Deficiency Index

Fairview Haven

Fairbury, Illinois · CCN 145794

15 surveys since 2012. 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
52
Surveys
15
Harm or worse
1
Immediate jeopardy
1
The record, 2012–2024
’12’15’20’24
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records.

Beyond CMS’s monthly file12/15

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
52
Ownership
Non profit - Church related
Chain
Independent
County
Livingston · rural
Medicare-certified since
1994

CMS ratings

Overall
5
Health inspection
5
Staffing
5
Quality measures
4

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 43 not-for-profit facilities with fewer than 66 beds in Illinois.

Last survey on record

Sep 11, 2024

789 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.784.78
Registered-nurse hours per resident day0.85—
Annual nurse turnover30.4%36.0%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD964.3%E214.3%F321.4%
No harm, potential for minimalA—B—C—
CMS’s current file: 14 of the 52 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6892×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F7582×

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

  • 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.

  • F5541×

    Allow residents to self-administer drugs if determined clinically appropriate.

In the surveyor’s words

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

  • Immediate jeopardy, patternF880Aug 30, 2021

    Based on observation, interview, and record review, the facility failed to implement infection control procedures in accordance with State Health Department guidance and CDC (Centers for Disease Control and Prevention), and update and follow facility policy to prevent the spread of a highly contagious disease to residents and staff. The facility failed to ensure staff wore proper Personal Protective Equipment during an Outbreak of COVID-19 and failed to prohibit an employee who had close contact exposure to COVID-19 from working with residents. These failures affect 13 (R2, R3, R9, R10, R14, R15, R16, R17, R18, R19, R20 R21, R22) of 22 residents sampled for infection control. […]

  • No harm, potential for more than minimal, widespreadF761Sep 11, 2024

    Based on observation, interview and record review the facility failed to monitor medication room freezer temperatures and failed to store medications separately from food. This failure affects all 47 residents residing in the facility. Findings include: The facility's Storage of Medications policy with a revised date of 9/10/24 documents, Medication requiring refrigeration must be stored in a refrigerator located in the drug room at the nurses' station or other secured location. Medications must be stored in a separate compartment from food. On 9/10/24 at 10:15 AM, V3 Licensed Practical Nurse opened the medication storage room refrigerator and there was food and drink in the refrigerator. […]

  • No harm, potential for more than minimal, widespreadF755Jul 12, 2023

    Based on observation, interview and record review the facility failed to dispose of unused medications from unknown residents. This failure has the potential to affect all 46 residents residing in the facility reviewed for medication disposal in the sample list of 18. Findings include: The facility's undated Discarding and Destroying Medications policy provided on 7/12/23 documents, Medications that cannot be returned to the dispensing pharmacy (e.g. {example} non unit-dose medications, medications refused by the resident, and/or medications left by residents upon discharge) shall be destroyed. Non-controlled and Schedule V controlled drugs must be destroyed in the presence of two (2) licensed nurses. […]

  • No harm, potential for more than minimal, widespreadF812Jun 23, 2022

    Based on observation, interview, and record review, the facility failed to maintain equipment and utensils in a safe, clean, sanitary condition to prevent the potential for cross-contamination of food from physical contaminants. These failures have the potential to affect all 47 residents in the facility. Findings include: 1.) On 6/21/2022 at 9:45 am on tour of the kitchen, accompanied by V8, Dietary Manager, there was a manual tabletop can opener. The tabletop can opener had thick, dark brown grease-like build-up on the blade and an accumulation of metal shavings in gears. V8, Dietary Manager stated I see the metal shavings. I will get that taken care of right away. […]

  • No harm, potential for more than minimal, widespreadF868May 26, 2021

    Based on interview and record review the facility's Quality Assurance committee failed to meet on a quarterly basis and failed to ensure the medical director was in attendance for three of the four Quality Assurance meetings. This facility failure had the potential to affect all 47 residents residing in the facility. Findings include: The facility's Census and Condition report dated 5/24/21 provided by V1 Administrator documents there are 47 residents residing in the facility. The facility's Quality Assurance Meeting sign in sheet dated 8/13/20 documents that the 8/13/20 meeting was canceled. […]

Read 20 findings in full →The most serious and the most recent: 20 of 52 on record.

Every survey on record

FindingsAt actual harm or above

  • Sep 11, 2024Standard3 findings
  • Jul 12, 2023Standard4 findings
  • Mar 7, 2023Complaint1 finding
  • Jun 23, 2022Standard7 findings
  • Aug 30, 2021Infection control1 finding · 1 harm
  • May 26, 2021Standard5 findings
  • Aug 9, 2018Standard4 findings
  • Sep 15, 2017Standard6 findings
Show the 7 earlier surveys
  • Jul 22, 2016Standard5 findings
  • Mar 2, 2016Complaint2 findings
  • Aug 13, 2015Standard3 findings
  • Jun 2, 2015Complaint2 findings
  • Jun 26, 2014Standard6 findings
  • Jul 23, 2013—1 finding
  • Aug 9, 2012—2 findings

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.

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