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Facility profile · CCN 215252

Forest Haven Nursing And Rehabilitation Ctr

69 federal citations on record , including 1 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $271,687.

Abuse Icon 1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
69
Total citations
28
Last 3 years
4
Actual harm+
2
Federal penalties
$271,687
Total fines
1
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

69 on record
SurveyF-TagViolationSeveritySource
May 1, 2025F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.FComplaint
May 1, 2025F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.FComplaint
May 1, 2025F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFComplaint
May 1, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
May 1, 2025F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.DComplaint
May 1, 2025F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FComplaint
May 1, 2025F814Dispose of garbage and refuse properly.FComplaint
May 1, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
May 1, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint
May 1, 2025F761Ensure 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.DComplaint
May 1, 2025F758Implement 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.DComplaint
May 1, 2025F730Observe each nurse aide's job performance and give regular training.FComplaint
May 1, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.FComplaint
May 1, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
May 1, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
May 1, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
May 1, 2025F679Provide activities to meet all resident's needs.DComplaint
May 1, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
May 1, 2025F610Respond appropriately to all alleged violations.DComplaint
May 1, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
May 30, 2024F626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.DComplaint
May 30, 2024F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DComplaint
May 30, 2024F624Prepare residents for a safe transfer or discharge from the nursing home.DComplaint
May 30, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint
May 30, 2024F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DComplaint
May 30, 2024F610Respond appropriately to all alleged violations.DComplaint
May 30, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
May 30, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Aug 2, 2022F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.DStandard
Aug 2, 2022F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DStandard
Aug 2, 2022F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.DStandard
Aug 2, 2022F880Provide and implement an infection prevention and control program.DStandard
Aug 2, 2022F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Aug 2, 2022F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Aug 2, 2022F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Aug 2, 2022F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Aug 2, 2022F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DStandard
Aug 2, 2022F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Aug 2, 2022F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GStandard
Aug 2, 2022F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DStandard
Aug 2, 2022F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Feb 27, 2020F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.BStandard
Feb 27, 2020F908Keep all essential equipment working safely.EStandard
Feb 27, 2020F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Feb 27, 2020F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Feb 27, 2020F761Ensure 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.EStandard
Feb 27, 2020F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Feb 27, 2020F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Feb 27, 2020F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Feb 27, 2020F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DStandard
Feb 27, 2020F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EStandard
Feb 27, 2020F558Reasonably accommodate the needs and preferences of each resident.DStandard
Feb 27, 2020F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Aug 30, 2018F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.FStandard
Aug 30, 2018F924Put firmly secured handrails on each side of hallways.EStandard
Aug 30, 2018F920Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.EStandard
Aug 30, 2018F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.DStandard
Aug 30, 2018F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Aug 30, 2018F759Ensure medication error rates are not 5 percent or greater.DStandard
Aug 30, 2018F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Aug 30, 2018F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.LStandard
Aug 30, 2018F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Aug 30, 2018F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Aug 30, 2018F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Aug 30, 2018F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Aug 30, 2018F641Ensure each resident receives an accurate assessment.EStandard
Aug 30, 2018F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.CStandard
Aug 30, 2018F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.FStandard
Aug 30, 2018F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.CStandard

Federal enforcement history

Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $271,687 .

DateTypeFinePayment denial
May 1, 2025Fine$118,001
May 30, 2024Fine$153,686
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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