Belhaven Nursing & Rehab Center
Nursing home · 11401 SOUTH OAKLEY AVENUE, Chicago, IL 60643 · Cook County
Prices
No private-pay rate was reported to HFSRB for this facility, and Illinois publishes no facility websites, so we show none. Ask the facility directly.
Facility
- Type
- Nursing home
- Capacity
- 221
- State license
- 145549
- Medicare CCN
- 145549
- Licensed entity
- BELHAVEN NURSING AND REHABILITATION CENTER LLC
- Chain
- INFINITY HEALTHCARE CONSULTING
- Ownership
- For profit - Corporation
- Phone
- (773) 233-6311
- Nurse staffing
- 2.60 hours per resident per day; 33.9% nursing staff turnover
- Medicare ratings
- Inspections 1★ · Staffing 1★ · Quality 3★
- CMS abuse flag
- Cited for abuse (CMS marks this facility with its abuse icon)
- Official record
- Illinois Department of Public Health nursing home pages
- Official record
- Medicare Care Compare
Penalties
- Dec 17, 2025 — IDPH fine (Nursing Home Care Act) ($500)
- Mar 5, 2025 — IDPH fine (Nursing Home Care Act) ($25,000)
- Feb 25, 2025 — Fine ($32,096)
- Jan 3, 2025 — IDPH fine (Nursing Home Care Act) ($2,200)
- Jan 3, 2025 — Fine ($113,764)
- Oct 24, 2024 — IDPH fine (Nursing Home Care Act) ($1,100)
- Sep 30, 2024 — IDPH fine (Nursing Home Care Act) ($2,200)
- Sep 30, 2024 — Fine ($87,155)
- Sep 30, 2024 — IDPH fine (Nursing Home Care Act) ($1,100)
- Sep 30, 2024 — Payment Denial · payment denial 28 days
- Mar 25, 2024 — IDPH fine (Nursing Home Care Act) ($25,000)
- Mar 1, 2024 — Payment Denial · payment denial 14 days
- Mar 1, 2024 — Fine ($58,095)
- Mar 1, 2024 — IDPH fine (Nursing Home Care Act) ($25,000)
- Nov 3, 2023 — Fine ($28,958)
Inspection findings
-
Jun 27, 2026 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Jul 3, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
May 13, 2026 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0800 Nutrition and Dietary Deficiencies
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected May 15, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Mar 20, 2026 Health · 6 findings
-
Not serious
Scope/severity D
Complaint
F0558 Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Corrected Mar 31, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected Mar 31, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Mar 31, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0760 Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Corrected Mar 31, 2026 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0806 Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected Mar 31, 2026 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Mar 31, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Feb 17, 2026 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Feb 25, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Feb 5, 2026 Health · 2 findings
-
Not serious
Scope/severity D
Complaint
F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected Feb 16, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Feb 16, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Dec 17, 2025 Health · 19 findings
-
Not serious
Scope/severity D
F0550 Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected Jan 6, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0558 Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Corrected Jan 6, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0578 Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected Jan 6, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0584 Resident Rights Deficiencies
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.
Corrected Jan 6, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0645 Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected Jan 6, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Jan 2, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0695 Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Corrected Jan 2, 2026 · CMS health inspection
-
Not serious
Scope/severity F
F0732 Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Corrected Jan 5, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Jan 2, 2026 · CMS health inspection
-
Not serious
Scope/severity F
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Dec 29, 2025 · CMS health inspection
-
Not serious
Scope/severity F
F0814 Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Corrected Dec 29, 2025 · CMS health inspection
-
Not serious
Scope/severity F
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Dec 18, 2025 · CMS health inspection
-
Not serious
Scope/severity F
F0881 Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Corrected Jan 2, 2026 · CMS health inspection
-
Not serious
Scope/severity F
F0883 Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected Jan 9, 2026 · CMS health inspection
-
Not serious
Scope/severity F
F0887 Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected Jan 2, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0914 Environmental Deficiencies
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Corrected Jan 5, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0921 Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected Jan 5, 2026 · CMS health inspection
-
Not serious
Scope/severity F
F0925 Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected Jan 5, 2026 · CMS health inspection
-
Not serious
Scope/severity C
Type C Illinois Nursing Home Care Act violation
Type C: less than minimal harm (1-132). Sections of the Illinois Administrative Code cited: 300.615e), 300.615f), 300.615g), and 300.615j). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation:300.615e), 300.615f), and 300.615g).
-
Not serious
Scope/severity D
-
Sep 18, 2025 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0806 Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected Sep 19, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Aug 27, 2025 Health · 2 findings
-
Not serious
Scope/severity D
Complaint
F0760 Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Corrected Sep 8, 2025 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0809 Nutrition and Dietary Deficiencies
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected Sep 8, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Aug 15, 2025 Health · 2 findings
-
Not serious
Scope/severity D
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Aug 19, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0808 Nutrition and Dietary Deficiencies
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected Aug 19, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Jul 3, 2025 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Jul 18, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
May 21, 2025 Health · 1 finding
-
Not serious
Scope/severity E
Complaint
F0919 Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected May 29, 2025 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
-
May 4, 2025 Health · 1 finding
-
Not serious
Scope/severity E
Complaint
F0584 Resident Rights Deficiencies
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.
Corrected May 7, 2025 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
-
Apr 10, 2025 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Apr 24, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Mar 16, 2025 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0686 Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Mar 25, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Mar 5, 2025 Health · 5 findings
-
Not serious
Scope/severity D
Complaint
F0558 Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Corrected Mar 25, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Mar 25, 2025 · CMS health inspection
-
Serious
Scope/severity G
Complaint
F0686 Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Mar 25, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0919 Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected Mar 25, 2025 · CMS health inspection
-
Serious
Scope/severity A
Type A Illinois Nursing Home Care Act violation
Type A: substantial probability of death or serious harm, or actual harm (1-129). Sections of the Illinois Administrative Code cited: 300.610a), 300.1210a), 300.1210b), and 300.1210d)2)5). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)5).
-
Not serious
Scope/severity D
Complaint
-
Feb 25, 2025 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected Mar 5, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Jan 24, 2025 Health · 1 finding
-
Not serious
Scope/severity E
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Jan 25, 2025 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
-
Jan 3, 2025 Health · 3 findings
-
Serious
Scope/severity G
Complaint
F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected Jan 20, 2025 · CMS health inspection
-
Serious
Scope/severity G
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Jan 20, 2025 · CMS health inspection
-
Not serious
Scope/severity B
Type B Illinois Nursing Home Care Act violation
Type B: more likely than not to cause more than minimal harm (1-130). Sections of the Illinois Administrative Code cited: 300.610a), 300.1210a), 300.1210b), and 300.1210d)3).The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b).
-
Serious
Scope/severity G
Complaint
-
Oct 31, 2024 Health · 26 findings
-
Not serious
Scope/severity D
F0578 Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected Nov 15, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0584 Resident Rights Deficiencies
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.
Corrected Nov 15, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0677 Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Nov 15, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0686 Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Nov 15, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Nov 15, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0690 Quality of Life and Care Deficiencies
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 Nov 15, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0695 Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Corrected Nov 15, 2024 · CMS health inspection
-
Not serious
Scope/severity E
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Nov 15, 2024 · CMS health inspection
-
Not serious
Scope/severity E
F0757 Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected Nov 15, 2024 · CMS health inspection
-
Not serious
Scope/severity E
F0761 Pharmacy Service Deficiencies
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 Nov 15, 2024 · CMS health inspection
-
Not serious
Scope/severity F
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Nov 15, 2024 · CMS health inspection
-
Not serious
Scope/severity F
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Nov 15, 2024 · CMS health inspection
-
Not serious
Scope/severity F
F0883 Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected Nov 15, 2024 · CMS health inspection
-
Not serious
Scope/severity E
F0921 Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected Nov 15, 2024 · CMS health inspection
-
Not serious
Scope/severity F
K0222 Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected Nov 18, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0291 Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Corrected Nov 18, 2024 · CMS fire safety
-
Not serious
Scope/severity D
K0293 Egress Deficiencies
Have properly located and lighted "Exit" signs.
Corrected Nov 18, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0311 Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Corrected Dec 3, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0321 Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected Nov 18, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Nov 22, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0363 Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Corrected Nov 18, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0372 Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected Nov 18, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0531 Services Deficiencies
Have elevators that firefighters can control in the event of a fire.
Corrected Nov 22, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0541 Services Deficiencies
Install properly constructed and protected linen or trash chutes.
Corrected Nov 18, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0712 Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Corrected Nov 18, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0918 Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Corrected Nov 18, 2024 · CMS fire safety
-
Not serious
Scope/severity D
-
Oct 24, 2024 Health · 4 findings
-
Not serious
Scope/severity E
Complaint
F0558 Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Corrected Nov 10, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Nov 10, 2024 · CMS health inspection
-
Serious
Scope/severity G
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Nov 15, 2024 · CMS health inspection
-
Not serious
Scope/severity B
Type B Illinois Nursing Home Care Act violation
Type B: more likely than not to cause more than minimal harm (1-130). Sections of the Illinois Administrative Code cited: 300.610a), 300.1210a), 300.1610a)1), and 300.1630a)1).
-
Not serious
Scope/severity E
Complaint
-
Sep 30, 2024 Health · 5 findings
-
Not serious
Scope/severity E
Complaint
F0677 Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Nov 15, 2024 · CMS health inspection
-
Serious
Scope/severity G
Complaint
F0686 Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Nov 15, 2024 · CMS health inspection
-
Serious
Scope/severity G
Complaint
F0697 Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Corrected Oct 17, 2024 · CMS health inspection
-
Not serious
Scope/severity B
Type B Illinois Nursing Home Care Act violation
Type B: more likely than not to cause more than minimal harm (1-130). Sections of the Illinois Administrative Code cited: 300.610a), 300.1210a), and 300.1610a).
-
Not serious
Scope/severity B
Type B Illinois Nursing Home Care Act violation
Type B: more likely than not to cause more than minimal harm (1-130). Sections of the Illinois Administrative Code cited: 300.610a), 300.1210a), 300.1210b), and 300.1210d)4)D)5). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)5).
-
Not serious
Scope/severity E
Complaint
-
Aug 29, 2024 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Sep 9, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Jul 12, 2024 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Jul 25, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
May 29, 2024 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0604 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected Jun 12, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Mar 25, 2024 Health · 3 findings
-
Serious
Scope/severity G
Complaint
F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected Apr 11, 2024 · CMS health inspection
-
Serious
Scope/severity G
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Apr 11, 2024 · CMS health inspection
-
Serious
Scope/severity A
Type A Illinois Nursing Home Care Act violation
Type A: substantial probability of death or serious harm, or actual harm (1-129). Sections of the Illinois Administrative Code cited: 300.610a), 300.1210b), 300.1210d)3)6), and 300.3210t). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)6).
-
Serious
Scope/severity G
Complaint
-
Mar 1, 2024 Health · 3 findings
-
Serious
Scope/severity G
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Mar 15, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0776 Administration Deficiencies
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Corrected Mar 15, 2024 · CMS health inspection
-
Serious
Scope/severity A
Type A Illinois Nursing Home Care Act violation
Type A: substantial probability of death or serious harm, or actual harm (1-129). Sections of the Illinois Administrative Code cited: 300.610a), 300.1010h), 300.1210b) and 300.1210d)2)3)5). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)5).
-
Serious
Scope/severity G
Complaint
-
Jan 19, 2024 Health · 2 findings
-
Not serious
Scope/severity D
Complaint
F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected Feb 2, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0686 Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Feb 2, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Dec 7, 2023 Health · 4 findings
-
Serious
Scope/severity G
Complaint
F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected Dec 22, 2023 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0677 Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Dec 22, 2023 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Dec 22, 2023 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0725 Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected Dec 22, 2023 · CMS health inspection
-
Serious
Scope/severity G
Complaint
-
Nov 3, 2023 Health · 24 findings
-
Not serious
Scope/severity F
F0550 Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected Nov 17, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0558 Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Corrected Nov 17, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0578 Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected Nov 17, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0658 Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected Nov 17, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0686 Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Nov 17, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0690 Quality of Life and Care Deficiencies
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 Nov 17, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0694 Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected Nov 17, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0695 Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Corrected Nov 17, 2023 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0727 Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected Nov 17, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0758 Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected Nov 17, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0759 Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Corrected Nov 17, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0760 Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Corrected Nov 17, 2023 · CMS health inspection
-
Not serious
Scope/severity F
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Nov 17, 2023 · CMS health inspection
-
Not serious
Scope/severity F
F0814 Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Corrected Nov 17, 2023 · CMS health inspection
-
Not serious
Scope/severity F
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Nov 17, 2023 · CMS health inspection
-
Not serious
Scope/severity F
F0925 Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected Nov 17, 2023 · CMS health inspection
-
Not serious
Scope/severity E
K0293 Egress Deficiencies
Have properly located and lighted "Exit" signs.
Corrected Nov 24, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0311 Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
CMS fire safety
-
Not serious
Scope/severity D
K0324 Smoke Deficiencies
Provide properly protected cooking facilities.
Corrected Nov 24, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0345 Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected Jan 10, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0351 Smoke Deficiencies
Install an approved automatic sprinkler system.
Corrected Nov 24, 2023 · CMS fire safety
-
Not serious
Scope/severity D
K0355 Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected Nov 24, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0363 Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Corrected Nov 24, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0541 Services Deficiencies
Install properly constructed and protected linen or trash chutes.
Corrected Nov 24, 2023 · CMS fire safety
-
Not serious
Scope/severity F
-
Oct 5, 2023 Health · 5 findings
-
Not serious
Scope/severity D
Complaint
F0558 Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Corrected Oct 19, 2023 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0677 Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Oct 19, 2023 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Oct 19, 2023 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0917 Environmental Deficiencies
Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.
Corrected Oct 19, 2023 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0921 Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected Oct 19, 2023 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Dec 8, 2022 Fire Safety · 26 findings
-
Not serious
Scope/severity F
E0037 Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Corrected Jan 11, 2023 · CMS fire safety
-
Not serious
Scope/severity F
E0039 Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Corrected Jan 11, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0200 Egress Deficiencies
Meet other general requirements.
Corrected Jan 11, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0211 Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected Jan 3, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0271 Egress Deficiencies
Have exits that are accessible at all times.
Corrected Jan 3, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0293 Egress Deficiencies
Have properly located and lighted "Exit" signs.
Corrected Jan 20, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0311 Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
CMS fire safety
-
Not serious
Scope/severity E
K0321 Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected Jan 3, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0324 Smoke Deficiencies
Provide properly protected cooking facilities.
Corrected Jan 20, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0341 Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Corrected Jan 20, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0345 Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected Feb 13, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0351 Smoke Deficiencies
Install an approved automatic sprinkler system.
Corrected Jan 11, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Jan 20, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0355 Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected Jan 3, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0361 Smoke Deficiencies
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Corrected Jan 3, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0363 Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Corrected Jan 11, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0372 Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected Jan 11, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0521 Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected Feb 13, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0541 Services Deficiencies
Install properly constructed and protected linen or trash chutes.
Corrected Jan 11, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0741 Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected Jan 20, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0751 Miscellaneous Deficiencies
Have restrictions on the use of flammable curtains.
Corrected Jan 20, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0781 Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Corrected Jan 3, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0914 Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected Jan 20, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0918 Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Corrected Jan 20, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0920 Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Corrected Jan 3, 2023 · CMS fire safety
-
Not serious
Scope/severity F
K0926 Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected Jan 20, 2023 · CMS fire safety
-
Not serious
Scope/severity F
Owners and managers (as published by CMS)
- BIRN, PHILLIP — w-2 managing employee, NOT APPLICABLE, since 06/28/2018
- A&F REALTY LLC — 5% or greater direct ownership interest, 30%, since 03/29/2006
- GUBIN ENTERPRISES LIMITED PARTNERSHIP — 5% or greater direct ownership interest, 35%, since 01/01/2014
Sources: CMS's list of certified Illinois nursing homes, IDPH's quarterly nursing home violation reports and the rates facilities reported to HFSRB and CMS Care Compare (nursing homes). “Harm or jeopardy level” is CMS scope/severity G–L. About this data.