Nursing HomeInspections

Symphony Maple Crest

Nursing home in Belvidere, IL

Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon

Call (815) 547-6377Send a messageMap ↗

Public-record details

Address
4452 Squaw Prairie Road, Belvidere, IL 61008
Phone
(815) 547-6377
Listed under
For-profit
Medicare CCN
145990
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measures rating
4 of 5
Certified beds
86
Average residents per day
69
Ownership
For-profit, limited Liability company
Legal business name
Symphony Maple Crest LLC
Chain
Symphony Care Network (7 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Feb 1, 2000
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 145990. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Sep 25, 2025. CMS lists 43 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 31, 2023 to Jun 8, 2026): 15 from complaint inspections, 6 at the “actual harm” level or higher, including 3 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years.

InspectionCitationSeverity
Jun 8, 2026Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
May 26, 2026Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		K
Immediate jeopardy, pattern
Mar 26, 2026Provide and implement an infection prevention and control program.
Infection Control · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 25, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated
Sep 25, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Sep 25, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Sep 25, 2025Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Sep 25, 2025Ensure medication error rates are not 5 percent or greater.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Sep 25, 2025Provide activities to meet all resident's needs.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
Sep 25, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
Sep 25, 2025Provide and implement an infection prevention and control program.
Infection Control		F
Potential for more than minimal harm, widespread
Sep 25, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care		G
Actual harm, isolated

Showing the 12 most recent of 43. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 5 fines totalling $409,524 and 2 denials of Medicare payment for new admissions in the last three years.

May 26, 2026Fine: $195,340
Sep 16, 2025Fine: $36,517
Sep 16, 2025Payment denial for 36 days from Oct 10, 2025
Nov 4, 2024Fine: $39,683
Nov 4, 2024Payment denial for 12 days from Nov 29, 2024
Oct 2, 2024Fine: $127,785
Aug 31, 2023Fine: $10,199

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
2.85 hours
Registered nurse (RN) time per resident per day
0.40 hours
Nurse aide time per resident per day
1.61 hours
Total nurse staffing on weekends
2.57 hours
Nursing staff turnover (yearly)
53%
RN turnover (yearly)
56%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Belvidere

Belvidere Health and Rehab1701 5th Avenue · Belvidere, IL 61008 · (815) 547-5451 · For-profit17 health citations in 3 inspection cycles · last standard inspection Jun 25, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified4★ overall (CMS)Symphony Northwoods2250 Pearl Street · Belvidere, IL 61008 · (815) 544-0358 · For-profit37 health citations in 3 inspection cycles · last standard inspection Jan 7, 2026 · $118,435 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

All 3 in Belvidere →