harm

  44. FF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2022-08-24 · Health · corrected 2022-09-08

    Potential for more than minimal harm

  45. FF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2022-08-24 · Health · corrected 2022-09-08

    Potential for more than minimal harm

  46. EF0809Ensure 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.2022-08-24 · Health · corrected 2022-09-08

    Potential for more than minimal harm

  47. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-08-24 · Health · corrected 2022-09-08

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
TUTERA, JOSEPHIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST20%2021-12-28
TUTERA INVESTMENTS, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST2021-12-28
WALNUT CREEK MANAGEMENT COMPANY LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2021-12-28
STANDISH, JAMESIndividualOPERATIONAL/MANAGERIAL CONTROL2021-12-28
BROOKS, KILEYIndividualCORPORATE OFFICER2021-12-28
GANNON, JEFFIndividualCORPORATE OFFICER2021-12-28

Other facilities in CRYSTAL LAKE

NameOverallBeds
PEARL OF CRYSTAL LAKE, THE★★★★★97
FAIR OAKS HEALTH CARE CENTER★★★★☆51

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.