Nursing home report card · Pascoag, RI
Crystal Lake Rehabilitation and Care Center
999 South Main Street, Pascoag, RI 02859
Call this home: (401) 568-3091
View this home on Medicare.gov ↗
Quick summary
Below-average Medicare rating
Overall rating is 1 of 5 stars. Its health-inspection rating is 1 of 5. Read the dated inspection findings and separate staffing and care ratings below.
Our summary of public Medicare records. It does not establish that this home harmed a particular resident. About this summary.
How recent is this information?
- Medicare file prepared
- Aug 1, 2026
- Our record last updated
- Sep 17, 2026
- Last routine health inspection
- Apr 17, 2025
These dates mean different things. A new file can include older inspections and staffing figures. Read about the dates.
Medicare ratings
One star is the lowest rating. Five stars is the highest. Ratings are a starting point—read the inspection findings too.
Combines inspection, staffing, and care measures.
Among the lowest Medicare ratings
Based on problems found during health inspections.
Among the lowest Medicare ratings
Based on staffing levels and related measures.
About average for U.S. nursing homes
Based on reported health and care results.
About average for U.S. nursing homes
What do the ratings and warnings mean?
- Medicare ratings
- One star is the lowest rating. Five stars is the highest. These are government ratings, not family reviews.
- Inspection problems
- Inspectors found that a home did not meet a care or safety rule. The official term is “deficiency.”
- Abuse warning
- Medicare has flagged the home because of abuse-related inspection findings. Read the findings and dates.
- Nursing staff time
- Average staff hours for each resident per day. This does not mean each resident gets that much one-to-one care.
At a glance
These numbers come from the records we have. Inspection problems are rules the home did not meet. The dates covered can differ.
Care, safety, and resident-rights issues on recent inspections
Building, alarms, exits, and related safety citations
Total fine amounts in the imported penalty records
Medicare home ID: 415099
Inspection findings to read first
Start with these past findings. We show the most serious first, then the most recent. They do not describe the home’s condition today.
Immediate danger to residents · isolated case
Jun 13, 2024 · Inspection rule F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate danger to residents · pattern case
May 8, 2024 · Inspection rule F0805
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Immediate danger to residents · isolated case
Apr 4, 2024 · Inspection rule F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nursing staff time
These are average staff hours for each resident per day. They are not one-to-one bedside care. The file does not give the reporting period for each figure.
about 1 hr 3 min per resident per day
about 3 hr 35 min per resident per day
about 54 minutes per resident per day
Latest inspection summary
A summary of the most recent routine inspections. You can open the dated findings below.
Inspectors last checked the home’s day-to-day care on April 17, 2025 and wrote up 6 health problems. The same visit also found 2 fire-safety problems. Looking across recent visits: 6 on visit 1, then 26 on visit 2, then 28 on visit 3.
Top issue areas on the latest visit
- Assessment & care planning: 2
- egress: 1
- miscellaneous: 1
- Administration: 1
- Resident rights: 1
- Nutrition & dietary: 1
| Visit | Health check date | Health problems | Fire-safety date | Fire problems |
|---|---|---|---|---|
| #1 | 2025-04-17 | 6 | 2025-04-17 | 2 |
| #2 | 2024-05-08 | 26 | 2024-05-08 | 6 |
| #3 | 2023-07-14 | 28 | 2023-07-14 | 1 |
How this home compares
Compared with state and national averages. The numbers may cover different periods.
- Overall CMS rating: 1 stars — worse than the state average (2.9 stars)
- Health inspection rating: 1 stars — worse than the state average (2.8 stars)
- Staffing rating: 3 stars — worse than the state average (3.2 stars)
- Registered nurse time per resident: 1.04 hours/day
- Total nurse time per resident: 3.58 hours/day
- The latest health inspection listed 6 problems. State and national averages can cover different inspection periods and are not a like-for-like comparison with this inspection.
See the dates used for these averages
Medicare file dates: this home Aug 1, 2026; Rhode Island averages Aug 1, 2026; U.S. averages Oct 1, 2026.
Other concerns in the records
These points may be worth asking about. They do not establish what happened to a particular resident. See our Terms of Use.
- Overall star rating is 2 or lower
- Health inspection rating is 2 stars or lower
- Recent citations include infection-control problems
- Inspectors have listed an unusually high number of problems
- Several recent fire-safety problems are on record
- CMS has fined this home in the recent reporting period
How serious were the problems?
Inspectors rate each problem by how much harm it caused or could cause. We group the CMS letter codes into plain language.
- Immediate danger to residents5 citations
- Caused actual harm3 citations
- Could have caused harm58 citations
- Low risk of harm3 citations
Why inspectors showed up
Routine checks happen on a schedule. Complaint visits happen when someone reports a concern.
- Complaints
- 0
- Routine
- 60
- Fire safety
- 9
- Other
- 0
Who owns it
Names CMS lists as owners or managers · reported as For profit - Limited Liability company.
- 5% OR GREATER DIRECT OWNERSHIP INTEREST · Individual · 5% · since 04/01/2019
- W-2 MANAGING EMPLOYEE · Individual · NOT APPLICABLE · since 04/01/2019
- 5% OR GREATER DIRECT OWNERSHIP INTEREST · Individual · 48% · since 04/01/2019
- 5% OR GREATER DIRECT OWNERSHIP INTEREST · Individual · 48% · since 04/01/2019
- CORPORATE OFFICER · Individual · NOT APPLICABLE · since 04/01/2019
Inspection history
Open a date to read what inspectors found. The harm labels explain how serious the problem was at the time.
April 17, 20258 findings
- Egress problemsCould have caused harm · widespread case
Inspection type and official rule codes
Fire-safety inspection · CMS tag K0211 · code F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- Nutrition and Dietary problemsCould have caused harm · widespread case
Inspection type and official rule codes
Routine health inspection · CMS tag F0812 · code F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Administration problemsCould have caused harm · widespread case
Inspection type and official rule codes
Routine health inspection · CMS tag F0838 · code 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.
- Quality of Life and Care problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag F0684 · code E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Resident Assessment and Care Planning problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0658 · code D
Ensure services provided by the nursing facility meet professional standards of quality.
- Resident Rights problemsLow risk of harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag F0582 · code B
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- Resident Assessment and Care Planning problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag F0641 · code E
Ensure each resident receives an accurate assessment.
- Miscellaneous problemsCould have caused harm · widespread case
Inspection type and official rule codes
Fire-safety inspection · CMS tag K0761 · code F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
November 6, 20243 findings
- Resident Assessment and Care Planning problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag F0658 · code E
Ensure services provided by the nursing facility meet professional standards of quality.
- Pharmacy Service problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag F0760 · code E
Ensure that residents are free from significant medication errors.
- Administration problemsCould have caused harm · widespread case
Inspection type and official rule codes
Routine health inspection · CMS tag F0839 · code F
Employ staff that are licensed, certified, or registered in accordance with state laws.
September 25, 20241 finding
- Pharmacy Service problemsCaused actual harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0760 · code G
Ensure that residents are free from significant medication errors.
June 13, 20241 finding
- Quality of Life and Care problemsImmediate danger to residents · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0689 · code J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
May 8, 202428 findings
- Infection Control problemsCould have caused harm · widespread case
Inspection type and official rule codes
Routine health inspection · CMS tag F0880 · code F
Provide and implement an infection prevention and control program.
- Infection Control problemsCould have caused harm · widespread case
Inspection type and official rule codes
Routine health inspection · CMS tag F0881 · code F
Implement a program that monitors antibiotic use.
- Nursing and Physician Services problemsCould have caused harm · widespread case
Inspection type and official rule codes
Routine health inspection · CMS tag F0947 · code F
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- Quality of Life and Care problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag F0690 · code 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.
- Nursing and Physician Services problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag F0726 · code 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.
- Quality of Life and Care problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag F0740 · code E
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- Pharmacy Service problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag F0759 · code E
Ensure medication error rates are not 5 percent or greater.
- Pharmacy Service problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag F0760 · code E
Ensure that residents are free from significant medication errors.
- Resident Assessment and Care Planning problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0842 · code D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Resident Rights problemsLow risk of harm · widespread case
Inspection type and official rule codes
Routine health inspection · CMS tag F0577 · code C
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- Resident Assessment and Care Planning problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag F0656 · code E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Resident Rights problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0550 · code D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Resident Assessment and Care Planning problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0658 · code D
Ensure services provided by the nursing facility meet professional standards of quality.
- Quality of Life and Care problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0686 · code D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Quality of Life and Care problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0695 · code D
Provide safe and appropriate respiratory care for a resident when needed.
- Pharmacy Service problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0761 · code 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.
- Smoke problemsCould have caused harm · widespread case
Inspection type and official rule codes
Fire-safety inspection · CMS tag K0351 · code F
Install an approved automatic sprinkler system.
- Nutrition and Dietary problemsImmediate danger to residents · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag F0805 · code K
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- Quality of Life and Care problemsCaused actual harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag F0684 · code H
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Resident Assessment and Care Planning problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag F0641 · code E
Ensure each resident receives an accurate assessment.
- Nutrition and Dietary problemsCould have caused harm · widespread case
Inspection type and official rule codes
Routine health inspection · CMS tag F0809 · code 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.
- Nutrition and Dietary problemsCould have caused harm · widespread case
Inspection type and official rule codes
Routine health inspection · CMS tag F0812 · code F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Administration problemsCould have caused harm · widespread case
Inspection type and official rule codes
Routine health inspection · CMS tag F0835 · code F
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- Emergency Preparedness problemsCould have caused harm · widespread case
Inspection type and official rule codes
Fire-safety inspection · CMS tag E0036 · code F
Establish emergency prep training and testing.
- Miscellaneous problemsCould have caused harm · widespread case
Inspection type and official rule codes
Fire-safety inspection · CMS tag K0712 · code F
Have simulated fire drills held at unexpected times.
- Miscellaneous problemsCould have caused harm · widespread case
Inspection type and official rule codes
Fire-safety inspection · CMS tag K0781 · code F
Have restrictions on the use of portable space heaters.
- Gas, Vacuum, and Electrical Systems problemsCould have caused harm · widespread case
Inspection type and official rule codes
Fire-safety inspection · CMS tag K0918 · code F
Have generator or other power source capable of supplying service within 10 seconds.
- Gas, Vacuum, and Electrical Systems problemsCould have caused harm · widespread case
Inspection type and official rule codes
Fire-safety inspection · CMS tag K0923 · code F
Have proper medical gas storage and administration areas.
April 4, 20243 findings
- Quality of Life and Care problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag F0676 · code E
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- Resident Rights problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag F0550 · code E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Quality of Life and Care problemsImmediate danger to residents · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0689 · code J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
March 28, 20241 finding
- Quality of Life and Care problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0684 · code D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
March 22, 20241 finding
- Quality of Life and Care problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag F0690 · code 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.
February 29, 20244 findings
- Administration problemsCould have caused harm · widespread case
Inspection type and official rule codes
Routine health inspection · CMS tag F0835 · code F
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- Resident Assessment and Care Planning problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag F0658 · code E
Ensure services provided by the nursing facility meet professional standards of quality.
- Resident Rights problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0550 · code D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Resident Rights problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0583 · code D
Keep residents' personal and medical records private and confidential.
February 27, 20244 findings
- Resident Rights problemsLow risk of harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag F0573 · code B
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
- Resident Rights problemsCaused actual harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0558 · code G
Reasonably accommodate the needs and preferences of each resident.
- Resident Rights problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0625 · code 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.
- Quality of Life and Care problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0684 · code D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
January 10, 20241 finding
- Resident Rights problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag F0567 · code E
Honor the resident's right to manage his or her financial affairs.
December 7, 20234 findings
- Freedom from Abuse, Neglect, and Exploitation problemsImmediate danger to residents · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0600 · code J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Quality of Life and Care problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag F0679 · code E
Provide activities to meet all resident's needs.
- Administration problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag F0940 · code E
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
- Quality of Life and Care problemsImmediate danger to residents · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag F0740 · code J
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Fines & penalties
These fines appear in Medicare’s records. A listed amount does not tell us whether it has been paid.
- Fine · Sep 25, 2024$29,328
- Fine · Jun 13, 2024$27,213
- Fine · Feb 27, 2024$105,651
- Fine · Feb 27, 2024$10,845
- Payment Denial · Feb 27, 2024Unavailable
- Fine · Feb 27, 2024$9,318
- Fine · Feb 20, 2024$4,938
- Fine · Feb 12, 2024$4,938
- Fine · Jan 22, 2024$14,814
- Fine · Jan 8, 2024$4,938
- Fine · Jan 2, 2024$4,545
- Fine · Dec 11, 2023$13,762
- Fine · Dec 7, 2023$53,430
- Payment Denial · Dec 7, 2023Unavailable
- Fine · Nov 20, 2023$4,587
- Fine · Nov 13, 2023$4,587
- Fine · Oct 23, 2023$13,762
Related topics
Questions about Crystal Lake Rehabilitation and Care Center
What is Crystal Lake Rehabilitation and Care Center's Medicare star rating?
Has Crystal Lake Rehabilitation and Care Center been fined?
Does Crystal Lake Rehabilitation and Care Center have a Medicare abuse warning?
How does Crystal Lake Rehabilitation and Care Center compare with other nursing homes in Rhode Island?
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