Federal inspection record · CMS data as of October 1, 2026
The Sapphire at Maple Crest
4452 Squaw Prairie Road, Belvidere, IL · (815) 547-6377
- Cited for abuse (CMS abuse icon)
- Certified beds
- 86
- Residents per day
- 66
- Ownership
- For-Profit
- Chain
- Symphony Care Network
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 1, 2000
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 Illinois.
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Staffing
★★★★★no change (already 1)
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.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Illinois homes
The Sapphire at Maple Crest carries 315.25 inspection points. That is fewer than 8% of Illinois's 659 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Illinois: 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★ 0–31 pts
- 4★ 31–73 pts
- 3★ 73–120.25 pts
- 2★ 120.25–219 pts
- 1★ over 219 pts
Bars show every rated home in Illinois 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
44 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 (5)
-
K
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
G
Provide care and assistance to perform activities of daily living for any resident who is unable.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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K
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care19E
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- E
Provide activities to meet all resident's needs.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
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 care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
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 the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Pharmacy Service5E
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure medication error rates are not 5 percent or greater.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
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.
- D
Ensure medication error rates are not 5 percent or greater.
Infection Control4F
- D
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Nutrition and Dietary4F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
- E
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights3D
- D
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.
Nursing and Physician Services2F
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- F
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Administration1D
- D
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Inspection history
2025-09-25
14 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
2024-11-20
13 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
2023-10-25
17 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (9 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 52 min of nursing staff time a day, 25 min of it from a registered nurse.
This home
2 h 52 min
Illinois average
3 h 28 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 55% of nursing staff and 60% 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
$415,675 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-09-01 | Fine | $16,350 |
| 2026-05-26 | Fine | $195,340 |
| 2025-09-16 | Fine | $36,517 |
| 2025-09-16 | Payment Denial · 36 day denial | $0 |
| 2024-11-04 | Fine | $39,683 |
| 2024-11-04 | Payment Denial · 12 day denial | $0 |
| 2024-10-02 | Fine | $127,785 |
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. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.7 pts worse | 84.8% | 90.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine24 pts worse | 67.7% | 91.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.1 pts better | 0.9% | 3.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms39.8 pts better | 16.1% | 55.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight9.5 pts worse | 15.6% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication9 pts worse | 27.4% | 18.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.4 pts better | 14.3% | 21.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened5.5 pts better | 7.3% | 12.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased10.5 pts better | 2.5% | 13.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts better | 0.0% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.6 pts better | 0.9% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.9 pts worse | 21.7% | 19.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.1 pts better | 3.7% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.8 pts worse | 58.2% | 70.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit8.5 pts worse | 22.0% | 13.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.7 pts worse | 2.9% | 2.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine25.3 pts worse | 37.9% | 63.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission9.6 pts worse | 35.2% | 25.6% | 23.4% |
·
Who owns and runs it
9 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 |
|---|---|---|---|
| Symphony Healthcare LLC | 5% Or Greater Direct Ownership Interest · Organization | 99% | 2 facilities |
| Hartman, Debra | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 2 facilities |
| Mcafee, John | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Midcap Funding Iv Trust | 5% Or Greater Security Interest · Organization | 0% | 26 facilities |
| Symag Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 2 facilities |
| Symphony Ml LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 2 facilities |
| Symphony Monarch Holdings, LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 2 facilities |
| Willow Delta Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 7 facilities |
| Woods, Renee | W-2 Managing Employee · Individual | 0% | 2 facilities |
·
Fire safety
1 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness1F
- F
Establish roles under a Waiver declared by secretary.
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Other homes nearby
-
Belvidere Health And Rehab
Belvidere, IL
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 2 h 54 min
- Fines
- $0
-
The Sapphire at Northwoods
Belvidere, IL · Symphony Care Network
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 2 h 55 min
- Fines
- $103,871
-
Alden Debes Rehab & Hcc
Rockford, IL · The Alden Network · Abuse icon
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 30 min
- Fines
- $129,985