Fair Haven of Forest City, LLC

In the surveyor’s words

From the most serious findings on record at Fair Haven of Forest City, LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Nov 16, 2023

  Based on observations, record review and staff interviews, the facility failed to ensure items stored ready for use were labeled and dated and/or failed to remove expired food items in 1 of 1 pantry and 1 of 2 nourishment rooms (B Hall). These practices had the potential to affect food served to residents. Findings included: a. An initial tour of kitchen and interview with the Dietary Manager (DM) dated [DATE] at 10:15 AM revealed a cardboard box of 200 hard taco shells that was opened and not covered with the discard date of [DATE]. The DM stated she checked the pantry daily and was not aware the hard taco shells were out of date and not covered. The DM indicated dietary staff check the kitchen pantry daily and expired items should be discarded. b. […]

• No harm, potential for more than minimal, patternF757Jun 9, 2022

  Based on record review, and interviews with staff, pharmacist and Nurse Practitioner, the facility failed to discontinue a medication (Aspirin) as ordered and continued to administer the medication for 29 days after receiving the discontinue order for 1 of 5 residents reviewed for unnecessary medications (Resident #64). The findings included: Resident #64 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A review of the Physician order [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, patternF761Jun 9, 2022

  Based on observations and staff interviews, the facility failed to discard expired medications available for use in 2 of 3 medication carts (B hall medication cart and A hall medication cart) and 1 of 2 medication rooms (B hall medication room). The findings included: 1.a. An observation of the B hall medication cart with Nurse #2 on 6/8/22 at 2:17 PM revealed an open vial of Insulin detemir available for use in the top drawer and marked as being opened on 4/24/22 and labeled with Resident #41's name. Insulin detemir is a long-acting insulin used to treat diabetes. An interview with Nurse #2 revealed Insulin detemir expired 42 days after being opened and it should have been discarded on 6/5/22. […]

• No harm, potential for more than minimal, isolatedF552Apr 2, 2026

  Based on record review, and resident, staff, Consulting Pharmacist, Nurse Practitioner (NP) and Medical Director interviews, the facility failed to obtain consent and inform the resident or resident representative in advance of the risks and benefits of psychotropic medications prior to the initiation or increase of the medications for 3 of 5 residents reviewed for unnecessary medications ( Resident #47, Resident #67, and Resident #11). The findings included: a. Resident #47 was admitted [DATE] with diagnoses of panic disorder, depression, and anxiety disorder. Resident #47's physician's orders revealed an order dated 8/31/2024 for sertraline (antidepressant medication) 50 milligrams (mg) by mouth daily for depression. […]

• No harm, potential for more than minimal, isolatedF645Apr 2, 2026

  Based on record review and staff interviews, the facility failed to submit a request for a Level II PASRR (Preadmission Screening and Resident Review) evaluation for a resident admitted with an active diagnosis of bipolar disorder for 1 of 3 residents reviewed for PASRR evaluations (Resident #14). The findings included: Review of Resident #14's medical record revealed a PASRR level I completed prior to admission to the facility dated 03/20/18.Resident #14 was admitted on [DATE] with diagnoses which included bipolar disorder.No PASRR level II evaluation had been completed per review of Resident #14's medical record. […]