The Sapphire at Maple Crest, Belvidere, Illinois
- 44
- Citations from health inspectionsIllinois average: 38 a home
- 5
- Residents harmed or put in dangerIllinois average: 4.6 a home
- $399,325
- 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
16 inspection visits produced 44 citations. Residents were in immediate danger in two findings. Residents were found hurt in three cases. Federal fines came to $399,325 (four fines). Two times, 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.
Are you worried about the way someone was treated at this home?
Call 1-833-892-8135Calls go to a law firm that advertises on Nursing Home Violations.Quick Look at the Record
- The home's overall star rating
- 1 out of 5
- Rating for health inspections
- 1 out of 5
- Rating for staffing
- 1 out of 5
- Rating for quality of care
- 4 out of 5
- Nurse time for each resident
- 2.85 hours each dayThe Illinois average is 3.45 hours
- Time from registered nurses
- 0.40 hours each dayThe Illinois average is 0.72 hours
- Nursing staff who left during one year
- 53.4%against the Illinois average of 44.5%
- Beds that are certified
- 86
- Ownership
- Limited Liability company (for profit)
- Chain
- Symphony Care Network, with seven homes
- Street address
- 4452 Squaw Prairie Road, Belvidere, Illinois 61008
- County
- Boone
Each inspection's citations
Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.
Two citations dated July 16, 2026
One citation dated June 8, 2026
- F676 Help Residents Keep Daily Living Abilities: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated May 26, 2026
- F600 Freedom From Abuse and Neglect: immediate danger to residents, a pattern, several residents, found on a complaint visit.
One citation dated March 26, 2026
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Nine citations dated Sept. 25, 2025
- 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.
- F759 Medication Error Rate of 5 Percent or More: 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.
- 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.
- F679 Activities That Meet Every Resident's Needs: risk of harm, no one found hurt, a pattern, several residents.
- F677 Help With Daily Living: residents were harmed, one or a few residents.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents.
One citation dated Sept. 16, 2025
- F686 Pressure Ulcer (Bedsore) Care: residents were harmed, one or a few residents, found on a complaint visit.
One citation dated March 17, 2025
- F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Nine citations dated Nov. 20, 2024
- F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents.
- F759 Medication Error Rate of 5 Percent or More: risk of harm, no one found hurt, one or a few residents.
- F725 Enough Nursing Staff: risk of harm, no one found hurt, widespread.
- F695 Breathing and Oxygen Care: 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.
- F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, one or a few residents.
- F677 Help With Daily Living: 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.
One citation dated Nov. 4, 2024
- F689 Accident Hazards and Supervision: residents were harmed, one or a few residents, found on a complaint visit.
One citation dated Oct. 2, 2024
- F689 Accident Hazards and Supervision: immediate danger to residents, a pattern, several residents, found on a complaint visit.
Two citations dated July 10, 2024
One citation dated June 17, 2024
- F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Two citations dated April 22, 2024
- F947 Nurse Aide Skills, Dementia, and Abuse Training: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F744 Proper Dementia Treatment and Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated Feb. 28, 2024
- F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated Feb. 6, 2024
- F776 Timely Approved X Ray Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
10 citations dated Oct. 25, 2023
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
- F805 Food Prepared to Meet Individual Needs: risk of harm, no one found hurt, a pattern, several residents.
- F800 Nutritious, Tasty, Balanced Meals: risk of harm, no one found hurt, a pattern, several residents.
- F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents.
- F689 Accident Hazards and Supervision: 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.
- F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents.
- F583 Keep Resident Records Private: risk of harm, no one found hurt, one or a few residents.
Payment Denials and Fines
| Date | Penalty | Amount |
|---|---|---|
| May 26, 2026 | Fine | $195,340 |
| Sept. 16, 2025 | Fine | $36,517 |
| Sept. 16, 2025 | Payment denial for new admissions | 36 days |
| Nov. 4, 2024 | Fine | $39,683 |
| Nov. 4, 2024 | Payment denial for new admissions | 12 days |
| Oct. 2, 2024 | Fine | $127,785 |
Ownership and Management of the Home
- The direct 99% owner is Symphony Healthcare LLC.
- Owns a share through another company: Symag Holdings LLC.
- Owns a share through another company: Symphony Ml LLC.
- Owns a share through another company: Symphony Monarch Holdings, LLC.
- Owns a share through another company: Willow Delta Trust.
One person with an ownership stake is 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 145990. Other homes in Illinois.