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Nursing homeFAID #3388

Symphony Maple Crest

4452 SQUAW PRAIRIE ROAD, BELVIDERE, IL, 61008
(815) 547-6377
86 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

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Address

4452 Squaw Prairie Road
Belvidere, IL 61008
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Public record summary

What we can show you for free.
Bed capacity
86
CMS facility ID
145990
Care type
Nursing home
County
Boone
Facility name
Symphony Maple Crest
Street address
4452 SQUAW PRAIRIE ROAD
City / state / ZIP
Belvidere, IL 61008
Phone
(815) 547-6377

About this facility — Symphony Maple Crest

Symphony Maple Crest is a Medicare/Medicaid-certified skilled nursing facility in Belvidere, Illinois. It is licensed for 86 beds — below the median for skilled nursing facilities in Illinois (112 beds).

It is one of 4 senior care facilities in Belvidere and 667 skilled nursing facilities across Illinois. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Symphony Maple Crest 44 times across 19 inspections in the last three years, including 4 food-safety citations, and CMS has imposed $409,524 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Symphony Care Network
Ownership type
For profit - Limited Liability company

Registered owners & officers

Symphony Healthcare Llc
Direct owner — 99% stake — since 2011
Hartman, Debra
Indirect owner — since 2011
Mcafee, John
Managing employee — since 2017
Midcap Funding Iv Trust
Security-interest holder — since 2018
Symag Holdings Llc
Indirect owner — since 2011
Symphony Ml Llc
Indirect owner — since 2011
Symphony Monarch Holdings, Llc
Indirect owner — since 2011
Willow Delta Trust
Indirect owner — since 2019
Woods, Renee
Managing employee — since 2017

Regulatory standing

Licensed / certified since
2000-02-01
CMS overall rating
1 of 5 stars
Health deficiencies
12 at the last standard inspection
Federal fines
$409,524 total
Last standard inspection
2025-09-25
Nurse staffing
2.8 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$289 per day (≈ $8,790/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
64% Medicaid · 9% Medicare · 27% private/other
Occupancy
79% (fiscal year 2023)
Vs. state median
15% below the IL median of $342/day — full state cost breakdown

Services & coverage

Licensed beds
86
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 4 food-safety citations on its three-year record — flagged below among the inspections.
2026-06-08Health inspectionComplaint-triggered1 citation
F-0676
D · No harm foundFrom a complaint
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2026-06-09
2026-05-26Health inspectionComplaint-triggered1 citation
F-0600
K · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2026-05-29
15 earlier / fire-safety inspections (42 citations)
2026-03-26Health inspectionComplaint-triggered1 citation
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-04-02
2025-09-25Health inspection9 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-10-02
F-0677
G · Actual harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-10-03
F-0679
E · No harm found
Provide activities to meet all resident's needs.
Corrected 2025-10-06
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-10-03
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-10-01
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-10-01
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-11-15
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-10-04
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-11-15
2025-09-16Health inspectionComplaint-triggered1 citation
F-0686
G · Actual harmFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-10-01
2025-03-17Health inspectionComplaint-triggered1 citation
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-03-24
2024-11-20Health inspection9 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-12-11
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-12-11
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-12-11
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-12-11
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-12-11
F-0725
F · No harm found
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-12-11
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-12-11
F-0761
E · No harm found
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.
Corrected 2024-12-11
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-12-11
2024-11-04Health inspectionComplaint-triggered1 citation
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-11-22
2024-10-02Health inspectionComplaint-triggered1 citation
F-0689
K · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-14
2024-07-10Health inspectionComplaint-triggered2 citations
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-07-26
F-0690
D · No harm foundFrom a complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-07-26
2024-06-17Health inspectionComplaint-triggered1 citation
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-06-28
2024-04-22Health inspectionComplaint-triggered2 citations
F-0744
D · No harm foundFrom a complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2024-05-10
F-0947
F · No harm foundFrom a complaint
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2024-05-10
2024-02-28Health inspectionComplaint-triggered1 citation
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-03-12
2024-02-06Health inspectionComplaint-triggered1 citation
F-0776
D · No harm foundFrom a complaint
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Corrected 2024-02-20
2023-10-25Health inspection10 citations
F-0583
D · No harm found
Keep residents' personal and medical records private and confidential.
Corrected 2023-11-03
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-11-03
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-11-03
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-11-03
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-11-03
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-11-03
F-0800
E · No harm foundFood safety
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected 2023-11-03
F-0805
E · No harm foundFood safety
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2023-11-03
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-11-03
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-11-03
2023-08-31Health inspectionComplaint-triggered1 citation
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-09-01
2023-10-25Fire-safety inspection1 citation
E-0026
F · No harm found
Establish roles under a Waiver declared by secretary.
Corrected 2023-12-08

Federal penalties

2026-05-26Fine$195,340
2025-09-16Fine$36,517
2024-11-04Fine$39,683
2024-10-02Fine$127,785
2023-08-31Fine$10,199
2025-09-16Medicare payment denial — 36 days
2024-11-04Medicare payment denial — 12 days
Total fines$409,524
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 145990.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 44 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered