Contact Information

FAIR HAVEN OF FOREST CITY, LLC
FAIR HAVEN OF FOREST CITY LLC
830 BETHANY CHURCH ROAD
FOREST CITY, NC 28043
(828) 245-2852
For profit - Partnership
Medicare certification date2: April 06, 1990
The is the date the nursing home was certified to participate in the Medicare program.

1 Nursing homes can be run by private for-profit corporations, non-profit corporations, religious affiliated organizations or government entities.

2 Agencies that are Medicare Certified are able to participate in Medicare related programs.


Nursing Home Information

  87 residents

  100 certified beds

  Participates in Medicare and Medicaid

  Continuing Care Retirement Community

  In hospital

  Resident Council only

  Automatic sprinklers in all required areas

Quality rating
Health inspection rating
Staffing rating
Substantiated complaints 1
Facility reported incidents None
Number of fines None
Number of penalties None
Number of payment denials None

Staffing

Staffing for 87 residents North Carolina Average National Average
Hours by Registered Nurse (RN) per resident per day 29 minutes 36 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 1 hour, 6 minutes 56 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 2 hours, 45 minutes 2 hours, 19 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day 5 minutes 8 minutes 7 minutes

Staffing hours per resident is the total number of hours worked by the staff divided by the total number of residents. It doesn't necessarily show the number of nursing staff present at any given time or the amount of care given to any one resident.

Ownership

5% OR GREATER DIRECT OWNERSHIP INTEREST

  • FAIR HAVEN OF FOREST CITY LLC
  • CILONE, JOHN
  • HENSLEY, SUZANNE
  • MCKEITHAN, CHARLES
  • MCKEITHAN, DANIEL
  • MCKEITHAN, EMMETT

OPERATIONAL/MANAGERIAL CONTROL

  • FAIR HAVEN OF FOREST CITY LLC
  • CILONE, JOHN
  • HENSLEY, SUZANNE
  • MCKEITHAN, CHARLES
  • MCKEITHAN, DANIEL
  • MCKEITHAN, EMMETT

Nursing Home Report

In 2016, FAIR HAVEN OF FOREST CITY, LLC charged a total of $2,854,907 for 138 Medicare Beneficiaries. The average age of residents at this skilled nursing facility is about 79.

The report covers only calendar year 2016.

Chronic Condition of Residents
Atrial Fibrillation 35% Alzheimer's 49%
Asthma 48% Cancer 16%
Congestive Heart Failure 56% Kidney Disease 66%
COPD 44% Depression 51%
Diabetes 44% Hyperlipidemia 74%
Hypertension n/a Ischemic Heart Disease 54%
Osteoporosis 17% RA / OA 54%
Schizophrenia 7% Stroke 20%
Demographics
Medicare Beneficiaries 138 Average Age 79
Male 49 Female 89
White 132
Black n/a
Asian 0
Hispanic 0
American Indian 0
Other n/a

Health & Fire Inspection

Most recent health inspection: Jan 11, 2018; fire safety inspection: Feb 20, 2018

Health Deficiencies as of 01/11/2018
Freedom from Abuse, Neglect, and Exploitation None
Quality of Life and Care None
Resident Assessment and Care Planning None
Nursing and Physician Services None
Resident Rights None
Nutrition and Dietary Deficiencies None
Pharmacy Service None
Environmental Deficiencies None
Administration Deficiencies None
Fire Deficiencies as of 02/20/2018
Emergency Preparedness None
Automatic Sprinkler Systems None
Construction Deficiencies None
Services Deficiencies 2
Corridor Walls and Doors None
Egress Deficiencies 1
Electrical Deficiencies None
Emergency Plans and Fire Drills None
Fire Alarm Systems None
Smoke Deficiencies None
Interior Deficiencies None
Gas, Vacuum, and Electrical Systems None
Hazardous Area None
Illumination and Emergency Power None
Laboratories Deficiencies None
Medical Gases and Anesthetizing Areas None
Smoking Regulations None
Miscellaneous Regulations None

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See also