Crystal Lake, IL

Pearl Of Crystal Lake, The

5-star overall rating with 4-star inspections with 7 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle

1000 East Brighton Lane, Crystal Lake, IL

(815) 477-6569

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Pearl Healthcare

Operator or chain grouping

Approved since

1989-04-19

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

13 facilities

Chain averages 3 overall / 3 health / 2 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

1.43

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.36

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

2.08

Nurse aide staffing · state 2.13 · national 2.35

Total nurse hours

3.87

All reported nurse hours · state 3.49 · national 3.89

Licensed hours

1.79

RN + LPN hours · state 1.36 · national 1.54

Weekend hours

3.15

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.85

Weekend registered nurse coverage · state 0.56 · national 0.47

Physical therapist

0.12

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

1.24

CMS adjusted RN staffing hours

Adjusted total hours

3.37

CMS adjusted total nurse staffing hours

Case-mix index

1.57

Higher values indicate more complex resident acuity

RN turnover

40%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

40%

Annual nurse turnover · state 46% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,712

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

15.63

Composite VBP score used to determine payment impact.

Payment multiplier

0.9815

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.51

Baseline 22.24% · Performance 21.19% · Measure score 1.51 · Achievement 0.52 · Improvement 1.51

Healthcare-associated infections

Baseline 7.96% · Performance 8.99% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

4.74

Performance 44.29% · Measure score 4.74 · Achievement 4.74 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

Baseline 3.51 hours · Performance 3.02 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.26%	10.72% 0.5 pts worse	No Different than the National Rate · Eligible stays 346 · Observed rate 14.16% · Lower 95% interval 8.82%
Discharge to community	61.68%	50.57% 11.1 pts better	Better than the National Rate · Eligible stays 347 · Observed rate 50.72% · Lower 95% interval 56.05%
Medicare spending per beneficiary	0.99	1.02 About the same
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 176 · Denominator 176
Falls with major injury	1.7%	0.77% 0.9 pts worse	Numerator 3 · Denominator 176
Discharge self-care score	63.16%	53.69% 9.5 pts better	Numerator 60 · Denominator 95
Discharge mobility score	57.89%	50.94% 7 pts better	Numerator 55 · Denominator 95
Pressure ulcers or injuries, new or worsened	2.84%	2.29% 0.5 pts worse	Numerator 5 · Denominator 176 · Adjusted rate 2.66%
Healthcare-associated infections requiring hospitalization	8.99%	7.12% 1.9 pts worse	No Different than the National Rate · Eligible stays 176 · Observed rate 12.5% · Lower 95% interval 6.36%
Staff COVID-19 vaccination coverage	11.32%	8.2% 3.1 pts better	Numerator 12 · Denominator 106
Staff flu vaccination coverage	77.66%	42% 35.7 pts better	Numerator 73 · Denominator 94
Discharge function score	46.32%	56.45% 10.1 pts worse	Numerator 44 · Denominator 95
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 54 · Denominator 54
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 96 · Denominator 96
Resident COVID-19 vaccinations up to date	40.48%	25.2% 15.3 pts better	Numerator 34 · Denominator 84

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.7	2.0 0.3 pts better	1.9 0.2 pts better	Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 2.3 · Expected 2.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.3	2.3 2 pts better	1.8 1.5 pts better	Long Stay · 20240701-20250630 · Adjusted 0.3 · Observed 0.3 · Expected 1.8 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	89.6% 10.4 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	91.6% 8.4 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	2.9%	3.3% 0.4 pts better	3.3% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 2.0% · Q3 4.1% · Q4 1.9% · 4Q avg 2.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	41.2%	50.3% 9.1 pts better	11.4% 29.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 24.4% · Q2 28.3% · Q3 53.2% · Q4 57.1% · 4Q avg 41.2%
Percentage of long-stay residents who lose too much weight	3.0%	6.5% 3.5 pts better	5.4% 2.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 2.4% · Q3 2.6% · Q4 2.3% · 4Q avg 3.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	12.1%	18.5% 6.4 pts better	19.6% 7.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 19.0% · Q2 9.5% · Q3 9.1% · Q4 10.9% · 4Q avg 12.1%
Percentage of long-stay residents who received an antipsychotic medication	9.0%	22.8% 13.8 pts better	16.7% 7.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.1% · Q2 11.4% · Q3 3.2% · Q4 8.6% · 4Q avg 9.0% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	6.4%	17.2% 10.8 pts better	16.3% 9.9 pts better	Long Stay · 2024Q4-2025Q3 · Q4 0.0% · 4Q avg 6.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	5.8%	15.0% 9.2 pts better	14.9% 9.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 7.1% · Q3 6.8% · Q4 4.4% · 4Q avg 5.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.5%	1.1% 0.6 pts better	1.0% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	1.7% 1.7 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	12.4%	21.3% 8.9 pts better	19.8% 7.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 20.1% · Q2 9.5% · Q3 11.6% · Q4 8.1% · 4Q avg 12.4%
Percentage of long-stay residents with pressure ulcers	4.4%	5.2% 0.8 pts better	5.1% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 2.9% · Q3 8.3% · Q4 3.0% · 4Q avg 4.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	92.4%	68.8% 23.6 pts better	81.7% 10.7 pts better	Short Stay · 2024Q4-2025Q3 · Q1 92.3% · Q2 94.9% · Q3 93.9% · Q4 88.8% · 4Q avg 92.4%
Percentage of short-stay residents who had an outpatient emergency department visit	12.1%	14.0% 1.9 pts better	12.0% 0.1 pts worse	Short Stay · 20240701-20250630 · Adjusted 12.1% · Observed 12.8% · Expected 11.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.0%	2.3% 0.3 pts better	1.6% 0.4 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 3.4% · Q3 2.5% · Q4 0.9% · 4Q avg 2.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	92.7%	63.0% 29.7 pts better	79.7% 13 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 92.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	23.7%	26.2% 2.5 pts better	23.9% 0.2 pts better	Short Stay · 20240701-20250630 · Adjusted 23.7% · Observed 29.5% · Expected 29.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-12 · Fire 2025-03-12

7 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

10 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)

Cycle 2 Health 2024-02-22 · Fire 2024-02-22

10 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2022-11-30 · Fire 2022-11-30

16 health deficiencies

Top issue: Quality of Life and Care (9 deficiencies)

9 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-03-12

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected

F · Potential for more than minimal harm 2025-03-12

K531 · Services Deficiencies

Fire Safety

Have elevators that firefighters can control in the event of a fire.

Not marked corrected

F · Potential for more than minimal harm 2025-03-12

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected

F · Potential for more than minimal harm 2025-03-12

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected

E · Potential for more than minimal harm 2025-03-12

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected

E · Potential for more than minimal harm 2025-03-12

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected

E · Potential for more than minimal harm 2025-03-12

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected

E · Potential for more than minimal harm 2025-03-12

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected

E · Potential for more than minimal harm 2025-03-12

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected

E · Potential for more than minimal harm 2025-03-12

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected

F · Potential for more than minimal harm 2024-02-22

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-03-22

E · Potential for more than minimal harm 2024-02-22

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2024-03-22

E · Potential for more than minimal harm 2024-02-22

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-03-29

E · Potential for more than minimal harm 2024-02-22

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-03-22

E · Potential for more than minimal harm 2024-02-22

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-03-22

E · Potential for more than minimal harm 2024-02-22

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-03-29

E · Potential for more than minimal harm 2024-02-22

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-03-22

F · Potential for more than minimal harm 2022-11-30

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-01-06

F · Potential for more than minimal harm 2022-11-30

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-01-06

F · Potential for more than minimal harm 2022-11-30

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2023-01-06

F · Potential for more than minimal harm 2022-11-30

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-01-06

F · Potential for more than minimal harm 2022-11-30

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-01-04

E · Potential for more than minimal harm 2022-11-30

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-01-04

E · Potential for more than minimal harm 2022-11-30

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-01-04

E · Potential for more than minimal harm 2022-11-30

K531 · Services Deficiencies

Fire Safety

Have elevators that firefighters can control in the event of a fire.

Corrected 2023-01-31

E · Potential for more than minimal harm 2022-11-30

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-01-06

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-03-12

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2025-03-27

D · Potential for more than minimal harm 2025-03-12

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-03-27

D · Potential for more than minimal harm 2025-03-12

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-03-27

D · Potential for more than minimal harm 2025-03-12

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-03-27

D · Potential for more than minimal harm 2025-03-12

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-03-27

D · Potential for more than minimal harm 2025-03-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-03-27

D · Potential for more than minimal harm 2025-03-12

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2025-03-27

D · Potential for more than minimal harm 2024-10-10

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2024-10-31

E · Potential for more than minimal harm 2024-09-18

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-10-01

D · Potential for more than minimal harm 2024-08-01

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-08-09

D · Potential for more than minimal harm 2024-05-28

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-06-14

E · Potential for more than minimal harm 2024-02-22

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-03-08

D · Potential for more than minimal harm 2024-02-22

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2024-03-08

D · Potential for more than minimal harm 2024-02-22

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-03-08

D · Potential for more than minimal harm 2024-02-22

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2024-03-08

D · Potential for more than minimal harm 2024-02-22

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-03-08

D · Potential for more than minimal harm 2024-02-22

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-03-08

D · Potential for more than minimal harm 2023-12-21

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-01-06

D · Potential for more than minimal harm 2023-10-05

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-10-17

F · Potential for more than minimal harm 2023-08-31

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-09-18

D · Potential for more than minimal harm 2023-03-28

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-04-11

E · Potential for more than minimal harm 2022-11-30

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2022-12-16

E · Potential for more than minimal harm 2022-11-30

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2022-12-15

E · Potential for more than minimal harm 2022-11-30

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2022-12-16