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Inspection visit

Health inspection

CRYSTAL PINES REHAB & HCCCMS #1452571 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

This survey cited 1 deficiency. The full statement and the facility’s plan of correction follow, verbatim from the federal record.

145257 02/24/2025 Crystal Pines Rehab & Hcc 335 North Illinois Avenue Crystal Lake, IL 60014
F 0602 Protect each resident from the wrongful use of the resident's belongings or money. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview, and record review the facility failed to ensure a resident was free from misappropriation. This applies to 1 of 4 residents (R1) reviewed for misappropriation in the sample of 4. Residents Affected - Few The findings include: R1's Minimum Data Set, dated [DATE] shows R1 scored a 15 out of 15 on her brief interview for mental status test indicating R1 is cognitively intact. On 2/24/25 at 10:00 AM, R1 said during the week of February 10th through February 15th, V4 (R1's Family Member) visited and gave R1 two twenty-dollar bills. R1 said she placed the two bills with the rest of R1's money in the side pocket of her purse that uses a drawstring to close. On 2/24/25 at 11:53 AM, V4 said after giving R1 the money, R1 and V4 counted the money together and V4 watched R1 put the money into the side pocket of the purse and closed the drawstring closure. Facility sign-in sheet for visitors shows that V4 visited R1 on 2/11/25 and again on 2/14/25. On 2/24/25 at 10:00 AM, R1 said on the morning of 2/15/25, R1 asked V5 (Agency Certified Nursing Assistant- Agency CNA) to grab R1's purse from the floor to give money to V5 to go to the vending machine for R1 and purchase a water and a package of cookies. When V5 gave R1 her purse, R1 opened the side pocket with the drawstring and immediately noticed the two twenty-dollar bills were not in the pocket. V5 said V5 helped R1 search R1's purse and immediate surrounding in R1's room, but the money could not be found. On 2/24/25 at 11:27 AM, V6 (RN Supervisor) said V5 reported the missing money to V6 and V6 immediately notified V2 (Assistant Administrator) who was working as the manager on duty for the weekend. V2 along with V1 (Administrator) notified the local police and state agency of the incident and conducted an investigation thereafter. On 2/24/25 at 10:40 AM, V1 said after discussing the incident with R1, R1 believed V5 stole R1's money, but could not determine when. V1 said V5 was immediately suspended pending the investigation and V3 (Director of Nursing) placed V5 on the Do Not Return list with V5's staffing agency. V1 reimbursed R1 the missing forty dollars and R1 was appreciative. On 2/24/25 at 11:37 AM, V5 denied taking R1's money but corroborated helping R1 search R1's purse and room for the missing money. Page 1 of 2 145257 145257 02/24/2025 Crystal Pines Rehab & Hcc 335 North Illinois Avenue Crystal Lake, IL 60014
F 0602 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Facility Abuse, Prevention, & Prohibition Policy dated 12/2024 states, Each resident has the right to be free from abuse, corporal punishment, and involuntary seclusion. Residents must not be subjected to abuse by anyone, including, but not limited to, facility staff, other residents, consultants or volunteers, staff or other agencies serving the resident, family members or legal guardians, friends, or other individuals . Misappropriation of Resident Property is defined as the deliberate misplacement, exploitation, or wrongful, temporary, or permanent use of a resident's belongings or money without the resident's consent. 145257 Page 2 of 2

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Citations

1 citation recorded*CMS

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0602GeneralS&S Dpotential for harm

    F602 - The resident has the right to be free from abuse, neglect, misappropriation of re

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

FAQ · About this visit

Common questions about this visit

What happened during the February 24, 2025 survey of CRYSTAL PINES REHAB & HCC?

This was a inspection survey of CRYSTAL PINES REHAB & HCC on February 24, 2025. The surveyor cited 1 deficiency, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at CRYSTAL PINES REHAB & HCC on February 24, 2025?

Yes, 1 deficiency was cited, each with a CMS Scope and Severity grade. The first was: "Protect each resident from the wrongful use of the resident's belongings or money."

What type of survey was this?

This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.

SourceView on CMS Care Compare

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Next steps

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Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.