Fair Havens Senior Living

In the surveyor’s words

From the most serious findings on record at Fair Havens Senior Living, in the surveyor’s own words.

• Immediate jeopardy, patternF689Jul 6, 2021

  Based on observation, interview, and record review, the facility failed to supervise residents at risk for elopement, failed to maintain a functional door alarm/electronic monitoring system, and failed to implement additional safety precautions during the alarm system failure for fifteen (R1-R15) of fifteen residents reviewed for elopement on the sample list of 15. This failure resulted in R1, a resident with severe cognitive impairment, exiting the facility alone and undetected by staff on 6/28/21 at 5:34 am. R1 was found 0.9 miles from the facility walking on Route 48 (a three-lane highway) on 6/28/21 at 5:57 am. During the time of the elopement, R1 sustained a witnessed fall, which resulted in a two-centimeter laceration to R1's left eyebrow which required sutures. […]

• Immediate jeopardy, isolatedF689Feb 6, 2026

  Based on observation, interview, and record review the facility failed to ensure transportation staff were trained according to manufacturer's instructions to safely secure a wheelchair in the transportation van and failed to check a security strap when a resident reported movement of the wheelchair. These failures resulted in R3 sliding forward in the wheelchair when the transportation van was moving down a hill away from the facility which then resulted in the wheelchair flipping forward and R3 sliding out of the wheelchair onto the floor causing R3's left leg to become entangled in the foot pedal and underneath R3's body. […]

• Actual harm, isolatedF690Aug 5, 2026

  Based on observation, interview, and record review, the facility failed to provide thorough and timely incontinence care for two (R51 and R45) of three residents, reviewed for incontinence care in a sample list of 52 residents. This failure resulted in R51 being hospitalized for treatment for a Urinary Tract Infection (UTI) and R45 requiring antibiotic treatment for multiple Urinary Tract Infections (UTI). Findings include: 1. R51's care plan dated 7/21/26 documents R51 was at risk for an activities-of-daily-living self-care deficit related to diagnoses including Metabolic Encephalopathy, Sepsis, Cystitis, Alzheimer's /Disease, Chronic Obstructive Pulmonary Disease, and Trigeminal Neuralgia. […]

• Actual harm, isolatedF684Jul 6, 2026

  Based on interview and record review, the facility failed to complete wound monitoring and failed to follow Physician's orders for wound care for one resident (R8) and failed to transcribe and provide Physician ordered wound care for one resident (R6). This failure affects two (R8, R6) of three residents reviewed for wound care in the sample list of 22. This failure resulted in R8's left foot wound becoming infested with parasitic fly larvae (maggots) and leaving R6 feeling mortified and upset. […]

• Actual harm, isolatedF557Dec 10, 2025

  Based on Observation, Interview and Record Review the facility failed to protect the dignity and psychosocial wellbeing for two residents (R26, R69) reviewed for dignity out of a sample list of 49. This failure resulted in psychosocial harm for R26, R69 with feelings of disrespect.Findings Include: 1.) The Minimum Data Set, dated [DATE] documents that Resident R26 is severely cognitively impaired, requires maximum assistance with activities of daily living, and has a diagnosis of dementia. On 12/07/2025 at 8:30 AM, R26 was observed lying in bed on the left side, with the right side of the head positioned partially on a pillow and partially against the wall. […]