Fair Haven of Forest City, LLC
830 Bethany Church Road, Forest City, NC 28043 · CCN 345314
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★★★ 5
- Quality measures
- ★☆☆☆☆ 1
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Partnership
- Certified beds
- 100
- Avg residents/day
- 85.1
- Phone
- 8282452852
Inspection history vs North Carolina & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | North Carolina avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-02-13 | 1 | 5.6 | 9.5 | -4.6 better |
| 2 | 2023-11-16 | 2 | 7.2 | 9.8 | -5.2 better |
| 3 | 2022-06-09 | 4 | 7.4 | 9.3 | -3.4 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.62 | 30.0% |
| RN staffing (reported) | 0.36 | 70.0% |
| Total nurse staffing (adjusted) | 3.73 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Inspection citations (7)
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-02-13 · Health · corrected 2025-03-01
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-11-16 · Health · corrected 2023-12-11
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-11-16 · Health · corrected 2023-12-11
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-06-09 · Health · corrected 2022-06-28
Potential for more than minimal harm
- EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2022-06-09 · Health · corrected 2022-06-28
Potential for more than minimal harm
- EF0761Ensure 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.2022-06-09 · Health · corrected 2022-06-28
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2022-06-09 · Health · corrected 2022-06-28
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| CILONE, JOHN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | 2015-12-01 |
| HENSLEY, SUZANNE | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | 2015-12-01 |
| MCKEITHAN, CHARLES | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | 2015-12-01 |
| MCKEITHAN, DANIEL | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | 2015-12-01 |
| MCKEITHAN, EMMETT | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | 2015-12-01 |
| CILONE, JOHN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2015-12-01 |
| HENSLEY, SUZANNE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2015-12-01 |
| MCKEITHAN, CHARLES | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2015-12-01 |
| MCKEITHAN, DANIEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2015-12-01 |
| MCKEITHAN, EMMETT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2015-12-01 |
Other facilities in Forest City
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.