F

Belhaven Nursing & Rehab Center

11401 SOUTH OAKLEY AVENUE, CHICAGO, IL 60643
Score: 0 / 100

With a score of 0/100, Belhaven Nursing & Rehab Center ranks in the bottom tier of Illinois nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

Staffing levels are a potential concern at Belhaven Nursing & Rehab Center, with 2.93 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.

Recent inspections identified 84 deficiencies at Belhaven Nursing & Rehab Center. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 2.93 3.8 Below Average
Registered Nurses (RN) 0.22 0.7 Below Average
Licensed Practical Nurses (LPN) 0.83 0.7 Above Average
Certified Nursing Assistants (CNA) 1.87 2.4 Below Average
Weekend Total Nursing 2.55 3.8 Below Average
Weekend RN Hours 0.20 0.7 Below Average

🔍 Inspection & Deficiency History

84
Total Deficiencies
Dec 16, 2025
Most Recent Inspection
🟠 84 Moderate
View recent deficiencies (5 shown)
  • Tag 0921 Severity D
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    Dec 16, 2025 · Environmental Deficiencies
  • Tag 0806 Severity D
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing
    Sep 17, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0809 Severity F
    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals
    Aug 26, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0760 Severity D
    Ensure that residents are free from significant medication errors.
    Aug 26, 2025 · Pharmacy Service Deficiencies
  • Tag 0684 Severity D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Aug 14, 2025 · Quality of Life and Care Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 7.4% 4.5% Worse
Falls with major injury 0.6% 3.0% Better
On antipsychotic medication 32.9% 14.5% Worse
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 2.1% 14.0% Better
Excessive weight loss 3.6% 7.5% Better
New/worsened incontinence 19.1% 45.0% Better

⚠️ Penalties & Fines

5 penalties recorded by CMS

Total fines: $319,575

How This Grade Was Calculated

This facility's grade of F is based on a score of 0 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 1★ → 4 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)
  • Penalty deductions: -15 pts
  • Fine deductions: -10 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Individual
Certified Beds
221
Provider Type
Medicare and Medicaid
Resident Council
No
Family Council
No
Sprinkler System
Yes
Last Inspection
Oct 30, 2024
Deficiencies (Cycle 1)
28