Symphony Maple Crest
4452 Squaw Prairie Road · Belvidere, IL · 61008 · 8155476377
86 certified beds For profit - Limited Liability company Chain: Symphony Care Network
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $167,468 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
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
$167,468 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
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: 2 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.19 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.46 | 0.55–0.75 |
| Weekend hours / resident-day | 2.78 | ≈ weekday level |
| Nursing turnover / year | 46% | median 45% |
| Fines (3-yr window) | 3 · $177,667 |
Inspection citations (45 in the current record)
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Potential for harm · D March 26, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 2, 2026 · Infection Control
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Actual harm · G September 16, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 1, 2025 · Quality of Life and Care
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Potential for harm · D March 17, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 24, 2025 · Pharmacy Service
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Potential for harm · D November 20, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 11, 2024 · Resident Rights
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Potential for harm · D November 20, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 11, 2024 · Quality of Life and Care
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Potential for harm · D November 20, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected December 11, 2024 · Quality of Life and Care
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Potential for harm · D November 20, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected December 11, 2024 · Quality of Life and Care
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Potential for harm · D November 20, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 11, 2024 · Quality of Life and Care
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Potential for harm · F November 20, 2024
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected December 11, 2024 · Nursing and Physician Services
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Potential for harm · D November 20, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected December 11, 2024 · Pharmacy Service
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Potential for harm · E November 20, 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 December 11, 2024 · Pharmacy Service
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Potential for harm · E November 20, 2024
Provide and implement an infection prevention and control program.
Corrected December 11, 2024 · Infection Control
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Actual harm · G November 4, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 22, 2024 · Quality of Life and Care
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Immediate jeopardy · K October 2, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 14, 2024 · Quality of Life and Care
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Potential for harm · D July 10, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected July 26, 2024 · Quality of Life and Care
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Potential for harm · D July 10, 2024 · found via complaint
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 July 26, 2024 · Quality of Life and Care
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Potential for harm · D June 17, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 28, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 22, 2024 · found via complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected May 10, 2024 · Quality of Life and Care
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Potential for harm · F April 22, 2024 · found via complaint
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected May 10, 2024 · Nursing and Physician Services
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Potential for harm · D February 28, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 12, 2024 · Quality of Life and Care
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Potential for harm · D February 6, 2024 · found via complaint
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Corrected February 20, 2024 · Administration
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Potential for harm · D October 25, 2023
Keep residents' personal and medical records private and confidential.
Corrected November 3, 2023 · Resident Rights
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Potential for harm · D October 25, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected November 3, 2023 · Quality of Life and Care
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Potential for harm · D October 25, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 3, 2023 · Quality of Life and Care
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Potential for harm · D October 25, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected November 3, 2023 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 16, 2025 | Payment Denial | 36 days |
| November 4, 2024 | Fine | $39,683 |
| November 4, 2024 | Payment Denial | 12 days |
| October 2, 2024 | Fine | $127,785 |
| August 31, 2023 | Fine | $10,199 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 145990 · certified since February 1, 2000. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.