Crystal Lake Rehabilitation and Care Center

Providence · RI · For profit - Limited Liability company · 71 certified beds · CCN 415099 · CL OPERATING LLC


Crystal Lake Rehabilitation and Care Center operates 71 certified beds in Pascoag, Rhode Island. Its Medicare and Medicaid certification dates to 1991-09-01. It averages 45.1 residents a day.

What harm was found in the violations cited at Crystal Lake Rehabilitation and Care Center?

CMS lists 60 health-inspection deficiencies for Crystal Lake Rehabilitation and Care Center since 2023-07-14, 53 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2025-04-17.

Survey dateTagDeficiencySeverity
2025-04-17F0812, F0838Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / 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.F
2025-04-17F0641, F0684Ensure each resident receives an accurate assessment. / Provide appropriate treatment and care according to orders, resident’s preferences and goals.E
2025-04-17F0658Ensure services provided by the nursing facility meet professional standards of quality.D
2025-04-17F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.B
2024-11-06F0839Employ staff that are licensed, certified, or registered in accordance with state laws.F
2024-11-06F0658, F0760Ensure services provided by the nursing facility meet professional standards of quality. / Ensure that residents are free from significant medication errors.E
2024-09-25F0760Ensure that residents are free from significant medication errors.G
2024-06-13F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2024-05-08F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.K
2024-05-08F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.H
2024-05-08F0809, F0812, F0835, F0880, F0881, F0947Ensure 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. / Provide and implement an infection prevention and control program. / Implement a program that monitors antibiotic use. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.F
2024-05-08F0641, F0656, F0690, F0726, F0740, F0759, F0760Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / 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. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / Ensure medication error rates are not 5 percent or greater. / Ensure that residents are free from significant medication errors.E
2024-05-08F0550, F0658, F0686, F0695, F0761, F0842Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide safe and appropriate respiratory care for a resident when needed. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2024-05-08F0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.C
2024-04-04F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2024-04-04F0550, F0676Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.E
2024-03-28F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2024-03-22F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.E
2024-02-29F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.F
2024-02-29F0658Ensure services provided by the nursing facility meet professional standards of quality.E
2024-02-29F0550, F0583Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Keep residents' personal and medical records private and confidential.D
2024-02-27F0558Reasonably accommodate the needs and preferences of each resident.G
2024-02-27F0625, F0684Notify 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. / Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2024-02-27F0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.B
2024-01-10F0567Honor the resident's right to manage his or her financial affairs.E
2023-12-07F0600, F0740Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services.J
2023-12-07F0679, F0940Provide activities to meet all resident's needs. / Develop, implement, and/or maintain an effective training program for all new and existing staff members.E
2023-09-12F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.E
2023-08-16F0760Ensure that residents are free from significant medication errors.E
2023-07-14F0761Ensure 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.F
2023-07-14F0760Ensure that residents are free from significant medication errors.E
2023-07-14F0550, F0658, F0684, F0689, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide and implement an infection prevention and control program.D

Why was Crystal Lake Rehabilitation and Care Center fined 15 times?

DateTypeAmount
2024-09-25Fine$29,328
2024-06-13Fine$27,213
2024-02-27Fine$105,651
2024-02-27Fine$10,845
2024-02-27Fine$9,318
2024-02-20Fine$4,938
2024-02-12Fine$4,938
2024-01-22Fine$14,814
2024-01-08Fine$4,938
2024-01-02Fine$4,545
2023-12-11Fine$13,762
2023-12-07Fine$53,430
2023-11-20Fine$4,587
2023-11-13Fine$4,587
2023-10-23Fine$13,762

Has Crystal Lake Rehabilitation and Care Center had payment denied by Medicare more than once?

Payment denial startLength in days
2024-05-272
2023-12-298

How is Crystal Lake Rehabilitation and Care Center staffed relative to the RI average?

MeasureThis facilityRI average
Total nurse staffing hours per resident per day3.582133.71423
Total nursing staff turnover (%)57.640.6
Average number of residents per day45.198.3

Who owns Crystal Lake Rehabilitation and Care Center?

Crystal Lake Rehabilitation and Care Center is registered with CMS as For profit - Limited Liability company, operates under the legal business name CL OPERATING LLC.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTFINK, BORUCH, LEIFER, JOEL, OBERLANDER, DAVIDsince 04/01/2019
W-2 MANAGING EMPLOYEEHERMANN, EDWARDsince 04/01/2019
CORPORATE OFFICERSTERN, SAMUELsince 04/01/2019

Were you or a family member harmed at Crystal Lake Rehabilitation and Care Center?