All citations for Bellhaven Center for Rehab and Nursing Care

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 Bellhaven Center for Rehab and Nursing Care

Last standard health inspection on record

May 20, 2026

Showing 1 to 25 of 36 citations

  1. Immediate jeopardy to resident health or safety

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    Pattern (more than a few residents). CMS level K.

    Health citation F-0700, Quality of Life and Care Deficiencies. Inspection of September 5, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 14, 2025).

  2. Harm to a resident

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of July 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 25, 2023).

  3. 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 May 20, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 19, 2026).

  4. No harm, with potential for more than minimal harm

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of August 21, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2024).

  5. No harm, with potential for more than minimal harm

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of May 20, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 15, 2026).

  6. No harm, with potential for more than minimal harm

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0211, Egress Deficiencies. Inspection of May 20, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 19, 2026).

  7. No harm, with potential for more than minimal harm

    Install an approved automatic sprinkler system.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of May 20, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 19, 2026).

  8. No harm, with potential for more than minimal harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of May 20, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 19, 2026).

  9. No harm, with potential for more than minimal harm

    Ensure that testing and maintenance of electrical equipment is performed.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 20, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 19, 2026).

  10. No harm, with potential for more than minimal harm

    Conduct risk assessment and an All-Hazards approach.

    Pattern (more than a few residents). CMS level E.

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of August 21, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2024).

  11. No harm, with potential for more than minimal harm

    Have a battery powered remote alarm panel in a location accessible by operating personnel.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0916, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 21, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 18, 2024).

  12. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 21, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 14, 2024).

  13. No harm, with potential for more than minimal harm

    Install emergency lighting that can last at least 1 1/2 hours.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of July 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 12, 2023).

  14. No harm, with potential for more than minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of May 20, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 15, 2026).

  15. No harm, with potential for more than minimal harm

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0605, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 20, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 15, 2026).

  16. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of May 20, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 15, 2026).

  17. No harm, with potential for more than minimal harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of May 20, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 15, 2026).

  18. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of May 20, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 15, 2026).

  19. No harm, with potential for more than minimal harm

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of May 20, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 15, 2026).

  20. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of May 20, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 15, 2026).

  21. No harm, with potential for more than minimal harm

    Have elevators that firefighters can control in the event of a fire.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0531, Services Deficiencies. Inspection of May 20, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 19, 2026).

  22. No harm, with potential for more than minimal harm

    Ensure proper usage of power strips and extension cords.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 20, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 19, 2026).

  23. No harm, with potential for more than minimal harm

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0835, Administration Deficiencies. Inspection of September 5, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 14, 2025).

  24. No harm, with potential for more than minimal harm

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0865, Administration Deficiencies. Inspection of September 5, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 14, 2025).

  25. No harm, with potential for more than minimal harm

    Respond appropriately to all alleged violations.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of August 21, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (October 20, 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.