B81

Fair Haven of Forest City, LLC

Grade B 81/100 composite score

For profit - Partnership

CMS Star Ratings

Overall
4/5
Health Insp.
5/5
Quality
1/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

100

Ownership

For profit - Partnership

Total Fines

None

Last Survey

N/A

830 Bethany Church Road, Forest City, NC 28043
8282452852

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.37h
LPN
1.01h
CNA
2.35h
Total
3.73h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

CILONE, JOHN

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Dec 2015

20%

HENSLEY, SUZANNE

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Dec 2015

20%

MCKEITHAN, CHARLES

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Dec 2015

20%

MCKEITHAN, DANIEL

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Dec 2015

20%

MCKEITHAN, EMMETT

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Dec 2015

20%

CILONE, JOHN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Dec 2015

HENSLEY, SUZANNE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Dec 2015

MCKEITHAN, CHARLES

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Dec 2015

MCKEITHAN, DANIEL

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Dec 2015

MCKEITHAN, EMMETT

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Dec 2015

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (7)

February 13, 2025Health1 deficiency
0689DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Mar 1, 2025
November 16, 2023Health2 deficiencies
0690DMinimal harm, Isolated

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies

Corrected Dec 11, 2023
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Dec 11, 2023
June 9, 2022Health4 deficiencies
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Jun 28, 2022
0757EMinimal harm, Pattern

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Pharmacy Service Deficiencies

Corrected Jun 28, 2022
0761EMinimal harm, Pattern

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.

Pharmacy Service Deficiencies

Corrected Jun 28, 2022
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jun 28, 2022

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Frequently Asked Questions

What is the CareGrader rating for Fair Haven of Forest City, LLC?

Fair Haven of Forest City, LLC in Forest City, North Carolina has a CareGrader grade of B (Good), with a composite score of 80.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for Fair Haven of Forest City, LLC?

Fair Haven of Forest City, LLC has an overall CMS star rating of 4 out of 5, a health inspection rating of 5/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does Fair Haven of Forest City, LLC have?

Fair Haven of Forest City, LLC has 7 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does Fair Haven of Forest City, LLC have?

Fair Haven of Forest City, LLC has 100 certified beds with approximately 85 current residents (85% occupancy). The facility is located at 830 Bethany Church Road, Forest City, North Carolina 28043. It is a for profit - partnership facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.