Care Haven Center

In the surveyor’s words

From the most serious findings on record at Care Haven Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF725Jan 11, 2022

  Based on interview, record review, observation, the facility failed to ensure sufficient qualified nursing staff were available at all times to provide nursing and related services to meet the residents' needs safely and in a manner that promoted resident rights, physical, mental and psychosocial well-being. Facility census: 57. Findings included: a) Citations During the facility's long-term care survey relevant citations included: -See F550 -See F583 -See F584 -See F585 -See F609 -See F610 -See F622 -See F657 -See F684 -See F689 -See F692 -See F695 -See F727 -See F882 b) Resident Interviews During an interview on 01/03/22 at 8:19 AM, Resident # 51 stated it depends on staff shortage, sometimes it takes them 1-2 hours to answer the call light. […]

• No harm, potential for more than minimal, widespreadF727Jan 11, 2022

  Based on record review and interview, the facility failed to ensure a Registered Nurse (RN) was present at the facility for at least eight (8) consecutive hours a day, seven (7) days a week. There were six (6) identified dates the facility had 0.00 hours of RN coverage. This had the potential to affect all residents at the facility. Facility census: 57. Findings included: a) RN coverage in December 2021 On 01/05/21 at 9:00 AM, a review of the staffing timesheets/schedules for RN coverage found four (4) occasions, occurring on weekends in December 2021, when RN coverage was not present in the facility. Saturday, 12/11/21 - RN coverage was 0.00 hours. No RN coverage in the facility. Sunday, 12/12/21 - RN overage was 0.00 hours. […]

• No harm, potential for more than minimal, widespreadF882Jan 11, 2022

  Based on facility documentation and staff interview the facility failed to provide an Infection Preventionist that had completed specialized training in infection prevention and control. The failed practice had the potential to affect all residents who reside in the facility. Facility census: 57. Findings included: a) Infection Prevention Certification A review of facility documentation, on 01/05/22 at 3:50 PM, revealed a lack of evidence that verified staff had completed an Infection Prevention and Control specialized training in the facility. An interview with the Infection Preventionist (IP), on 01/05/2022 at 4:00 PM, stated IP was not certified in infection prevention and control. […]

• No harm, potential for more than minimal, patternF656Jan 21, 2026

  Based on record review and staff interview, the facility failed to develop and/or implement care plans related to Hospice services and meal intake percentages. This failed practice was found true for (3) three of 23 residents reviewed for care plan accuracy during the Long-Term Care Survey Process. Resident identifiers #65, #5, #12. Facility Census 65.Findings included: a) Resident #5 On 01/20/26 at 8:16 AM, a review of physician orders and Resident #5's care plan was completed as it related to nutrition. The care plan in part stated,monitor intake all meals. […]

• No harm, potential for more than minimal, patternF804Jan 21, 2026

  Based on resident interview, staff interview, and food tray temperatures, the facility failed to serve food that was palatable and at an appetizing temperature. The facility failed to ensure hot foods were served hot and cold foods were served cold. This practice was true for three (3) of the four (4) hallways tested for milk on the beverage carts and food tray temperatures for two (2) of two (2) meal trays tested throughout the survey process. Facility census 65 Findings included a) Policy Review Review of the facility's policy read in part, all foods will be held at appropriate temperatures, greater than 135 degrees (or as state regulation requires) for hot foods and less than 41 degrees for cold food b) Palatable and Food Temperatures Interviews with 18 of 23 sampled residents revealed… […]