Fair Haven Shelby County

In the surveyor’s words

From the most serious findings on record at Fair Haven Shelby County, in the surveyor’s own words.

• Actual harm, isolatedF689Aug 14, 2025

  Based on medical record review, staff interviews, review of a facility investigation, and review of facility policy, the facility failed to ensure a resident was properly transferred from a recliner chair to a bed by a Hoyer (mechanical Lift). This resulted in Actual Harm when the Hoyer lift tipped over during transfer by Certified Nursing Assistant (CNA) #200 and Resident #55 hit her face on the floor. Resident #55 sustained facial fractures, a subdural hematoma (bleeding between brain and outer covering), and a facial laceration that required medical transport by helicopter and hospital admission. This affected one (#55) of three residents reviewed for accidents. The census was 65. Findings include: Review of Resident #55's medical record revealed an admission date of 08/09/19. […]

• No harm, potential for more than minimal, widespreadF812Feb 27, 2026

  Based on staff interview, observation, policy review, and record review, the facility failed to ensure food was served and stored in a safe and sanitary manner. This had the potential to affect all 64 residents who receive food from the kitchen. The facility census was 64.Finding include:Review of food temperature logs from 01/10/26 through 02/26/26 with Dietary Manager (DM) #156 revealed the only meals with recorded temperatures during the review period were: 01/10/26 (breakfast, lunch, dinner), 01/10/26 (unspecified meal), 01/12/26 (dinner), 02/10/26 (lunch and dinner), 02/11/26 (lunch and dinner), 02/12/26 (breakfast, lunch, dinner), 02/13/26 (lunch), 02/14/26 (breakfast), 02/15/26 (breakfast), 02/16/26 (breakfast), 02/21/26 (breakfast, lunch, dinner, and one unspecified meal), and… […]

• No harm, potential for more than minimal, widespreadF761Jun 11, 2025

  Based on medical record review, observations, staff interviews and policy review, the facility failed to ensure prescription medication was stored in a locked secured location and not within reach of the residents. In addition, the facility failed to ensure medications were labeled for opening, labeled for expiration, disposed of when expired and stored only with medications. This had the potential to affect all 62 residents in the facility who received medications. The facility census is 62. Findings include: 1. […]

• No harm, potential for more than minimal, widespreadF803Jun 11, 2025

  Based on observation, staff interview, review of the facility menu, and review of the policy, the facility failed to ensure all residents received a balanced and nutritious meal. This had the potential to affect six residents (#01, #02, #19, #31, #26, and #53) who receive a pureed diet and did not receive bread or the desert, as well as all of the residents, who did not receive the desert. Resident #28 was identified as not receiving anything by mouth and is not affected. The facility census was 62. Findings include: Observation on 06/04/25 at 10:00 A.M. revealed [NAME] #237 preparing the pureed foods. […]

• No harm, potential for more than minimal, widespreadF812Jun 11, 2025

  Based on observation, staff interview, and review of policy, the facility failed to ensure the kitchens were maintained in a clean and sanitary condition and foods were stored in a manner to avoid contamination and spoilage. The facility also failed to ensure the dishes were sanitized when using the dishwasher. Furthermore, the facility failed to maintain the ice machines in the smaller kitchen areas in a sanitary manner. This had the potential to affect all residents but one (#32) who received foods prepared in the kitchens. The facility census was 62. Findings include: A tour of the kitchen on 06/02/25, beginning at 8:20 A.M. and ending at 8:50 A.M., revealed the floors were dull with many food particles scattered everywhere. […]