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.
Record summary
Federal record · Q1 202669
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| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| May 1, 2025 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Complaint |
| May 1, 2025 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Complaint |
| May 1, 2025 | F868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Complaint |
| May 1, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| May 1, 2025 | F838 | Conduct 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. | D | Complaint |
| May 1, 2025 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Complaint |
| May 1, 2025 | F814 | Dispose of garbage and refuse properly. | F | Complaint |
| May 1, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint |
| May 1, 2025 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint |
| May 1, 2025 | F761 | 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. | D | Complaint |
| May 1, 2025 | F758 | 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. | D | Complaint |
| May 1, 2025 | F730 | Observe each nurse aide's job performance and give regular training. | F | Complaint |
| May 1, 2025 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | F | Complaint |
| May 1, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| May 1, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint |
| May 1, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| May 1, 2025 | F679 | Provide activities to meet all resident's needs. | D | Complaint |
| May 1, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| May 1, 2025 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| May 1, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| May 30, 2024 | F626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | Complaint |
| May 30, 2024 | F625 | Notify 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. | D | Complaint |
| May 30, 2024 | F624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | Complaint |
| May 30, 2024 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint |
| May 30, 2024 | F622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Complaint |
| May 30, 2024 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| May 30, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| May 30, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint |
| Aug 2, 2022 | F943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | Standard |
| Aug 2, 2022 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard |
| Aug 2, 2022 | F912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | D | Standard |
| Aug 2, 2022 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Aug 2, 2022 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Aug 2, 2022 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Aug 2, 2022 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Aug 2, 2022 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Aug 2, 2022 | F640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard |
| Aug 2, 2022 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard |
| Aug 2, 2022 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Standard |
| Aug 2, 2022 | F584 | Honor 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. | D | Standard |
| Aug 2, 2022 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Feb 27, 2020 | F912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Standard |
| Feb 27, 2020 | F908 | Keep all essential equipment working safely. | E | Standard |
| Feb 27, 2020 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Feb 27, 2020 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Feb 27, 2020 | F761 | 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. | E | Standard |
| Feb 27, 2020 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Feb 27, 2020 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Feb 27, 2020 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard |
| Feb 27, 2020 | F640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard |
| Feb 27, 2020 | F584 | Honor 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. | E | Standard |
| Feb 27, 2020 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Feb 27, 2020 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Aug 30, 2018 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Standard |
| Aug 30, 2018 | F924 | Put firmly secured handrails on each side of hallways. | E | Standard |
| Aug 30, 2018 | F920 | Provide 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. | E | Standard |
| Aug 30, 2018 | F912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | D | Standard |
| Aug 30, 2018 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Aug 30, 2018 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Aug 30, 2018 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Aug 30, 2018 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | L | Standard |
| Aug 30, 2018 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Aug 30, 2018 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Aug 30, 2018 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Aug 30, 2018 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Aug 30, 2018 | F641 | Ensure each resident receives an accurate assessment. | E | Standard |
| Aug 30, 2018 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | C | Standard |
| Aug 30, 2018 | F584 | Honor 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. | F | Standard |
| Aug 30, 2018 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | C | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $271,687 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| May 1, 2025 | Fine | $118,001 | — |
| May 30, 2024 | Fine | $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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