nursing home in Belvidere, IL
The Sapphire at Maple Crest
4452 Squaw Prairie Road, Belvidere, IL 61008 · (815) 547-6377
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★1
- Quality measures★★★★★4
- Abuse citation
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
The Sapphire at Maple Crest at a glance
The Sapphire at Maple Crest is a 86-bed for-profit nursing home in Belvidere, Illinois (Boone County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Illinois average of 2.5.
Residents receive about 2.8 hours of nursing care per day (0.4 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (September 25, 2025) found 14 health citations. The Illinois average is 12.5.
Federal regulators fined it 4 times in the past three years, totaling $399,325.
Nursing staff turnover is 53.4% per year (state average 44.5%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 86
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Symphony Care Network
- Medicare-certified since
- February 1, 2000
- Resident/family council
- Resident
- County
- Boone County
- CMS Certification Number
- 145990
Ratings
| Measure | This facility | Illinois avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.5 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 2.1 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 5 / 5 | 3.4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 2 / 5 | 2.5 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Illinois avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.85 hrs | 3.45 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.40 hrs | 0.72 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.61 hrs | 2.09 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.57 hrs | 3.07 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 53.4% | 44.5% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 55.6% | 41.8% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Illinois avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 14 | 12 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 6 | 5 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 332.8 | 143 | 80.6 | Worse |
Penalties
| Measure | This facility | Illinois avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 4 | 2 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $399,325 | $111,013 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 6 | 3 | 1 | Worse |
Size
| Measure | This facility | Illinois avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 86 | 128 | 107 | |
| Average residents per day | 69 | 95 | 86 | |
| Occupancy | 80% | 75% | 80.9% |
Long-stay residents
| Measure | This facility | Illinois avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 0.9% | 3.1% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 4.3% | 4.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 15.6% | 21.7% | 15.4% | Average |
| Long-stay residents with a urinary tract infection (lower is better) | 1.7% | 1.5% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.9% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 3.8% | 13.4% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 9.9% | 14.3% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 15.4% | 6.3% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 15.3% | 54.2% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 26.4% | 18.3% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 26.3% | 20.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 80.7% | 91.8% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 83.9% | 90.3% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Illinois avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 2.5% | 2.2% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 43% | 63.1% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 59.6% | 69.7% | 82% | Worse |
Inspection citations
State inspectors cited this home for 44 health deficiencies and 1 fire safety deficiency in the inspection records CMS currently publishes. 5 citations involved actual harm, including 2 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 16, 2026 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected July 24, 2026 |
| July 16, 2026 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected July 24, 2026 |
| June 8, 2026 Complaint | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Tag F0676 | D Potential harm, isolated | Corrected June 9, 2026 |
| May 26, 2026 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | K Immediate jeopardy, pattern | Corrected May 29, 2026 |
| March 26, 2026 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected April 2, 2026 |
| September 25, 2025 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | G Actual harm, isolated | Corrected October 3, 2025 |
| September 25, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected October 4, 2025 |
| September 25, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected November 15, 2025 |
| September 25, 2025 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | E Potential harm, pattern | Corrected October 6, 2025 |
| September 25, 2025 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected November 15, 2025 |
| September 25, 2025 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected October 1, 2025 |
| September 25, 2025 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected October 1, 2025 |
| September 25, 2025 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected October 3, 2025 |
| September 25, 2025 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected October 2, 2025 |
| September 16, 2025 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected October 1, 2025 |
| March 17, 2025 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected March 24, 2025 |
| November 20, 2024 Standard | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | F Potential harm, widespread | Corrected December 11, 2024 |
| November 20, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected December 11, 2024 |
| November 20, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected December 11, 2024 |
| November 20, 2024 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected December 11, 2024 |
| November 20, 2024 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected December 11, 2024 |
| November 20, 2024 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected December 11, 2024 |
| November 20, 2024 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected December 11, 2024 |
| November 20, 2024 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected December 11, 2024 |
| November 20, 2024 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected December 11, 2024 |
| November 4, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected November 22, 2024 |
| October 2, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | K Immediate jeopardy, pattern | Corrected October 14, 2024 |
| July 10, 2024 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. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected July 26, 2024 |
| July 10, 2024 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected July 26, 2024 |
| June 17, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected June 28, 2024 |
| April 22, 2024 Complaint | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Tag F0947 | F Potential harm, widespread | Corrected May 10, 2024 |
| April 22, 2024 Complaint | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Tag F0744 | D Potential harm, isolated | Corrected May 10, 2024 |
| February 28, 2024 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected March 12, 2024 |
| February 6, 2024 Complaint | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. Administration Deficiencies · Tag F0776 | D Potential harm, isolated | Corrected February 20, 2024 |
| October 25, 2023 Fire safety | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Tag E0026 | F Potential harm, widespread | Corrected December 8, 2023 |
| October 25, 2023 Standard | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Tag F0805 | E Potential harm, pattern | Corrected November 3, 2023 |
| October 25, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected November 3, 2023 |
| October 25, 2023 Standard | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Nutrition and Dietary Deficiencies · Tag F0800 | E Potential harm, pattern | Corrected November 3, 2023 |
| October 25, 2023 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected November 3, 2023 |
| October 25, 2023 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected November 3, 2023 |
| October 25, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected November 3, 2023 |
| October 25, 2023 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected November 3, 2023 |
| October 25, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected November 3, 2023 |
| October 25, 2023 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected November 3, 2023 |
| October 25, 2023 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected November 3, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 6 federal penalties in the past three years, including $399,325 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| May 26, 2026 | Fine | $195,340 |
| September 16, 2025 | Payment Denial | 36 days from October 10, 2025 |
| September 16, 2025 | Fine | $36,517 |
| November 4, 2024 | Payment Denial | 12 days from November 29, 2024 |
| November 4, 2024 | Fine | $39,683 |
| October 2, 2024 | Fine | $127,785 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| SYMPHONY HEALTHCARE LLC Organization | 5% or greater direct ownership interest | 99% | 11/22/2011 |
| HARTMAN, DEBRA Individual | 5% or greater indirect ownership interest | — | 11/22/2011 |
| SYMAG HOLDINGS LLC Organization | 5% or greater indirect ownership interest | — | 11/22/2011 |
| SYMPHONY ML LLC Organization | 5% or greater indirect ownership interest | — | 11/22/2011 |
| SYMPHONY MONARCH HOLDINGS, LLC Organization | 5% or greater indirect ownership interest | — | 11/22/2011 |
| WILLOW DELTA TRUST Organization | 5% or greater indirect ownership interest | — | 01/01/2019 |
| MIDCAP FUNDING IV TRUST Organization | 5% or greater security interest | NOT APPLICABLE | 08/21/2018 |
| MCAFEE, JOHN Individual | w-2 managing employee | NOT APPLICABLE | 01/01/2017 |
| WOODS, RENEE Individual | w-2 managing employee | NOT APPLICABLE | 01/01/2017 |
Other nursing homes near The Sapphire at Maple Crest
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Frequently asked questions
What is The Sapphire at Maple Crest's rating?
The Sapphire at Maple Crest has 1 out of 5 stars on the CMS overall star rating. The average for Illinois nursing homes is 2.5 stars.
How many inspection citations did The Sapphire at Maple Crest receive?
Its most recent standard health inspection found 14 citations, compared with a Illinois average of 12.5. Every citation is listed on this page with its severity.
Does The Sapphire at Maple Crest accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns The Sapphire at Maple Crest?
It is for profit - limited liability company and part of Symphony Care Network. The ownership section on this page lists the owners and managers reported to CMS.
Where is The Sapphire at Maple Crest and how do I contact it?
The Sapphire at Maple Crest is at 4452 Squaw Prairie Road, Belvidere, IL 61008. Phone: (815) 547-6377.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.