Nursing homeActive

Crystal Lake Rehabilitation and Care Center

999 South Main Street, Pascoag, RI 02859401568309171 certified beds · 45 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
15
since 2023
Deficiencies
60
3498
Penalties · 3 yrs
$306,656
15 fines · 2 actions
Last survey
2025-04-17
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 3
Quality 3
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Rhode Island Department of Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2025-04-17Standard150CMS-2567 (Care Compare)
2024-11-06Complaint030CMS-2567 (Care Compare)
2024-09-25Complaint001CMS-2567 (Care Compare)
2024-06-13Complaint001CMS-2567 (Care Compare)
2024-05-08Standard1192CMS-2567 (Care Compare)
2024-04-04Complaint021CMS-2567 (Care Compare)
2024-03-28Complaint010CMS-2567 (Care Compare)
2024-03-22Complaint010CMS-2567 (Care Compare)
2024-02-29Complaint040CMS-2567 (Care Compare)
2024-02-27Complaint121CMS-2567 (Care Compare)
2024-01-10Complaint010CMS-2567 (Care Compare)
2023-12-07Complaint022CMS-2567 (Care Compare)
2023-09-12Complaint010CMS-2567 (Care Compare)
2023-08-16Complaint010CMS-2567 (Care Compare)
2023-07-14Standard070CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Rhode Island Department of 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.

2025-04-17Standard survey · 6 deficienciesOfficial report
F641Ensure each resident receives an accurate assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-17Record 415099-20250417-F641
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-17Record 415099-20250417-F658
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-17Record 415099-20250417-F684
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 2025-05-17Record 415099-20250417-F812
F838Conduct 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.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-05-17Record 415099-20250417-F838
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity BPaperwork
Dignity & rights
Pattern; potential for minimal harm.Corrected 2025-05-17Record 415099-20250417-F582
2024-11-06Complaint survey · 3 deficienciesOfficial report
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-11-20Record 415099-20241106-F658
F760Ensure that residents are free from significant medication errors.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-11-20Record 415099-20241106-F760
F839Employ staff that are licensed, certified, or registered in accordance with state laws.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-11-20Record 415099-20241106-F839
2024-09-25Complaint survey · 1 deficiencyOfficial report
F760Ensure that residents are free from significant medication errors.Scope/severity GHarm
Medication
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-10-07Record 415099-20240925-F760
2024-06-13Complaint survey · 1 deficiencyOfficial report
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 2024-06-27Record 415099-20240613-F689
2024-05-08Standard survey · 22 deficienciesOfficial report
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity HHarm
Care planning
Pattern; actual harm that is not immediate jeopardy.Corrected 2024-05-29Record 415099-20240508-F684
F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Scope/severity KHarm
Food & nutrition
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-05-29Record 415099-20240508-F805
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 2024-05-29Record 415099-20240508-F550
F641Ensure each resident receives an accurate assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-29Record 415099-20240508-F641
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-29Record 415099-20240508-F656
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-29Record 415099-20240508-F658
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 2024-05-29Record 415099-20240508-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 EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-29Record 415099-20240508-F690
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 2024-05-29Record 415099-20240508-F695
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-29Record 415099-20240508-F726
F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-29Record 415099-20240508-F740
F759Ensure medication error rates are not 5 percent or greater.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-29Record 415099-20240508-F759
F760Ensure that residents are free from significant medication errors.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-29Record 415099-20240508-F760
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 DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-29Record 415099-20240508-F761
F809Ensure 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.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-05-29Record 415099-20240508-F809
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 2024-05-29Record 415099-20240508-F812
F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-05-29Record 415099-20240508-F835
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-29Record 415099-20240508-F842
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 2024-05-29Record 415099-20240508-F880
F881Implement a program that monitors antibiotic use.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-05-29Record 415099-20240508-F881
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 2024-05-29Record 415099-20240508-F947
F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.Scope/severity CPaperwork
Dignity & rights
Widespread; potential for minimal harm.Corrected 2024-05-29Record 415099-20240508-F577
2024-04-04Complaint survey · 3 deficienciesOfficial report
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 2024-04-19Record 415099-20240404-F689
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-19Record 415099-20240404-F550
F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-19Record 415099-20240404-F676
2024-03-28Complaint survey · 1 deficiencyOfficial report
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 2024-05-29Record 415099-20240328-F684
2024-03-22Complaint survey · 1 deficiencyOfficial report
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 EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-19Record 415099-20240322-F690
2024-02-29Complaint survey · 4 deficienciesOfficial report
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 2024-03-19Record 415099-20240229-F550
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 2024-03-19Record 415099-20240229-F583
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-19Record 415099-20240229-F658
F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-03-19Record 415099-20240229-F835
2024-02-27Complaint survey · 4 deficienciesOfficial report
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity GHarm
Dignity & rights
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-03-19Record 415099-20240227-F558
F625Notify 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-19Record 415099-20240227-F625
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 2024-03-19Record 415099-20240227-F684
F573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.Scope/severity BPaperwork
Dignity & rights
Pattern; potential for minimal harm.Corrected 2024-03-19Record 415099-20240227-F573
2024-01-10Complaint survey · 1 deficiencyOfficial report
F567Honor the resident's right to manage his or her financial affairs.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-01-23Record 415099-20240110-F567
2023-12-07Complaint survey · 4 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-01-06Record 415099-20231207-F600
F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-01-06Record 415099-20231207-F740
F679Provide activities to meet all resident's needs.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-01-06Record 415099-20231207-F679
F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-01-06Record 415099-20231207-F940
2023-09-12Complaint survey · 1 deficiencyOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-10-12Record 415099-20230912-F600
2023-08-16Complaint survey · 1 deficiencyOfficial report
F760Ensure that residents are free from significant medication errors.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-08-31Record 415099-20230816-F760
2023-07-14Standard survey · 7 deficienciesOfficial report
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 2023-08-13Record 415099-20230714-F550
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-13Record 415099-20230714-F658
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 2023-08-13Record 415099-20230714-F684
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 2023-08-13Record 415099-20230714-F689
F760Ensure that residents are free from significant medication errors.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-08-13Record 415099-20230714-F760
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 FStandard
Medication
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-08-13Record 415099-20230714-F761
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 2023-08-13Record 415099-20230714-F880

Penalties & enforcement

DateActionAmountSource
2024-09-25Civil money penalty$29,328CMS · Penalties
2024-06-13Civil money penalty$27,213CMS · Penalties
2024-02-27Civil money penalty$105,651CMS · Penalties
2024-02-27Civil money penalty$10,845CMS · Penalties
2024-02-27Civil money penalty$9,318CMS · Penalties
2024-02-27Denial of payment for new admissions
Payment denial for 2 days, from 2024-05-27
CMS · Penalties
2024-02-20Civil money penalty$4,938CMS · Penalties
2024-02-12Civil money penalty$4,938CMS · Penalties
2024-01-22Civil money penalty$14,814CMS · Penalties
2024-01-08Civil money penalty$4,938CMS · Penalties
2024-01-02Civil money penalty$4,545CMS · Penalties
2023-12-11Civil money penalty$13,762CMS · Penalties
2023-12-07Civil money penalty$53,430CMS · Penalties
2023-12-07Denial of payment for new admissions
Payment denial for 8 days, from 2023-12-29
CMS · Penalties
2023-11-20Civil money penalty$4,587CMS · Penalties
2023-11-13Civil money penalty$4,587CMS · Penalties
2023-10-23Civil money penalty$13,762CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day1.04
Facility
Rhode Island
National
Rhode Island 0.76 · National 0.69
Total nurse hours per resident day3.58
Facility
Rhode Island
National
Rhode Island 3.71 · National 3.86
Weekend total nurse hours3.13
Facility
Rhode Island
National
Rhode Island 3.34 · National 3.42
Total nursing staff turnover58%
Facility
Rhode Island
National
Rhode Island 41% · National 46%
Registered nurse turnover57%
Facility
Rhode Island
National
Rhode Island 38% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityRhode IslandNational
Percentage of long-stay residents with pressure ulcers
lower is better
3.5%4.2%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
1.2%3.6%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
35.7%22.8%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
6.2%2.5%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
26.5%19.6%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
5.3%5.1%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
42.3%16.7%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)
EntityRoleInterestSinceRegistry
Fink, Boruch
Individual
5% OR GREATER DIRECT OWNERSHIP INTEREST5%
Leifer, Joel
Individual
5% OR GREATER DIRECT OWNERSHIP INTEREST48%
Oberlander, David
Individual
5% OR GREATER DIRECT OWNERSHIP INTEREST48%
Hermann, Edward
Individual
W-2 MANAGING EMPLOYEENOT APPLICABLE
Stern, Samuel
Individual
CORPORATE OFFICERNOT APPLICABLE

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 Rhode Island.

No county cost figures on file for Providence.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Bayberry Commons
Pascoag
0.2 mi2025-07-180143
Overlook Nursing and Rehabilitation Center
Pascoag
1.8 mi2025-05-060171
Greenville Operations RI LLC DBA Greenville Skille
Greenville
6.7 mi2026-03-120417
Cedar Haven Operations LLC DBA Lake Forrest Health
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6.9 mi2026-03-250365
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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

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01