Crystal Lake Rehabilitation and Care Center
Nursing Home, Palliative Care, Respite Care & Skilled Nursing · Pascoag, RI
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Crystal Lake Rehabilitation and Care Center

Nursing Home, Palliative Care, Respite Care & Skilled Nursing · Pascoag, RI
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Crystal Lake Rehabilitation and Care Center accepts Medicaid, Medicare, and private pay.

Inspection History

In Rhode Island, the Department of Health, Center for Health Facilities Regulation is the primary authority for inspecting, licensing, and reporting on all long-term care facilities.

Since 2021 · 5 years of data 36 deficiencies

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Rhode Island state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2021 vs. Rhode Island state average
Overall vs. RI average 2 Worse Metrics worse than Rhode Island average:
• Total deficiencies (6% above)
• Deficiencies per year (6% above)
0 Better No metrics in this bucket.
Latest Inspection May 27, 2025 Plan Of Correction

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityRI Averagevs. RI Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 3634 This facility has 6% more total deficiencies than a typical Rhode Island assisted living residence (36 vs. RI avg 34).↑ 6% worse
Deficiencies per year Info Average deficiencies per year since 2021. 7.26.8 This facility has 6% more deficiencies per year than a typical Rhode Island assisted living residence (7.2 vs. RI avg 6.8).↑ 6% worse

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • April 17, 2025 inspection cited 7 deficiencies including Medicaid/Medicare notice failures, inaccurate assessments, insulin administration errors, food safety, and life safety code violations.
  • May 16 and May 27, 2025 follow-ups confirmed all prior deficiencies were corrected and the facility was in compliance with all regulations surveyed.
  • May 8, 2024 survey found immediate jeopardy for food safety and resident care, including dignity violations, medication errors, infection control failures, and life safety code issues.

Health Inspection History

Inspections since 2023
Total health inspections 15

State average N/A


Last Health inspection on Apr 2025

Total health citations
60 Rank #54 / 58Health citations — State benchmarkedThis home is ranked 54th out of 58 homes in Rhode Island for Health Citations. Shows this facility's total health deficiency citations benchmarked to the Rhode Island State average, with a ranking across all 58 RI facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Rhode Island that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
4 Rank #37 / 58Citations per inspection — State benchmarkedThis home is ranked 37th out of 58 homes in Rhode Island for Citations Per Inspection. Shows average deficiency citations per CMS inspection for this facility versus the Rhode Island mean across 58 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Rhode Island that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

35 of 60 citations resulted from standard inspections; and 25 of 60 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical health citations
5
In line with State average

State average: N/A


Serious health citations
3
In line with State average

State average: N/A

5 critical citations State average: N/A

3 serious citations State average: N/A

49 moderate citations State average: N/A

3 minor citations State average: N/A
Citations history (last 3 years)
Administration moderate citation Apr 17, 2025
Corrected

Nutrition moderate citation Apr 17, 2025
Corrected

Quality of Care moderate citation Apr 17, 2025
Corrected

Care Planning moderate citation Apr 17, 2025
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 121
Employees 61
Contractors 60
Staff to resident ratio 2.57 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 25
Average shift 7.3 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 16,739

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 35 total: 11 full-time employees and 24 contractors. 35
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.9 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 3 LPN Staff are full-time employees. No contractors work on this role. 3
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.9 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 54 total: 23 full-time employees and 31 contractors. 54
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.1 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

7.4%

1,237 contractor hours this quarter

Certified Nursing Assistant: 31 Registered Nurse: 24 Medication Aide/Technician: 2 Occupational Therapy Aide: 1 Feeding Assistant: 1 Medical Director: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant2331546,95492100%7.1
Registered Nurse1124352,61092100%7.9
Medication Aide/Technician5271,7289199%8.1
Licensed Practical Nurse3039327885%10.9
RN Director of Nursing2025236267%8.2
Administrator1015046368%8
Physical Therapy Assistant3034926975%5.8
Mental Health Service Worker1014886166%8
Dietitian1014806065%8
Other Dietary Services Staff1014655762%8.1
Nurse Practitioner1014646368%7.4
Clinical Nurse Specialist1014425155%8.7
Respiratory Therapy Technician2022965762%5.2
Feeding Assistant0111816368%2.9
Qualified Social Worker303803336%2.4
Occupational Therapy Aide011711820%3.9
Physical Therapy Aide1011233%4.1
Medical Director01110910%1.1
Speech Language Pathologist202989%1.1
54 Certified Nursing Assistant
% of Days 100%
35 Registered Nurse
% of Days 100%
7 Medication Aide/Technician
% of Days 99%
3 Licensed Practical Nurse
% of Days 85%
2 RN Director of Nursing
% of Days 67%
1 Administrator
% of Days 68%
3 Physical Therapy Assistant
% of Days 75%
1 Mental Health Service Worker
% of Days 66%
1 Dietitian
% of Days 65%
1 Other Dietary Services Staff
% of Days 62%
1 Nurse Practitioner
% of Days 68%
1 Clinical Nurse Specialist
% of Days 55%
2 Respiratory Therapy Technician
% of Days 62%
1 Feeding Assistant
% of Days 68%
3 Qualified Social Worker
% of Days 36%
1 Occupational Therapy Aide
% of Days 20%
1 Physical Therapy Aide
% of Days 3%
1 Medical Director
% of Days 10%
2 Speech Language Pathologist
% of Days 9%

Penalties and fines

Includes penalties issued in 2023-2024

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $307K Rank #57 / 58Federal fines — State benchmarkedThis home is ranked 57th out of 58 homes in Rhode Island for Federal Fines. Shows this facility's cumulative CMS federal fine dollars versus the Rhode Island average among facilities with fines, and where it ranks among 58 facilities in the pool. Lower total dollars mean a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Rhode Island that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
225% higher than State average

State average: $94K

Number of fines 15
431% more fines than State average

State average: 2.8

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 2
375% more payment denials than State average

State average: 0.4

Fines amount comparison
Fines amount comparison
This facility $307K
State average $94K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

17 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Sep 25, 2024
$29K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jun 13, 2024
$27K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Feb 27, 2024
$9K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Feb 27, 2024
$11K

Last updated: Jan 2026

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 9.5
8% better than State average

State average: 10.3

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 17.7
12% better than State average

State average: 20.2

Long-stay resident measures
Below average State avg: 3.2 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 17.4%
11% better than State average

State average: 19.5%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 19.1%
5% worse than State average

State average: 18.2%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 16.6%
27% better than State average

State average: 22.9%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.9%
21% better than State average

State average: 3.7%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 3.9%
18% better than State average

State average: 4.7%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 6.4%
179% worse than State average

State average: 2.3%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.2%
22% better than State average

State average: 5.4%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 1.3%
91% better than State average

State average: 13.5%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 28.2%
32% worse than State average

State average: 21.5%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 90.2%
In line with State average

State average: 93.1%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.8%
In line with State average

State average: 95.3%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.03
29% better than State average

State average: 1.46

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 3.05
77% worse than State average

State average: 1.72

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 54.4%
29% worse than State average

State average: 76.2%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 6.6%
224% worse than State average

State average: 2.0%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 76.3%
In line with State average

State average: 78.2%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 46.8%
7% worse than State average

State average: 50.6%

Breakdown by payment type

Medicare

84% of new residents, usually for short-term rehab.

Typical stay 9 days

Private pay

8% of new residents, often for short stays.

Typical stay 2 years

Medicaid

8% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 47
Medicaid
34
72.3% of residents
Private pay or other
13
27.7% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Clinical Research

Conducts clinical research trials to develop and test new treatments

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$7.1M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$1.2M
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$7.1M Rank #53 / 60Revenue — State benchmarkedThis home is ranked 53rd out of 60 homes in Rhode Island for Revenue. Shows this facility's annual revenue compared to the Rhode Island average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Rhode Island that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$1.2M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$290.1K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #54 / 60Payroll — State benchmarkedThis home is ranked 54th out of 60 homes in Rhode Island for Payroll. Shows total annual staff payroll benchmarked to the Rhode Island average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Rhode Island that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$4.0M 56.8% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #42 / 60Payroll % — State benchmarkedThis home is ranked 42nd out of 60 homes in Rhode Island for Payroll %. Shows payroll as a percentage of revenue versus the Rhode Island average. Well-run Rhode Island facilities typically land around 58–69% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Rhode Island that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$4.3M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$8.3M

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Most new residents arrive under Medicare (84% of admissions), and a typical Medicare stay runs around 9 days.

Admissions
199 total

Coverage residents most often arrive under.

Medicare 84%
Private pay 8%
Medicaid 8%
Discharges
194 total

Coverage residents most often leave under.

Medicare 73%
Private pay 14%
Medicaid 13%

Places of interest near Crystal Lake Rehabilitation and Care Center

Address 0.0 miles from city center Info Estimated distance in miles from Pascoag's city center to Crystal Lake Rehabilitation and Care Center's address, calculated via Google Maps.

Calculate Travel Distance to Crystal Lake Rehabilitation and Care Center

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The information below is reported by the Rhode Island Department of Health, Center for Health Facilities Regulation.

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Frequently Asked Questions about Crystal Lake Rehabilitation and Care Center

Who is the owner of Crystal Lake Rehabilitation and Care Center?

Crystal Lake Rehabilitation and Care Center is legally operated by Margaret Vaccaro, ADMINISTRATOR.

Is Crystal Lake Rehabilitation and Care Center in a walkable area?

Crystal Lake Rehabilitation and Care Center has a walk score of 54. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Crystal Lake Rehabilitation and Care Center?

According to RI state health department records, Crystal Lake Rehabilitation and Care Center's license number is LTC00810.

What is the occupancy rate at Crystal Lake Rehabilitation and Care Center?

Crystal Lake Rehabilitation and Care Center's occupancy is 66%.

Are pets allowed at Crystal Lake Rehabilitation and Care Center?

No, Crystal Lake Rehabilitation and Care Center has a no-pet policy.

Does Crystal Lake Rehabilitation and Care Center operate as a for-profit or non-profit?

Crystal Lake Rehabilitation and Care Center is registered as a for-profit in RI.

How many beds does Crystal Lake Rehabilitation and Care Center have?

Crystal Lake Rehabilitation and Care Center has 71 beds.

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