Quick answers
- Where is The Sapphire at Maple Crest?
- 4452 Squaw Prairie Road, Belvidere, IL 61008, in Boone County, Illinois.
- What is the phone number of The Sapphire at Maple Crest?
- (815) 547-6377, as listed by Medicare (CMS).
- What is the Medicare star rating of The Sapphire at Maple Crest?
- Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
- Has The Sapphire at Maple Crest been fined?
- Medicare lists 5 fines totaling $415,675 and 2 payment denials.
- What did inspectors find at The Sapphire at Maple Crest?
- In its last three inspection cycles (October 25, 2023 to July 16, 2026), Medicare lists 44 health citations; the most serious was level K. 5 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (October 25, 2023 to July 16, 2026), The Sapphire at Maple Crest had 44 health citations; the most serious was level K (immediate jeopardy to resident health or safety). 5 of them were level G or higher (actual harm or immediate jeopardy). It was fined $415,675 in total (5 fines, the latest on September 1, 2026) and had 2 Medicare payment denials. Nurse staffing is 2.86 hours per resident per day; the Illinois average is 3.47 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: September 25, 2025 — 14 health citations
Inspections in this cycle: September 25, 2025 (standard health inspection); March 26, 2026 (complaint investigation); May 26, 2026 (complaint investigation); June 8, 2026 (complaint investigation); July 16, 2026 (complaint investigation).
F0600 Level K
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
immediate jeopardy to resident health or safety; pattern (some residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
F0677 Level G
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 12 less serious citations (levels A to F)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0880 Level F
“Provide and implement an infection prevention and control program.”
F0677 Level E
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0679 Level E
“Provide activities to meet all resident's needs.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0676 Level D
“Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0686 Level D
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0759 Level D
“Ensure medication error rates are not 5 percent or greater.”
Previous cycle: November 20, 2024 — 13 health citations
Inspections in this cycle: October 2, 2024 (complaint investigation); November 4, 2024 (complaint investigation); November 20, 2024 (standard health inspection); March 17, 2025 (complaint investigation); September 16, 2025 (complaint investigation).
F0689 Level K
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
immediate jeopardy to resident health or safety; pattern (some residents) · Quality of Life and Care Deficiencies
F0686 Level G
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 10 less serious citations (levels A to F)
F0725 Level F
“Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”
F0761 Level E
“Ensure 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.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0686 Level D
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0692 Level D
“Provide enough food/fluids to maintain a resident's health.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0759 Level D
“Ensure medication error rates are not 5 percent or greater.”
Earlier cycle: October 25, 2023 — 17 health citations
Inspections in this cycle: October 25, 2023 (standard health inspection); February 6, 2024 (complaint investigation); February 28, 2024 (complaint investigation); April 22, 2024 (complaint investigation); June 17, 2024 (complaint investigation); July 10, 2024 (complaint investigation).
Show 17 citations (levels A to F, no actual harm)
F0947 Level F
“Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.”
F0800 Level E
“Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.”
F0805 Level E
“Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0600 Level D
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0744 Level D
“Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0776 Level D
“Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.”
F0583 Level D
“Keep residents' personal and medical records private and confidential.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0686 Level D
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (1)
E0026 Level F
“Establish roles under a Waiver declared by secretary.”
Fines and payment denials
Total fines over about the last three years: $415,675 (5 fines). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| September 1, 2026 | Fine | $16,350 |
| May 26, 2026 | Fine | $195,340 |
| September 16, 2025 | Fine | $36,517 |
| September 16, 2025 | Payment denial | from October 10, 2025, 36 days |
| November 4, 2024 | Fine | $39,683 |
| November 4, 2024 | Payment denial | from November 29, 2024, 12 days |
| October 2, 2024 | Fine | $127,785 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Illinois | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.42 | 0.71 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.78 | 0.64 | 0.86 |
| Nurse aide hours per resident per day | 1.66 | 2.12 | 2.35 |
| Total nurse staff hours per resident per day | 2.86 | 3.47 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 2.52 | 3.08 | 3.43 |
| RN hours per resident per day on the weekend | 0.30 | 0.55 | 0.48 |
| Nursing staff turnover (per year) | 55.0% | 43.7% | 45.3% |
| RN turnover (per year) | 60.0% | 41.5% | 42.5% |
| Administrators who left in the last year | 0.0 | 0.5 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 7 nursing homes: Symphony Care Network.
Legal business name: Symphony Maple Crest LLC.
Owners and managers Medicare lists (6)
| Name | Role | Share | Since |
|---|---|---|---|
| Symphony Healthcare LLC | Direct owner | 99% | November 22, 2011 |
| Symag Holdings LLC | Indirect owner | — | November 22, 2011 |
| Symphony ML LLC | Indirect owner | — | November 22, 2011 |
| Symphony Monarch Holdings, LLC | Indirect owner | — | November 22, 2011 |
| Willow Delta Trust | Indirect owner | — | January 1, 2019 |
| Hartman, Debra | Indirect owner | — | November 22, 2011 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 86 |
| Average residents per day | 66 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – limited liability company |
| Group or chain (affiliated entity) | Symphony Care Network |
| Legal business name | Symphony Maple Crest LLC |
| First approved by Medicare/Medicaid | 2000-02-01 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 4452 Squaw Prairie Road, Belvidere, IL 61008 |
| County | Boone County |
| State | Illinois |
| Phone | (815) 547‑6377 |
| CMS Certification Number | 145990 |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Belvidere Health and Rehab3.3 mi · Belvidere, IL · 5 of 5 stars
- The Sapphire at Northwoods3.8 mi · Belvidere, IL · 1 of 5 stars
- Alden Debes Rehab & HCC7.7 mi · Rockford, IL · 1 of 5 stars
- Alden Park Strathmoor7.9 mi · Rockford, IL · 1 of 5 stars
- Forest City Rehab & Nursing Center8.1 mi · Rockford, IL · 1 of 5 stars
Nearest hospital emergency rooms
- Saint Anthony Medical Center8.0 mi · Rockford, IL · Acute Care Hospital
- UW Health11 mi · Rockford, IL · Acute Care Hospital
- Mercy Harvard Hospital16 mi · Harvard, IL · Critical Access Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13