Nursing HomeMedicaid Investigative

Crystal Pines Rehab & Hcc

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

335 North Illinois Avenue, Crystal Lake, IL 60014|110 beds|Licensed & Active

1/5

Medicare

Inspection

Quality

Staffing

Google rating

4.2/5

based on 88 Google reviews

(815) 459-7791 Directions Website

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6/ 10

high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

Abuse citation on record
Low overall rating (1/5 stars)
Low staffing rating (1/5 stars)
Above-median deficiencies (19 vs median 11.0)

Bottom 25% in IL · Meets national RN staffing standard · Worst in TUTERA SENIOR LIVING & HEALTH CARE chain · $52,795 in fines · Abuse citation

Source: Medicare data

What this means for your family

Crystal Pines offers a strong activity program and effective rehab services, which many families appreciate. However, you should be aware of consistent reports regarding understaffing and poor food quality. We recommend visiting during off-hours to observe staff response times and asking specifically about their medication management protocols.

Google Reviews

88 reviews on Google

“Crystal Pines receives polarized feedback, with many reviewers praising the dedicated nursing staff, effective rehabilitation therapy, and engaging activities department. However, significant concerns persist regarding chronic understaffing, slow call-light response times, and poor food quality. Families should be aware that while many report a warm and caring environment, others have experienced serious lapses in communication and basic care standards.”

Quality Themes

Tap a score for details

Strengths

Engaging and active social programs
Effective rehabilitation therapy team
Compassionate and dedicated nursing staff
Clean and well-maintained facility environment

Concerns

Chronic understaffing leading to slow response times (mentioned by 4 reviewers)
Consistently poor or cold food quality (mentioned by 5 reviewers)
Difficulty communicating with administration or medical records (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

Distribution · 91 analyzed

⚡10 reviews posted between Jul 22, 2025 – Jul 26, 2025 · 9 were 5-star

How They Respond to Reviews

100%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

1I noticed your team is very active in responding to online feedback; how do you use that family input to improve the daily experience for residents?
2With the current rehabilitation team being a highlight, how do you coordinate their therapy schedules with the nursing staff to ensure residents get the most out of their sessions?
3I see that social programming is a core strength here; could you walk me through what a typical afternoon looks like for a resident who enjoys staying active?
4Sometimes families worry about response times; what is your current protocol for ensuring residents receive timely assistance when they press their call lights?
5I understand dining is an area you are working to improve; what steps are you taking to ensure that meals are served at the right temperature and meet the nutritional preferences of the residents?
6Given the importance of medication management, could you explain the oversight process you have in place to ensure accuracy and consistency for each resident?

Personalized based on this facility's data

Key Review Excerpts

“Being understaffed is a huge issue. It sometimes took over an hour to respond to the call. The food is atrocious.”

Rehab patient · 2026★★★★☆

“My elderly mother was there for a couple of weeks (in rehab). Staff were attentive and friendly. I was impressed with the social worker, nurses and therapists. Food was hit or miss with many times being served cold instead of warm.”

Rehab patient's family · 2022★★★★☆

“As far as medicaid nursing homes go, they are the best! Please ignore all the 1 star reviews. They are from several years ago, and no way reflect the care that my dad receives.”

Long-term resident's family · 2020★★★★★

Source: 88 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.78hrs

Registered nurses for medical care

Total Nursing

3.15hrs

77%

All nurses + aides combined

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

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating

2/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

😔

Residents with depression symptoms

↓ Lower is better

This Facility17.9%

Mixed vs Avgs

Here

17.9%

12.1%

52.5%

Mc henry

33.1%

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

🚶

Residents whose walking got worse

↓ Lower is better

This Facility29.1%

Worse than Avg

Here

29.1%

15.3%

15.9%

Mc henry

8.7%

🛏️

Residents needing more daily help over time

↓ Lower is better

This Facility22.3%

Worse than Avg

Here

22.3%

14.4%

14.2%

Mc henry

11.4%

💉

Residents vaccinated for pneumonia

↑ Higher is better

This Facility99.6%

Better than Avg

Here

99.6%

93.4%

90.0%

Mc henry

95.8%

💉

Residents vaccinated for the flu

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

95.5%

91.8%

Mc henry

96.4%

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility27.3%

Worse than Avg

Here

27.3%

19.4%

21.1%

Mc henry

21.5%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility56.7%

Worse than Avg

Here

56.7%

79.7%

63.1%

Mc henry

77.3%

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility80.7%

Mixed vs Avgs

Here

80.7%

81.8%

69.0%

Mc henry

83.9%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility1.6%

Better than Avg

Here

1.6%

2.4%

Mc henry

1.8%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

15deficiencies

4penalties

Above state avg (12.0)

17 complaint-triggered

$52,795 in fines

This facility has concerning patterns with families filing complaints about abuse and neglect, accident hazards, wound care, and resident dignity issues. The most recurring problems involve accident prevention and safety hazards, nutrition and dietary services, and fire safety systems. While the facility addresses deficiencies when cited, the high complaint rate (19 out of 80 deficiencies) and repeated issues with protecting residents from harm suggest ongoing operational challenges that families should carefully consider.

Dec 3, 2025Complaint1 finding

0557Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Nov 21, 2025Complaint1 finding

0689Potential for harm · 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.

Oct 14, 2025Complaint1 finding

0689Actual harm · 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.

Aug 20, 2025Complaint1 finding

0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Apr 29, 2025Complaint1 finding

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Apr 15, 2025Complaint3 findings

0801Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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.

0803Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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.

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.

Federal Penalties

Fine

Nov 14, 2024

$16,801

Fine

Jun 5, 2024

$14,050

Payment Denial

Jun 5, 2024

31-day denial

Fine

Jul 19, 2023

$21,944

Ownership & Operations

Who Operates This Facility

Owner / Operator

Crystal Pines Rehab & Hcc

Organization Type

for profit

Chain Affiliation

Chain Name

Tutera Senior Living & Health Care

Chain Size

26 facilities nationwide

Chain avg rating: 2.2/5 · Rank 24 of 25 (Worst)

Ownership & Management

Key personnel

Brooks, KileyOfficer / DirectorGannon, JeffOfficer / DirectorWalnut Creek Management Company LLCManagerStandish, JamesManager

Source: Medicare provider data

Contact

Get in Touch

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

(815) 459-7791

tutera.com

335 North Illinois Avenue

Crystal Lake, IL 60014

Get Directions View on Google Maps

References & Resources

Medicare Care Compare

Official Medicare quality ratings, inspections & staffing data

Google Maps

Photos, directions & neighborhood info

Google Reviews

88 reviews from families & visitors

Official Website

Visit tutera.com

Medicare data downloads

Original nursing home datasets

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.

Fair Oaks Health Care Center

1.4 mi

Nursing Home · Crystal Lake, IL

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Pearl of Crystal Lake, the

2.0 mi

Nursing Home · Crystal Lake, IL

★4.0(95)Medicare 5/597 bedsMedicaid

Ignite Medical Mchenry

5.1 mi

Nursing Home · Mchenry, IL

★4.7(452)Medicare 4/584 bedsMedicaid