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Data / Nursing homes / Illinois / The Sapphire at Maple Crest

The Sapphire at Maple Crest, Belvidere, IL: 1 star rating, fined $415,675 across 5 fines and had 2 payment denials

The Sapphire at Maple Crest in Belvidere, IL is owned by Symphony Healthcare LLC, is rated 1 of 5 stars by Medicare, and was fined $415,675 across 5 fines and had 2 payment denials in the three years to October 1, 2026. CMS lists 44 health citations from inspections in that time, the latest survey on July 16, 2026, and 5 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Illinois
Address
4452 Squaw Prairie Road, Belvidere, IL 61008
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measure rating
4 of 5
Certified beds
86
Residents per day
66 on average
Ownership type
For profit, limited liability company
Legal business name
Symphony Maple Crest LLC
Chain
Symphony Care Network, 7 facilities
Abuse icon
CMS shows an abuse icon on Care Compare
Fines
$415,675 across 5 fines, three years to October 1, 2026
Payment denials
2
Health citations
44, of which 5 with actual harm or immediate jeopardy
Latest survey
July 16, 2026
CMS Certification Number
145990
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
September 1, 2026Fine$16,350Not listeddata.cms.gov
May 26, 2026Fine$195,340Not listeddata.cms.gov
September 16, 2025Fine$36,517Not listeddata.cms.gov
September 16, 2025Payment denialNot listedOctober 10, 202536data.cms.gov
November 4, 2024Fine$39,683Not listeddata.cms.gov
November 4, 2024Payment denialNot listedNovember 29, 202412data.cms.gov
October 2, 2024Fine$127,785Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
July 16, 2026F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 24, 2026data.cms.gov
July 16, 2026F677Provide care and assistance to perform activities of daily living for any resident who is unable.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 24, 2026data.cms.gov
June 8, 2026F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 9, 2026data.cms.gov
May 26, 2026F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.K: pattern, immediate jeopardyCorrectedMay 29, 2026data.cms.gov
March 26, 2026F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 2, 2026data.cms.gov
September 25, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.G: isolated, actual harmCorrectedOctober 3, 2025data.cms.gov
September 25, 2025F880Provide and implement an infection prevention and control program.F: widespread, no actual harm, potential for more than minimal harmCorrectedNovember 15, 2025data.cms.gov
September 25, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedOctober 4, 2025data.cms.gov
September 25, 2025F759Ensure medication error rates are not 5 percent or greater.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 15, 2025data.cms.gov
September 25, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 1, 2025data.cms.gov
September 25, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 1, 2025data.cms.gov
September 25, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 3, 2025data.cms.gov
September 25, 2025F679Provide activities to meet all resident's needs.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 6, 2025data.cms.gov
September 25, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 2, 2025data.cms.gov
September 16, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G: isolated, actual harmCorrectedOctober 1, 2025data.cms.gov
March 17, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 24, 2025data.cms.gov
November 20, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 11, 2024data.cms.gov
November 20, 2024F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 11, 2024data.cms.gov
November 20, 2024F759Ensure medication error rates are not 5 percent or greater.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 11, 2024data.cms.gov
November 20, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F: widespread, no actual harm, potential for more than minimal harmCorrectedDecember 11, 2024data.cms.gov
November 20, 2024F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 11, 2024data.cms.gov
November 20, 2024F692Provide enough food/fluids to maintain a resident's health.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 11, 2024data.cms.gov
November 20, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 11, 2024data.cms.gov
November 20, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 11, 2024data.cms.gov
November 20, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 11, 2024data.cms.gov
November 4, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedNovember 22, 2024data.cms.gov
October 2, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.K: pattern, immediate jeopardyCorrectedOctober 14, 2024data.cms.gov
July 10, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 26, 2024data.cms.gov
July 10, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 26, 2024data.cms.gov
June 17, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 28, 2024data.cms.gov
April 22, 2024F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.F: widespread, no actual harm, potential for more than minimal harmCorrectedMay 10, 2024data.cms.gov
April 22, 2024F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 10, 2024data.cms.gov
February 28, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 12, 2024data.cms.gov
February 6, 2024F776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 20, 2024data.cms.gov
October 25, 2023F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 3, 2023data.cms.gov
October 25, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 3, 2023data.cms.gov
October 25, 2023F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 3, 2023data.cms.gov
October 25, 2023F800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 3, 2023data.cms.gov
October 25, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 3, 2023data.cms.gov
October 25, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 3, 2023data.cms.gov
October 25, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 3, 2023data.cms.gov
October 25, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 3, 2023data.cms.gov
October 25, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 3, 2023data.cms.gov
October 25, 2023F583Keep residents' personal and medical records private and confidential.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 3, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 3 individual or personal trusts (1 owners, 2 managers). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Symphony Healthcare LLCDirect owner99%November 22, 2011data.cms.gov
Symag Holdings LLCIndirect ownerNot listedNovember 22, 2011data.cms.gov
Symphony ML LLCIndirect ownerNot listedNovember 22, 2011data.cms.gov
Symphony Monarch Holdings, LLCIndirect ownerNot listedNovember 22, 2011data.cms.gov
Willow Delta TrustIndirect ownerNot listedJanuary 1, 2019data.cms.gov
Midcap Funding IV TrustSecurity interestNot listedAugust 21, 2018data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.