Symphony Maple Crest

Nursing Home · Belvidere, IL

CMS overall rating 1/5 Abuse citation For profit - Limited Liability company

CMS certification number145990
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

4452 Squaw Prairie Road
Belvidere, IL 61008
Boone County
Phone
(815) 547-6377
ZIP code
61008 – all care providers

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Facility details

Certified beds
86
Residents per day
68.8 (80% occupied)
Ownership
For profit - Limited Liability company
Legal name
Symphony Maple Crest LLC
Chain
Symphony Care Network (7 facilities, avg 1.7★)
Medicare certified since
February 1, 2000
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 2.5
Health inspections★★★★★ 1/5
State avg 2.7
Staffing★★★★★ 1/5
State avg 2.1
Quality measures★★★★★ 4/5
State avg 3.0
Long-stay quality★★★★★ 5/5
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
2.85 (state 3.45 · U.S. 3.86)
Registered nurses (RN)
0.40 (state 0.72 · U.S. 0.69)
Licensed practical nurses
0.84 (state 0.64 · U.S. 0.86)
Nurse aides
1.61 (state 2.09 · U.S. 2.32)
Weekend total
2.57 (state 3.08 · U.S. 3.42)
Nursing staff turnover
53.4 (state 44.5 · U.S. 45.8)%
RN turnover
55.6 (state 41.8 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
September 25, 2025
Health deficiencies (last cycle)
12.0 (state 12.5 · U.S. 9.3)
From complaints
4
Citations on record (3 years)
43 health · 1 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-06-08 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
F0676 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-09
2026-05-26 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
K
Immediate jeopardy to resident health or safety
Corrected 2026-05-29
2026-03-26 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-04-02
2025-09-25 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies
G
Actual harm
Corrected 2025-10-03
2025-09-25 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 2025-10-04
2025-09-25 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-11-15
2025-09-25 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-10-06
2025-09-25 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 2025-10-02
2025-09-25 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 2025-10-03
2025-09-25 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 2025-10-01
2025-09-25 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 2025-10-01
2025-09-25 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 2025-11-15
2025-09-16 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2025-10-01
2025-03-17 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-24
2024-11-20 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2024-12-11
2024-11-20 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.
F0761 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-12-11
2024-11-20 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-12-11
2024-11-20 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 2024-12-11
2024-11-20 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-11
2024-11-20 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 2024-12-11
2024-11-20 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 2024-12-11
2024-11-20 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-11
2024-11-20 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 2024-12-11
2024-11-04 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 2024-11-22
2024-10-02 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
K
Immediate jeopardy to resident health or safety
Corrected 2024-10-14
2024-07-10 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-07-26
2024-07-10 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 2024-07-26
2024-06-17 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 2024-06-28
2024-04-22 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
F0947 · Nursing and Physician Services Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2024-05-10
2024-04-22 Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
F0744 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-10
2024-02-28 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-12
2024-02-06 Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
F0776 · Administration Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-02-20
2023-10-25 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 2023-11-03
2023-10-25 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 2023-11-03
2023-10-25 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
E
No actual harm, potential for more than minimal harm
Corrected 2023-11-03
2023-10-25 Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-11-03
2023-10-25 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-11-03
2023-10-25 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 2023-11-03
2023-10-25 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 2023-11-03
2023-10-25 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
D
No actual harm, potential for more than minimal harm
Corrected 2023-11-03
2023-10-25 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 2023-11-03
2023-10-25 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-11-03
2023-08-31 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
J
Immediate jeopardy to resident health or safety
Corrected 2023-09-01

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

7 penalties in the last three years, including $409,524 in fines.

DateTypeAmount
2026-05-26Fine$195,340
2025-09-16Payment Denial36 days payment denial
2025-09-16Fine$36,517
2024-11-04Payment Denial12 days payment denial
2024-11-04Fine$39,683
2024-10-02Fine$127,785
2023-08-31Fine$10,199

Ownership & management

NameRoleSince
Symphony Healthcare LLC (organization)5%+ Direct Ownership Interest · 99%
Hartman, Debra (individual)5%+ Indirect Ownership Interest
Symag Holdings LLC (organization)5%+ Indirect Ownership Interest
Symphony ML LLC (organization)5%+ Indirect Ownership Interest
Symphony Monarch Holdings, LLC (organization)5%+ Indirect Ownership Interest
Willow Delta Trust (organization)5%+ Indirect Ownership Interest
Midcap Funding IV Trust (organization)5%+ Security Interest · NOT APPLICABLE
McAfee, John (individual)W-2 Managing Employee · NOT APPLICABLE
Woods, Renee (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Symphony Maple Crest?

Symphony Maple Crest 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 Symphony Maple Crest have?

It has 86 certified beds and cares for about 69 residents per day.

Has Symphony Maple Crest been fined?

Yes. CMS lists 7 penalties totaling $409,524 in the last three years.

Who owns Symphony Maple Crest?

It is part of Symphony Care Network and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Symphony Maple Crest?

(815) 547-6377. The facility is located at 4452 Squaw Prairie Road, Belvidere, IL 61008.

Other nursing homes in Belvidere

Compare all nursing homes in Belvidere, IL →

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