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Establishment profile

CRYSTAL LAKE HEALTHCARE AND REHABILITATION

395 LAKESIDE BLVD, BAYVILLE, NJ, 08721
Operated by ENSIGN GROUP, INC · 1 of 114 establishments
623110Nursing Care Facilities (Skilled Nursing Facilities)

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OSHA inspections
1
over 17 years
Violations
3
$2,063 in penalties
Penalties
$2,063
$688 avg
Accident investigations on record
1 National Emphasis Program inspections

Summary

CRYSTAL LAKE HEALTHCARE AND REHABILITATION has accumulated 3 OSHA violations across 1 inspection over 17 years of recorded history, with $2,063 in total assessed penalties.

The establishment sits in the 60th percentile for violations within its industry-state peer group of 317 employers. The most recent enforcement activity was recorded 17 years ago.

Federal records were found in 1 of 15 sources. Sources without matching records returned empty for this establishment.

Agency coverage

CRYSTAL LAKE HEALTHCARE AND REHABILITATION appears in OSHA workplace safety and CMS nursing home enforcement records only. No matching records were found in WHD wage enforcement, MSHA mine safety, EPA environmental compliance, NLRB labor relations, OFLC visa and labor certification (historical), FMCSA motor carrier registration, SAM.gov federal debarment, CPSC product recalls, or NHTSA vehicle recalls.

OSHA workplace safety

Inspections
1
0.1 / yr · last 17 yrs
Violations
3
0.2 / yr
Penalties
$2,063
$688 avg / violation
67% serious33% other
Inspection trigger · planned
1 of 1

100% of inspections at this establishment produced violations,

Most-cited OSHA standards

Top OSHA standards cited at this employer, ranked by citation count. Standards (CFR sections) cluster citations into safety themes -- machine guarding, lockout-tagout, hazard communication, fall protection, process safety, etc. A concentration on one or two sections reveals a pattern that individual citations don’t. 3 distinct standards shown · 3 citations in this view · $2,063 in penalties.

CFR sectionCitationsInspectionsTotal penaltyFirst citedLast cited
29 CFR 1910.0147 F02 I11$1,032Jan 2009Jan 2009
29 CFR 1910.0151 C11$1,032Jan 2009Jan 2009
29 CFR 1910.1200 F05 I11Jan 2009Jan 2009

Source: OSHA inspection citations (violation_detail). CFR section codes can be looked up at osha.gov/laws-regs for the formal standard text. Per-inspection detail and the specific violation descriptions are available by expanding individual inspections below.

Peer comparison

60th

Above average violations in NAICS 6231 within NJ. Peer group: 317 employers. This establishment has 3 OSHA violations; peer median is 2.

Fewer violationsMore violations
Penalty percentile
61st
peer median: $560
Inspection frequency
0th
peer median: 1

Safety self-report (OSHA 300A)

No self-reported injury rates filed with OSHA's Injury Tracking Application for CRYSTAL LAKE HEALTHCARE AND REHABILITATION. Verify directly with OSHA Injury Tracking Application

Industry benchmark

Industry avg TRIR
6.3
BLS SOII 2024
Industry avg DART
4.5
BLS SOII 2024
Self-reported TRIR
Not in OSHA ITA

BLS rates reflect industry-wide averages. Self-reported figures come from OSHA’s Injury Tracking Application; absence of self-reported data does not necessarily indicate non-compliance — many establishments fall below the ITA reporting threshold.

Inspection breakdown

Planned
1

Complaint- and accident-triggered inspections are stronger risk signals than routine planned inspections.

OSHA severe injury reports

No severe injury reports (hospitalization, amputation, or loss of an eye) on file under 29 CFR 1904.39 for CRYSTAL LAKE HEALTHCARE AND REHABILITATION. Verify directly with Occupational Safety and Health Administration

Activity timeline

Data refreshed
Weekly
First OSHA inspection
Most recent activity
17 years ago

No federal enforcement activity has been recorded against this establishment in 17+ years. Most recent activity: 17 years ago. Data on this page is refreshed weekly.

Wage & Hour Division (WHD)

No WHD wage, overtime, or child-labor enforcement cases on file for CRYSTAL LAKE HEALTHCARE AND REHABILITATION. Verify directly with Wage and Hour Division

Mine safety (MSHA)

No MSHA mine safety violations on file for CRYSTAL LAKE HEALTHCARE AND REHABILITATION. Verify directly with Mine Safety and Health Administration

Labor relations (NLRB)

No NLRB unfair labor practice charges or union representation cases on file for CRYSTAL LAKE HEALTHCARE AND REHABILITATION. Verify directly with National Labor Relations Board

Visa & labor certification (OFLC) — historical

No H-1B, H-2A, or H-2B labor condition applications on file (historical data only — DOL ended OFLC publication) for CRYSTAL LAKE HEALTHCARE AND REHABILITATION. Verify directly with Office of Foreign Labor Certification

Environmental compliance (EPA)

No EPA inspections or formal enforcement actions on file for CRYSTAL LAKE HEALTHCARE AND REHABILITATION. Verify directly with Environmental Protection Agency

CMS nursing-home record

CCN 315125

Special focus: SFF
Overall rating
Unrated
Certified beds
235
Deficiencies (3y)
54
CMS fines
$538,184

Source: CMS Provider Data Catalog (Care Compare) — health-inspection deficiencies, fines, and ratings. Full nursing-home record →

CMS Care Compare deficiencies

Every Health Deficiency citation issued by CMS surveyors during this facility’s annual and complaint-triggered surveys. F-tags reference 42 CFR 483 regulatory requirements (resident rights, staffing, infection control, medication management, etc.). Scope-severity letters grade citations from A (isolated potential harm) through L (widespread immediate jeopardy); immediate-jeopardy citations are the critical signal. 58 citations across 9 surveys · 9 immediate jeopardy · 3 actual-harm · 20 complaint-triggered · 58 marked corrected.

Survey dateF-TagSeverityDescriptionTypeCorrected
May 20260684D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
ComplaintMay 2026
Jan 20260689J (IJ)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
StandardApr 2026
Jan 20260686G (harm)
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
StandardApr 2026
Jan 20260812F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
StandardFeb 2026
Jan 20260835F
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies
StandardFeb 2026
Jan 20260584E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies
StandardFeb 2026
Jan 20260755E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
StandardFeb 2026
Jan 20260880E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
StandardFeb 2026
Jan 20260657D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
StandardFeb 2026
Jan 20260658D
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies
StandardApr 2026
Jan 20260690D
Provide 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 Deficiencies
StandardFeb 2026
Jan 20260695D
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
StandardFeb 2026
Jan 20260756D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies
StandardFeb 2026
Jan 20260761D
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.
Pharmacy Service Deficiencies
StandardFeb 2026
Jan 20260814D
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies
StandardFeb 2026
Jan 20260868D
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies
StandardFeb 2026
May 20250848F
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Administration Deficiencies
StandardJun 2025
May 20250636E
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies
StandardJun 2025
May 20250638E
Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning Deficiencies
StandardJun 2025
May 20250640E
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies
StandardJun 2025
May 20250812E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
StandardJun 2025
May 20250880E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
StandardJun 2025
May 20250584D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies
StandardJun 2025
May 20250655D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies
StandardJun 2025
May 20250688D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies
StandardJun 2025
May 20250690D
Provide 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 Deficiencies
StandardJun 2025
May 20250695D
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
StandardJun 2025
May 20250806D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies
StandardJun 2025
Apr 20250600J (IJ)
Protect 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 Deficiencies
ComplaintMay 2025
Apr 20250835J (IJ)
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies
ComplaintMay 2025
Apr 20250865F
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies
ComplaintMay 2025
Apr 20250728D
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Nursing and Physician Services Deficiencies
ComplaintMay 2025
Dec 20240600L (IJ)
Protect 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 Deficiencies
ComplaintDec 2024
Dec 20240610L (IJ)
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
ComplaintDec 2024
Dec 20240583D
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
ComplaintDec 2024
Dec 20240609D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
ComplaintDec 2024
Oct 20240600J (IJ)
Protect 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 Deficiencies
ComplaintDec 2024
Oct 20240610J (IJ)
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
ComplaintDec 2024
Oct 20240656J (IJ)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
ComplaintDec 2024
Oct 20240835J (IJ)
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies
ComplaintDec 2024
Oct 20240644G (harm)
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies
ComplaintDec 2024
Oct 20240657D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
ComplaintDec 2024
Apr 20240576D
Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights Deficiencies
ComplaintApr 2024
Feb 20240600G (harm)
Protect 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 Deficiencies
StandardFeb 2024
Feb 20240609E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
StandardFeb 2024
Feb 20240610E
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
StandardFeb 2024
Feb 20240638E
Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning Deficiencies
StandardFeb 2024
Feb 20240550D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
StandardFeb 2024
Feb 20240583D
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
StandardFeb 2024
Feb 20240644D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies
StandardFeb 2024
Feb 20240678D
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of Life and Care Deficiencies
StandardFeb 2024
Feb 20240695D
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
StandardFeb 2024
Feb 20240700D
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Quality of Life and Care Deficiencies
StandardFeb 2024
Feb 20240880D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
StandardFeb 2024
Aug 20230580D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
ComplaintSep 2023
Aug 20230641D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
ComplaintSep 2023
Aug 20230755D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
ComplaintSep 2023
Aug 20230842D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
ComplaintSep 2023

Source: CMS Care Compare Health Deficiencies dataset. Standard survey citations come from routine annual inspections; complaint citations come from CMS investigations of resident or family complaints; infection control citations come from focused infection-prevention surveys. F-tag definitions are at cms.gov/medicare/quality-initiatives-patient-assessment-instruments/nursinghomequalityinits.

Federal contracts

No federal contracts are recorded to this specific location.

Company-wide — THE CARLYLE GROUP L P (across 145 entities)
Obligated (5-yr)
$141.4M
Obligated (all-time)
$2.5B
Awards (all-time)
12,641

Consolidated across all USAspending recipient entities under this corporate parent — not attributable to this single location.

Federal contract activity for the parent corporation. Source: USAspending.gov, net obligations. Recipient address is the SAM registration / HQ address, not necessarily the worksite.

Inspection history

DateTriggerViolationsSeriousPenalty
2009-01-13Planned32$2,063

Source: OSHA IMIS. Citation amounts reflect initially assessed penalties; final amounts after appeal may differ.

In the news

Part of a larger organization

CRYSTAL LAKE HEALTHCARE AND REHABILITATION is one of 114 establishments rolled up under the parent organization ENSIGN GROUP, INC.

Federal enforcement records on this page represent activity at this specific establishment only. The full enforcement footprint of ENSIGN GROUP, INC across all 114 of its tracked locations is viewable on the parent profile.

Other employers in this industry and state

Other employers in nursing care facilities (skilled nursing facilities) within NJ, ordered by federal enforcement volume:

Other locations under this parent

Other establishments operated by ENSIGN GROUP, INC, ordered by federal enforcement volume:

Related searches

About this data

This profile aggregates federal enforcement records on CRYSTAL LAKE HEALTHCARE AND REHABILITATION from every major federal compliance and enforcement source. OSHA workplace safety inspections, WHD wage cases, MSHA mine safety, EPA environmental enforcement, NLRB labor relations, OFLC visa/labor certification, FMCSA motor carrier registration, SAM.gov debarments, CMS nursing-home records, BLS industry safety benchmarks, OSHA ITA self-reported injury rates, SEC enforcement and financial disclosures, CPSC and NHTSA recalls.

Establishments are matched across agencies using normalized employer name, state, and ZIP code. This establishment resolves to the parent rollup ENSIGN GROUP, INC, which operates 114 establishments in our dataset.

OSHA citations typically appear 3–8 months after the inspection, so very recent enforcement actions may not yet be reflected. Profiles may be incomplete if the establishment operates under multiple legal names or files under variations our entity-matching rules don’t yet cover. To report a missing record or correction, email corrections@fastdol.com.

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Frequently asked

What is CRYSTAL LAKE HEALTHCARE AND REHABILITATION's OSHA violation history?
CRYSTAL LAKE HEALTHCARE AND REHABILITATION has 1 OSHA inspection on record with 3 violations and $2,063 in total penalties.
How does CRYSTAL LAKE HEALTHCARE AND REHABILITATION's safety record compare to its industry?
CRYSTAL LAKE HEALTHCARE AND REHABILITATION operates in the nursing care facilities (skilled nursing facilities) industry. The industry average Total Recordable Incident Rate (TRIR) is 6.3.