nursing home in Pascoag, RI

Crystal Lake Rehabilitation and Care Center

999 South Main Street, Pascoag, RI 02859 · (401) 568-3091

★★★★★1
Much below average
CMS overall star rating
  • Health inspections★★★★★1
  • Staffing★★★★★3
  • Quality measures★★★★★3

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Crystal Lake Rehabilitation and Care Center at a glance

Crystal Lake Rehabilitation and Care Center is a 71-bed for-profit nursing home in Pascoag, Rhode Island (Providence County).

CMS gives it 1 out of 5 stars on its overall star rating, worse than the Rhode Island average of 2.9.

Residents receive about 3.6 hours of nursing care per day (1 of them from registered nurses), close to the state average of 3.7 hours.

Its most recent standard health inspection (April 17, 2025) found 6 health citations. The Rhode Island average is 9.3.

Federal regulators fined it 15 times in the past three years, totaling $306,656.

Nursing staff turnover is 57.6% per year (state average 40.6%).

Facility details

Type
Nursing home
Ownership
For Profit - Limited Liability Company
Beds
71
Certified for
Medicare and Medicaid
Medicare-certified since
September 1, 1991
Resident/family council
Resident
County
Providence County
CMS Certification Number
415099

Ratings

MeasureThis facilityRhode Island avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)1 / 52.9 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)1 / 52.8 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)3 / 53.3 / 52.9 / 5Average
Quality measures rating ⓘ (higher is better)3 / 53.1 / 53.6 / 5Worse
Long-stay quality rating (higher is better)3 / 53 / 53.8 / 5Worse

Staffing

This facility3.58 hrsRhode Island average3.71 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Rhode Island and U.S. averages
MeasureThis facilityRhode Island avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.58 hrs3.71 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)1.04 hrs0.77 hrs0.69 hrsBetter
Nurse aide hours per resident per day (higher is better)2.23 hrs2.46 hrs2.32 hrsAverage
Weekend nurse staff hours per resident per day (higher is better)3.13 hrs3.34 hrs3.42 hrsWorse
Nursing staff turnover (yearly) (lower is better)57.6%40.6%45.8%Worse
Registered nurse turnover (yearly) (lower is better)57.1%37.9%42.9%Worse
Administrators who left in the past year (lower is better)101Worse

Inspections

This facility6Rhode Island average9U.S. average9
Health citations in the most recent inspection: this facility vs. Rhode Island and U.S. averages
MeasureThis facilityRhode Island avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)699Better
Citations from complaint investigations (latest cycle) (lower is better)033Better
Weighted health inspection score ⓘ (lower is better)229.811780.6Worse

Penalties

This facility15Rhode Island average2U.S. average1
Fines in the past 3 years: this facility vs. Rhode Island and U.S. averages
MeasureThis facilityRhode Island avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)1521Worse
Total fines in the past 3 years (lower is better)$306,656$60,948$30,972Worse
All federal penalties in the past 3 years (lower is better)1721Worse

Size

MeasureThis facilityRhode Island avg.U.S. avg.vs. U.S.
Certified beds71114107
Average residents per day459986
Occupancy63.5%87.8%80.9%

Long-stay residents

This facility1.2%Rhode Island average3.6%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Rhode Island and U.S. averages
MeasureThis facilityRhode Island avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)1.2%3.6%3.2%Better
Long-stay residents with pressure ulcers (lower is better)3.5%4.2%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)35.7%22.5%15.4%Worse
Long-stay residents with a urinary tract infection (lower is better)6.2%2.5%1.6%Worse
Long-stay residents with a catheter left in the bladder (lower is better)0.5%0.9%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)26.5%19.6%13.9%Worse
Long-stay residents whose walking worsened (lower is better)21.4%16.8%14.1%Worse
Long-stay residents who lose too much weight (lower is better)5.3%5.1%5.2%Average
Long-stay residents with depressive symptoms (lower is better)16.6%17.2%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)42.3%16.7%19.5%Worse
Long-stay residents with new or worse incontinence (lower is better)22.3%22.3%19%Worse
Long-stay residents given a flu vaccine (higher is better)97.8%95.2%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)97%94.1%93.6%Average

Short-stay residents

This facility3.8%Rhode Island average2%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Rhode Island and U.S. averages
MeasureThis facilityRhode Island avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)3.8%2%1.6%Worse
Short-stay residents given a flu vaccine (higher is better)76.3%78.2%79.8%Average
Short-stay residents given a pneumonia vaccine (higher is better)81.4%79%82%Average

Inspection citations

State inspectors cited this home for 59 health deficiencies and 9 fire safety deficiencies in the inspection records CMS currently publishes. 8 citations involved actual harm, including 5 rated "immediate jeopardy".

DateCitationSeverityStatus
April 17, 2025
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
F
Potential harm, widespread
Corrected May 16, 2025
April 17, 2025
Fire safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Miscellaneous Deficiencies · Tag K0761
F
Potential harm, widespread
Corrected May 16, 2025
April 17, 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 May 17, 2025
April 17, 2025
Standard
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.
Administration Deficiencies · Tag F0838
F
Potential harm, widespread
Corrected May 17, 2025
April 17, 2025
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
E
Potential harm, pattern
Corrected May 17, 2025
April 17, 2025
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
E
Potential harm, pattern
Corrected May 17, 2025
April 17, 2025
Standard
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
D
Potential harm, isolated
Corrected May 17, 2025
April 17, 2025
Standard
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Tag F0582
B
No harm, pattern
Corrected May 17, 2025
November 6, 2024
Complaint
Employ staff that are licensed, certified, or registered in accordance with state laws.
Administration Deficiencies · Tag F0839
F
Potential harm, widespread
Corrected November 20, 2024
November 6, 2024
Complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
E
Potential harm, pattern
Corrected November 20, 2024
November 6, 2024
Complaint
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
E
Potential harm, pattern
Corrected November 20, 2024
September 25, 2024
Complaint
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
G
Actual harm, isolated
Corrected October 7, 2024
June 13, 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
J
Immediate jeopardy, isolated
Corrected June 27, 2024
May 8, 2024
Fire safety
Establish emergency prep training and testing.
Emergency Preparedness Deficiencies · Tag E0036
F
Potential harm, widespread
Corrected May 29, 2024
May 8, 2024
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
F
Potential harm, widespread
Corrected May 29, 2024
May 8, 2024
Fire safety
Have restrictions on the use of portable space heaters.
Miscellaneous Deficiencies · Tag K0781
F
Potential harm, widespread
Corrected May 29, 2024
May 8, 2024
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected May 29, 2024
May 8, 2024
Fire safety
Have proper medical gas storage and administration areas.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923
F
Potential harm, widespread
Corrected May 29, 2024
May 8, 2024
Fire safety
Install an approved automatic sprinkler system.
Smoke Deficiencies · Tag K0351
F
Potential harm, widespread
Corrected May 29, 2024
May 8, 2024
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
K
Immediate jeopardy, pattern
Corrected May 29, 2024
May 8, 2024
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
H
Actual harm, pattern
Corrected May 29, 2024
May 8, 2024
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 May 29, 2024
May 8, 2024
Standard
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 29, 2024
May 8, 2024
Standard
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Tag F0881
F
Potential harm, widespread
Corrected May 29, 2024
May 8, 2024
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
F
Potential harm, widespread
Corrected May 29, 2024
May 8, 2024
Standard
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · Tag F0835
F
Potential harm, widespread
Corrected May 29, 2024
May 8, 2024
Standard
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.
Nutrition and Dietary Deficiencies · Tag F0809
F
Potential harm, widespread
Corrected May 29, 2024
May 8, 2024
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
E
Potential harm, pattern
Corrected May 29, 2024
May 8, 2024
Standard
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Tag F0759
E
Potential harm, pattern
Corrected May 29, 2024
May 8, 2024
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
E
Potential harm, pattern
Corrected May 29, 2024
May 8, 2024
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
E
Potential harm, pattern
Corrected May 29, 2024
May 8, 2024
Standard
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care Deficiencies · Tag F0740
E
Potential harm, pattern
Corrected May 29, 2024
May 8, 2024
Standard
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.
Nursing and Physician Services Deficiencies · Tag F0726
E
Potential harm, pattern
Corrected May 29, 2024
May 8, 2024
Standard
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
E
Potential harm, pattern
Corrected May 29, 2024
May 8, 2024
Standard
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected May 29, 2024
May 8, 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
D
Potential harm, isolated
Corrected May 29, 2024
May 8, 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 May 29, 2024
May 8, 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 May 29, 2024
May 8, 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 May 29, 2024
May 8, 2024
Standard
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
D
Potential harm, isolated
Corrected May 29, 2024
May 8, 2024
Standard
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights Deficiencies · Tag F0577
C
No harm, widespread
Corrected May 29, 2024
April 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
J
Immediate jeopardy, isolated
Corrected April 19, 2024
April 4, 2024
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
E
Potential harm, pattern
Corrected April 19, 2024
April 4, 2024
Complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
E
Potential harm, pattern
Corrected April 19, 2024
March 28, 2024
Complaint
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 May 29, 2024
March 22, 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
E
Potential harm, pattern
Corrected April 19, 2024
February 29, 2024
Complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · Tag F0835
F
Potential harm, widespread
Corrected March 19, 2024
February 29, 2024
Complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
E
Potential harm, pattern
Corrected March 19, 2024
February 29, 2024
Complaint
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Tag F0583
D
Potential harm, isolated
Corrected March 19, 2024
February 29, 2024
Complaint
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 March 19, 2024
February 27, 2024
Complaint
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Tag F0558
G
Actual harm, isolated
Corrected March 19, 2024
February 27, 2024
Complaint
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 March 19, 2024
February 27, 2024
Complaint
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights Deficiencies · Tag F0625
D
Potential harm, isolated
Corrected March 19, 2024
February 27, 2024
Complaint
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Resident Rights Deficiencies · Tag F0573
B
No harm, pattern
Corrected March 19, 2024
January 10, 2024
Complaint
Honor the resident's right to manage his or her financial affairs.
Resident Rights Deficiencies · Tag F0567
E
Potential harm, pattern
Corrected January 23, 2024
December 7, 2023
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
J
Immediate jeopardy, isolated
Corrected January 6, 2024
December 7, 2023
Complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care Deficiencies · Tag F0740
J
Immediate jeopardy, isolated
Corrected January 6, 2024
December 7, 2023
Complaint
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Tag F0679
E
Potential harm, pattern
Corrected January 6, 2024
December 7, 2023
Complaint
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Administration Deficiencies · Tag F0940
E
Potential harm, pattern
Corrected January 6, 2024
September 12, 2023
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
E
Potential harm, pattern
Corrected October 12, 2023
July 14, 2023
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
D
Potential harm, isolated
Corrected August 7, 2023
July 14, 2023
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
F
Potential harm, widespread
Corrected August 13, 2023
July 14, 2023
Standard
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
E
Potential harm, pattern
Corrected August 13, 2023
July 14, 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 August 13, 2023
July 14, 2023
Standard
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
D
Potential harm, isolated
Corrected August 13, 2023
July 14, 2023
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 August 13, 2023
July 14, 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 August 13, 2023
July 14, 2023
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected August 13, 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 17 federal penalties in the past three years, including $306,656 in fines.

DatePenaltyAmount / length
September 25, 2024Fine$29,328
June 13, 2024Fine$27,213
February 27, 2024Payment Denial2 days from May 27, 2024
February 27, 2024Fine$105,651
February 27, 2024Fine$10,845
February 27, 2024Fine$9,318
February 20, 2024Fine$4,938
February 12, 2024Fine$4,938
January 22, 2024Fine$14,814
January 8, 2024Fine$4,938
January 2, 2024Fine$4,545
December 11, 2023Fine$13,762
December 7, 2023Payment Denial8 days from December 29, 2023
December 7, 2023Fine$53,430
November 20, 2023Fine$4,587
November 13, 2023Fine$4,587
October 23, 2023Fine$13,762

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
FINK, BORUCH
Individual
5% or greater direct ownership interest5%04/01/2019
LEIFER, JOEL
Individual
5% or greater direct ownership interest48%04/01/2019
OBERLANDER, DAVID
Individual
5% or greater direct ownership interest48%04/01/2019
STERN, SAMUEL
Individual
corporate officerNOT APPLICABLE04/01/2019
HERMANN, EDWARD
Individual
w-2 managing employeeNOT APPLICABLE04/01/2019

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Frequently asked questions

What is Crystal Lake Rehabilitation and Care Center's rating?

Crystal Lake Rehabilitation and Care Center has 1 out of 5 stars on the CMS overall star rating. The average for Rhode Island nursing homes is 2.9 stars.

How many inspection citations did Crystal Lake Rehabilitation and Care Center receive?

Its most recent standard health inspection found 6 citations, compared with a Rhode Island average of 9.3. Every citation is listed on this page with its severity.

Does Crystal Lake Rehabilitation and Care Center 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 Crystal Lake Rehabilitation and Care Center?

It is for profit - limited liability company. The ownership section on this page lists the owners and managers reported to CMS.

Where is Crystal Lake Rehabilitation and Care Center and how do I contact it?

Crystal Lake Rehabilitation and Care Center is at 999 South Main Street, Pascoag, RI 02859. Phone: (401) 568-3091.

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.