Crystal Lake Rehabilitation and Care Center
999 South Main Street · Pascoag, RI · 02859 · 4015683091
71 certified beds For profit - Limited Liability company
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $29,328 in fines in the last 24 months.
- 3 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
5 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.58 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.92 | 0.55–0.75 |
| Weekend hours / resident-day | 3.10 | ≈ weekday level |
| Nursing turnover / year | 58% | median 45% |
| Fines (3-yr window) | 15 · $306,656 |
Inspection citations (60 in the current record)
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Potential for harm · E April 17, 2025
Ensure each resident receives an accurate assessment.
Corrected May 17, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D April 17, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 17, 2025 · Resident Assessment and Care Planning
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Potential for harm · E April 17, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 17, 2025 · Quality of Life and Care
-
Potential for harm · F April 17, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 17, 2025 · Nutrition and Dietary
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Potential for harm · F April 17, 2025
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.
Corrected May 17, 2025 · Administration
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No harm found · B April 17, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected May 17, 2025 · Resident Rights
-
Potential for harm · E November 6, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected November 20, 2024 · Resident Assessment and Care Planning
-
Potential for harm · E November 6, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected November 20, 2024 · Pharmacy Service
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Potential for harm · F November 6, 2024 · found via complaint
Employ staff that are licensed, certified, or registered in accordance with state laws.
Corrected November 20, 2024 · Administration
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Actual harm · G September 25, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected October 7, 2024 · Pharmacy Service
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Immediate jeopardy · J June 13, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 27, 2024 · Quality of Life and Care
-
Immediate jeopardy · K May 8, 2024
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected May 29, 2024 · Nutrition and Dietary
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Actual harm · H May 8, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 29, 2024 · Quality of Life and Care
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Potential for harm · D May 8, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 29, 2024 · Resident Rights
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Potential for harm · E May 8, 2024
Ensure each resident receives an accurate assessment.
Corrected May 29, 2024 · Resident Assessment and Care Planning
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Potential for harm · E May 8, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 29, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 8, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 29, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D May 8, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 29, 2024 · Quality of Life and Care
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Potential for harm · E May 8, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected May 29, 2024 · Quality of Life and Care
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Potential for harm · D May 8, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 29, 2024 · Quality of Life and Care
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Potential for harm · E May 8, 2024
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.
Corrected May 29, 2024 · Nursing and Physician Services
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Potential for harm · E May 8, 2024
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected May 29, 2024 · Quality of Life and Care
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Potential for harm · E May 8, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected May 29, 2024 · Pharmacy Service
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Potential for harm · E May 8, 2024
Ensure that residents are free from significant medication errors.
Corrected May 29, 2024 · Pharmacy Service
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Potential for harm · D May 8, 2024
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.
Corrected May 29, 2024 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 25, 2024 | Fine | $29,328 |
| June 13, 2024 | Fine | $27,213 |
| February 27, 2024 | Fine | $9,318 |
| February 27, 2024 | Fine | $10,845 |
| February 27, 2024 | Fine | $105,651 |
| February 27, 2024 | Payment Denial | 2 days |
| February 20, 2024 | Fine | $4,938 |
| February 12, 2024 | Fine | $4,938 |
| January 22, 2024 | Fine | $14,814 |
| January 8, 2024 | Fine | $4,938 |
| January 2, 2024 | Fine | $4,545 |
| December 11, 2023 | Fine | $13,762 |
| December 7, 2023 | Fine | $53,430 |
| December 7, 2023 | Payment Denial | 8 days |
| November 20, 2023 | Fine | $4,587 |
| November 13, 2023 | Fine | $4,587 |
| October 23, 2023 | Fine | $13,762 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 415099 · certified since September 1, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.