Belhaven Nursing & Rehab: Medication Tracking Failures - IL
The complaint inspection, which affected a small number of residents, identified failures in basic medication administration practices. The facility's own undated medication guidelines spell out the requirement clearly: if two consecutive doses of a regularly scheduled medication are withheld or refused, the physician is notified. Each missed dose is supposed to be initialed and circled on the medication administration record, with an explanatory note written on the back.
CMS rated the harm level as minimal.
That rating doesn't capture what a missed medication, unreported and undocumented, can mean for a nursing home resident. The facility's job description for its Director of Nursing states that the DON is responsible for "the overall management of resident care 24 hours a day, seven days per week," including supervising and evaluating nursing staff. The administrator's job description requires monitoring the operations of all departments and communicating policies. Both documents were cited by inspectors as part of the record.
The gap between what those documents require and what inspectors found wasn't a matter of unclear policy. Belhaven's own paperwork, its nursing job descriptions, its medication guidelines, its chain of supervisory responsibility, laid out exactly what should have happened. Someone didn't do it, and no one above them caught it.
For the residents whose medications went untracked, the question of whether their doctors were ever told remains unanswered in the public record.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Belhaven Nursing & Rehab Center from 2025-08-27 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 19, 2026 · Our methodology
Belhaven Nursing & Rehab Center in CHICAGO, IL was cited for violations during a health inspection on August 27, 2025.
The complaint inspection, which affected a small number of residents, identified failures in basic medication administration practices.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.