Fairhaven Christian Ret Center
Rockford, Illinois · CCN 14E345
25 surveys since 2011. The first finding at harm level was recorded in 2021.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 69
- Surveys
- 25
- Harm or worse
- 10
- Immediate jeopardy
- 2
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 96
- Ownership
- Non profit - Church related
- Chain
- Independent
- County
- Winnebago
- Medicare-certified since
- 1976
CMS ratings
- Overall
- 3
- Health inspection
- 3
- Staffing
- 4
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat more weighted findings than its peer group.
Weighted by harm level, against 31 not-for-profit facilities of 66–99 beds in Illinois.
Last survey on record
Feb 26, 2026
256 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 5.13 | 4.49 |
| Registered-nurse hours per resident day | 0.75 | — |
| Annual nurse turnover | 94.7% | 36.9% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $120,225 across 1 penalty
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J14.8% | K— | L— |
| Actual harm | G523.8% | H— | I— |
| No harm, potential for more than minimal | D1152.4% | E14.8% | F314.3% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6895×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F8803×
Provide and implement an infection prevention and control program.
- F6842×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F7612×
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.
- F5501×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
In the surveyor’s words
From the most serious findings on record at Fairhaven Christian Ret Center, in the surveyor’s own words.
- Immediate jeopardy, isolatedF689Mar 26, 2025
Based on interview and record review, the facility failed toensure R1 was supervised while eating and food items were present within R1's reach. This failure resulted in R1 choking on R1's food and expiring. This applies to 1 of 3 residents (R1) reviewed for safety and supervision in the sample of 3. This failure resulted in an Immediate Jeopardy. The Immediate Jeopardy began on [DATE] at 6:00 PM, when facility staff failed to ensure R1 was supervised at the dining room table when food was present. R1 impulsively grabbed food, put it in her mouth, choked, and died . The facility was notified of the Immediate Jeopardy on [DATE] at 9:28 AM. V1 (Administrator) was informed of the Immediate Jeopardy on [DATE] at 9:28 AM. […]
- Immediate jeopardy, isolatedF600Jun 3, 2022
Based on interview and record review the facility failed to ensure a resident (R3) was free from sexual abuse and the facility failed to ensure a resident (R1) was free from verbal abuse for 2 of 6 residents reviewed for abuse in the sample of 6. This failure resulted in an Immediate Jeopardy. The Immediate Jeopardy began on March 22, 2022 when the facility failed to notify V11 (R2's Physician) or V12 (R2's Psychiatric Nurse Practitioner/NP) of R2's worsening sexual behaviors exhibited by R2 pulling out his penis in front of another resident. R2 was later found with his hand in R3's pants (female resident). V1 (Administrator) was informed of the Immediate Jeopardy on June 2, 2022. […]
- Actual harm, isolatedF692Feb 26, 2026
Based on interview and record review, the facility failed to identify a significant weight loss for a resident (R4), failed to notify a resident's physician, dietician, and power of attorney for a significant weight loss and failed to obtain consistent meal intakes. These failures resulted in R4 experiencing a significant weight loss with no nutritional interventions for 22 days. This applies to 1 of 6 residents reviewed for nutrition in the sample of 28.The findings include:R4's electronic face sheet printed on 2/26/26 showed R1 has diagnoses including but not limited to chronic kidney disease stage 3, urinary tract infection, chronic obstructive pulmonary disease, and Alzheimer's disease.R4's facility assessment dated [DATE] showed R1 has no cognitive impairment and has not experienced… […]
- Actual harm, isolatedF689Feb 26, 2025
Based on interview and record review, the facility failed to ensure a resident was transferred and ambulated in a safe manner for 1 of 4 residents (R1) reviewed for safety and supervision in the sample of 4 residents. This failure resulted in R1 falling and sustaining a right clavicle fracture. Findings include: R1's current Face Sheet provided by the facility on 2/26/25 shows R1's diagnoses include but are not limited to dementia, fracture of right clavicle, right shoulder pain, syncope and collapse, fatigue, pain in right knee, depression, and kyphosis. R1's current care plan last reviewed 2/8/25 shows R1 is at risk for falling due to her age, muscle weakness and overall physical decline. […]
- Actual harm, isolatedF689Mar 27, 2024
Based on observation, interview, and record review, the facility failed to ensure a safe transfer was provided for 1 of 3 residents (R1) reviewed for risk for falls on the sample list of 3. This failure resulted in R1 sustaining a clavicle fracture during a stand lift transfer on 3/20/24. The findings include: The Nurse's Note dated 3/20/24 for R1 showed, called to room by CNAs (Certified Nursing Assistant) at 3:10 PM. CNAs stated R1 was transferring from toilet to wheelchair when she became weak and had to be lowered to floor by CNAs. R1 sitting on floor between toilet and wheelchair with her legs under her. R1 was holding onto the wheelchair and resting her head against door frame. Staff were able to lift R1 off floor, onto toilet, then transfer her into wheelchair, and lifted into bed. […]
Read 25 findings in full →The most serious and the most recent: 25 of 69 on record.
Every survey on record
FindingsAt actual harm or above
- Feb 26, 2026Standard5 findings · 1 harm
- Mar 26, 2025Complaint1 finding · 1 harm
- Feb 26, 2025Complaint1 finding · 1 harm
- Jan 8, 2025Standard5 findings
- Aug 13, 2024Complaint2 findings
- Mar 27, 2024Complaint1 finding · 1 harm
- Feb 15, 2024Standard4 findings
- Aug 29, 2023Complaint2 findings · 2 harm
Show the 17 earlier surveys
- Apr 20, 2023Standard6 findings
- Mar 7, 2023Complaint1 finding · 1 harm
- Aug 26, 2022Complaint1 finding · 1 harm
- Jun 7, 2022Infection control1 finding
- Jun 3, 2022Complaint1 finding · 1 harm
- May 4, 2022Standard3 findings
- Jun 17, 2021Standard4 findings · 1 harm
- Mar 26, 2021Complaint1 finding
- Jan 17, 2020Standard7 findings
- Feb 7, 2019Standard3 findings
- Apr 10, 2018Complaint1 finding
- Mar 15, 2018Standard9 findings
- Jul 13, 2017Complaint1 finding
- Feb 9, 2017Standard2 findings
- Feb 27, 2014Standard4 findings
- Dec 16, 2011—2 findings
- Apr 1, 2011—1 finding
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction