Fair Haven of Forest City, LLC

830 Bethany Church Road
Forest City, NC, 28043
8282452852
CCN: 345314
4
Overall
5
Health
3
Staffing
1
Quality
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
CILONE, JOHN5% OR GREATER DIRECT OWNERSHIP INTEREST20%
HENSLEY, SUZANNE5% OR GREATER DIRECT OWNERSHIP INTEREST20%
MCKEITHAN, CHARLES5% OR GREATER DIRECT OWNERSHIP INTEREST20%
MCKEITHAN, DANIEL5% OR GREATER DIRECT OWNERSHIP INTEREST20%
MCKEITHAN, EMMETT5% OR GREATER DIRECT OWNERSHIP INTEREST20%
CILONE, JOHNOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HENSLEY, SUZANNEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MCKEITHAN, CHARLESOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MCKEITHAN, DANIELOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MCKEITHAN, EMMETTOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Health Deficiencies (7)
2025-02-13 · Health
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-11-16 · Health
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F690 · Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
2022-06-09 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F761 · Pharmacy Service Deficiencies
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.
E
F757 · Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.62
3.68
RN Hrs/Resident/Day
0.36
0.54
LPN Hrs/Resident/Day
0.98
0.81
CNA Hrs/Resident/Day
2.28
2.33
PT Hrs/Resident/Day
0.07
0.12
Data as of 2026-03-01