Crystal Lake Rehabilitation and Care Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 20 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- High staff turnover (67%)
- High RN turnover (75%)
Bottom 25% in RI · Meets national RN staffing standard · Above average staffing · $306,656 in fines
What this means for your family
Crystal Lake has a strong reputation for effective physical therapy and a clean, welcoming environment. However, given the recent report of a resident remaining in the same clothes for over 24 hours, I strongly advise you to conduct unannounced visits during your loved one's first week to ensure basic hygiene and comfort needs are being met.
Google Reviews
Google Reviews
20 reviews on Google“Crystal Lake Rehabilitation and Care Center receives high praise for its rehabilitation services and compassionate nursing staff, with many families noting a clean, home-like environment. However, recent reports indicate significant concerns regarding basic hygiene and neglect for new admissions, suggesting a potential decline in oversight. Families should weigh the strong clinical reputation against these recent, serious allegations of inadequate care.”
Quality Themes
Tap a score for detailsStrengths
- Highly effective physical and occupational therapy
- Clean and well-maintained facility
- Compassionate and attentive nursing staff
- Welcoming and supportive environment for families
Concerns
- Inadequate hygiene and basic care for new admissions
Rating Trends
Tap a year to see what changed
Distribution · 21 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1I've heard wonderful things about your physical and occupational therapy programs; how do you tailor these sessions to meet a resident's specific recovery goals?
- 2With the high staffing rating you've achieved, how do you ensure that the nursing team maintains that level of attentive care during busy shift changes?
- 3What specific protocols are in place to ensure that new residents receive consistent hygiene and basic care during their first few days of admission?
- 4How does the facility manage medical emergencies or sudden changes in a resident's condition during the overnight hours?
- 5Can you tell me more about the daily activities and social opportunities available to help residents stay engaged with the community?
- 6Since the facility is noted for being so clean and well-maintained, what is your routine for ensuring resident rooms and common areas stay pristine?
Personalized based on this facility's data
Key Review Excerpts
“My 86 year old Mom just completed rehab after a hip replacement. PT and OT were absolutely amazing!! As was all the rest of the staff!”
“My elderly auntie has been a resident at this facility for the last several months for long term care. I can’t be more pleased with the facility and the staff.”
“At the moment I am disgusted with this facility! A friend was admitted yesterday as, I believe a Hospice patient, my husband went to check on him today to make sure he is comfortable. Well, he was still in the clothes he had on yesterday afternoon, including his hat!!!!”
Staffing
Staffing Hours
per resident/day · Medicare 2026Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
7
measures
9
measures
1
measures
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents needing more daily help over time
Residents whose walking got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents who got a urinary tract infection
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has a concerning pattern of complaint-triggered deficiencies, with families filing 25 reports across surveys. The most recurring problems involve medication management, quality care standards, and resident safety hazards. While all deficiencies show correction dates, the persistence of similar issues across multiple surveys—particularly medication errors appearing repeatedly from 2023 through 2024—suggests ongoing systemic challenges that families should carefully evaluate.
Apr 17, 2025Routine8
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration Deficiencies
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Nov 6, 2024Complaint3
Administration Deficiencies
Employ staff that are licensed, certified, or registered in accordance with state laws.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Sep 25, 2024Complaint1
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Jun 13, 2024Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
May 8, 2024Routine28
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Nutrition and Dietary Deficiencies
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Emergency Preparedness Deficiencies
Establish emergency prep training and testing.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Apr 4, 2024Complaint3
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Federal Penalties
Fine
Sep 25, 2024
$29,328
Fine
Jun 13, 2024
$27,213
Fine
Feb 27, 2024
$105,651
Fine
Feb 27, 2024
$10,845
Payment Denial
Feb 27, 2024
2-day denial
Fine
Feb 27, 2024
$9,318
Fine
Feb 20, 2024
$4,938
Fine
Feb 12, 2024
$4,938
Fine
Jan 22, 2024
$14,814
Fine
Jan 8, 2024
$4,938
Fine
Jan 2, 2024
$4,545
Fine
Dec 11, 2023
$13,762
Fine
Dec 7, 2023
$53,430
Payment Denial
Dec 7, 2023
8-day denial
Fine
Nov 20, 2023
$4,587
Fine
Nov 13, 2023
$4,587
Fine
Oct 23, 2023
$13,762
Ownership & Operations
Who Operates This Facility
Crystal Lake Rehabilitation and Care Center
for profit
Ownership & Management
Owners
Fink, Boruch
Owner
Leifer, Joel
Owner
Oberlander, David
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
20 reviews from families & visitors
Official Website
Visit crystallakerehab.com
Medicare data downloads
Original nursing home datasets
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