Crystal Pines Rehab & HCC, Crystal Lake, Illinois
- 48
- Citations from health inspectionsIllinois average: 38 a home
- 7
- Residents harmed or put in dangerIllinois average: 4.6 a home
- $130,776
- Fines from the federal governmentIllinois average: $111,013 a home
- 1 out of 5
- Overall rating in starsIllinois average: 2.5
The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files
19 inspection visits produced 48 citations. Residents were in immediate danger in one finding. Residents were found hurt in six cases. Federal fines came to $130,776 (four fines). Once, Medicare stopped paying for new admissions.
The CMS abuse icon is shown for this home. Care Compare adds it after a citation for abuse or neglect. Either a resident was harmed recently, or harm could have resulted over two inspections in a row.
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- The home's overall star rating
- 1 out of 5
- Rating for health inspections
- 2 out of 5
- Rating for staffing
- 1 out of 5
- Rating for quality of care
- 2 out of 5
- Nurse time for each resident
- 3.15 hours each dayThe Illinois average is 3.45 hours
- Time from registered nurses
- 0.83 hours each dayThe Illinois average is 0.72 hours
- Nursing staff who left during one year
- 55.7%against the Illinois average of 44.5%
- Beds that are certified
- 110
- Ownership
- Corporation (for profit)
- Chain
- Tutera Senior Living & Health Care, with 25 homes
- Street address
- 335 North Illinois Avenue, Crystal Lake, Illinois 60014
- County
- Mc Henry
Each inspection's citations
Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.
One citation dated June 11, 2026
- F602 Protect Residents' Money and Belongings From Misuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated May 6, 2026
- F693 Feeding Tube Care: residents were harmed, one or a few residents, found on a complaint visit.
One citation dated April 20, 2026
- F689 Accident Hazards and Supervision: residents were harmed, one or a few residents, found on a complaint visit.
One citation dated Dec. 3, 2025
- F557 Respect, Dignity, and Personal Belongings: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated Nov. 21, 2025
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated Oct. 14, 2025
- F689 Accident Hazards and Supervision: residents were harmed, one or a few residents, found on a complaint visit.
One citation dated Aug. 20, 2025
- F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated April 29, 2025
- F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Three citations dated April 15, 2025
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F803 Menus That Meet Nutrition Needs: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F801 Qualified Kitchen and Dietitian Staff: risk of harm, no one found hurt, widespread, found on a complaint visit.
One citation dated Feb. 24, 2025
- F602 Protect Residents' Money and Belongings From Misuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Two citations dated Jan. 8, 2025
- F602 Protect Residents' Money and Belongings From Misuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated Dec. 11, 2024
- F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated Nov. 27, 2024
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Two citations dated Nov. 14, 2024
One citation dated July 18, 2024
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
11 citations dated June 5, 2024
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents.
- F805 Food Prepared to Meet Individual Needs: risk of harm, no one found hurt, a pattern, several residents.
- F760 Significant Medication Errors: risk of harm, no one found hurt, one or a few residents.
- F755 Pharmacy Services: risk of harm, no one found hurt, a pattern, several residents.
- F695 Breathing and Oxygen Care: risk of harm, no one found hurt, a pattern, several residents.
- F693 Feeding Tube Care: risk of harm, no one found hurt, one or a few residents.
- F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents.
- F689 Accident Hazards and Supervision: residents were harmed, one or a few residents.
- F688 Range of Motion and Mobility: risk of harm, no one found hurt, one or a few residents.
- F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, one or a few residents.
- F684 Quality of Care: risk of harm, no one found hurt, one or a few residents.
One citation dated March 26, 2024
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Nine citations dated July 19, 2023
- F880 Infection Prevention and Control: risk of harm, no one found hurt, widespread.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
- F803 Menus That Meet Nutrition Needs: risk of harm, no one found hurt, widespread.
- F801 Qualified Kitchen and Dietitian Staff: risk of harm, no one found hurt, widespread.
- F800 Nutritious, Tasty, Balanced Meals: risk of harm, no one found hurt, a pattern, several residents.
- F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents.
- F692 Enough Food and Fluids: residents were harmed, one or a few residents.
- F689 Accident Hazards and Supervision: residents were harmed, one or a few residents.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, one or a few residents.
Eight citations dated Aug. 24, 2022
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, one or a few residents.
- F809 Meals and Snacks at Preferred Times: risk of harm, no one found hurt, a pattern, several residents.
- F804 Food Taste and Temperature: risk of harm, no one found hurt, widespread.
- F802 Enough Kitchen Support Staff: risk of harm, no one found hurt, widespread.
- F759 Medication Error Rate of 5 Percent or More: risk of harm, no one found hurt, one or a few residents.
- F692 Enough Food and Fluids: risk of harm, no one found hurt, one or a few residents.
- F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents.
Payment Denials and Fines
| Date | Penalty | Amount |
|---|---|---|
| May 6, 2026 | Fine | $83,990 |
| April 20, 2026 | Fine | $15,935 |
| Nov. 14, 2024 | Fine | $16,801 |
| June 5, 2024 | Fine | $14,050 |
| June 5, 2024 | Payment denial for new admissions | 31 days |
Ownership and Management of the Home
- The home is run by Walnut Creek Management Company LLC (operational or managerial control).
- The direct owner is Jct Investments, LLC.
- The direct owner is Tutera Investments, LLC.
- Owns a share through another company: Joseph Charles Tutera 2013 Family Irrevociable Trust Agreement.
- Owns a share through another company: Marian Olander Tutera 2020 Mrtl Tr.
Two people with an ownership stake are also listed by CMS.
The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 145257. Other homes in Illinois.