Fair Haven Of Forest City, Llc
Fair Haven Of Forest City, Llc Information
| Facility Name | Fair Haven Of Forest City, Llc |
| Location | 830 Bethany Church Road, Forest City, NC 28043 |
| County (SSA Code) | Rutherford (800) |
| Phone Number | 828-245-2852 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 100 |
| Average Number of Residents | 83.7 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | Yes |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | FAIR HAVEN OF FOREST CITY LLC |
| Ownership Type | For profit - Partnership |
| Date First Approved | 1990-04-06 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.36353 |
| Reported LPN Staffing Hours per Resident per Day | 0.96606 |
| Reported RN Staffing - Hours per Resident per Day | 0.3419 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.30796 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.67149 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.04954 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.25288 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.73543 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.40797 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.39628 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.44654 |
| Total Weighted Health Survey Score for three cycles | 33.333 |
| Rating cycle 1 Standard Survey Health Date | 2019-12-12 |
| Rating cycle 1 - Health Deficiency Score | 8 |
| Rating cycle 1 - Total Health Inspection Score | 28 |
| Date of Rating cycle 2 Standard Health Survey Date | 2019-01-25 |
| Rating cycle 2 - Health Deficiency Score | 28 |
| Date of Rating cycle 3 Standard Health Survey Date | 2018-01-11 |
| Number of Facility-Reported Incidents | 2 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Fines | 1 |
| Total Amount of Fines (in Dollars) | 14060 |
| Total Number of Penalties | 1 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |