See every facility — official ratings, family reviews, no referral fees.
Nursing HomeMedicaid Investigative

Crystal Lake Rehabilitation and Care Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

999 South Main Street, Pascoag · Pascoag, RI 0285971 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.7/5

based on 20 Google reviews

5
4
3
2
1
Crystal Lake Rehabilitation and Care Center Nursing Home in Pascoag, RI — Street View
Street View

Watch Crystal Lake Rehabilitation and Care Center

Get an email when new inspections, ratings, or penalties are published for this facility.

We’ll only email you about this — no spam, unsubscribe anytime.

4/ 10
moderate Risk

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

Source: Medicare data

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 details
FoodN/AStaff8.0Clean9.0Activities10.0MedsN/AMemoryN/AComms8.0ValueN/A

Strengths

  • 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

2345.02017(1)5.02020(3)5.02021(3)5.02023(3)5.02024(1)4.42025(7)2.72026(3)

Distribution · 21 analyzed

5
18
4
0
3
0
2
1
1
2

How They Respond to Reviews

0%response rate

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!

Rehab patient's family · 2025★★★★★

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.

Long-term resident's family · 2025★★★★★

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!!!!

Friend of resident · 2025☆☆☆☆
Source: 20 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.92hrs
OK
Registered nurses for medical care
Total Nursing
3.58hrs
87%
All nurses + aides combined
Staff Turnover
58%
Lower is better (< 30% = good)
RN Turnover
57%
Lower is better (< 30% = good)

Total 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

Medicare Rating
2/ 5
Better Than Avg

7

measures

Worse Than Avg

9

measures

Mixed Results

1

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility39.5%
Worse than Avg
Here
39.5%
US
15.5%
RI
22.8%
Providence
23.6%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility37.9%
Worse than Avg
Here
37.9%
US
19.5%
RI
16.7%
Providence
16.3%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility23.9%
Worse than Avg
Here
23.9%
US
14.4%
RI
19.7%
Providence
18.1%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility24.2%
Worse than Avg
Here
24.2%
US
15.3%
RI
17.7%
Providence
16.2%
😔

Residents with depression symptoms

↓ Lower is better
This Facility8.8%
Better than Avg
Here
8.8%
US
12.1%
RI
15.7%
Providence
12.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🦠

Residents who got a urinary tract infection

↓ Lower is better
This Facility6.0%
Worse than Avg
Here
6.0%
US
1.6%
RI
2.3%
Providence
2.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility69.6%
Worse than Avg
Here
69.6%
US
81.8%
RI
77.9%
Providence
75.7%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility76.3%
Worse than Avg
Here
76.3%
US
79.8%
RI
78.2%
Providence
78.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility4.8%
Worse than Avg
Here
4.8%
US
1.6%
RI
2.0%
Providence
1.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies
17penalties
Near state avg (8.7)
25 complaint-triggered
$306,656 in fines

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, 2025Routine
8
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0838Potential for harm · WidespreadCorrected

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.

0211Potential for harm · WidespreadCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0641Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0582Minimal · PatternCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Nov 6, 2024Complaint
3
0839Potential for harm · WidespreadCorrected

Administration Deficiencies

Employ staff that are licensed, certified, or registered in accordance with state laws.

0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0760Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Sep 25, 2024Complaint
1
0760Actual harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Jun 13, 2024Complaint
1
0689Immediate jeopardy · IsolatedCorrected

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, 2024Routine
28
0805Immediate jeopardy · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

0684Actual harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0809Potential for harm · WidespreadCorrected

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.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0835Potential for harm · WidespreadCorrected

Administration Deficiencies

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0881Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0947Potential for harm · WidespreadCorrected

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.

0036Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish emergency prep training and testing.

0351Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0781Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0923Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0641Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656Potential for harm · PatternCorrected

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.

0690Potential for harm · PatternCorrected

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.

0726Potential for harm · PatternCorrected

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.

0740Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0760Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0761Potential for harm · IsolatedCorrected

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.

0842Potential for harm · IsolatedCorrected

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.

0577Minimal · WidespreadCorrected

Resident Rights Deficiencies

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Apr 4, 2024Complaint
3
0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0676Potential for harm · PatternCorrected

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

Owner / Operator

Crystal Lake Rehabilitation and Care Center

Organization Type

for profit

Ownership & Management

Owners

Fink, Boruch

Owner

5%

Leifer, Joel

Owner

48%

Oberlander, David

Owner

48%

Key personnel

Hermann, EdwardW-2 Managing EmployeeStern, SamuelOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

Call