Fair Oaks Health Care Center

Name: Fair Oaks Health Care Center
Address: 471 TERRA COTTA AVENUE, Crystal Lake, IL, 60014, US
Telephone: 8154550550

471 Terra Cotta Avenue, Crystal Lake, IL 60014 · Mc Henry County · 51 certified beds · avg 40 residents/day · certified since Dec 19, 1996

Part of chain: WISCONSIN ILLINOIS SENIOR HOUSING, INC. (7 facilities, chain avg rating 1.7★)

3/5

Health inspection rating (on-site)

Serious findings on record

$26,325

Fines, last 3 years

4.77

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Feb 2, 2026 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Jan 29, 2026 (Past Non-Compliance)

▲ Actual harm, one-off · Oct 9, 2025 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Nov 1, 2025 (Deficient, Provider has date of correction)

All citations in the current public record (29)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Feb 2, 2026	▲ G · Actual harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Oct 9, 2025	▲ G · Actual harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Mar 10, 2025	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Mar 10, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Jun 6, 2024	E · Potential for harm, repeated	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Jun 6, 2024	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jun 6, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jun 6, 2024	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Jun 6, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jun 6, 2024	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Jun 6, 2024	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Jun 6, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Feb 20, 2024	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Feb 20, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
May 10, 2023	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
May 10, 2023	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
May 10, 2023	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
May 10, 2023	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
May 10, 2023	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
May 10, 2023	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
May 10, 2023	D · Potential for harm, one-off	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
May 10, 2023	D · Potential for harm, one-off	The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems.
May 10, 2023	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jun 8, 2022	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jun 8, 2022	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Jun 8, 2022	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jun 8, 2022	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Jun 8, 2022	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Jun 8, 2022	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (9 → 8).

Year	Citations	Serious (G–L)	Worst severity that year
2022	6	0	F
2023	9	0	D
2024	10	0	E
2025	3	1	G ▲
2026	1	1	G ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

2 fines totaling $26,325, plus 1 Medicare payment denial period.

Date	Type	Amount / length
Feb 2, 2026	Fine	$17,215
Oct 9, 2025	Fine	$9,110
Jul 8, 2025	Payment Denial	44 days from Aug 6, 2025

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Illinois avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.77	2.99	3.95	top 8% in Illinois; top 17% in the U.S.
Registered Nurse hours	1.28	0.63	0.69	top 8% in Illinois; top 8% in the U.S.
Weekend total nurse staffing	3.98	2.67	3.50	top 11% in Illinois; top 23% in the U.S.
Weekend RN hours (not acuity-adjusted)	1.01	0.56	0.48	top 9% in Illinois; top 6% in the U.S.
Total nursing staff turnover (%)	50.7	44.5	45.8	bottom 32% in Illinois; bottom 35% in the U.S.
RN turnover (%)	52.9	41.8	42.9	bottom 30% in Illinois; bottom 31% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 5.35, RN 1.44, weekend 4.47. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: 4/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Carriage Healthcare Companies INC	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/2000
Carriage Healthcare Companies INC	Organization	ADP of the SNF	NOT APPLICABLE	08/18/2025
Dupont, Lori	Individual	Corporate Director	NOT APPLICABLE	01/01/2016
Gehler, Miriam	Individual	Corporate Director	NOT APPLICABLE	03/14/2011
HBT It LLC	Organization	ADP of the SNF	NOT APPLICABLE	07/01/2024
JT and Associates LLC	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2010
Kerwin, Andrew	Individual	Corporate Director	NOT APPLICABLE	01/01/2016
Kumar, Rajeev Shiva	Individual	Corporate Director	NOT APPLICABLE	04/24/2012
Lacke (carrig), Karen	Individual	Corporate Director	NOT APPLICABLE	01/01/2016
Lynn, Nicholas	Individual	Corporate Director	NOT APPLICABLE	03/14/2011
Partners in Wealth Management, INC	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2024
Pinion, LLC	Organization	ADP of the SNF	NOT APPLICABLE	01/01/1995
Rehab Solutions Group, LLC	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2024
Sherman, Stephanie	Individual	Operational/Managerial Control	NOT APPLICABLE	08/12/2012
Sherman, Stephanie	Individual	ADP of the SNF	NOT APPLICABLE	08/12/2012
Siebel, Robert	Individual	Operational/Managerial Control	NOT APPLICABLE	12/19/1996
Siebel, Robert	Individual	ADP of the SNF	NOT APPLICABLE	12/19/1996
Sweis, Nadeen	Individual	Operational/Managerial Control	NOT APPLICABLE	09/01/2025
Sweis, Nadeen	Individual	ADP of the SNF	NOT APPLICABLE	09/01/2025
Twomagnets LLC	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2022

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Crystal Pines Rehab & HCC	1.8 mi	Crystal Lake, IL	★☆☆☆☆	2/5	abuse
Pearl of Crystal Lake, the	3.1 mi	Crystal Lake, IL	★★★★★	4/5
Ignite Medical McHenry	5.7 mi	McHenry, IL	★★★☆☆	3/5
Alden Terrace of McHenry Rehab	6.8 mi	McHenry, IL	★☆☆☆☆	2/5	abuse
La Bella of Woodstock	7.3 mi	Woodstock, IL	★☆☆☆☆	1/5	abuse
Alden Estates CTS of Huntley	8.5 mi	Huntley, IL	★★☆☆☆	2/5
Alta Rehab at Wauconda	9.8 mi	Wauconda, IL	★★★★★	4/5
Avondale Estates of Elgin	11.6 mi	Elgin, IL	★★★★★	5/5
Valley Hi Nursing Home	11.8 mi	Woodstock, IL	★★★★☆	3/5
Prairieview at the Garlands	12.6 mi	Barrington, IL	★★★★★	5/5
Alden Estates of Barrington	13.1 mi	Barrington, IL	★★★★☆	4/5
Florence Nursing Home	13.4 mi	Marengo, IL	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in Crystal Lake →

Facility data as of CMS processing date 2026-08-01. CCN 145917.

The Care File

Visit checklist — Fair Oaks Health Care Center

471 Terra Cotta Avenue, Crystal Lake, IL 60014 · 8154550550

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $26,325

Most serious findings on record:

▲ Feb 2, 2026 (F-0689, Actual harm, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
▲ Oct 9, 2025 (F-0689, Actual harm, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 145917 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)