Federal inspection record · CMS data as of October 1, 2026
Belvidere Health And Rehab
1701 5th Avenue, Belvidere, IL · (815) 547-5451
- Certified beds
- 80
- Residents per day
- 49
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- November 4, 2004
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Illinois.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Illinois homes
Belvidere Health And Rehab carries 27 inspection points. That is fewer than 92% of Illinois's 659 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Illinois: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–31 pts
- 4★ 31–73 pts
- 3★ 73–120.25 pts
- 2★ 120.25–219 pts
- 1★ over 219 pts
Bars show every rated home in Illinois by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
18 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care6E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Pharmacy Service3E
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- E
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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nutrition and Dietary2E
- E
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- D
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.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Implement a program that monitors antibiotic use.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Resident Assessment and Care Planning1D
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Nursing and Physician Services1F
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Resident Rights1D
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspection history
2026-07-08
6 health deficiencies · 0 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2025-06-25
5 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2024-06-13
7 health deficiencies · 0 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 54 min of nursing staff time a day, 59 min of it from a registered nurse.
This home
2 h 54 min
Illinois average
3 h 28 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 25% of nursing staff and 0% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.1 pts worse | 3.1 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.9 pts worse | 3.0 | 2.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine9.5 pts better | 100.0% | 90.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine8.3 pts better | 100.0% | 91.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2 pts better | 1.0% | 3.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms33.8 pts worse | 89.7% | 55.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.1 pts better | 3.0% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication8.6 pts better | 9.8% | 18.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.1 pts worse | 25.8% | 21.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened4.9 pts better | 7.9% | 12.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.3 pts better | 12.7% | 13.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.4 pts worse | 2.2% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.5 pts better | 0.0% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.1 pts worse | 21.9% | 19.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.3 pts better | 3.5% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.1 pts better | 79.1% | 70.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit8.1 pts better | 5.4% | 13.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts worse | 2.7% | 2.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine3.2 pts worse | 60.0% | 63.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission11.7 pts worse | 37.3% | 25.6% | 23.4% |
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Who owns and runs it
8 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Marlee Associates | Direct Ownership Interest · Organization | 0% | 6 facilities |
| Michalsen, Thomas | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Michalsen, Thomas | Adp Of The SNF · Individual | 0% | 4 facilities |
| Ryan, Margaret | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Ryan, Margaret | Adp Of The SNF · Individual | 0% | 1 facilities |
| Tepper, Joseph | Direct Ownership Interest · Individual | 0% | 1 facilities |
| Topper, Aaron | Managing Control - Governing Body · Individual | 0% | 18 facilities |
| Topper, Aaron | Operational/Managerial Control · Individual | 0% | 18 facilities |
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