| Crystal Lake Rehabilitation and Care Center | |
| 999 South Main Street, Pascoag, Rhode Island 02859 | |
| (401) 568-3091 | |
| Name | Crystal Lake Rehabilitation and Care Center |
|---|---|
| Location | 999 South Main Street, Pascoag, Rhode Island |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 71 |
| Occupancy Rate | 63.52% |
| Medicare ID (CCN) | 415099 |
| Legal Business Name | CL Operating LLC |
| Ownership Type | For Profit - Limited Liability Company |
| NPI Number | 1518436856 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | CL Operating LLC |
| Doing Business As | Crystal Lake Rehabilitation and Care Center |
| Address | 999 S Main St, Pascoag, RI 02859 |
| Phone Number | 877-567-0402 |
| NPI Number | 1538158456 |
| Match | Possible same name, address or phone number |
| Organization Name | Burrillville Nursing Home Inc |
| Doing Business As | Pine Grove Health Center |
| Address | 999 S Main St, Pascoag, RI 02859 |
| Phone Number | 401-568-3091 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.58 | 3.86 |
| Registered nurse (RN) hours per resident per day | 1.04 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.31 | 0.86 |
| Nurse aide hours per resident per day | 2.23 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.13 | 3.42 |
| RN hours per resident per day on the weekend | 0.9 | 0.48 |
| Physical therapist hours per resident per day | 0.07 | 0.07 |
| Total nursing staff turnover | 57.6% | 45.8% |
| Registered nurse turnover | 57.1% | 42.9% |
| Number of administrators who have left the nursing home | 1 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 15 |
| Total Amount of Fines in Dollars | $306,656 |
| Number of Payment Denials | 2 |
| Total Number of Penalties | 17 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Apr 17, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by May 17, 2025 |
| Apr 17, 2025 | 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. F0838, Administration, Standard inspection | Potential for harm, widespread | Corrected by May 17, 2025 |
| Apr 17, 2025 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by May 17, 2025 |
| Apr 17, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by May 17, 2025 |
| Apr 17, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by May 17, 2025 |
| Apr 17, 2025 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582, Resident Rights, Standard inspection | Minimal harm potential, pattern | Corrected by May 17, 2025 |
| Nov 6, 2024 | Employ staff that are licensed, certified, or registered in accordance with state laws. F0839, Administration, Complaint inspection | Potential for harm, widespread | Corrected by Nov 20, 2024 |
| Nov 6, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, pattern | Corrected by Nov 20, 2024 |
| Nov 6, 2024 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Complaint inspection | Potential for harm, pattern | Corrected by Nov 20, 2024 |
| Sep 25, 2024 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Complaint inspection | Actual harm, isolated | Corrected by Oct 7, 2024 |
| Jun 13, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Immediate jeopardy, isolated | Corrected by Jun 27, 2024 |
| May 8, 2024 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. F0805, Nutrition and Dietary, Standard inspection | Immediate jeopardy, pattern | Corrected by May 29, 2024 |
| May 8, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Actual harm, pattern | Corrected by May 29, 2024 |
| May 8, 2024 | 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. F0809, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by May 29, 2024 |
| May 8, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by May 29, 2024 |
| May 8, 2024 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835, Administration, Standard inspection | Potential for harm, widespread | Corrected by May 29, 2024 |
| May 8, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by May 29, 2024 |
| May 8, 2024 | Implement a program that monitors antibiotic use. F0881, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by May 29, 2024 |
| May 8, 2024 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. F0947, Nursing and Physician Services, Standard inspection | Potential for harm, widespread | Corrected by May 29, 2024 |
| May 8, 2024 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by May 29, 2024 |
| May 8, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by May 29, 2024 |
| May 8, 2024 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by May 29, 2024 |
| May 8, 2024 | 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. F0726, Nursing and Physician Services, Standard inspection | Potential for harm, pattern | Corrected by May 29, 2024 |
| May 8, 2024 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. F0740, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by May 29, 2024 |
| May 8, 2024 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by May 29, 2024 |
| May 8, 2024 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by May 29, 2024 |
| May 8, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by May 29, 2024 |
| May 8, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by May 29, 2024 |
| May 8, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 29, 2024 |
| May 8, 2024 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 29, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 26.52 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 5.3 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.48 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 6.17 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 16.56 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.2 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.99 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 81.4 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.77 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 21.43 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 42.34 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.83 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 76.32 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 3.5 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.31 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 35.71 | 15.38 |
Overlook Nursing and Rehabilitation Center Location: 14 Rock Avenue, Pascoag, Rhode Island 02859 Phone: (401) 568-2549 |