Below average — CMS composite of the measures below.
A standard survey is most likely before around September 2026
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 Shelby County during CMS and state inspections, most recent first.
Surveyors found that the facility failed to consistently monitor and document food temperatures and keep food covered during meal service. Review of temperature logs with the Dietary Manager showed that temperatures were recorded for only a small number of meals over several weeks, with many required meal times lacking any documentation. During an observed lunch in a satellite kitchen, food arrived from the main kitchen, was placed on a steam table at maximum heat, and remained uncovered until service began, while no temperatures were taken or recorded despite a thermometer being available. Staff acknowledged they did not check temperatures on arrival and were unsure if the food was held at safe temperatures, and the Dietary Manager confirmed that policy required temperatures to be taken and documented before serving and that food should remain covered.
A facility area contained accident hazards and staff did not provide adequate supervision to prevent accidents, as observed by surveyors during the inspection.
Staff failed to serve bread and dessert to residents on pureed diets, and all residents missed receiving dessert and margarine during a meal service. The actual meal did not match the planned menu, and staff confirmed omissions occurred, with some residents leaving before missing items were offered.
Staff were observed standing over three cognitively impaired residents while providing feeding assistance, rather than sitting as expected. Both an LPN and a CNA confirmed this practice during interviews, despite care plans indicating the need for dignified meal assistance for residents dependent on staff for all ADLs.
A resident with chronic pain conditions reported almost constant pain affecting sleep, but staff did not document or administer as-needed pain medications or topical treatments on the day of assessment. Staff interviews confirmed that routine pain monitoring and documentation were only performed after PRN medication use, contrary to the facility's pain management policy.
A resident with Alzheimer's and other conditions was hospitalized with a femur fracture after complaining of severe leg pain. The facility's investigation into the injury was incomplete, lacking interviews with key staff members. A CNA reported a fall from a shower chair, but it was not documented or assessed. Law enforcement was involved due to family concerns of abuse, but the facility did not fully comply with its policy to interview all relevant staff.
A facility failed to develop a comprehensive care plan for a resident with Alzheimer's, a femoral fracture, and other conditions, who required assistance with ADLs. The care plan did not specify the level of staff assistance needed for tasks such as transfers, as confirmed by the DON and MDS Coordinator. This deficiency was identified during an investigation under specific complaint numbers.
A resident with multiple diagnoses, including Alzheimer's and a femoral head fracture, experienced a fall from a shower chair, which was not documented or investigated by the facility. Staff interviews revealed inconsistencies in reporting the incident, and the DON confirmed that a fall investigation was not completed, contrary to the facility's Fall Prevention Policy.
The facility failed to have a qualified activities director, affecting two residents and potentially impacting others. A resident with cognitive impairment expressed a desire for more activities like bingo, while another resident noted a decline in activity quality. Scheduled activities were not conducted as planned due to staffing issues, and the facility struggled to hire a permanent activities director.
A facility failed to administer medications per physician orders for a resident with congestive heart failure, dementia, and anxiety. The MAR showed Vitamin B12 was not given due to unavailability, and Levothyroxine was not signed off on multiple dates. The DON confirmed the discrepancies and lack of documentation, indicating non-compliance with medication administration protocols.
Failure to Monitor and Document Safe Food Temperatures and Maintain Food Coverage During Meal Service
Penalty
Summary
The deficiency involves the facility’s failure to ensure food was stored and served in a safe and sanitary manner, as required by its own Food Storage and Handling policy. Review of food temperature logs from 01/10/26 through 02/26/26 with the Dietary Manager (DM) showed that temperatures were recorded for only a limited number of meals on specific dates, while all other required meal service times lacked documented food temperatures. In an interview, the DM confirmed that kitchen staff did not routinely check food temperatures as required and that she could not provide consistent daily food temperature logs for each meal. During observation of a lunch meal service in the satellite kitchen, food arrived from the main kitchen and was placed on a steam table set at maximum heat, but no temperature log was present. The food remained uncovered for the duration of the observation period until service began, and although a thermometer was available and briefly handled by a staff member, no food temperatures were taken or documented. In interviews, staff in the satellite kitchen confirmed that no food temperatures were taken upon arrival from the main kitchen prior to meal service and stated they were unsure whether the food had been held at safe temperatures. The DM later confirmed that food temperatures should be taken upon arrival and prior to meal service and that food should remain covered, consistent with the facility’s written policy requiring temperature checks and documentation before serving.
Failure to Maintain Safe Environment and Adequate Supervision
Penalty
Summary
The facility failed to ensure that an area was free from accident hazards and did not provide adequate supervision to prevent accidents. Surveyors observed that the environment contained hazards that could lead to resident accidents, and staff did not implement sufficient measures to monitor or protect residents from these risks. This deficiency was identified based on direct observations and findings during the survey, which indicated lapses in maintaining a safe environment and in providing necessary supervision to prevent accidents.
Failure to Provide Complete and Nutritious Meals as Outlined in Facility Menu
Penalty
Summary
The facility failed to ensure that all residents received a balanced and nutritious meal as outlined in the facility's menu and policy. Observations revealed that residents on a pureed diet did not receive bread or dessert, and all residents missed receiving dessert during the meal service. Specifically, during meal preparation and service, staff did not include bread with the pureed beef patty or roasted zucchini, and no pureed dessert was available. Additionally, margarine was not placed on the trays or tables for residents. Staff interviews confirmed that pureed bread was not served due to its unappealing nature and that margarine was missing from the carts. The dietary manager and food service workers verified that dessert was not initially served to any residents until prompted by a surveyor, at which point some residents had already finished their meals and left the dining area. The menu for the observed meal included beef pepper patty, mashed potatoes with gravy, roasted zucchini, a dinner roll, margarine, and cherry crisp for dessert. However, the actual meal service did not match the planned menu, as bread and dessert were omitted for residents on pureed diets, and dessert and margarine were not provided to all residents as required. The facility's policy required menus to provide a variety of foods and indicate standard portions, but these requirements were not met during the observed meal service. One resident was identified as not receiving anything by mouth and was not affected by the deficiency.
Staff Failed to Maintain Resident Dignity During Feeding Assistance
Penalty
Summary
Staff failed to ensure residents were treated with dignity during mealtimes, as evidenced by multiple observations of staff standing over residents while providing feeding assistance. Specifically, an LPN was observed standing over two residents while feeding them breakfast, and a CNA was observed standing over another resident in the same manner. Both staff members confirmed in interviews that they were standing while feeding the residents and acknowledged that staff should sit down while assisting with feeding. The three residents affected were all dependent on staff for all activities of daily living and had severe cognitive impairments, including diagnoses of Alzheimer's disease and dementia. Their care plans indicated the need for staff assistance with meals and interventions to address nutritional problems. The facility's policy on meal supervision and assistance required staff to assist with feeding as needed to prevent accidents, but did not specify the manner in which assistance should be provided. The deficiency was identified through observations, staff interviews, and review of facility policy.
Failure to Address and Monitor Resident Pain Management
Penalty
Summary
The facility failed to address and monitor pain management for a resident with multiple chronic conditions, including rheumatoid arthritis, osteoarthritis, and bilateral lower extremity wounds. Despite the resident's report of almost constant pain, rated as a seven out of ten and affecting sleep, there was no documentation of pain management or administration of as-needed pain medications or topical treatments on the day of the pain assessment. The resident's care plan included interventions to anticipate and respond promptly to pain, evaluate the effectiveness of interventions, and document non-medication interventions prior to administering analgesics, but these were not followed. Interviews with staff revealed that routine pain monitoring and documentation were not conducted unless a PRN (as-needed) medication was administered. The medication administration record did not provide a place to document routine pain monitoring, and staff confirmed that pain effectiveness was only documented after PRN medication use. The facility's pain management policy required reassessment of pain management for effectiveness, but this was not implemented in practice. The Director of Nursing confirmed that no as-needed pain medication was given at the time of the pain assessment and that daily pain monitoring was not routinely performed.
Failure to Investigate Injury of Unknown Origin
Penalty
Summary
The facility failed to thoroughly investigate an injury of unknown origin involving a resident who was admitted with diagnoses including late-onset Alzheimer's, right femoral head fracture, depression, heart failure, and dementia with mood disturbance. The resident was discharged to the hospital with a right femur fracture after complaining of severe pain in the right knee, hip, and leg. The facility's self-reported incident (SRI) indicated that the injury was unsubstantiated, but the investigation lacked interviews with key staff members who had contact with the resident. Interviews revealed that a CNA reported the resident had fallen from a shower chair, but this was not documented or assessed by the LPN. The DON and Administrator were unaware of the fall, and the facility did not interview all relevant staff members, including those who were on the unit but not directly assigned to the resident. The facility's policy required interviews with all staff having contact with the resident during relevant periods, which was not followed. The investigation was further complicated by the involvement of law enforcement, as the resident's family raised concerns of possible abuse. Detective #40 conducted interviews and lie detector tests with staff, finding no concerns, but the facility did not document the detective's request to limit interviews. The failure to conduct a comprehensive investigation and interview all relevant staff members led to the deficiency being cited under complaint numbers OH00160651 and OH00160238.
Failure to Develop Comprehensive Care Plan for Resident's ADL Assistance
Penalty
Summary
The facility failed to develop a comprehensive care plan for a resident, identified as Resident #11, who required assistance with activities of daily living (ADLs). The resident, who had diagnoses including late onset Alzheimer's, a right femoral head fracture, depression, heart failure, and dementia with mood disturbance, was admitted to the facility and later discharged to the hospital. The discharge Minimum Data Set (MDS) assessment indicated that the resident required setup for eating and was dependent on staff for toileting hygiene, bed mobility, and transfers. However, the care plan created for the resident did not specify the amount of staff assistance required for these ADLs. During a review and interview with the Director of Nursing (DON), it was revealed that the Kardex for Resident #11 lacked specific instructions for transfers, which would typically indicate if a mechanical lift or two-person assistance was needed. The DON explained that the absence of a transferring section on the Kardex implied that only one-person assistance was required, although two-person assistance could be used. An interview with the MDS Coordinator confirmed that the care plan did not specify the level of assistance needed for ADLs, including transfers. This deficiency was investigated under Complaint Numbers OH00160651 and OH00160238.
Failure to Conduct Post-Fall Assessment and Investigation
Penalty
Summary
The facility failed to assess a resident and complete a post-fall investigation after the resident experienced a fall. Resident #11, who had diagnoses including late-onset Alzheimer's, a right femoral head fracture, depression, heart failure, and dementia with mood disturbance, was involved in this incident. The resident was admitted to the hospital and did not return to the facility. The medical record review revealed that Resident #11 had a moderate risk for falls, but there was no documentation of a fall on 11/19/24, nor any documented falls in the past six months. Interviews with staff members revealed inconsistencies in the reporting and acknowledgment of the fall. A CNA reported that Resident #11 fell from a shower chair during a shower, but the LPN and other CNAs denied knowledge of the incident. The Director of Nursing was also unaware of the fall and confirmed that a fall investigation had not been completed. The facility's Fall Prevention Policy, last reviewed in 2021, required post-fall assessments and follow-up, which were not conducted in this case. This deficiency was investigated under specific complaint numbers.
Lack of Qualified Activities Director and Inadequate Activity Provision
Penalty
Summary
The facility failed to ensure that their activities program was directed by a qualified professional, which affected two residents and had the potential to impact all residents except those who usually decline activities. Resident #45, who has moderate cognitive impairment due to dementia and Alzheimer's disease, expressed a desire to participate in activities like bingo but was not consistently informed or reminded about them. Her family member also noted the lack of an activities director and suggested that more crafts should be available. Similarly, Resident #63, who is cognitively intact, reported a decline in the quality of activities and mentioned that the facility had been without an activities director for about a year. Observations revealed that scheduled activities were not conducted as planned. For instance, a seated exercise session was not held because the activities assistant was occupied with gathering residents for a van ride. The activities assistant confirmed that she was the only staff member handling activities and worked five days a week, with office staff assisting when she was off. The facility administrator acknowledged the difficulty in hiring a permanent activities director, having hired twice for the position without success. This deficiency was investigated under Complaint Number OH00158208.
Medication Administration Deficiency
Penalty
Summary
The facility failed to administer medications according to physician orders for a resident diagnosed with congestive heart failure, dementia, and anxiety. The resident was cognitively intact, as per the Minimum Data Set (MDS) assessment. The Medication Administration Record (MAR) for September 2024 showed that Vitamin B12 was not administered on the 26th due to the medication being unavailable. Additionally, Levothyroxine was not signed off as administered on multiple dates in September and October 2024. The Director of Nursing (DON) confirmed that the Vitamin B12 was not signed off as administered on the specified date and that the medication was unavailable. The DON also verified that Levothyroxine was not documented as administered on the specified dates. Furthermore, the DON stated that the Vitamin B12 was administered on a different date without a physician's order to hold or delay the medication. The medical record did not reflect the administration of Vitamin B12 on the new date, indicating a lack of proper documentation and adherence to physician orders.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Sidney
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Momentous Health At Sidney | 2 mi | ★★★★★ | 6 | 0 |
| Shelby Skilled Nursing And Rehabilitation | 2.5 mi | ★★★★★ | 1 | 0 |
| Ohio Living Dorothy Love | 3.6 mi | ★★★★★ | 0 | 0 |
| Ayden Healthcare Of Piqua | 8.2 mi | ★★★★★ | 0 | 0 |
| Piqua Manor | 9.4 mi | ★★★★★ | 14 | 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.