Nursing homeActive
Symphony Maple Crest
4452 Squaw Prairie Road, Belvidere, IL 61008815547637786 certified beds · 69 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
16
since 2023
Deficiencies
43
● 0● 37● 6
Penalties · 3 yrs
$399,325
4 fines · 2 actions
Last survey
2026-06-08
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 1
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Illinois Department of Public Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-06-08 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2026-05-26 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2026-03-26 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-09-25 | Standard | 081 | CMS-2567 (Care Compare) | — |
| 2025-09-16 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2025-03-17 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-11-20 | Standard | 090 | CMS-2567 (Care Compare) | — |
| 2024-11-04 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2024-10-02 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2024-07-10 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-06-17 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-04-22 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-02-28 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-02-06 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-10-25 | Standard | 0100 | CMS-2567 (Care Compare) | — |
| 2023-08-31 | Complaint | 001 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Illinois Department of Public Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-09Record 145990-20260608-F676
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity KHarm
Abuse & neglect
Pattern; immediate jeopardy to resident health or safety.Corrected 2026-05-29Record 145990-20260526-F600
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-02Record 145990-20260326-F880
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-10-03Record 145990-20250925-F677
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-02Record 145990-20250925-F550
F679Provide activities to meet all resident's needs.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-10-06Record 145990-20250925-F679
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-03Record 145990-20250925-F684
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-01Record 145990-20250925-F686
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-01Record 145990-20250925-F690
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-11-15Record 145990-20250925-F759
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-10-04Record 145990-20250925-F812
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-11-15Record 145990-20250925-F880
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-10-01Record 145990-20250916-F686
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-24Record 145990-20250317-F755
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-11Record 145990-20241120-F550
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-11Record 145990-20241120-F677
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-11Record 145990-20241120-F686
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-11Record 145990-20241120-F692
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-11Record 145990-20241120-F695
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-12-11Record 145990-20241120-F725
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-11Record 145990-20241120-F759
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-11Record 145990-20241120-F761
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-11Record 145990-20241120-F880
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-11-22Record 145990-20241104-F689
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity KHarm
Care planningFalls
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-10-14Record 145990-20241002-F689
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-26Record 145990-20240710-F677
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-26Record 145990-20240710-F690
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-28Record 145990-20240617-F600
F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-10Record 145990-20240422-F744
F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-05-10Record 145990-20240422-F947
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-12Record 145990-20240228-F677
F776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-20Record 145990-20240206-F776
F583Keep residents' personal and medical records private and confidential.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-03Record 145990-20231025-F583
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-03Record 145990-20231025-F677
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-03Record 145990-20231025-F684
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-03Record 145990-20231025-F686
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-03Record 145990-20231025-F689
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-03Record 145990-20231025-F690
F800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-03Record 145990-20231025-F800
F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-03Record 145990-20231025-F805
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-03Record 145990-20231025-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-03Record 145990-20231025-F880
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2023-09-01Record 145990-20230831-F689
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2026-05-26 | Civil money penalty | $195,340 | CMS · Penalties |
| 2025-09-16 | Civil money penalty | $36,517 | CMS · Penalties |
| 2025-09-16 | Denial of payment for new admissions Payment denial for 36 days, from 2025-10-10 | — | CMS · Penalties |
| 2024-11-04 | Civil money penalty | $39,683 | CMS · Penalties |
| 2024-11-04 | Denial of payment for new admissions Payment denial for 12 days, from 2024-11-29 | — | CMS · Penalties |
| 2024-10-02 | Civil money penalty | $127,785 | CMS · Penalties |
| 2023-08-31 | Civil money penalty | $10,199 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.40
Facility
Illinois
National
Illinois 0.72 · National 0.69
Total nurse hours per resident day2.85
Facility
Illinois
National
Illinois 3.45 · National 3.86
Weekend total nurse hours2.57
Facility
Illinois
National
Illinois 3.08 · National 3.42
Total nursing staff turnover53%
Facility
Illinois
National
Illinois 45% · National 46%
Registered nurse turnover56%
Facility
Illinois
National
Illinois 42% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Illinois | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 4.3% | 4.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 0.9% | 3.1% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 15.6% | 21.7% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.7% | 1.5% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 3.8% | 13.4% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 15.4% | 6.3% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 26.4% | 18.3% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Symphony Healthcare LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 99% | — | — |
| Hartman, Debra Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Symag Holdings LLC Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Symphony Ml LLC Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Symphony Monarch Holdings, LLC Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Willow Delta Trust Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Mcafee, John Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Midcap Funding IV Trust Organization | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE | — | — |
| Woods, Renee Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
Part of a chain
Symphony Care Network — 7 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Illinois.
No county cost figures on file for Boone.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Belvidere Health And Rehab Belvidere | 3.3 mi | 2025-11-18 | 0140 |
| Symphony Northwoods Belvidere | 3.8 mi | 2026-05-14 | 1278 |
| Alden Debes Rehab & Hcc Rockford | 7.7 mi | 2026-04-08 | 0325 |
| Alden Park Strathmoor Rockford | 7.9 mi | 2026-03-04 | 0204 |
| Forest City Rehab & Nrsg Ctr Rockford | 8.1 mi | 2026-05-14 | 0559 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |