About Belhaven Nursing and Rehab Center
Belhaven Nursing And Rehab Center, located in CHICAGO, IL, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose Belhaven Nursing and Rehab Center
Key Performance Indicators
- CMS Overall Rating 1 Stars
- Nursing Hours 2.59 hrs
- Safety Record Issues
Chain Affiliations & Network
This facility is part of the INFINITY HEALTHCARE CONSULTING network. This chain operates 70 facilities.
Chain Performance Overview
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Below Average Staffing
Belhaven Nursing and Rehab Center provides less care hours than the state average and less than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 1 |
|
| Health Inspection | 1 |
|
| Quality Measures | 3 |
|
| Staffing | 1 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 224 | Oct 31, 2024 |
| Weighted Average | 288 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | 23.7% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 8.0% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | 2.1% |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | 2.9% |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 1.7% |
| Percentage of long-stay residents who lose too much weight (QM404) | 4.0% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 1.4% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 0.0% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 97.8% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 0.6% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 70.3% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 9.5% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 9.9% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 1.7% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 2.9% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 85.7% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 21.5% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 6.9% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 17.6% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 33.5% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 13 complaints
- 2024: 16 complaints
- 2025: 18 complaints
- 2026: 10 complaints
- Total: 57 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Mar 31, 2026 | Reasonably accommodate the needs and preferences of each resident. |
| Mar 31, 2026 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Mar 31, 2026 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Mar 31, 2026 | Ensure that residents are free from significant medication errors. |
| Mar 31, 2026 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| Mar 31, 2026 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. |
| Feb 25, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Feb 16, 2026 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Feb 16, 2026 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Jan 05, 2026 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. |
| Sep 19, 2025 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. |
| Sep 08, 2025 | Ensure that residents are free from significant medication errors. |
| Sep 08, 2025 | 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. |
| Aug 19, 2025 | 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. |
| Aug 19, 2025 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Jul 18, 2025 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| May 29, 2025 | Make sure that a working call system is available in each resident's bathroom and bathing area. |
| May 07, 2025 | 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. |
| Apr 24, 2025 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Mar 25, 2025 | Make sure that a working call system is available in each resident's bathroom and bathing area. |
| Mar 25, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| Mar 25, 2025 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Mar 25, 2025 | Reasonably accommodate the needs and preferences of each resident. |
| Mar 25, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| Mar 05, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Jan 25, 2025 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Jan 20, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Jan 20, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Nov 15, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Nov 15, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| Nov 15, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| Nov 15, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Nov 10, 2024 | Reasonably accommodate the needs and preferences of each resident. |
| Nov 10, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Oct 17, 2024 | Provide safe, appropriate pain management for a resident who requires such services. |
| Sep 09, 2024 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Jul 25, 2024 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Jun 12, 2024 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. |
| Apr 11, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Apr 11, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Mar 15, 2024 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. |
| Mar 15, 2024 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Feb 02, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| Feb 02, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Dec 22, 2023 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. |
| Dec 22, 2023 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Dec 22, 2023 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| Dec 22, 2023 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Nov 17, 2023 | 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. |
| Oct 19, 2023 | Reasonably accommodate the needs and preferences of each resident. |
| Oct 19, 2023 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. |
| Oct 19, 2023 | 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. |
| Oct 19, 2023 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Oct 19, 2023 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| Jun 30, 2023 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. |
| Jun 30, 2023 | 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. |
| May 15, 2023 | Reasonably accommodate the needs and preferences of each resident. |
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Owner & Operator Information
Business Entity
BELHAVEN NURSING AND REHABILITATION CENTER LLC
Ownership Structure
- A&F REALTY LLC Direct: 30%
- MICHAEL BLISKO Direct: 35%
- GUBIN ENTERPRISES LIMITED PARTNERSHIP Direct: 35%
Management & Direction
- PHILLIP BIRN W-2 MANAGING EMPLOYEE
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Gottlieb Memorial Hospital | N/A | 5 |
| Asbury Court Nursing and Rehab | N/A | 4 |
| Dobson Plaza | N/A | 5 |
| West Suburban Medical Ctr | N/A | 5 |
| The Grove of Skokie | N/A | 4 |
| Bella Terra Streamwood | N/A | 5 |
| Mercy Circle | N/A | 5 |
| Wynscape Health and Rehab | N/A | 5 |
| The Mather Evanston | N/A | 5 |
| Plymouth Place | N/A | 5 |
Related Analysis
Best Nursing Homes in CHICAGO, IL
Compare Belhaven Nursing and Rehab Center to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Belhaven Nursing and Rehab Center directly at 7732336311. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.