BELHAVEN NURSING & REHAB CENTER

Category: Nursing Home

11401 SOUTH OAKLEY AVENUE
CHICAGO, IL 60643
Medicare, Medicaid  
Capacity: 221 beds  
CMS Rating:   

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Belhaven Nursing & Rehab Center Details

Resident Capacity:221

Belhaven Nursing & Rehab Center Costs

Reimbursement:Medicare, Medicaid

CMS Inspection Results for BELHAVEN NURSING & REHAB CENTER

The Center for Medicare & Medcaid Services (CMS) contracts with each state to conduct inspections once every 9-15 months to assure that certified facilities meet the minimum Medicare and Medicaid quality and performance standards.

  • 12/05/2008 Health Survey for BELHAVEN NURSING & REHAB CENTER
Environmental
DeficiencyScopeLevel of Harm
Make sure that the nursing home area is free of dangers that cause accidents. Widespread Minimal harm or potential for actual harm
Keep safe, clean and homelike surroundings. Pattern Minimal harm or potential for actual harm
Get rid of garbage properly. Isolated Minimal harm or potential for actual harm
Nutrition and Dietary
DeficiencyScopeLevel of Harm
Store, cook, and give out food in a safe and clean way. Widespread Minimal harm or potential for actual harm
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Pattern Minimal harm or potential for actual harm
Quality Care
DeficiencyScopeLevel of Harm
Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable. Pattern Minimal harm or potential for actual harm
Develop/implement required procedures for the administration of immunizations. Pattern Minimal harm or potential for actual harm
Make sure that each resident's nutritional needs were met. Isolated Minimal harm or potential for actual harm
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated Minimal harm or potential for actual harm
Give each resident care and services to get or keep the highest quality of life possible. Isolated Minimal harm or potential for actual harm
Resident Assessment
DeficiencyScopeLevel of Harm
Provide a final summary of the resident's health status and a summary of the resident's stay, when the resident is ready to leave the nursing home. Isolated Minimal harm or potential for actual harm
Develop a plan with the resident and family for the resident's care after leaving the nursing home. Isolated Minimal harm or potential for actual harm

 

  • 12/05/2008 Fire Safety Survey for BELHAVEN NURSING & REHAB CENTER
Automatic Sprinkler Systems
DeficiencyScopeLevel of Harm
an approved automatic sprinkler system connected to the fire alarm system. Widespread Minimal harm or potential for actual harm
Building Contruction
DeficiencyScopeLevel of Harm
approved construction type or materials. Pattern Minimal harm or potential for actual harm
Corridor Walls and Doors
DeficiencyScopeLevel of Harm
corridor and hallway doors that block smoke. Pattern Minimal harm or potential for actual harm
Emergency Plans and Fire Drills
DeficiencyScopeLevel of Harm
record of quarterly fire drills for each shift under varying conditions. Widespread Potential for minimal harm
Exits and Egress
DeficiencyScopeLevel of Harm
exits that are accessible at all times. Pattern Minimal harm or potential for actual harm
Fire Alarm Systems
DeficiencyScopeLevel of Harm
an approved installation, maintenance and testing program for fire alarm systems. Widespread Minimal harm or potential for actual harm
Furnishings and Decorations
DeficiencyScopeLevel of Harm
exits that are free from obstructions and can be used at all times. Pattern Minimal harm or potential for actual harm
Smoke Compartmentation and Control
DeficiencyScopeLevel of Harm
walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. Pattern Minimal harm or potential for actual harm
smoke barrier doors that can resist smoke for at least 20 minutes. Pattern Minimal harm or potential for actual harm

 

  • 10/04/2007 Fire Safety Survey for BELHAVEN NURSING & REHAB CENTER
Automatic Sprinkler Systems
DeficiencyScopeLevel of Harm
automatic sprinkler systems that have been maintained in working order. Widespread Minimal harm or potential for actual harm
properly working alarms on sprinkler valves. Pattern Minimal harm or potential for actual harm
Building Contruction
DeficiencyScopeLevel of Harm
approved construction type or materials. Pattern Minimal harm or potential for actual harm
Building Service Equipment
DeficiencyScopeLevel of Harm
properly constructed linen or trash chutes. Pattern Minimal harm or potential for actual harm
Emergency Plans and Fire Drills
DeficiencyScopeLevel of Harm
record of quarterly fire drills for each shift under varying conditions. Widespread Minimal harm or potential for actual harm
Fire Alarm Systems
DeficiencyScopeLevel of Harm
a fire alarm system that can be heard throughout the facility. Pattern Minimal harm or potential for actual harm
Smoke Compartmentation and Control
DeficiencyScopeLevel of Harm
smoke barrier doors that can resist smoke for at least 20 minutes. Pattern Minimal harm or potential for actual harm

 

  • 10/03/2007 Health Survey for BELHAVEN NURSING & REHAB CENTER
Environmental
DeficiencyScopeLevel of Harm
Make sure that the nursing home area is free of dangers that cause accidents. Isolated Minimal harm or potential for actual harm
Nutrition and Dietary
DeficiencyScopeLevel of Harm
Make sure that residents are well nourished. Widespread Minimal harm or potential for actual harm
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Widespread Minimal harm or potential for actual harm
Store, cook, and give out food in a safe and clean way. Isolated Minimal harm or potential for actual harm
Pharmacy Service
DeficiencyScopeLevel of Harm
Properly mark drugs and other similar products. Isolated Minimal harm or potential for actual harm
Quality Care
DeficiencyScopeLevel of Harm
Give professional services that meet a professional standard of quality. Isolated Minimal harm or potential for actual harm
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. Isolated Minimal harm or potential for actual harm

 

  • 10/20/2006 Fire Safety Survey for BELHAVEN NURSING & REHAB CENTER
Building Contruction
DeficiencyScopeLevel of Harm
approved construction type or materials. Pattern Minimal harm or potential for actual harm
Electrical
DeficiencyScopeLevel of Harm
weekly inspections and monthly testing of generators. Widespread Minimal harm or potential for actual harm
Fire Alarm Systems
DeficiencyScopeLevel of Harm
an approved installation, maintenance and testing program for fire alarm systems. Widespread Minimal harm or potential for actual harm

 

  • 10/19/2006 Health Survey for BELHAVEN NURSING & REHAB CENTER
Environmental
DeficiencyScopeLevel of Harm
Provide needed housekeeping and maintenance. Pattern Minimal harm or potential for actual harm
Make sure that the nursing home area is free of dangers that cause accidents. Pattern Minimal harm or potential for actual harm
Keep a resident apart from the others if the resident has an infection that can spread. Pattern Minimal harm or potential for actual harm
Nutrition and Dietary
DeficiencyScopeLevel of Harm
Store, cook, and give out food in a safe and clean way. Widespread Minimal harm or potential for actual harm
Quality Care
DeficiencyScopeLevel of Harm
Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. Pattern Minimal harm or potential for actual harm
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated Minimal harm or potential for actual harm
Give each resident enough fluids to keep them healthy and prevent dehydration. Isolated Minimal harm or potential for actual harm
Resident Rights
DeficiencyScopeLevel of Harm
Provide services to meet the needs and preferences of each resident. Pattern Potential for minimal harm

 


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