Belhaven Nursing & Rehab Center
Belhaven Nursing & Rehab Center in CHICAGO, IL — inspection on August 27, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Guidelines, (Undated), documents in part, .
Medications are administrated as prescribed, in
orders of the attending physician.routine medications are administered according to the established
administering a medication, in the space provided under the date, and on the line for that specific medication dose administration.11. If a dose of regularly scheduled medication is withheld, refused, . the space provided on the front of the MAR for that dosage administration is initialed and circled. An explanatory note is entered on the reverse side of the record provided.If two consecutive doses of a medication are withheld or refused, the physician is notified.8/25/2025 Facility's document titled, Job Description Administrator (Revised date August 21,2023), documents, in part, .Monitor each departments activities, communicate policies, .monitor operations of all departments.8/25/2025 Facility's document titled, Job Description Licensed Practical Nurse (Undated), documents, in part,.B.
Role Responsibilities - Charting and Documentation.5.
Charts nurses' notes in an informative and descriptive manner that reflects the care provided to the resident, as well as the resident's response to the care.C.
Role Responsibilities-Drug Administration: 1.
Prepares and administers medications as ordered by the physician.5.
Orders prescribed medications, supplies, and equipment as necessary.8/25/2025 Facility's document titled, Job Description Registered Nurse, (Undated), documents, in part,.B.
Role Responsibilities - Charting and Documentation.5.
Charts nurses' notes in an informative and descriptive manner that reflects the care provided to the resident, as well as the resident's response to the care.C.
Role Responsibilities-Drug Administration: 1.
Prepares and administers medications as ordered by the physician.5.
Orders prescribed medications, supplies, and equipment as necessary.8/25/2025 Facility's document titled, Job Description Director of Nursing, (Undated), documents, in part, .Under the supervision of the Administrator, the Director of Nursing has the authority, responsibility, and accountability for the functions, activities, and training of the nursing services staff.The DON is responsible for the overall management of resident care 24 hours a day, seven(7) days per week.B.
Role Responsibilities - Administrative Duties.2.
Supervise, evaluates, counsels, and disciplines inter-departmental personnel.
145549 08/27/2025
Belhaven Nursing & Rehab Center 11401 South Oakley Avenue Chicago, IL 60643
kitchen staff to address the matter of food preparation being delayed and sent out late to the
a planned schedule that allows no more than 14 hours between dinner the previous evening and
areas.A.
Posting in kitchen should include service times for all service areas. B.
Postings in service areas should include time for that service area only.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.