Above average — CMS composite of the measures below.
The next survey window likely opens around June 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Belvidere Health And Rehab during CMS and state inspections, most recent first.
Pureed Diet Food Not Prepared to Ordered Consistency: A FSD prepared pureed macaroni and cheese that was chunky and not smooth for residents ordered puree diets. During observation and a test tray review, the food required chewing and contained chunks of macaroni, despite the FSD stating purees should be a smooth consistency.
Care plan deficiencies were identified for a resident with a criminal history analysis report requiring a single room with a private bathroom, but that specific placement recommendation was not included in the care plan. The facility also failed to properly document invitations for two residents to attend their quarterly care plan meetings; both residents reported they were not invited or had not seen the invitations, and the SWD stated invitations were usually given to family or guardians with no routine documentation of resident invitation or refusal.
A resident with a venous leg ulcer did not receive wound care as ordered when staff left residual zinc oxide on the leg and applied treatment over it instead of removing it first. Another resident with diabetes and skin breakdown had multiple open areas and knee wounds that were not assessed or ordered before dressings were applied. Staff and the wound nurse described inconsistent wound care practices, and the physician order record did not show an order for the knee wound until after the wound evaluation.
Therapeutic Diet Not Provided as Ordered: A resident with ESRD, DM2, renal dialysis dependence, and cerebral infarct had orders for a liberalized diet, double protein at all meals, low potassium, and fluid restriction. During lunch observation, the FSD used all available macaroni and cheese, and the resident was served only one bowl of mac and cheese without the ordered double protein initially.
Failure to assess and care plan a pressure injury: A resident with DM2, HTN, and anemia had a Stage 2 pressure injury on the right buttock, but the care plan did not include the wound or any prevention/treatment interventions. Although wound dressings were being given and an RN performed wound care, the wound care nurse and wound care MD had not seen the wound, and the facility could not provide weekly assessments required by policy.
Failure to implement EBP for two residents with pressure injuries. One resident with a Stage 2 buttock pressure injury and active wound treatment was observed receiving wound care with gloves only, without a gown, and there were no EBP signs or PPE outside the room. Another resident with a Stage 2 buttock pressure injury also had no EBP signage or PPE outside the room. The DON/IPC nurse and wound care nurse stated that residents with wounds require EBP during close contact care such as wound treatment.
Several residents with contractures and hemiparesis did not receive regular restorative assessments or consistent range of motion (ROM) services as required. One resident with a history of stroke and right-sided hemiplegia was observed with a contracted hand and no splint, and family members raised concerns about lack of therapy. Staff confirmed that restorative assessments and services were not provided as per facility policy, and documentation showed missed or insufficient restorative care for multiple residents.
A resident with multiple cardiac and chronic conditions experienced a decline, including refusal of meals, shortness of breath, and low oxygen saturation. Staff delayed full assessment and documentation, and communication with the NP was not properly recorded. The resident was eventually sent to the ER and admitted for a non-STEMI, but the facility did not follow its change of condition policy for timely identification and documentation.
A resident was given an antibiotic for a presumed UTI despite the facility not obtaining a urine analysis or laboratory confirmation of infection. The antibiotic was started based on symptoms of decreased energy, and both the NP and DON were aware that no urine specimen had been processed, yet the medication was administered for several days.
A resident was prescribed an antibiotic for a presumed UTI without laboratory confirmation, as the urine specimen was not picked up and no SBAR form or urinalysis was documented. Despite facility policies requiring antibiotic use protocols and monitoring, these steps were not followed, resulting in the resident remaining on antibiotics without confirmed indication.
A resident with a history of mental health issues and aggression physically assaulted another resident during a bingo event, resulting in a bleeding and bruised lip. The altercation was witnessed by a nurse, and the facility's abuse prevention policy was not effectively implemented to prevent the incident.
The facility experienced CNA staffing shortages on evening shifts from October to December 2023, affecting all residents. Despite a plan of correction, the facility struggled with retention and call-offs, leading to insufficient staffing levels. Administrative staff, including the DON and other CNAs, covered shifts when needed. The facility's policy required staffing based on resident needs, supplemented by outside agencies.
The facility failed to date multi-dose insulin pens upon opening and did not dispose of expired medications for several residents. Insulin pens were found without opening dates, making it impossible to determine their expiration. A multi-dose vial of insulin was also found expired in the medication cart. The facility's policies require recording the date opened and disposing of outdated medications, but these were not adhered to, leading to the deficiency.
A facility failed to document advance directives for a resident with multiple health conditions, including dementia and chronic kidney disease. The resident's Facesheet, Physician Order Sheets, and EMR lacked necessary advance directive information, and the care plan did not address this until after a surveyor's interview. Staff acknowledged the oversight, which was contrary to the facility's policy requiring documentation of advance directives upon admission.
A resident with a cast on his left arm was found restrained by a side rail, which he could not remove himself. The facility lacked a physician's order, Side Rail Assessment, and Restraint Assessment for the use of the side rail, which was acknowledged by staff as potentially being a restraint. The resident was a high fall risk, but the facility did not have a care plan addressing the use of side rails or restraints.
A resident with COPD and other health conditions was using oxygen without documented physician orders or care interventions. The facility's policy requires such orders, but none were found in the resident's records. Staff confirmed the absence of necessary documentation, highlighting a deficiency in ensuring safe and appropriate respiratory care.
A facility failed to ensure proper monitoring and care planning for a resident requiring dialysis. The resident's care plan lacked details related to dialysis treatment, and there was no documentation of site monitoring. Staff interviews revealed poor communication with the dialysis center and uncertainty about the resident's dialysis access and monitoring procedures. The facility's policy on hemodialysis was not followed, leading to deficiencies in care.
A facility failed to document and reconcile the administration of Tramadol for a resident, resulting in a discrepancy in the narcotic count. The resident's electronic medical record showed three doses were given, but the paper count sheet only documented two. The shift change sign-out report was blank for several shifts, indicating a failure to properly reconcile the narcotic count as per facility policy.
Pureed Diet Food Not Prepared to Ordered Consistency
Penalty
Summary
The facility failed to ensure that pureed macaroni and cheese was prepared in a smooth consistency that did not require chewing for residents on puree diets. Four residents, R30, R17, R38, and R44, were identified as receiving puree diets on the facility's Thicken Liquids/Fluid Restrictions/Puree form. During observation, the Food Service Director finished pureeing the macaroni and cheese and tested it while chewing, stating, "nobody is going to choke on that," even though the product appeared chunky as it was scooped into a steam table pan. A later test tray of the pureed macaroni and cheese showed the food was not smooth, contained chunks of macaroni, and required the surveyor to chew it. The Food Service Director stated that purees should be a smooth consistency and that chicken broth would be added if the product was too thick and food thickener would be added if it was too thin. The facility's Texture and Consistency-Modified Diets policy states that the food and nutrition services department is responsible for preparing and serving the diet texture and fluid consistency as ordered.
Care Plan Deficiencies: Missing Sex Offender Placement Detail and Resident Invitation Documentation
Penalty
Summary
The facility failed to implement the recommendations from a criminal history analysis report for a resident identified as a convicted and/or registered sex offender. The report dated 10/24/2020 stated that the resident must be placed in a single resident room with a private bathroom facility, but the resident’s current care plan only identified him as a sex offender and did not include the specific room and bathroom placement recommendation. On 07/08/2026, the Administrator stated he was not aware that the specific recommendations for the private room and bathroom were not care planned. The facility also failed to invite two residents to participate in their quarterly care plan meetings. One resident stated he was never invited to his care plan meetings and that the facility only invited his guardian; his MDS showed mild cognitive impairment. The Social Worker Director stated that invitations were usually emailed or mailed to the family or guardian and verbally told to residents, but she did not usually document the invitation or refusals to attend, only who attended the meeting. For the other resident, the facility provided care plan conference invitations dated 03/24/2026 and 6/23/2026, but the resident stated he had never seen them before. His MDS also showed mild cognitive impairment, and Social Service notes from March 2026 through June 2026 contained no documentation of invitations or refusal to attend the care plan conference.
Failure to Provide Ordered Wound Care and Assess New Wounds
Penalty
Summary
The facility failed to ensure prescribed wound treatment was provided for a resident with a venous ulcer of the left lower leg. The resident had diagnoses including type 2 diabetes, peripheral vascular disease, and an acquired absence of the right leg above the knee. During observation, the resident’s left lower leg was reddened, dry, scaly, and had multiple white patches of cream scattered on the leg with open areas noted. The RN cleansed only the distal portion of the leg with wound cleanser, did not wash off the white cream, and then applied A & D ointment, medicated cream with moist gauze, and an elastic bandage. The RN identified the white cream as zinc oxide from a previous treatment order, and the wound nurse stated the resident’s treatment orders had recently changed and that staff should have been using soap and water to remove the cream before cleansing with wound cleanser. Record review showed the resident’s wound treatment orders had changed over time, with one order discontinued and another active order for cleansing with Hibiclens, applying A & D ointment to the peri-wound skin and left lower extremity, and applying Dakin’s half-strength moistened gauze, calcium alginate, absorbent pad, kerlix, and elastic bandage twice daily. The treatment administration record showed both the discontinued and current treatment orders were signed off as administered from 7/1/26 through 7/6/26. The wound nurse also stated she did not see an order for zinc cream to be applied, although she knew it had been used previously. The facility also failed to assess open wounds and obtain treatment orders for another resident. That resident had diagnoses including diabetes, muscle wasting and atrophy, and schizoaffective disorder. The resident was observed with bandages on the right knee, scabs on both feet and lower legs, and later was found to have two open wounds on the right knee after the bandages were removed. Nursing staff stated they had not seen new wounds or bandages on the knee during prior shifts, and one nurse stated that when there are new wounds, they assess the wounds, notify the wound nurse, and notify the physician for treatment orders. The wound nurse stated she was first made aware of the wounds when she assessed the resident and that dressings should not be applied without an order. The physician order summary did not show an order for the right knee until after the wound evaluation was completed.
Therapeutic Diet Not Provided as Ordered
Penalty
Summary
The facility failed to provide the prescribed therapeutic diet for one resident with diagnoses including end stage renal disease, type 2 diabetes, dependence on renal dialysis, and cerebral infarct. The resident’s physician orders included a liberalized diet, double protein at all meals, low potassium, a 2000 cc fluid restriction, and a high-protein snack at night. During lunch observation, the food service director used all of the regular macaroni and cheese and even the gluten-free macaroni and cheese, leaving no leftovers after residents were served their regular portions. The resident’s noon meal was served with one bowl of macaroni and cheese and was not initially served double protein. The resident later stated she received one serving of macaroni and cheese, and the food service director later stated the resident was on a liberalized renal diet and gets double proteins with each meal, adding that she received one bowl of mac and cheese and staff came back and got another one.
Failure to Assess and Care Plan a Pressure Injury
Penalty
Summary
The facility failed to assess and implement prevention interventions for a resident with a Stage 2 pressure injury of the right buttock. The resident’s skin impairment/wound evaluation dated 7/19/25 documented the pressure injury, and the admission record dated 9/30/25 listed diagnoses including type 2 diabetes mellitus, hypertension, and anemia. The resident’s current care plan did not identify any skin alterations or wounds and did not include interventions to treat the wound or prevent worsening of the existing wound. The current order summary showed an active order for dressings to the open area on the right buttock every other day and as needed, and the treatment administration records showed wound treatments were being provided from 7/20/25 through 9/30/25. During observation on 9/30/25, an RN performed wound care to the resident’s right buttock wound using normal saline, gauze, xeroform, and a foam dressing. The wound care nurse stated she had never assessed the resident’s wound and that the wound had not been brought to her attention, while the DON stated pressure wounds should be assessed weekly or more often by the wound care nurse and wound care doctor. The wound care doctor stated he had not seen the resident and it would be new to him if the resident had a pressure wound. The facility was unable to provide weekly assessments of the resident’s Stage 2 pressure injury, despite its policy requiring a full body skin assessment after any newly identified pressure injury and documented licensed nurse assessments with an interdisciplinary care plan including measurable goals and interventions.
Failure to Implement Enhanced Barrier Precautions for Residents With Wounds
Penalty
Summary
The facility failed to implement Enhanced Barrier Precautions (EBP) for 2 of 3 residents reviewed for infection control. R2 had a Stage 2 pressure injury on the right buttock, with an active dressing order for the open area every other day and as needed, and treatment records showing wound care from 7/20/25 through 9/30/25. R3 had a Stage 2 pressure injury on the left buttock that was identified on the facility’s pressure ulcer tracking log as present on admission, and the wound care nurse stated R3 was receiving daily wound treatment. On 9/30/25, the RN providing care to R2 cleaned and dressed the right buttock wound using gloves but without a gown. There were no EBP or other transmission-based precaution signs on R2’s door or near the room entrance, and no PPE was outside the room. R3’s room also had no EBP or other transmission-based precaution signs and no PPE outside the room. The wound care nurse and the DON/Infection Prevention Nurse stated that residents with pressure wounds require EBP, that wound care is a close contact care activity, and that gloves and gowns are required; the facility’s EBP policy stated that EBP applies to all residents with wounds and requires PPE during high-contact care such as wound care.
Failure to Provide Restorative Services and Assessments for Residents with Limited Mobility
Penalty
Summary
The facility failed to provide appropriate care and restorative services to maintain or improve range of motion (ROM) and mobility for several residents with physical limitations. One resident with a history of cerebral infarction and right-sided hemiplegia was observed with a contracted right arm and tightly closed fist, without any splint or device in place. Staff interviews confirmed that the resident was admitted with a contracted hand and had not been provided with a splint until occupational therapy was recently initiated, despite the last restorative assessment being over a year prior. The resident's family expressed concerns about the lack of exercises or therapy and the resident being in bed most of the time. The facility did not have a formal restorative program, and assessments were only conducted through the MDS process. Additionally, three other residents with documented hemiparesis and contractures were observed without evidence of regular restorative assessments or consistent provision of restorative services. Staff interviews indicated that restorative assessments should be completed quarterly and that services such as passive ROM should be provided every shift. However, records showed gaps in restorative minutes provided and missing assessments for the year. The facility's own policy stated that all residents would receive maintenance nursing services, but this was not consistently implemented for residents with physical limitations.
Failure to Timely Identify and Document Change in Condition
Penalty
Summary
The facility failed to identify and respond to a resident's change in condition in a timely manner. A female resident with a history of peripheral vascular disease, chronic heart failure, NSTEMI, atrial fibrillation, chronic kidney disease stage 3, hypertension, and muscle weakness was noted to have refused breakfast and lunch, consumed minimal fluids, and complained of not feeling well. She also reported shortness of breath, and her oxygen saturation was recorded at 89% on room air. Oxygen was applied, and Tylenol was administered for a mild fever. Two hours later, two nurses reassessed her and observed abdominal breathing and an irregular heart rate, prompting a call to the nurse practitioner and a decision to send her to the emergency room, where she was later admitted for a non-STEMI heart attack. Interview and record review revealed that the nurse did not document all assessments or communications with the nurse practitioner regarding the resident's condition. The nurse acknowledged that documentation was limited to a single progress note and that she should have documented more. The facility's policy requires prompt notification and documentation of significant changes in a resident's condition, including consultation with the physician and notification of the resident's representative, but this process was not fully followed in this case.
Antibiotic Administered Without Laboratory Confirmation
Penalty
Summary
A resident was prescribed and administered an antibiotic, Cefuroxime Axetil, for a presumed urinary tract infection (UTI) without laboratory confirmation of the infection. The resident exhibited decreased energy and was not acting like herself, prompting the facility to order a urine analysis (UA). However, due to repeated issues with the laboratory not picking up the urine specimen, no urinalysis results were obtained. Despite the absence of diagnostic confirmation, the resident was started on the antibiotic and received eight doses over several days. Progress notes and interviews confirm that both the nurse practitioner and the director of nursing were aware that the urine specimen had not been collected or processed, yet the antibiotic regimen was initiated and continued. The facility's policy requires that medications be administered only with adequate clinical indications, which was not met in this case as there was no documented evidence of a UTI or laboratory results to support the use of antibiotics.
Failure to Follow Antibiotic Stewardship Protocols
Penalty
Summary
The facility failed to follow its antibiotic stewardship program, resulting in a resident being prescribed an antibiotic for a presumed urinary tract infection (UTI) without confirmation of the infection. The resident's electronic medical record indicated that an antibiotic was started, and although a urine specimen was collected for analysis, it was never picked up by the laboratory. Despite the lack of laboratory confirmation, the resident continued to receive the antibiotic. During an interview, the DON stated that nurses use McGeer's criteria and an SBAR form to determine the need for antibiotics and that residents on antibiotics are monitored as part of the stewardship program. However, the resident's record did not contain a completed SBAR form or documentation of a urinalysis. Facility policies require the implementation of antibiotic use protocols and monitoring as part of the infection prevention and control program, but these protocols were not followed in this instance.
Failure to Protect Resident from Abuse During Bingo Event
Penalty
Summary
The facility failed to protect a resident, identified as R2, from abuse by another resident, R1. R1, who has a history of altered mental status, psychosis, and adjustment disorder, exhibited physical aggression towards R2 during a community bingo event. R1's care plan noted behavioral distress and aggression, including physical and verbal aggression, which were triggered by poor impulse control and mood instability. R2, who has delusional disorders and a history of mental health problems, was verbally aggressive and had a history of making inappropriate comments towards staff. During the bingo event, R1 struck R2 multiple times in the face following a verbal altercation, resulting in R2 sustaining a bleeding and bruised lip. The incident was witnessed by a registered nurse who intervened to separate the residents. The Director of Nursing confirmed the altercation and noted that R1's actions were willful and intentional. The facility's policy on abuse prevention emphasizes the protection of residents from abuse, including physical injury inflicted deliberately. Despite this policy, the facility did not prevent the altercation, which resulted in physical harm to R2. The report highlights the failure of the facility to protect R2 from abuse by another resident, as required by their abuse prevention program.
CNA Staffing Shortages in Evening Shifts
Penalty
Summary
The facility failed to ensure sufficient Certified Nursing Assistant (CNA) staffing from October through December 2023, which had the potential to affect all residents residing in the facility. The facility's assessment indicated that the evening shift required four CNAs, but the schedules showed that on multiple occasions during these months, only 2 to 2.5 CNAs were scheduled. This staffing shortage was acknowledged by the Director of Nursing (DON), who mentioned that the facility had a plan of correction in place and that administrative staff, including the Activity Director, Receptionist, and Dietary Manager, who are also CNAs, would cover shifts if needed. The Administrator confirmed that the facility struggled with maintaining staff for the evening shift, particularly at the end of 2023, due to call-offs and retention issues. Despite hiring efforts, only one new hire remained. The Administrator also noted that if administrative staff covered the floor, it was reported in the system, indicating that any staffing triggers were due to actual shortages. The facility's policy stated that staffing should be based on resident needs and supplemented by outside agencies if necessary.
Failure to Date Insulin Pens and Dispose of Expired Medications
Penalty
Summary
The facility failed to ensure that multi-dose insulin pens were dated when opened and did not dispose of expired medication for several residents. During an observation, five insulin pens belonging to different residents were found in a medication cart without the required date indicating when they were opened. The pens were labeled with a sticker stating they should be discarded after 28 days, but without the opening date, it was impossible to determine their expiration. A registered nurse acknowledged that the pens should have been dated upon opening, as they are only effective for 28 days. Additionally, a multi-dose vial of Fiasp insulin was found in the medication cart with an open date that indicated it was expired. The Director of Nurses confirmed that expired medications should be disposed of to prevent accidental use, as they may lose potency and effectiveness. The facility's policies require that the date opened be recorded on multi-dose vials and that no outdated medications be available for use, but these procedures were not followed, leading to the deficiency.
Failure to Document Advance Directives for Resident
Penalty
Summary
The facility failed to ensure that a resident had an order or care plan for advance directives. This deficiency was identified for one resident who was admitted with multiple diagnoses, including a left arm fracture, atrial fibrillation, stage 4 chronic kidney disease, diabetes, dementia, congestive heart failure, dysphagia, and depression. Upon review, it was found that the resident's Facesheet, which should have contained information about advance directives, was blank. Additionally, the resident's Physician Order Sheets and Electronic Medical Record (EMR) did not contain an order for advance directives or a scanned POLST form. The care plan also did not address advance directives until after the surveyor's interview with the Social Services Director. During interviews, a Registered Nurse and the Social Services Director both acknowledged the absence of advance directive information in the resident's records. The Registered Nurse explained that the facility's process involves entering advance directive orders into the EMR upon a resident's admission from the hospital, but this was not done for the resident in question. The Social Services Director admitted responsibility for the care plan and acknowledged that the necessary information was missing from the resident's chart. The facility's Advance Directives Policy requires that residents be informed of their rights to accept or refuse treatment and to formulate an advance directive, but this was not adhered to in this case.
Failure to Ensure Resident is Free from Restraints
Penalty
Summary
The facility failed to ensure that a resident, identified as R156, was free from the use of physical restraints. During observations on multiple occasions, R156 was found in bed with a side rail pulled up, which he could not remove himself due to his physical limitations. R156 had a blue cast on his left arm, rendering him unable to use it to grab the side rail, and he was observed making attempts to move in bed but was unable to sit up or reposition himself. The side rail was positioned in such a way that it could only be adjusted by someone outside the bed, effectively restraining R156. Interviews with facility staff, including CNAs and an RN, revealed that there was no physician's order for the use of side rails as restraints, nor was there a completed Side Rail Assessment or Restraint Assessment in R156's electronic medical record. Staff acknowledged that the side rail could be considered a restraint since R156 was unable to get out of bed on his own. The facility's policies required assessments and consent for restraint use, but these were not completed for R156. R156 was admitted to the facility with a history of falls and a broken arm, and he was identified as a high fall risk. Despite this, the facility did not have a care plan addressing the use of side rails or restraints for R156. The lack of proper assessments and documentation, as well as the absence of a care plan, contributed to the deficiency in ensuring R156 was free from unnecessary restraints.
Lack of Physician Orders for Oxygen Administration
Penalty
Summary
The facility failed to ensure that physician orders and interventions were in place for the administration of oxygen to a resident diagnosed with chronic obstructive pulmonary disease (COPD), atrial fibrillation, congestive heart failure, and the presence of a cardiac pacemaker. The resident, who was observed using oxygen at 1.5 liters per minute via a nasal cannula, did not have any documented physician orders or care interventions related to oxygen use in their medical records. The resident reported using oxygen at night and occasionally during the day while napping, but there was no formal documentation or care plan to guide this practice. A registered nurse and the Director of Nurses confirmed the absence of necessary physician orders and care interventions for the resident's oxygen use. The facility's policy on oxygen administration requires obtaining or reviewing a physician's order, which should include the flow rate and method of administration, as well as monitoring and documenting the resident's response to oxygen. The lack of these orders and interventions was identified as a deficiency, as oxygen is considered a medication that requires a physician's order to ensure safe and appropriate use.
Inadequate Dialysis Care and Monitoring for Resident
Penalty
Summary
The facility failed to provide adequate monitoring and care planning for a resident requiring dialysis treatment. The resident, who has a history of anoxic brain damage, chronic kidney disease, end-stage renal disease, hyperkalemia, acute kidney failure, and Type 2 Diabetes, was observed without a care plan related to her dialysis treatment. The facility's records lacked essential information, such as the name and contact details of the dialysis treatment center, and there was no documentation of monitoring the dialysis site in the electronic Treatment Administration Record (eTAR). Interviews with facility staff revealed a lack of communication and coordination with the dialysis center. The RN and DON admitted to not performing pre and post-treatment weights and not having emergency equipment at the resident's bedside. The staff also demonstrated uncertainty about the type of dialysis access the resident had and the necessary monitoring procedures. The facility's policy on hemodialysis was not followed, as it required the development and implementation of a care plan, assessment and documentation of the fistula or graft site, and obtaining post-dialysis weights, none of which were adequately addressed for the resident.
Failure to Document and Reconcile Narcotic Administration
Penalty
Summary
The facility failed to properly document and reconcile the administration of a narcotic medication for a resident, leading to a discrepancy in the narcotic count. The resident had an order for Tramadol HCl 50 mg to be administered every six hours for pain. During a review of the medication cart, it was found that the Tramadol card had 19 tablets remaining, while the count sheet indicated 20 tablets. The discrepancy was identified by a registered nurse during a shift change count, revealing that three doses had not been signed out on the previous shifts. The electronic medical record confirmed that the three doses were administered, with one dose given by an LPN during the PM shift and two doses given by a registered nurse during the night shift. However, the paper count sheet only reflected the two doses given by the night shift nurse, with no documentation for the dose given by the LPN. Additionally, the shift change sign-out report was blank for several shift changes, indicating a failure to properly reconcile the narcotic count. The facility's narcotic policy requires two nurses to count narcotics at the beginning and end of each shift, and any discrepancies should be reported immediately to the Director of Nurses.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Belvidere
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Sapphire At Northwoods | 0.5 mi | ★★★★★ | 14 | 0 |
| The Sapphire At Maple Crest | 3.3 mi | ★★★★★ | 5 | 1 |
| Alden Debes Rehab & Hcc | 7.9 mi | ★★★★★ | 15 | 0 |
| Alden Park Strathmoor | 8.3 mi | ★★★★★ | 4 | 0 |
| Forest City Rehab & Nrsg Ctr | 8.3 mi | ★★★★★ | 18 | 0 |
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