Complaint Investigation

Belhaven Nursing & Rehab Center

September 18, 2025 · Chicago, IL · 11401 South Oakley Avenue

Citations 1

CMS Rating 1/5

Beds 221

Provider ID 145549

Healthcare Facility

Belhaven Nursing & Rehab Center

Chicago, IL · View full profile →

Inspection Summary

Belhaven Nursing & Rehab Center in CHICAGO, IL — inspection on September 18, 2025.

Found 1 citation. 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

FF0806

Nutrition and Dietary Deficiencies

Potential for More Than Minimal Harm

Hemiplegia-unspecified affecting left non-dominant side, Diabetes Mellitus due to underlying condition, Other Seizures, Vitamin D Deficiency, Essential (Primary) Hypertension, Atherosclerotic Heart Disease of Native Coronary Artery without Angina Pectoris.R2's Minimum Data Set Section C dated 8/8/2025 documents a BIMS (Brief Interview Mental Status) Score of 15 which is indicative of an intact cognition.R2's Lunch Meal Tray Ticket dated 9/17/2025 documents, in part, Dislikes/Do Not Serve PBJ (Peanut Butter Jelly Sandwich).Facility's undated Policy titled Menu Selection/Alternatives documents, in part, Residents will be able to choose foods they wish to have form the items available.

Residents have the right to make informed choices of foods not allowed within their diet prescription. An alternative menu with choices is available daily.

Activity department works together with the resident to select alternatives and deliver them to the dietary department.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?

F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.

Were these violations corrected?

Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.

How often do nursing home inspections happen?

CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.

What should families do about these violations?

Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in CHICAGO, IL, (5) Report new concerns to state authorities.

Where can I see the full inspection report?

Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Belhaven Nursing & Rehab Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.

Belhaven Nursing & Rehab Center

Inspection Findings

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