All citations for Belhaven Nursing & Rehab Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Belhaven Nursing & Rehab Center

Last standard health inspection on record

December 17, 2025

Showing 1 to 25 of 46 citations

No harm, with potential for more than minimal harm
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.
Widespread (many residents). CMS level F.
Fire safety citation K-0222, Egress Deficiencies. Inspection of October 31, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 18, 2024).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0291, Egress Deficiencies. Inspection of October 31, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 18, 2024).
No harm, with potential for more than minimal harm
Have an enclosure around a vertical opening shaft.
Widespread (many residents). CMS level F.
Fire safety citation K-0311, Smoke Deficiencies. Inspection of October 31, 2024. Found during a standard inspection.
Fire Safety Evaluation Survey (December 3, 2024).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of October 31, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 22, 2024).
No harm, with potential for more than minimal harm
Have elevators that firefighters can control in the event of a fire.
Widespread (many residents). CMS level F.
Fire safety citation K-0531, Services Deficiencies. Inspection of October 31, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 22, 2024).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of October 31, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 18, 2024).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 31, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 18, 2024).
No harm, with potential for more than minimal harm
Have an enclosure around a vertical opening shaft.
Widespread (many residents). CMS level F.
Fire safety citation K-0311, Smoke Deficiencies. Inspection of November 3, 2023. Found during a standard inspection.
Fire Safety Evaluation Survey.
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of November 3, 2023. Found during a standard inspection.
A waiver was granted (January 10, 2024).
No harm, with potential for more than minimal harm
Establish staff and initial training requirements.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of December 8, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 11, 2023).
No harm, with potential for more than minimal harm
Conduct testing and exercise requirements.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of December 8, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 11, 2023).
No harm, with potential for more than minimal harm
Have properly located and lighted "Exit" signs.
Widespread (many residents). CMS level F.
Fire safety citation K-0293, Egress Deficiencies. Inspection of December 8, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 20, 2023).
No harm, with potential for more than minimal harm
Have an enclosure around a vertical opening shaft.
Widespread (many residents). CMS level F.
Fire safety citation K-0311, Smoke Deficiencies. Inspection of December 8, 2022. Found during a standard inspection.
Fire Safety Evaluation Survey.
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of December 8, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (February 13, 2023).
No harm, with potential for more than minimal harm
Install an approved automatic sprinkler system.
Widespread (many residents). CMS level F.
Fire safety citation K-0351, Smoke Deficiencies. Inspection of December 8, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 11, 2023).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of December 8, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 20, 2023).
No harm, with potential for more than minimal harm
Properly select, install, inspect, or maintain portable fire extinguishes.
Widespread (many residents). CMS level F.
Fire safety citation K-0355, Smoke Deficiencies. Inspection of December 8, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 3, 2023).
No harm, with potential for more than minimal harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Widespread (many residents). CMS level F.
Fire safety citation K-0521, Services Deficiencies. Inspection of December 8, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (February 13, 2023).
No harm, with potential for more than minimal harm
Have restrictions on the use of flammable curtains.
Widespread (many residents). CMS level F.
Fire safety citation K-0751, Miscellaneous Deficiencies. Inspection of December 8, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 20, 2023).
No harm, with potential for more than minimal harm
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Widespread (many residents). CMS level F.
Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 8, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 20, 2023).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 8, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 20, 2023).
No harm, with potential for more than minimal harm
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Widespread (many residents). CMS level F.
Fire safety citation K-0926, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 8, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 20, 2023).
No harm, with potential for more than minimal harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0321, Smoke Deficiencies. Inspection of October 31, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 18, 2024).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0363, Smoke Deficiencies. Inspection of October 31, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 18, 2024).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of October 31, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 18, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.