Crystal Pines Rehab & HCC

Nursing Home · Crystal Lake, IL

CMS overall rating 1/5 Abuse citation For profit - Corporation

CMS certification number145257
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

335 North Illinois Avenue
Crystal Lake, IL 60014
Mc Henry County
Phone
(815) 459-7791
ZIP code
60014 – all care providers

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Facility details

Certified beds
110
Residents per day
82.6 (75% occupied)
Ownership
For profit - Corporation
Legal name
Crystal Pines Rehabilitation and Health Care Center, LLC
Chain
Tutera Senior Living & Health Care (25 facilities, avg 2.0★)
Medicare certified since
November 1, 1973
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 2.5
Health inspections★★★★★ 2/5
State avg 2.7
Staffing★★★★★ 1/5
State avg 2.1
Quality measures★★★★★ 2/5
State avg 3.0
Long-stay quality★★★★★ 2/5
Short-stay quality★★★★★ 2/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.15 (state 3.45 · U.S. 3.86)
Registered nurses (RN)
0.83 (state 0.72 · U.S. 0.69)
Licensed practical nurses
0.45 (state 0.64 · U.S. 0.86)
Nurse aides
1.87 (state 2.09 · U.S. 2.32)
Weekend total
2.98 (state 3.08 · U.S. 3.42)
Nursing staff turnover
55.7 (state 44.5 · U.S. 45.8)%
RN turnover
47.1 (state 41.8 · U.S. 42.9)%
Administrators who left
2 in the last year

Inspections

Last standard inspection
June 5, 2024
Health deficiencies (last cycle)
18.0 (state 12.5 · U.S. 9.3)
From complaints
7
Citations on record (3 years)
48 health · 32 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-06-11 Protect each resident from the wrongful use of the resident's belongings or money.
F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-10
2026-05-06 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.
F0693 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2026-05-29
2026-04-20 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Past Non-Compliance
2025-12-03 Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
F0557 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-12-31
2025-11-21 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-12-15
2025-10-14 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2025-11-03
2025-08-20 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-08-29
2025-04-29 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-16
2025-04-15 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.
F0801 · Nutrition and Dietary Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2025-05-02
2025-04-15 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.
F0803 · Nutrition and Dietary Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2025-05-02
2025-04-15 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2025-06-07
2025-02-24 Protect each resident from the wrongful use of the resident's belongings or money.
F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-10
2025-01-08 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-01-16
2025-01-08 Protect each resident from the wrongful use of the resident's belongings or money.
F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-01-16
2024-12-11 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-01-28
2024-11-27 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-16
2024-11-14 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2024-11-11
2024-11-14 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-16
2024-07-18 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-08-05
2024-06-05 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
G
Actual harm
Corrected 2024-06-25
2024-06-05 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-06-25
2024-06-05 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-06-05
2024-06-05 Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
F0805 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-06-25
2024-06-05 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-25
2024-06-05 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-25
2024-06-05 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.
F0688 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-25
2024-06-05 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-25
2024-06-05 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.
F0693 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-25
2024-06-05 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-05
2024-06-05 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-25
2024-03-26 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-09
2023-07-19 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
G
Actual harm
Corrected 2023-08-02
2023-07-19 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies
G
Actual harm
Corrected 2023-08-02
2023-07-19 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.
F0801 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2023-08-02
2023-07-19 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.
F0803 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2023-08-02
2023-07-19 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2023-08-02
2023-07-19 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2023-08-02
2023-07-19 Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
F0800 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-08-02
2023-07-19 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.
F0584 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-08-02
2023-07-19 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-08-02
2022-08-24 Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
F0802 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2022-09-08
2022-08-24 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2022-09-08
2022-08-24 Ensure 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.
F0809 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-09-08
2022-08-24 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-09-08
2022-08-24 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-09-08
2022-08-24 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-09-08
2022-08-24 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-09-08
2022-08-24 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-09-08

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

5 penalties in the last three years, including $130,776 in fines.

DateTypeAmount
2026-05-06Fine$83,990
2026-04-20Fine$15,935
2024-11-14Fine$16,801
2024-06-05Payment Denial31 days payment denial
2024-06-05Fine$14,050

Ownership & management

NameRoleSince
Bloom, Randall (individual)Administrator · NOT APPLICABLE
Brooks, Kiley (individual)Administrator · NOT APPLICABLE
Elmahboub, Asim (individual)Administrator · NOT APPLICABLE
Fraase, Jennifer (individual)Administrator · NOT APPLICABLE
Morton, Scott (individual)Administrator · NOT APPLICABLE
Ti-Crystal Lake, LLC (organization)Administrator · NOT APPLICABLE
Tutera, Joseph (individual)Administrator · NOT APPLICABLE
Walnut Creek Management Company LLC (organization)Administrator · NOT APPLICABLE
Bloom, Randall (individual)Corporate Officer · NOT APPLICABLE
Brooks, Kiley (individual)Corporate Officer · NOT APPLICABLE
JCT Investments, LLC (organization)Direct Ownership Interest · NOT APPLICABLE
Tutera Investments, LLC (organization)Direct Ownership Interest · NOT APPLICABLE
Joseph Charles Tutera 2013 Family Irrevociable Trust Agreement (organization)Indirect Ownership Interest · NOT APPLICABLE
Marian Olander Tutera 2020 Mrtl TR (organization)Indirect Ownership Interest · NOT APPLICABLE
Tutera, Joseph (individual)Indirect Ownership Interest · NOT APPLICABLE
Tutera, Marian (individual)Indirect Ownership Interest · NOT APPLICABLE
Flanagan, Michael (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Bloom, Randall (individual)Operational/managerial Control · NOT APPLICABLE
Brooks, Kiley (individual)Operational/managerial Control · NOT APPLICABLE
Elmahboub, Asim (individual)Operational/managerial Control · NOT APPLICABLE
Morton, Scott (individual)Operational/managerial Control · NOT APPLICABLE
Tutera, Joseph (individual)Operational/managerial Control · NOT APPLICABLE
Walnut Creek Management Company LLC (organization)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Crystal Pines Rehab & HCC?

Crystal Pines Rehab & HCC has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.5-star average in Illinois.

How many beds does Crystal Pines Rehab & HCC have?

It has 110 certified beds and cares for about 83 residents per day.

Has Crystal Pines Rehab & HCC been fined?

Yes. CMS lists 5 penalties totaling $130,776 in the last three years.

Who owns Crystal Pines Rehab & HCC?

It is part of Tutera Senior Living & Health Care and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Crystal Pines Rehab & HCC?

(815) 459-7791. The facility is located at 335 North Illinois Avenue, Crystal Lake, IL 60014.

Other nursing homes in Crystal Lake

Compare all nursing homes in Crystal Lake, IL →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.