Federal inspection record · CMS data as of October 1, 2026
Crystal Lake Rehabilitation and Care Center
999 South Main Street, Pascoag, RI · (401) 568-3091
- Certified beds
- 71
- Residents per day
- 46
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 1, 1991
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Rhode Island.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Rhode Island homes
Crystal Lake Rehabilitation and Care Center carries 227.75 inspection points. That is fewer than 10% of Rhode Island's 71 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Rhode Island: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–54 pts
- 3★ 54–89 pts
- 2★ 89–177.5 pts
- 1★ over 177.5 pts
Bars show every rated home in Rhode Island by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
58 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (8)
-
G
Ensure that residents are free from significant medication errors.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
K
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
-
H
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Reasonably accommodate the needs and preferences of each resident.
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
J
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Everything else, by area of care
Quality of Life and Care12E
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- E
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide activities to meet all resident's needs.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights10E
- B
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- C
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Keep residents' personal and medical records private and confidential.
- D
Notify 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.
- B
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
- E
Honor the resident's right to manage his or her financial affairs.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Assessment and Care Planning9E
- E
Ensure each resident receives an accurate assessment.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Ensure each resident receives an accurate assessment.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Pharmacy Service6F
- E
Ensure that residents are free from significant medication errors.
- E
Ensure medication error rates are not 5 percent or greater.
- E
Ensure that residents are free from significant medication errors.
- D
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.
- F
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.
- E
Ensure that residents are free from significant medication errors.
Administration5F
- F
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
Employ staff that are licensed, certified, or registered in accordance with state laws.
- F
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- F
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- E
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Nutrition and Dietary3F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Ensure 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.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control3F
- F
Provide and implement an infection prevention and control program.
- F
Implement a program that monitors antibiotic use.
- D
Provide and implement an infection prevention and control program.
Nursing and Physician Services2F
- F
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- E
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.
Inspection history
2025-04-17
6 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2024-05-08
25 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2023-07-14
27 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (10 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 40 min of nursing staff time a day, 1 h of it from a registered nurse.
This home
3 h 40 min
Rhode Island average
3 h 47 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 53% of nursing staff and 56% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$306,656 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-09-25 | Fine | $29,328 |
| 2024-06-13 | Fine | $27,213 |
| 2024-02-27 | Fine | $9,318 |
| 2024-02-27 | Fine | $10,845 |
| 2024-02-27 | Fine | $105,651 |
| 2024-02-27 | Payment Denial · 2 day denial | $0 |
| 2024-02-20 | Fine | $4,938 |
| 2024-02-12 | Fine | $4,938 |
| 2024-01-22 | Fine | $14,814 |
| 2024-01-08 | Fine | $4,938 |
| 2024-01-02 | Fine | $4,545 |
| 2023-12-11 | Fine | $13,762 |
| 2023-12-07 | Fine | $53,430 |
| 2023-12-07 | Payment Denial · 8 day denial | $0 |
| 2023-11-20 | Fine | $4,587 |
| 2023-11-13 | Fine | $4,587 |
| 2023-10-23 | Fine | $13,762 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.5 pts better | 1.1 | 1.6 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts worse | 2.1 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.4 pts better | 99.4% | 94.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.5 pts better | 100.0% | 95.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3 pts better | 0.6% | 3.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms6.1 pts worse | 24.7% | 18.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.5 pts better | 4.6% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication24.1 pts worse | 41.2% | 17.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.2 pts worse | 31.7% | 22.5% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.3 pts worse | 19.1% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7.8 pts worse | 27.3% | 19.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts worse | 0.9% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection4.8 pts worse | 7.4% | 2.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.2 pts worse | 23.6% | 21.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.2 pts better | 3.8% | 4.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine8.6 pts better | 88.9% | 80.3% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication2 pts worse | 4.0% | 2.0% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine16.1 pts better | 93.8% | 77.7% | 80.1% |
·
Who owns and runs it
5 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Leifer, Joel | 5% Or Greater Direct Ownership Interest · Individual | 48% | 40 facilities |
| Oberlander, David | 5% Or Greater Direct Ownership Interest · Individual | 48% | 9 facilities |
| Fink, Boruch | 5% Or Greater Direct Ownership Interest · Individual | 5% | 3 facilities |
| Hermann, Edward | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Stern, Samuel | Corporate Officer · Individual | 0% | 64 facilities |
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Fire safety
9 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Miscellaneous3F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
- F
Have restrictions on the use of portable space heaters.
Egress2F
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Gas, Vacuum, and Electrical Systems2F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have proper medical gas storage and administration areas.
Emergency Preparedness1F
- F
Establish emergency prep training and testing.
Smoke1F
- F
Install an approved automatic sprinkler system.
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Other homes nearby
-
Bayberry Commons
Pascoag, RI · Health Concepts, Ltd.
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 30 min
- Fines
- $51,948
-
Overlook Nursing and Rehabilitation Center
Pascoag, RI · Eden Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 38 min
- Fines
- $10,358
-
Greenville Operations RI LLC DBA Greenville Skille
Greenville, RI · Special Focus
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 48 min
- Fines
- $309,611