Fair Haven Of Forest City, Llc

830 Bethany Church Road, Forest City, North Carolina 28043

100 certified beds · ≈ 84 residents/day · For profit - Limited Liability company · Last survey April 2026 · Provider #345314

CMS FIVE-STAR RATINGS
4/ 5 overall

Above average — CMS composite of the measures below.

Health inspections 4/5
Staffing 3/5
Quality measures 2/5
COMPLIANCE AT A GLANCE
Citations, last 12 months
3
28% below the North Carolina average of 4.1
Serious citations (J–L)
0
no immediate jeopardy–level findings
Fines on record
None
civil monetary penalties
On cycle

The next survey window likely opens around March 2027

4 of ~15 typical months since the last standard survey (April 2026)
Apr 2026 · on cycle Window opens Mar 2027 → ~Jul 2027

Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.

Citation history

Health deficiencies cited at Fair Haven Of Forest City, Llc during CMS and state inspections, most recent first.

3 in the last 12 months13 all-time 21 inspections on file
Failure to Obtain and Document Informed Consent for Psychotropic Medications
D
F0552 F552: Ensure that residents are fully informed and understand their health status, care and treatments.
Short Summary

The facility failed to obtain and document informed consent, including discussion of risks and benefits, before initiating or increasing psychotropic medications for three residents receiving antianxiety and antidepressant drugs. Cognitively intact residents reported that no provider or staff discussed side effects or risks and benefits when their alprazolam, sertraline, Xanax, or Zoloft were started or increased, and a responsible party for a severely cognitively impaired resident did not recall any discussion when buspirone was initiated. Records lacked documentation of informed consent, while interviews with the NP, Medical Director, Rounding Nurse, DON, Informatics Nurse, and Consulting Pharmacist revealed that nursing staff were expected to handle psychotropic consents, but consents were only being obtained for new antipsychotic orders and not for residents admitted on psychotropics or for antidepressant and antianxiety medications, despite policy defining these as psychotropics.

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Failure to Obtain Level II PASRR for Resident With Bipolar Disorder
D
F0645 F645: PASARR screening for Mental disorders or Intellectual Disabilities
Short Summary

A resident admitted with an active diagnosis of bipolar disorder had only a Level I PASRR completed prior to admission, and the facility did not request a required Level II PASRR evaluation. The resident’s MDS assessments documented severe cognitive impairment and an active bipolar disorder diagnosis, with ongoing treatment using mirtazapine and Lamictal and a care plan addressing depression and bipolar disorder. The SW acknowledged knowing about the bipolar diagnosis but did not submit a Level II PASRR referral, believing the existing Level I PASRR was sufficient, while the Administrator recognized that Level II evaluations are important for residents who meet criteria.

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Failure to Care Plan for Respiratory Conditions and Anticoagulant Use
D
F0656 F656: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Short Summary

Surveyors found that the facility failed to include key clinical issues in the comprehensive care plans for two residents. One resident with severe COPD, chronic respiratory failure, recurrent pneumonia, and ongoing respiratory symptoms had no respiratory-focused care plan despite repeated physician documentation, pulmonology consultation, and continued respiratory treatments. Another resident receiving the high-risk anticoagulant Apixaban for cardiac conditions and DVT prevention had no anticoagulant-related focus or interventions in the care plan, even though anticoagulant use was accurately coded on the MDS and the medication was administered consistently over several months.

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Improper Transfer of Resident Without Mechanical Lift
D
F0689 F689: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Short Summary

A resident with limited mobility and cognitive impairment was improperly transferred by a nurse aide without using the required mechanical lift, as specified in the care plan. The aide attempted a stand and pivot transfer, resulting in the resident being lowered to the ground without injury. The incident was observed by a nurse who confirmed the improper transfer method.

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
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In the Assessment

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Risk areas — ranked
1F689Accident hazards & supervision82
2F880Infection prevention & control74
3F812Food safety & sanitation61
4F656Comprehensive care plans49

Illustrative

In the Assessment

What surveyors actually found near you

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Findings near you
Gulf Coast Village · 1.6 mi F689J

Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.

Cypress Cove · 4.2 mi F812D

Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.

Illustrative

In the Assessment

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Self-audit checklist — do-first orderPer risk area
Walk supervision coverage on the memory-care unit at shift changeDo first
Audit fall-risk care plans for residents flagged high-riskF689
Verify kitchen temperature logs for the last 30 daysF812

Illustrative

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Nursing homes near Forest City

How nearby facilities compare on the same public inspection record.

Facility Distance Overall rating Citations, 12 mo Serious (J–L)
Fair Haven Home Inc 5.5 mi ★★★★★ 2 0
Willow Ridge Of Nc 6 mi ★★★★★ 5 0
Oak Grove Healthcare 7.1 mi ★★★★ 1 0
Hilltop Health And Rehabilitation 7.7 mi ★★★★★ 2 0
Willowbrooke Court Sc Ctr At Tryon Estates 17.9 mi ★★★★★ 0 0
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.

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